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Urology

News, opinions and meeting coverage in urology.

FDA Approves Device to Treat Enlarged Prostate

SILVER SPRING, Md. -- An implanted suture-based system to help men with enlarged prostates urinate more freely has been approved by the FDA, the agency said Friday.

Low E Not Low T May Be the Problem

Some symptoms traditionally attributed to low testosterone may actually be due to estrogen deficiency, researchers found.

Baldness Drug May Depress Sperm Count

Men men using finasteride to treat baldness had a dramatic increase in sperm count following discontinuation of the drug, according to a review of records at a male infertility clinic.

Exposing the Truth About ED: An Hour 'Changed the World'

Medical conferences come and go, but memories live on. Just ask anyone who attended the 1983 American Urological Association meeting.

A Little Estrogen Goes a Long Way in Preventing UTI

Short-term estrogen therapy induced cellular changes in urothelium consistent with improved ability to fight off urinary tract infection, results from clinical and preclinical studies suggested.

Medicare to Pay for More FDG-PET Scans

WASHINGTON -- Up to three scans using 18F-fluorodeoxyglucose-enhanced positron emission tomography technology can be covered by Medicare for oncology treatment planning, the Centers for Medicare and Medicaid Services said.

Case Study Links 'Pot' to Pituitary Damage

PHOENIX -- Daily use of marijuana over 15 years was associated with a case of low testosterone, follicle-stimulating hormone, and luteinizing hormone, researchers reported here.

Zytiga Prolongs Prostate Cancer Survival

ORLANDO -- Survival improved and disease progression slowed in men with metastatic castration-resistant prostate cancer treated in first line with abiraterone acetate (Zytiga).

Steroids Reduce Benefits of Prostate Ca Tx

ORLANDO -- Men with castration-resistant prostate cancer had worse survival when treated with corticosteroids, regardless of their primary treatment, a post-hoc analysis of a randomized trial showed.

Early Radiation Boosts Prostate Cancer Survival

ORLANDO -- Immediate radiation therapy after radical prostatectomy led to a 50% increase in long-term biochemical progression-free survival for patients with locally advanced prostate cancer, according to a study reported here.

FDA Panel Wary on Making Bladder Control Drug OTC

WASHINGTON -- An FDA advisory panel on Friday voted against recommending making oxybutynin transdermal patch (Oxytrol) available over-the-counter for overactive bladder in women.

Daily Cialis Alternative to On-Demand Drug

CHICAGO -- For men who don't respond to on-demand tadalafil (Cialis), a low daily dose may do the trick, researchers said here.

Chewable Viagra Gets Thumbs-Up in Mexico

CHICAGO -- Men thought a chewable version of sildenafil (Viagra Jet) made the drug work faster and longer, a Mexican study found.

Newest ED Drug Works in Less than Half Hour

CHICAGO -- The highly specific PDE5 inhibitor Avanafil may work in as little as 15 minutes after dosing, researchers said here.

Viagra from Online Sources Mostly Fake

CHICAGO -- Most of the sildenafil (Viagra) sold online is counterfeit and contains far less of the active ingredient than the real thing, researchers said here.

Persistence of Finasteride Side Effects Raised at Meeting

CHICAGO -- One of the topics under discussion among sexual medicine specialists, gathered here from around the world, is whether the sexual side effects of a hair-loss drug are long-lasting, according to a leader in the field.

Testosterone Tx Helps Obese Men Trim Waistline

HOUSTON -- Obese hypogonadal men lost an average of 36 pounds during long-term testosterone replacement therapy, results of a prospective cohort study showed.

Drug Restores Normal Orgasm in Men

ATLANTA -- Inability to achieve orgasm improved or resolved completely in almost 70% of men treated with the dopamine receptor agonist cabergoline, results of a small study showed.

Repeat Surgery Less Likely After Prostate Resection

ATLANTA -- Transurethral resection of the prostate for the treatment of benign prostatic hyperplasia reduced the reoperation rate by half compared with newer procedures, a case review showed.

New Drug for ED Wins FDA Approval

WASHINGTON -- The PDE-5 inhibitor class of drugs for erectile dysfunction gained its first new member in a decade with the FDA approval of avanafil (Stendra).

Doctors Say 45 Common Tests 'Overused'

Nine specialty groups have listed tests and treatments that are frequently overused, such as antibiotics for sinus attacks and CT scans for low back pain, in the first phase of a long-term project.

Urine Odor Signals UTI in Infants

Bad-smelling urine is a good predictor of urinary tract infection (UTI) in infants -- better than several other associated predictors, researchers found.

Circumcision Tied to Drop in Herpes, Too

SEATTLE -- African men who underwent circumcision not only reduced their risk of contracting HIV infection, they also were significantly less likely to be infected with herpes simplex virus-2, researchers reported here.

FDA Okays ED Drug for Enlarged Prostate

Tadalafil (Cialis), currently marketed for erectile dysfunction, also may be used to treat benign prostatic hyperplasia, the FDA said.

FDA Warns of High-Grade Prostate Ca Risk With BPH Drugs

WASHINGTON -- The FDA has issued a warning of an increased risk of high-grade prostate cancer with the 5-alpha reductase inhibitors finasteride (Proscar) and dutasteride (Avodart), currently approved to treat benign prostatic hypertrophy.

ASCO GU: Switch to Degarelix Slows PSA

ORLANDO -- PSA progression slowed significantly in prostate cancer patients switched to degarelix (Firmagon) after 12 months of leuprolide therapy, data from an open-label extension study showed.

ASCO GU: Rise in PSA Slowed by Pomegranate

ORLANDO -- Prostate cancer patients had a six-month gain in PSA doubling time when treated with pomegranate extract, according to data reported here.

ASCO GU: Long Learning Curve for Robotic Prostate Removal

ORLANDO -- Three experienced surgeons needed more than 1,600 cases to achieve acceptable outcomes with robotic-assisted laparoscopic prostatectomy, data from a retrospective chart review showed.

Pfizer Sues Teva over Generic Version of Sildenafil

Pfizer has sued Teva Pharmaceuticals to prevent a generic version of Pfizer's anti-impotence drug sildenafil (Viagra) from entering the market until at least 2019.

ASCO GU: BP Reveals Hit or Miss for Targeted Tx

SAN FRANCISCO -- Early response to preoperative targeted therapy for metastatic renal cell carcinoma may indicate efficacy, while treatment-induced hypertension may be another marker after surgery, according to studies reported here.

ASCO GU: Urine Screening Not Worth the Money in Bladder CA

SAN FRANCISCO -- Adding urine tests to standard cytoscopy for surveillance after non-muscle invasive bladder cancer may increase cost without boosting detection, according to a prospective cost-effectiveness study.

Low Testosterone May Affect Cancer Survivors

Male cancer survivors with low testosterone levels experience reduced energy and sexual function, and thus might benefit from hormone replacement therapy, a new study found.

AUA: Sex and Alcohol May be Recipe for a UTI

CHICAGO -- Sex and alcohol often figure prominently in a young woman's first urinary tract infection, according to a study of college coeds.

Fish, Shellfish Associated with Advanced Prostate Protection

SAN FRANCISCO -- Omega-3 fatty acids, particularly those found in dark fish and shellfish, are associated with protection against aggressive prostate cancer, a case-control study showed.

Men Encouraged to Consider Medication to Prevent Prostate Cancer

ALEXANDRIA, Va. -- Millions of healthy men ages 55 and older should talk to their physicians about taking a 5-alpha reductase inhibitor such as finasteride (Proscar) or dutasteride (Avodart) to prevent prostate cancer, according to a guideline issued by two medical groups.

No Need for PSA Testing After Age 75

BALTIMORE -- PSA testing for prostate cancer can be safely discontinued at age 75 in men who have PSA values less than 3 ng/mL, data from a large cohort study suggest.

Researcher Retreats on Sexual Enhancement Claim for Watermelon

COLLEGE STATION, Tex. -- Chalk up the widely publicized report that watermelons can enhance erections, much like a certain PDE-5 inhibitor, to a stretched version of the truth by a university PR officer seeking a good story for the Fourth of July.

High-Grade Tertiary in Prostate Cancer Biopsy Signals Trouble

BOSTON -- The Gleason score of 7 for localized prostate cancer may be a moving prognostic target, according to investigators here.

Erectile Drugs May Promote Pleasure as Well as Performance

MADISON, Wis. -- Viagra and other erectile dysfunction drugs may augment sexual pleasure over and above the primary indication of the drugs, investigators here suggested.

When Viagra Doesn't Work, Lipitor May Assist

PHILADELPHIA - If Viagra (sildenafil) doesn't do the job, maybe all it needs is a kick start with Lipitor (atorvastatin), a small study here suggested.

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