Post-cystectomy survival predicted by hospital volume
Hospital volume is a key predictor of survival for patients with urothelial bladder cancer undergoing radical cystectomy and has a greater impact than surgeon volume, findings from a retrospective analysis suggest. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Which recent drug has had the biggest impact on urology?
Urologists discuss the treatments that have most affected their practices. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Study questions botulinum's efficacy in post-BPH overactive bladder
Intradetrusor injections of onabotulinumtoxinA (Botox) do not significantly reduce urinary frequency in patients with refractory overactive bladder secondary to BPH, results from a two-institution, placebo-controlled study indicate. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Urology Product Preview
Drugs and devices in the pipeline from Auxilium Pharmaceuticals, Inc., Nymox Pharmaceutical Corp., Palatin Technologies, Inc., ProUroCare Medical Inc., Bioniche Life Sciences Inc., Tengion Inc., Aeterna Zentaris Inc., and Can-Fite BioPharma. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

New Urology Products & Services
The latest products and services from Coloplast, Galt Medical (Theragenics Corp.), the Medical Group Management Association, SullivanLuallin, Accuray Inc., the Simon Foundation for Continence, Varian Medical Systems, FAIR Health, Patient Point, UroMed, Cure Medical, and Three Ten LLC. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

American Urological Association initiative seeks boost in graduate medical education funding
Despite the continuing pressure in Washington to slash federal spending, efforts are under way to prevent cuts, and to even support increases, in graduate medical education funding in order to prevent serious shortages of physicians at a time when increased numbers of patients will be seeking care. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Bladder cancer remission improved by adding electromotive mitomycin to BCG
In patients with stage pT1 urothelial bladder cancer, intravesical bacillus Calmette-Gu?rin (TheraCys, TICE BCG) combined with electromotive mitomycin-C produces higher remission rates and longer remission times than BCG alone, Italian researchers reported. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Calcium, uric acid excretion reduced by desert exposure
Exposure to a desert environment increases lithogenic risk, but the effect is the result of unanticipated changes in excretion of lithogenic material, according to a recent study. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

All-female urology practice's mission is to give women choice in care
In this interview, Lora Plaskon, MD, MS, discusses her all-female urology/urogynecology practice's origins, how it differs from mixed-gender practices, and how her unique model fits into today's economy. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Dorsal, ventral onlay for urethroplasty equivalent, study finds
Findings from a retrospective review of patients undergoing single-stage bulbar urethroplasty with buccal mucosa suggest that neither dorsal nor ventral onlay of the graft is inherently superior. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

How to bill for separate stones in the same kidney
Medicare recently made it clear that you should be able to charge for procedures performed on two separate lesions, which are not contiguous, in the same organ. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Pharma, device payments to physicians set to go public
One of the elements in the Patient Protection and Affordable Care Act that may affect urologists is the Physician Payment Sunshine Provision, which requires drug and medical device manufacturers to publicly report gifts and payments made to physicians and teaching hospitals beginning in 2013. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Ureteral sheath may induce severe ureteric injuries
Insertion of a ureteral access sheath during retrograde intra-renal surgery may induce severe ureteric injuries, according to a prospective analysis of 136 patients undergoing procedures using ureteral access sheaths. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Are higher yield bonds a wise investment for you?
Depending on your approach, pursuit of higher yield bonds may invite more risk, some of which may be hard to see or understand. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

The argument to continue prostate cancer screening, early detection
In May 2012, the United States Preventive Services Task Force recommended against PSA testing in all men based upon a flawed analysis that overestimated the harms and underestimated the benefits of testing. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Abnormal impedances common with neurostimulation
If sacral neuromodulation has failed for your patient, look beyond the problem of lead position. Abnormal impedances are common and are frequently associated with revision, say researchers from Cleveland Clinic. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Minimally invasive RPLND safe, efficacious in testis cancer
Minimally invasive retroperitoneal lymph node dissection in testicular cancer reduces length of stay while obtaining a perioperative safety profile comparable to that seen with the open procedure, researchers from the University of California, San Diego Health System reported. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Ovarian suppression does not prevent damage from chemotherapy
NEW YORK (Reuters Health) - Cotreatment with gonadotropin-releasing hormone (GnRH) analogues does not protect against ovarian damage in patients treated with cyclophosphamide-based chemotherapy, according to a new study. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

More evidence for "obesity paradox"
NEW YORK (Reuters Health) - A meta-analysis of nearly 100 studies involving nearly three million people has confirmed the so-called "obesity paradox," finding lower mortality hazard ratios among people who are somewhat overweight. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Nortriptyline no help for smoking cessation in prison study
NEW YORK (Reuters Health) - Adding the antidepressant nortriptyline to conventional smoking cessation therapy didn't improve long-term success among male prisoners, Australian researchers have found. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Omega-3s may not protect against atrial fibrillation
NEW YORK (Reuters Health) - The failure of fish oil supplements to prevent recurrent atrial fibrillation in a new trial adds to a growing pool of disappointing evidence regarding the protective effects of omega-3 fatty acids on heart health. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Diabetics have fewer cardiovascular events with metformin than with glipizide
NEW YORK (Reuters Health) - Compared with glipizide, long-term therapy with metformin leads to a reduction in major cardiovascular events in patients with type 2 diabetes, according to Chinese and US researchers. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Vitamin combo may help curb neuropathy in diabetics
NEW YORK (Reuters Health) - A combination of the biologically active and immediately bioavailable forms of folate, vitamin B12, and vitamin B6 (Metanx, Pamlab) seems to alleviate symptoms of peripheral neuropathy in patients with type 2 diabetes, according to a new trial. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Risk of venous thromboembolism not significantly increased with VEGFR-TKIs
NEW YORK (Reuters Health) - Treating cancer patients with vascular endothelial growth factor receptor tyrosine kinase inhibitors (VEGFR-TKIs) does not appear to increase their risk of venous thromboembolism, researchers from China report. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Remote ICD monitoring as safe, effective as ambulatory
NEW YORK (Reuters Health) - Home monitoring of implantable cardiac defibrillators (ICD) is at least as safe as standard ambulatory monitoring, and results in fewer appropriate and inappropriate shocks and longer battery life, findings from the ECOST trial show. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Increased risk of fractures seen in patients with cirrhosis
NEW YORK (Reuters Health) - Patients with cirrhosis face an increased risk of orthopedic fracture, researchers from Taiwan report. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Repeat botox shots appear safe, effective for bladder pain syndrome
NEW YORK (Reuters Health) - Repeated onabotulinum toxin A (OnabotA) injections into the trigonal area can safely relieve pain and other symptoms of bladder pain syndrome, according to a new report. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Naloxone kits let drug abusers reverse heroin overdose
NEW YORK (Reuters Health) - Giving drug abusers the means to reverse someone else's heroin overdose would save lives and be cost-effective, according to a new analysis today in the Annals of Internal Medicine. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Employer wins relief from U.S. contraceptives mandate
(Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Brief talk therapy has lasting benefits for kids with functional abdominal pain
NEW YORK (Reuters Health) - Children with functional abdominal pain and their parents who participated in a brief social learning and cognitive behavioral intervention saw lasting benefits, researchers say. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Every school district needs a doctor, AAP says
NEW YORK (Reuters Health) - Despite no federal or uniform state requirements to do so, all school districts should have a doctor to oversee school health services, according to a policy statement from the American Academy of Pediatrics (AAP). (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

FDA approves first anti-diarrheal drug for HIV/AIDS patients
(Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Maturation of oocytes before freezing advantageous
NEW YORK (Reuters Health) - Immature oocytes may ultimately do better when matured before cryopreservation, researchers say. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Radial access for PCI doesn't boost neurologic complications
NEW YORK (Reuters Health) - Neurologic complications are not more frequent when percutaneous coronary intervention (PCI) is done with radial access, researchers from UK report. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Physicians urged to join discussion on gun policies
Faced with the impossible nature of predicting individuals who could commit violent crimes, physicians are urging their colleagues to protect public health by joining the debate on gun control. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Higher dose improves flu vaccine in HIV patients
NEW YORK (Reuters Health) - Quadrupling the dose of influenza vaccine improves its immunogenicity in individuals infected with HIV, researchers report. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Short and social workouts led fitness trends in 2012
NEW YORK (Reuters) - From mud races to sweat parties to CrossFit competitions, workouts turned smarter, shorter and more social in 2012, experts say, as fitness was sweetened with a little help from smart phones and friends. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Michigan hospital blazes trail in fight against fungal meningitis
CHICAGO (Reuters) - After his first day working at St. Joseph Mercy Ann Arbor hospital's newly created Fungal Outbreak Clinic, Dr David Vandenberg struggled to describe to his boss the enormity of what lay ahead. He settled on a line from the movie Jaws. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

AAP says kids need recess during school
NEW YORK (Reuters Health) - A group of American pediatricians is telling school districts that children need recess and free time during the school day, and it should not even be taken away as punishment. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Only 39% of physicians in independent practice now: report
The number of independent physicians will continue to drop, and those who stay independent will increasingly look to subscription-based payment models to make ends meet, according to a new report. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Italian Nobel scientist Montalcini dies at 103
ROME (Reuters) - Rita Levi Montalcini, joint winner of the Nobel Prize for Medicine and an Italian Senator for Life, died on Sunday at the age of 103, her family said. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Vomiting Larry battles "Ferrari of the virus world"
LONDON (Reuters) - Poor Larry isn't looking too good. He's pale and clammy and he's been projectile vomiting over and over again while his caregivers just stand by and watch. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Pro-marijuana campaign looks ahead after 2012 victories
LOS ANGELES (Reuters) - After a decades-long campaign to legalize marijuana hit a high mark in 2012 with victories in Washington state and Colorado, its energized and deep-pocketed backers are mapping out a strategy for the next round of ballot-box battles. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Antiplatelet therapy may protect in severe blunt trauma
NEW YORK (Reuters Health) - Patients on antiplatelet therapy before severe blunt trauma may be less likely to develop lung dysfunction or multiorgan failure, a new study suggests. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

U.S. mentally ill and their families face barriers to care
NEW YORK (Reuters) - Lori, a 39-year-old mother in New Jersey, would like to save for the usual things: college, retirement, vacations. But those goals are far down her wish list. For now, she and her husband are putting aside money for a home alarm system. They're not worried about keeping burglars out. They need to keep their son in. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

U.S. approves J&J treatment for drug-resistant TB
(Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Long-term ALL outcome not tied to specific regimen
NEW YORK (Reuters Health) - In adults with acute lymphoblastic leukemia (ALL), some regimens work better than others in the short-term, but long-term results even out and any major improvements will require new drugs, a new report says. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Worse outcomes after stent thrombosis in coronary bypass grafts
NEW YORK (Reuters Health) - Outcomes after stent thrombosis are worse in coronary bypass grafts than in native coronary arteries, according to new research from the University of California. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news

Passengers on Queen Mary 2 sickened by unidentified pathogen
NEW YORK (Reuters) - An unknown illness, suspected of being a norovirus, has sickened 194 passengers and 11 crew members aboard the luxury cruise ship Queen Mary 2, causing vomiting and diarrhea, federal health officials said on Friday. (Source: Modern Medicine)
Source: Modern Medicine - December 31, 2012 Category: Journals (General) Source Type: news