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Cheryl Guttman Krader
Pediatricians delaying referral of vesicoureteral reflux patients
Results of a survey of pediatricians' practice patterns for children with vesicoureteral reflux (VUR) are worrisome in showing these primary care practitioners are retaining their patients longer before referring them to a specialist.
Vesicoureteral reflux in young patients: Early detection, treatment key
Results of a retrospective study investigating risk factors for the development of renal parenchymal damage in young children with primary high-grade vesicoureteral reflux (VUR) underscore the importance of early detection and treatment to prevent renal damage or its progression from ongoing VUR.
Pediatric stone disease on the rise, but reasons unclear
New data showing an increasing incidence of pediatric stone disease is stimulating more research to further describe and understand this troubling phenomenon.
Relatives of vesicoureteral reflux patients at risk for related morbidity
Radiologically proven VUR was present in 11 mothers and seven fathers as well as in 36 second-degree relatives (aunts, uncles, grandparents) and 73 third-degree relatives (65 first cousins and eight great-aunts, -uncles or -grandparents) of 259 VUR patients in an Irish study.
Use of dextranomer/hyaluronic acid copolymer (Deflux) for vesicoureteral reflux rising; long-term results vary
Use of Dx/HA (Deflux) for the treatment of vesicoureteral reflux (VUR) in children increased rapidly after it gained FDA approval. Despite high rates of utilization and positive early findings, more recent reports are raising questions about long-term outcomes and prompting further research.
Pelvic floor exercises post-radical prostatectomy, transurethral resection of the prostate may have value
Pelvic floor muscle exercises (PFMEs) as a treatment for urinary incontinence after prostate surgery showed no significant difference in reduction of urinary leakage between intervention and control groups in a large multicenter study. Nevertheless, the randomized controlled trial still has a positive message about a role for pelvic floor muscle training considering that although men in the control group did not receive supervised training, some were also performing PFMEs and benefited with decreased urinary leakage.
Intrauterine insemination success not predicted by sperm morphology
Results of a retrospective study identify several factors associated with success in achieving pregnancy after intrauterine insemination (IUI), but normal sperm morphology is not among them.
Positive surgical margins after radical prostatectomy vary by PSA, Gleason sum
The rate of positive surgical margins after radical prostatectomy in men with either organ-confined or extracapsular disease varies significantly depending on preoperative PSA and pathologic Gleason sum score.
American Urological Association outlines framework for robotic surgery credentialing
A new AUA standard operating practice document aims to help with robotic surgery credentialing for practicing urologists and those in training.
Localized prostate cancer death predicted by RNA signature score
A composite score calculated from a 46-gene RNA signature independently predicts cancer death among men with clinically localized prostate cancer managed by active surveillance.

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