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Urology

Urinary tract symptoms and genital herpes

June 14, 2010

Consider genital herpes in the differential diagnosis of chronic dysuria.

Testing options for chronic dysuria

May 11, 2010

When trying to determine the cause of chronic dysuria, test for herpes simplex virus 1 and 2.

Chlorhexidine-alcohol scrub may prevent surgical site infections better than povidone-iodine

March 25, 2010

Surgeries included colorectal, small intestinal, gastroesophageal, biliary, thoracic, gynecologic, or urologic procedures.

Urological association at odds with new prostate recommendations

March 10, 2010

The American Urological Association and the American Cancer Society disagree over when baseline screening should begin.

Managing UTIs in debilitated patients

Anthony J. Schaeffer, MD January 29, 2010

A common occurrence among this patient population, urinary tract infection causes significant morbidity and mortality.

Reining in a cowboy's uncontrollable vomiting

Ronald P. Spark, MD January 22, 2010

"If this cowboy were a cowgirl, I'd say he had morning sickness," Dr. K, the patient's primary-care physician, said. "He's a tough 22-year-old and so stoic I honestly didn't appreciate that the vomiting was going to be a big deal.

How to select the right drugs for UTIs

By J. Curtis Nickel, MD January 20, 2010

Increasing antimicrobial resistance among the causative pathogens has made it more difficult to effectively treat UTIs and prostatitis.

Prevention of prostate cancer

April 17, 2009

Men with no signs of prostate cancer should talk to their provider about taking a 5a-reductase inhibitor (5-ARI) for seven years to ward off the disease.

Risk of prostate or other cancers in men unaffected by selenium or vitamin E

Brian S. Alper, MD, MSPH April 10, 2009

Neither selenium nor vitamin E, alone or in combination, reduced the risk of prostate cancer or other cancers in men.

Drug works for premature ejaculation

March 20, 2009

Dapoxetine taken on demand before intercourse improved all outcome measures, compared with placebo.

Antibiotics before prostate biopsy questioned

March 20, 2009

New findings raise questions about the practice of prescribing antibiotics to men prior to prostate biopsy if they have newly elevated PSA levels and a normal digital rectal examination.

Why do digital rectal exams?

March 16, 2009

If the DRE is not recommended to screen for prostate or colon cancer, why do we do it?

Post-op catheter for longer than two days linked to increase in UTI and mortality

Brian S. Alper, MD, MSPH February 04, 2009

Postoperative catheterization for more than two days is associated with an increased risk of in-hospital UTI and 30-day mortality.

Pelvic floor disorders strike one in four women

November 10, 2008

Just under one quarter of women in the United States have at least one of the three primary pelvic floor disorders—urinary incontinence, fecal incontinence, and pelvic organ prolapse...

Short-term antibiotics may be sufficient for elderly women with uncomplicated UTI

Brian S. Alper, MD, MSPH November 06, 2008

Comparing short-course (3-6 days) vs. longer treatments (7-14 days), there were no significant differences in efficacy or clinical outcomes...

Workup for microscopic hematuria

November 03, 2008

Staving Off Prostate Cancer

August 27, 2008

What strategies can patients with a strong family history of prostate cancer employ to...

Recognizing symptoms of an enlarged prostate

BY JOAN LIPPERT, WITH RICHARD J. MACCHIA, MD, AND IVAN ROTHMAN, ARNP July 31, 2008

The prostate gland has two important functions: To produce ejaculatory fluid and to act as a barrier to retrograde UTIs. Prostate enlargement, or benign prostatic hyperplasia (BPH), can produce a constellation of unpleasant symptoms that result when the enlarged gland forces the bladder to work harder to expel urine. The prostatic obstruction is both...