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24 Sep 2017
Women with very low levels of serum testosterone may have an increased likelihood of stress and mixed incontinence, a recent study suggests.
01 Nov 2017
Xerostomia and salivary gland hypofunction appear to be common side effects of elderly medication, particularly those for urinary incontinence, according to a recent study.
29 Oct 2017
Older women with urinary incontinence symptoms exhibit a significant decline in standing balance, which may be associated with coinciding development of sarcopaenia, according to the secondary analysis of the Health, Aging and Body Composition Study.
Dr Jaime Songco, 31 Oct 2017

Erectile dysfunction (ED) is a common condition defined as the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance.1 It is one of the most common complaints in men’s sexual medicine, affecting both physical and psychosocial health and having a significant impact on the patient and partner’s quality of life.1 Moreover, ED is commonly associated with other comorbid conditions, including hypertension, dyslipidaemia and diabetes mellitus.1

Evaluation of ED should include a detailed medical and sexual history of the patient. 1 A discussion of the patient and partner’s preference and treatment goals is essential to better tailor treatment and improve patient satisfaction and adherence to treatment.2 Lifestyle modification and management of risk factors should precede pharmacotherapy, while first-line treatment with oral phosphodiesterase type 5 inhibitors (PDE5i) is well established for the management of patients with ED.1

BMI, UTI predict ureteroenteric strictures after robot-assisted radical cystectomy

30 Aug 2017

Ureteroenteric anastomotic strictures following robot-assisted radical cystectomy are associated with several modifiable factors, a recent study suggests.

Researchers retrospectively reviewed the quality assurance, robot-assisted radical cystectomy database to identify patients who developed ureteroenteric strictures. Data on demographics, perioperative outcomes and ureteroenteric stricture characteristics were reviewed.

Researchers used the Kaplan-Meier method to calculate time to ureteroenteric strictures and performed multivariable stepwise regression to assess predictors of ureteroenteric strictures.

At 1, 3 and 5 years after robot-assisted radical cystectomy, ureteroenteric strictures developed in 12, 16 and 19 percent of 51 patients (13 percent), respectively. All patients initially underwent endoscopic or percutaneous treatment, including 57 percent treated only endoscopically or percutaneously and 43 percent who required surgery, which was open repair in six and robot-assisted repair in 16.

A total of 33 patients (65 percent) were disease-free at a median follow-up of 23 months, including 13 after endoscopic or percutaneous treatment, 15 after robot-assisted repair and five after open revision. There were similar perioperative outcomes between open and robot-assisted revisions.

Multivariable analyses revealed that body mass index (BMI: odds ratio [OR], 1.07; 95 percent CI, 1.01 to 1.13; p=0.02), intracorporeal urinary diversion (OR, 3.28; 1.41 to 7.61; p=0.006), length of the right resected ureter (OR, 0.66; 0.50 to 0.88; p=0.004), estimated glomerular filtration rate 30 days after assisted radical cystectomy (OR, 0.85; 0.74 to 0.98; p=0.03), urinary tract infection (OR, 2.68; 1.31 to 5.49; p=0.007) and leakage (OR, 3.85; 1.05 to 14.1; p=0.04) predicted ureteroenteric strictures.

Male gender (OR, 0.19; 0.04 to 0.96; p=0.04) and higher BMI (OR, 0.85; 0.72 to 0.996; p=0.05) correlated with lower odds of successful endoscopic management.

“Surgical revision can provide a definitive management with comparable outcomes for open and robotic repairs,” according to researchers.

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Most Read Articles
24 Sep 2017
Women with very low levels of serum testosterone may have an increased likelihood of stress and mixed incontinence, a recent study suggests.
01 Nov 2017
Xerostomia and salivary gland hypofunction appear to be common side effects of elderly medication, particularly those for urinary incontinence, according to a recent study.
29 Oct 2017
Older women with urinary incontinence symptoms exhibit a significant decline in standing balance, which may be associated with coinciding development of sarcopaenia, according to the secondary analysis of the Health, Aging and Body Composition Study.
Dr Jaime Songco, 31 Oct 2017

Erectile dysfunction (ED) is a common condition defined as the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance.1 It is one of the most common complaints in men’s sexual medicine, affecting both physical and psychosocial health and having a significant impact on the patient and partner’s quality of life.1 Moreover, ED is commonly associated with other comorbid conditions, including hypertension, dyslipidaemia and diabetes mellitus.1

Evaluation of ED should include a detailed medical and sexual history of the patient. 1 A discussion of the patient and partner’s preference and treatment goals is essential to better tailor treatment and improve patient satisfaction and adherence to treatment.2 Lifestyle modification and management of risk factors should precede pharmacotherapy, while first-line treatment with oral phosphodiesterase type 5 inhibitors (PDE5i) is well established for the management of patients with ED.1