Vaginal Testosterone Shows Benefit in Postmenopausal Women
MIAMI — Postmenopausal women with frequent urinary tract infections benefited from vaginal testosterone (VT) cream, interim data from the randomized, double-blind placebo-controlled PIVoT trial suggested. Women in the VT group saw improvements in vaginal health and sexual function scores at 9 months compared with placebo, although the placebo group’s sexual function scores also improved, reported […]
New Insights Into Link Between Kidney Stones, Urinary Tract Infection
Kidney stone disease (KSD) and urinary tract infection (UTI) often coexist, and stone removal may reduce the risk of recurrent UTI, authors of a systematic review concluded. The review showed a bidirectional nature of the relationship between KSD and UTI, as stone formers had a high prevalence of UTI and patients evaluated for UTI had […]
Acupuncture May Help Reduce Urinary Incontinence Episodes, Symptoms in Women
Acupuncture reduced episodes and symptoms of urinary incontinence in women, according to a meta-analysis of 10 clinical studies. Various forms of acupuncture significantly reduced episodes of stress urinary incontinence (SUI, P<0.00001), episodes and symptoms of urge urinary incontinence (UUI, P=0.01 to P<0.0001), and resulted in higher rates of patient-reported SUI cure (P=0.0007). The benefits came […]
Urinary Incontinence a Significant Burden in Long-Term Care Facilities
The burden of urinary incontinence (UI) related to overactive bladder on long-term care residents and staff is considerable, according to results of a survey of nursing directors. Among 71 nursing directors at long-term care facilities, 59% said that managing UI contributes to certified nursing assistant (CNA) turnover, reported Richard G. Stefanacci, DO, of Thomas Jefferson […]
Sacral Neuromodulation Promising in Neurogenic Lower Urinary Dysfunction
Sacral neuromodulation (SNM) is effective — at least in the short term — for patients with a type of urinary tract dysfunction, according to Swiss investigators. In a sham-controlled, double-blind study, 60 eligible patients with neurogenic lower urinary tract dysfunction (NLUTD) — i.e., with urgency frequency syndrome, urgency incontinence, or chronic urinary retention — had […]
Methenamine Hippurate Could Be Alternative Treatment for Recurrent UTI
The urinary antiseptic methenamine hippurate (Hiprex) was non-inferior to antibiotic prophylaxis in women with a history of recurrent urinary tract infections (UTI), according to results from the ALTAR trial. Over the course of 12 months, the incidence of antibiotic-treated UTI was 0.89 and 1.38 episodes per year in patients treated with prophylactic antibiotics or methenamine […]
Intraoperative Catheter Disappoints for Urinary Retention After Hernia Repair
The use of an intraoperative catheter did not protect against the development of postoperative urinary retention (PUR) for patients who underwent laparoscopic inguinal hernia repair surgery, a randomized trial found. Among over 450 such patients, no significant difference was observed in the rate of PUR for those who received an intraoperative catheter placement versus those […]
Robotic Surgery Wins for Keeping Bladder Cancer Patients Alive, Out of Hospital
NEW ORLEANS — Robot-assisted radical cystectomy with intracorporeal urinary diversion compared with open radical cystectomy among patients with non-metastatic bladder cancer resulted in a statistically significant increase in days alive and out of the hospital, according to results from the iROC trial. Within 90 days of surgery, patients undergoing robotic surgery spent a median of […]
Urinary Symptoms Linked to Increased Mortality Risk in Men
Moderate and severe lower urinary tract symptoms (LUTS) may be risk factors for mortality in men, according to a Finnish population-based cohort study. In multivariable-adjusted analyses of moderate and severe symptoms (disregarding bother), voiding and storage LUTS were each associated with increased mortality (HR 1.19, 95% CI 1.00-1.40, and HR 1.35, 95% CI 1.13-1.62, respectively), […]
Recurrent UTIs linked to gut microbiome, chronic inflammation: Antibiotics may increase risk of further UTIs by disrupting microbiome
One of the greatest frustrations regarding urinary tract infections (UTIs) is that they so often recur. UTIs are caused by bacteria in the urinary tract and characterized by frequent and painful urination. A round of antibiotics usually clears up the symptoms, but the relief is often temporary: A quarter of women go on to develop […]