Abstract Objective: To evaluate the safety and outcomes of holmium laser enucleation of the prostate (HoLEP) in patients with a history of prior surgical prostate intervention, and to compare these results with the patients without previous prostate intervention. Methods: A retrospective review of a prospectively maintained database at a tertiary-level center in Texas. From August 2015 to February 2025, 1876 patients underwent HoLEP, 143 had previous prostate surgery. These w

Living with an overactive bladder can be challenging. The frequent urges and sudden needs to urinate disrupt daily life. Fortunately, treatment options like mirabegron offer hope. This medication has gained attention for its effectiveness and tolerability. In this post, I will share insights into the benefits of mirabegron and how it can improve quality of life. Understanding Mirabegron Benefits Mirabegron works differently from traditional bladder medications. It targets the

Maintaining urinary health is crucial for overall well-being, especially for men facing urological challenges. Urinary issues can affect daily life, causing discomfort and sometimes serious complications. I want to share practical advice and expert tips to help you take control of your urinary health. These insights are designed to be clear, actionable, and easy to follow. Understanding the Importance of Ensuring Men's Urinary Care Urinary health is often overlooked until pro

Introduction Nighttime urinary urgency and incontinence can significantly disrupt sleep and increase stress for men and their caregivers. Frequent nighttime bathroom trips may also increase the risk of falls, especially in dark environments or for individuals with limited mobility. Simple nighttime aids can make a major difference by improving safety, protecting bedding, and reducing the pressure to rush to the bathroom. Many practical solutions are widely available online an

Abstract Background and Aims: Radical prostatectomy is the key for localised prostate cancer, but postoperative urinary incontinence and chronic pain impair outcomes. Enhancing perioperative care improves prognosis. This single-centre retrospective study evaluated a symptom management theory-based nursing model for radical prostatectomy patients. Methods: A total of 165 patients were divided into the control (routine care, n = 75) and observation (symptom management nursing,

ABSTRACT Background Frailty has been associated with numerous chronic diseases. However, the relationship between frailty and overactive bladder (OAB) has not been thoroughly examined. This study aims to explore the association between frailty and OAB in a large-scale population. Methods Data from 11 888 participants aged 20 years or older, who were part of the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2018, were analyzed. The frailty index was ca

Abstract BACKGROUND:  Urinary incontinence (UI) is a prevalent yet underreported condition that adversely affects the quality of life of older adults. This study aimed to assess the frequency and risk factors of UI and its impact on the quality of life of adults aged 50 years and older attending outpatient clinics of a tertiary care teaching hospital in the Eastern Province, Saudi Arabia. MATERIALS AND METHODS:  This cross-sectional study was conducted from December 15, 2024,

Prostate cancer is one of the most common cancers affecting men worldwide. Understanding the available treatment options is crucial for making informed decisions. This article breaks down the current cancer treatment options for prostate cancer, explaining each method clearly and practically. Whether you are managing this condition yourself or supporting someone who is, this guide aims to provide straightforward, reliable information. Exploring Current Cancer Treatment Option

Researchers tested whether large language model (LLM) decision support could help health workers improve patient care in two outpatient clinics in Nigeria. Health workers first created treatment plans for patients and then had the option to revise them after receiving feedback from the LLM. These plans were later evaluated by on-site physicians who independently examined the same patients, as well as through laboratory tests and retrospective reviews by academic physicians. A

A recent study examines how decisions made by Organ Procurement Organizations (OPOs) influence the number of organs available for transplant in the United States. These organizations coordinate the recovery of organs from deceased donors, but an important step is deciding whether to approach a donor’s family to request consent for donation. Researchers analyzed data from 35,856 potential donors between 2016 and 2021 and found that organs were recovered from only 39% of donors

Abstract Background: Patients are sometimes experienced as difficult by their providers. Purpose: To estimate the prevalence of difficult patient encounters among adults being seen in nonpsychiatric settings. Secondary goals were to assess patient and provider characteristics associated with difficulty as well as patient outcomes. Data Sources: MEDLINE, Web of Science, SciELO, ProQuest, Theses, Scopus, PsychInfo, Cochrane Central Register of Controlled Trials, Global Index Me

A growing public petition is calling on the UK government to reconsider its current approach to prostate cancer screening and introduce a targeted screening programme for men at high risk. The initiative urges policymakers to reassess the draft recommendation from the UK National Screening Committee, which currently proposes screening only for men who carry BRCA1 or BRCA2 genetic variants. Prostate cancer remains the most commonly diagnosed cancer among men in the United King

Abstract Importance   Prostate cancer incidence is projected to double by 2040, yet optimal risk stratification approaches for screening remain unclear despite recent international endorsements of organized programs that call for risk-adapted algorithms using readily available biomarkers. Objective   To identify biomarkers for risk-adapted prostate cancer screening in men without prostate cancer. Design, Setting, and Participants   This cohort study used data from the Study o

Abstract Importance   Telemedicine use increased during the COVID-19 pandemic and has remained a regular component of health care delivery. However, the financial implications of this change for health systems’ reimbursement and utilization remain unclear. Objective   To compare 30-day episode charges and subsequent visits after telemedicine and in-person index visits. Design, Setting, and Participants   The target trial emulation conducted in this comparative effectiveness

Abstract Background/Objectives: Pelvic floor dysfunction (PFD) encompasses urinary incontinence (UI), anorectal disorders (ARDs), and other related conditions that frequently coexist. Evidence on the prevalence and determinants of ARD among patients with UI, particularly in Middle Eastern populations, remains limited. This study aimed to assess the prevalence of ARD in UI patients and identify key clinical and demographic factors associated with anorectal disorders. Methods:

Abstract Objective This study examined the association between the systemic immune-inflammation index and urinary incontinence subtypes using data from National Health and Nutrition Examination Survey 2007–2016. Methods This cross-sectional study included 21,569 adults. Systemic immune-inflammation index was calculated and log-transformed. Survey-weighted logistic regression analyses, smoothed curve fitting, exploratory threshold analyses, and subgroup analyses stratified by

Abstract Background Intravesical administration of botulinum toxin type A (BoNT-A) is an established third-line intervention for patients with refractory overactive bladder (OAB). With BoNT-A therapy now widely adopted, ongoing audits remain important to capture real-world outcomes across different patient groups. This retrospective audit assessed the clinical outcomes of BoNT-A therapy in a heterogeneous patient population treated at a university-affiliated teaching hospital

To the editor, We read with great interest the recent multicenter prospective cohort study by Gravier et al. investigating the prevalence of urinary incontinence (UI) among individuals attending pulmonary rehabilitation (PR) and the effects of PR on urinary symptoms. The authors are to be commended for addressing an often overlooked but clinically relevant comorbidity in chronic respiratory disease (CRD) populations. The reported prevalence of UI (38%) in individuals attendin

Maintaining good reproductive health is essential for overall well-being. It affects not only fertility but also hormonal balance, energy levels, and emotional health. I want to share practical tips and insights that can help improve male reproductive health effectively. These strategies are based on current knowledge and aim to support men dealing with urological conditions, their caregivers, and healthcare professionals. Understanding the Basics of Improving Male Reproducti

Maintaining a healthy bladder is essential for overall well-being, especially for men who may face unique urological challenges. A well-functioning bladder supports daily comfort, prevents infections, and reduces the risk of complications. I want to share practical advice and insights to help you maintain optimal bladder health. These tips are straightforward and actionable, designed to fit into your daily routine with ease. Understanding the Importance of Bladder Health The