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Neuromotor Skills in Children With Incontinence Before and During Treatment
Abstract Aims: Nocturnal enuresis (NE) and daytime urinary incontinence (DUI) are often associated with neurodevelopmental disorders (NDs). Among NDs, children with incontinence have a higher rate of developmental coordination disorder (DCD). It is not known if the associated deficits of neuromotor skills persist over time or if they are associated with treatment outcome. Therefore, the aim of the study was to examine the neuromotor skills in children with incontinence prospe
urologyxy
5 days ago


Safety of Fluoroquinolones and Cotrimoxazole in Urinary Tract Infections in Older Males
Abstract Background Guidelines recommend fluoroquinolones or cotrimoxazole for urinary tract infections in men (UTIm), but safety data in frail older patients remain limited. The aim of this study was to compare the tolerability of these antibiotics in UTIm patients over age 75 years. Methods This multicenter retrospective study included patients age ≥75 years who were hospitalized for UTIm in 8 hospitals and treated with oral fluoroquinolone or cotrimoxazole. Adverse events
urologyxy
5 days ago


Prostate Cancer Mortality After Relabeling Low-Grade Prostate Cancer as Precancerous
Abstract Importance It has been proposed that grade group (GG) 1 prostate cancer should no longer be defined as cancer but as a precancerous condition. One argument raised by critics is this would decrease adherence with essential monitoring (active surveillance) and therefore lead to increased prostate cancer mortality. However, relabeling GG1 prostate cancer also reduces overdiagnosis and overtreatment, and given that these are the major disincentives to prostate-specific
urologyxy
Jun 13


Delayed Abdominal Pain Following Botox® Bladder Injection Mimics Exercise-Induced Transient Abdominal Pain: A Case Report
Abstract Background: Overactive bladder and associated incontinence are increasingly treated with onabotulinumtoxinA (Botox®) intradetrusor injections. An observed but poorly understood side effect is generalized abdominal pain that simulates cramps. Case report: Here, we describe a patient with lower left quadrant abdominal pain beginning 16 days after treatment that worsened in severity over several days and persisted for an additional 5 weeks before abating over 3 more wee
urologyxy
Jun 13


Male stress urinary incontinence surgery in Australia: Temporal trends over two decades
Abstract Objective This study aims to evaluate the national trends in the surgical management of male stress incontinence (SUI) in the Australian population over the 21st century. Methods Data was sourced from the Australian Institute of Health and Welfare (AIHW) national morbidity database and Medicare Benefits Schedule (MBS) statistics reports. Annual data from financial years (FY) 2000/01 to 2022/23 was collected. Male SUI procedures are grouped into slings, paraurethral b
urologyxy
Jun 13


Training needs of community nurses in the assessment and management of urinary continence
Abstract The wide-ranging and demanding role of community nurses is widely recognised. They need to be able to assess and manage a multitude of medical symptoms, general health issues and social factors. As a result, it is essential to have an expansive knowledge base as a starting point. However, the challenge of working in the community, often alone, also means needing a high level of expertise to tackle some challenging and demanding situations. It is essential to recognis
urologyxy
Jun 13


The efficacy of tamsulosin 0.4 mg when tamsulosin 0.2 mg is insufficient for benign prostatic hyperplasia in Korean patients
Abstract Purpose: This study evaluated the clinical impact of escalating tamsulosin dosage from 0.2 to 0.4 mg in men with benign prostatic hyperplasia (BPH) who exhibited inadequate responses to the lower dose. Materials and methods: A retrospective review was performed on 57 patients treated at Seoul National University Bundang Hospital in 2022. Uroflowmetry parameters, International Prostate Symptom Score (IPSS), and postvoid residual volume (PVR) were compared before and a
urologyxy
Jun 13


Perioperative factors influencing immediate and long-term continence after robot-assisted radical prostatectomy
Abstract Objectives: This study aims to identify immediate and long-term predictors of postoperative urinary continence recovery after robotic-assisted radical prostatectomy (RARP) in a cohort of 1061 patients, enabling risk stratification and informing potentially modifiable perioperative strategies across patient subgroups. Patients and methods: Prospectively collected data from 1061 patients who underwent RARP between 2016 and 2021 at a single high-volume hospital were ana
urologyxy
Jun 13


Differentiating neurologic disorders from spinal conditions: evidenced-based history and physical examination clues for the orthopedic clinic
Abstract This narrative review highlights neurologic disorders that mimic or worsen degenerative spine disease and provides key clinical clues for recognition in spine surgery practice. A focused review examined amyotrophic lateral sclerosis, normal pressure hydrocephalus, multiple sclerosis, Parkinson’s disease, Guillain-Barré syndrome, peripheral neuropathies, and transverse myelitis. These conditions frequently overlap with structural spinal pathology through motor, sensor
urologyxy
May 31


From Diagnostics to Prescribing: Antibiotic and Diagnostic Stewardship in Contemporary UTI Care
Abstract Background: Urinary tract infections (UTIs) are a leading cause of urine testing and antibiotic prescribing across healthcare settings. Despite established clinical guidelines, inappropriate practice such as unnecessary urine cultures, treatment of asymptomatic bacteriuria, suboptimal antibiotic selection, and excessive treatment duration remain common. These practices contribute to antimicrobial resistance, adverse drug events, and increased healthcare costs. Method
urologyxy
May 24


A survivorship-oriented enhanced care model for patients undergoing radical prostatectomy
Abstract Objectives: Post-prostatectomy patients experience urinary incontinence, fluctuating quality of life, and psychosocial distress during early survivorship. Evidence-based nursing models addressing long-term supportive needs remain limited. This study developed and evaluated an enhanced survivorship-oriented care model designed to improve postoperative functional recovery and quality-of-life outcomes. Methods: A retrospective study was conducted at a tertiary urologic
urologyxy
May 19


When “Healthcare for Life” Fails: Veterans Struggle After TRICARE Transition
A recent NBC News investigation highlights serious problems within the military healthcare system after TRICARE, the insurance program for active-duty service members, retirees, and their families, transitioned millions of beneficiaries to a new contractor, TriWest Healthcare Alliance. The article focuses on retired Army sergeant and recruiter Guy Shoemaker, who spent years encouraging young people to join the military by promising them “healthcare for life.” Shoemaker, a thr
urologyxy
May 13


Shorter Antibiotic Courses May Be Safe for Simple UTIs, Study Finds
A recent study from researchers in Singapore and China suggests that shorter antibiotic treatments may be enough for children with uncomplicated urinary tract infections (UTIs). The review analyzed 13 clinical trials involving more than 2,000 children with an average age of nearly 6 years. Researchers compared short antibiotic courses lasting two to five days with the traditional longer treatments of seven days or more. The findings showed that shorter treatments were just as
urologyxy
May 11


Evaluating the Impact of Age on Prostate Cancer Overdiagnosis Using Long-Term Follow-Up From the CAP Randomised Trial
ABSTRACT Prostate cancer overdiagnosis is detection of prostate cancer through PSA testing that otherwise would not have been diagnosed within the patient's lifetime. It is a major concern to policymakers due to its impact on quality of life. We used long-term follow-up data from the CAP randomised trial of a one-off screen, and English male competing mortality rates (2021–23), to estimate the impact of age on excess prostate cancer incidence within 15 years (‘overdiagnosis’)
urologyxy
May 9


Bridging urology and palliative care: a narrative review of current practice and evolving priorities
Purpose of review This narrative review summarizes recent evidence (2023–2025) on the role of palliative care in urology. It focuses on utilization trends, access disparities, symptom burden, procedural palliative needs, and end-of-life (EOL) care in advanced genitourinary malignancies. Recent findings PC utilization in genitourinary cancers is increasing. Inpatient palliative care use rose from 4.9 to 31.5% in renal cell carcinoma and from 5.9 to 19.0% in testicular cancer
urologyxy
May 2


The relationship between mental health disorders and LUTS
Abstract This narrative review explores the complex relationship between lower urinary tract symptoms (LUTS) and mental health disorders, focusing on the influence of anxiety and depression on bladder function. Historical perspectives highlight early psychoanalytic theories, with renewed research underscoring the link between psychiatric conditions such as anxiety, depression, and obsessive-compulsive disorder (OCD), which is closely related to anxiety and various LUTS, inclu
urologyxy
May 2


Penile shaft reconstruction after cream self-injection: a case report
Abstract Background: Penile augmentation through injectable substances is becoming increasingly common. A growing number of aesthetic clinics are developing penile enlargement procedures using various injectable materials. Although these procedures are now performed in more controlled and medically supervised environments, their long-term outcomes remain poorly understood. The promotion of such medical treatments contributes to an increasing interest among adult males in self
urologyxy
May 2


Applications used to minimize forgotten stents: a systematic review of the literature. Is it the dawn of a new era?
Abstract Purpose of review: Ureteral stents are an integral part of daily urological clinical practice, but in case of ureteral stents inadvertently left in place or forgotten, they can lead to a range of complications. Managing retained DJ stents presents a complex challenge for urologists, involving various aspects such as surgery, legal implications, and financial factors both for the patient as for the health system. Ensuring proper follow-up of patients poses a significa
urologyxy
Apr 18


The Australian Penile Cancer Clinical Registry: a comprehensive national approach to data collection
Abstract Background: Penile cancer is a rare malignancy, with an Australian incidence of 0.6 in 100 000 men, with a wide range of clinical presentations, from localised, curable tumours to aggressive forms with high morbidity and mortality. Epidemiological data and management guidelines for penile cancer in Australia are limited. The Australian Penile Cancer Clinical Registry (APCCR) aims to address this gap through a centralised database studying local risk factors, treatmen
urologyxy
Apr 18


Psychological distress among bladder cancer patients: A systematic review
Abstract Purpose: Psychological distress, including depression and anxiety, is a significant yet often overlooked issue among bladder cancer patients. Despite its negative impact on treatment adherence, hospital stays, and overall survival, psychiatric distress remains underrepresented in clinical guidelines. This systematic review aims to assess the prevalence of psychiatric distress and its impact on bladder cancer patients while evaluating the role of psychiatric intervent
urologyxy
Apr 12
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