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Episode Charges and Subsequent Visits After Telemedicine vs In-Person Care
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
urologyxy
Mar 7


‘Ghost’ Physicians: More Than One-Quarter Of Physicians Enrolled In Medicaid Delivered No Care To Beneficiaries In 2021
Abstract Concerns about low physician participation in Medicaid have long motivated policy reforms, but the extent to which enrolled physicians actually care for Medicaid patients remains unclear. To assess patterns of Medicaid participation among physicians, we linked physician enrollment files to Medicaid administrative claims from the period 2019–21, focusing on five physician specialties: cardiology, dermatology, ophthalmology, primary care, and psychiatry. We examined th
urologyxy
Feb 23


Objective Measures of Physical Functioning, Disabilities in Daily Life and Trends During Ageing: A Repeated Cross-Sectional Study
ABSTRACT Background Maintenance of adequate physical functioning is key for lifelong health, particularly for an ageing society with increasing health care needs. We aimed to assess the association of two objective physical function (PF) measures with functional capacity (FC) outcomes, while also exploring the underlying trends. Methods This was a repeated cross-sectional study. We used data from a nationally representative survey of middle-aged and older Chinese individuals
urologyxy
Feb 23


Extraintestinal Invasive Escherichia coli Infections in the US
Abstract Importance Extraintestinal invasive Escherichia coli infections are a leading cause of sepsis and hospitalization, further complicated by increasing rates of antimicrobial resistance. Objective To describe the US epidemiology of invasive E coli infections and their clinical and molecular features. Design, Setting, and Participants This cohort study used active laboratory- and population-based surveillance data from 9 US sites with a total population of more t
urologyxy
Feb 12


Alliance A222001: Oxybutynin Versus Placebo for the Treatment of Hot Flashes in Patients Receiving Androgen-Deprivation Therapy for Prostate Cancer
Abstract Purpose Hot flashes are a common side effect reported by men receiving androgen-deprivation therapy (ADT) for the treatment of prostate cancer. We sought to determine whether oxybutynin could improve hot flash symptoms in men with prostate cancer. Patients and Methods Patients with prostate cancer receiving a stable regimen of ADT with at least 28 hot flashes per week were randomly assigned to receive either oxybutynin 2.5 mg twice daily, oxybutynin 5 mg twice daily,
urologyxy
Feb 12


Risk of BPH-LUTS according to the PM₁₀ exposure: A longitudinal nationwide cohort-based study
Abstract Purpose: Benign prostatic hyperplasia (BPH) is a major disease that causes lower urinary tract symptoms (LUTS) such as abdominal pressure, urgency, residual urine, weak urination, and delayed urination in elderly men. We attempted to identify risk factors for the development of BPH-LUTS, including particulate matter (PM). Materials and methods: We utilized customized research database of the National Health Insurance Corporation. A total of 2,200,546 subjects were in
urologyxy
Feb 12


Prostate MRI in the UK: a survey of current practice by the British Society of Urogenital Radiology
Abstract Objectives To characterise contemporary UK practice in prostate MRI reporting and pathways, and identify priorities for standardisation. Methods Between February and April 2025, a questionnaire was distributed by the British Society of Urogenital Radiology to UK-based consultant radiologists who report prostate MRI. It contained 34 questions, covering 6 domains: demographics; MRI protocols; biopsy; reporting preferences; imaging pathways; and attitudes towards accred
urologyxy
Jan 26


Severe chronic UTI sustained by clinically undetected intracellular Escherichia coli in a pediatric patient
ABSTRACT Background The presence of intracellular bacterial communities (IBCs) in the urothelium has been well documented in adults with chronic urinary tract infections (UTIs), but its long-term persistence going undetected in a severely symptomatic adolescent has not been reported. Case Summary We present the case of a 14-year-old girl suffering from debilitating chronic UTI symptoms and associated urinary incontinence for many years. Multiple antibiotic courses provided on
urologyxy
Jan 19


Frailty as a Predictor of Falls in Older Adults with Type 2 Diabetes
Background: Frailty and falls significantly impact the health and quality of life of older adults with type 2 diabetes (T2D), increasing morbidity and dependency. However, their association in Vietnamese populations remains understudied. This study aimed to examine the association between frailty and fall risk and identify additional fall-related factors among older Vietnamese outpatients with T2D. Methods: A cross-sectional study was conducted among 740 outpatients with T2
urologyxy
Jan 11


Vanquish Steam Therapy: Promising Focal Treatment for Prostate Cancer
The FDA has granted 510(k) clearance to the Vanquish Water Vapor Ablation System, a new focal therapy that uses steam to destroy prostate cancer tissue. Developed by Francis Medical, the device delivers water vapor directly into prostate tumors via a transurethral approach, releasing thermal energy that destroys cancer cells while aiming to preserve surrounding tissue. Approval was based on early results from the VAPOR 2 study, a prospective, single-arm trial involving 235 me
urologyxy
Jan 3


PSA Screening Linked to Long-Term Reduction in Prostate Cancer Deaths
A large European study with more than 20 years of follow-up shows that PSA blood test screening significantly reduces deaths from prostate cancer. The research is part of the European Randomized Study of Screening for Prostate Cancer (ERSPC), which began in 1993 and included over 160,000 men from eight European countries. This is the longest and most comprehensive prostate cancer screening study to date, and its findings were recently published in The New England Journal of M
urologyxy
Jan 3


Impact of Roommate Cognitive Health on Nursing Home Mortality: Evidence of Peer Effects
This study investigates how patient peer effects in nursing homes influence mortality, using administrative data from 2.6 million stays across 7,200 U.S. facilities between 2000 and 2010. By leveraging exogenous roommate assignments through unique room identifiers, the researchers found that patients placed with roommates diagnosed with Alzheimer’s disease (AD) or Alzheimer’s disease-related dementias (ADRD) faced a 2.1 percentage point higher 90-day mortality rate compared t
urologyxy
Dec 24, 2025


Can preoperative vitamin D level be a predictive factor for continence after radical prostatectomy?
Abstract Introduction: This study examined whether there is a relationship between vitamin D levels and post-prostatectomy incontinence...
urologyxy
Apr 16, 2025


''Before you go''—considering genitourinary symptoms as a sentinel indicator of the presence of, or risk for, chronic disorders in men
Abstract Men have a significantly shorter life expectancy compared to women, with disparities further magnified among those from...
urologyxy
Apr 12, 2025


Characteristics of Children Successfully Treated for Daytime Urinary Incontinence
Abstract Objective: A stepwise approach is recommended for the treatment of daytime urinary incontinence, with standard urotherapy as the...
urologyxy
Apr 5, 2025


Rising Risks in Senior Care: What Male Patients Need to Know
A new report analyzing over 10,000 closed claims from senior living and long-term care providers offers key insights into the growing...
urologyxy
Apr 5, 2025


Whole-body MRI for staging prostate cancer: a narrative review
Abstract Objective: To present a narrative review regarding the diagnostic accuracy of whole-body magnetic resonance imaging (WBMRI) in...
urologyxy
Apr 4, 2025


Can We Improve Our Routine Urological Assessment to Exclude Neurogenic Causes for Lower Urinary Tract Dysfunction? ICI-RS 2024
ABSTRACT Aims After presentation with urinary symptoms, an underlying neurological mechanism sometimes emerges subsequently. Increased...
urologyxy
Mar 28, 2025


Bowel burdens: a systematic review and meta-analysis examining the relationships between bowel dysfunction and quality of life after spinal cord injury
Abstract Study design Systematic review and meta-analysis. Objectives Many individuals with spinal cord injury (SCI) experience autonomic...
urologyxy
Mar 20, 2025


Pesticides and prostate cancer incidence and mortality: An environment-wide association study
Abstract Background Prostate cancer is the most common cancer among men in the United States, yet modifiable risk factors remain elusive....
urologyxy
Mar 18, 2025
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