Female Urology

Women with IC symptoms are not getting the diagnosis and treatment they need, despite serious effects on quality of life.

Obesity is associated with hormonal dysfunction and with impaired spermatogenesis. What remains unknown is the causal factor.

Combined male-/female-factor infertility in couples results in the highest costs for treatment compared to male-factor or female-factor infertility only.

This year's AUA annual meeting will bring an important first for interstitial cystitis: AUA will be issuing guidelines for diagnosis and treatment.

Plenty of experience fixing complications of pelvic reconstruction and incontinence surgery caused by foreign bodies-mainly grafts and slings-led a group of researchers to make recommendations on how to repair the damage.

Researchers for the Urinary Incontinence Treatment Network found that the minimum important difference for the Urogenital Distress Inventory was –35 to –45 points in patients with urge urinary incontinence.

Studies are revealing a genetic basis for stress urinary incontinence and pelvic organ prolapse and are showing that the two conditions are more disparate than previously thought.

A new study has found that between 3.4 and 7.9 million American women age 18 and over have symptoms consistent with IC/PBS.

Treatment for pregnant women who present with renal or ureteral colic may have become easier for physician and patient alike.

Sexual function improves in women after successful surgery for stress urinary incontinence whether they undergo a sling procedure or Burch colpopsuspension.

A wide range of anticholinergic medications used by women for the treatment of lower urinary tract symptoms are associated with high discontinuation rates, according to research presented at the American Urogynecologic Society annual scientific meeting.

When considered over a treatment period of 2 years, botulinum toxin A injection (Botox) is a cost-effective strategy for the management of idiopathic urge incontinence compared with anticholinergic medication, according to data presented by Duke University researchers.

Although overall complication rates are similar after traditional surgery, sacral colpopexy, or vaginal mesh kit repair for apical vaginal prolapse, the mesh kit procedures are associated with higher total reoperation rates due to a higher rate of surgical intervention for managing complications.

Lower urinary tract symptoms can put a damper on many women's sexual enjoyment and activity.

Getting good results with the minimally invasive TVT SECUR vaginal sling for stress urinary incontinence may be a matter of technique.

An 11-year follow-up on the safety and efficacy of tension-free vaginal tape for female stress urinary incontinence found 90% of patients were objectively cured, and 97% considered themselves subjectively cured or improved.

A disproportionate influence of fat mass accounts for the relationship between body mass index and lower urinary tract symptoms.

Urologic pelvic pain is a debilitating condition that affects significant numbers of men and women during their lifetime. Diverse disease states, physiologic conditions, and lifestyle factors may cause or exacerbate pain, challenging diagnosis and treatment efforts. We outline the fundamentals of a multimodal approach to managing urologic pelvic pain.

Postoperative ileus is a common result after major abdominal surgery, and frequently resolves within days after surgery. However, prolongedileus can result in increased pain and morbidity and increased time to hospital discharge. A multimodal approach using preventive and therapeutic strategies can definitively mange postoperative ileus.

In potent, young patients diagnosed with clinically localized prostate cancer, sparing of the neurovascular bundles during radical prostatectomy is crucial for preservation of erectile function. Intraoperative ultrasound monitoring, combined with preoperative oncologic data, can greatly improve outcomes. Novel, emerging techniques and ultrasound-driven imaging technologies may further advance the practice of nerve preservation.

Once you discover microscopic hematuria, typically the next step is evaluation with a careful history and physical exam, then specific laboratory tests, and cystoscopic and radiologic studies.

Results of an Italian study comparing transobturator suburethral tape (TOT) and tension-free vaginal tape (TVT) show both surgical techniques to be equally efficient at a follow-up of nearly 3 years in women suffering from stress urinary incontinence.

The National Institute of Diabetes and Digestive and Kidney Diseases has named Anthony J. Schaeffer, MD, as one of seven new members of its advisory council.

Spending time in hot tubs and even hot baths may lead to male infertility, according to new research from the University of California, San Francisco. However, researchers said halting such exposure may reverse the effects.

New Orleans-When retrieving sperm from men with nonobstructive azoospermia (NOA) and associated varicocele, go for the testis on the right side. That's the bottom line advice of University of California, San Francisco investigators who evaluated whether side matters in retrieving sperm for ICSI.

New Orleans-Having severe teratospermia does not affect pregnancy outcomes when using in vitro fertilization with intracytoplasmic sperm injection, according to a large retrospective review presented at the American Society for Reproductive Medicine annual meeting by investigators from Weill Medical College of Cornell University, New York.

New Orleans-Men who are interested in fatherhood had better eat their fruits and vegetables and add soy to their diet. These dietary recommendations were recently shown to boost sperm quality in an observational study from the University of Rochester, Rochester, NY.

New Orleans-Transrectal ultrasound-guided biopsy of the prostate appears to have an immediate impact on the semen parameters of reproductive-age men, according to findings from a small study from Beth Israel Medical Center, New York. However, these effects were transient in all but one patient.

San Francisco-One of the most frustrating problems for women with urinary tract infections is to complete apparently successful antibiotic treatment, only to have the infection reoccur.

Atlanta-The impact of environmental toxins on male sexual development has become a topic of keen interest among pediatric urologists, who have released a growing body of data suggesting environmental links to hypospadias, cryptorchidism, and other urinary tract anomalies and diseases. At the 2006 American Academy of Pediatrics Section on Urology annual meeting, several groups presented data on the effect of in utero exposure to endocrine disrupters on the developing fetus.