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University of California, Davis researchers have identified a microRNA that helps jump-start prostate cancer cell growth midway through the disease process, eventually causing it to become fatal. The discovery is an important link to finding new treatments targeting this cellular function and reducing cancer deaths among American men, researchers say.

An investigational therapy for BPH known as NX-1207 has shown positive results in a long-term outcome study, according to its manufacturer, Nymox Pharmaceutical Corp.

More than one-third of men with early prostate cancer who participated in a study analyzing treatment choice received therapies that might not be appropriate, based on pre-existing problems with urinary, bowel, or sexual function. The prevalence of these treatment "mismatches" could reflect patient unwillingness to discuss such problems with their physicians, according to the authors of the study, which will appear in the Jan. 1, 2008, issue of Cancer.

The extra blood volume produced in obese patients may so dilute levels of PSA that the PSA test may be significantly less effective for diagnosing prostate cancer in men carrying extra pounds, suggests a recent study in JAMA (2007; 298:2275-80).

Urology Times randomly contacted urologists across the United States about how they respond to their patients' complaints and concerns about side effects from urologic medications, as well as the types of problems those side effects may create for the physician and the patient.

Clinicians confronting acute urinary retention (AUR) would do well to not only resolve the retention, but to also look for and treat comorbid disease, which amplifies the risk of death in a disease state already associated with a high incidence of mortality.

They are signs of the times for today's practicing urologist: declining reimbursement, increasing overhead, an increasingly stringent regulatory environment, and rising malpractice premiums. Urologists ranked these issues as their most pressing concerns in the 2007 State of the Specialty survey, an exclusive study developed by the editors of Urology Times and Contemporary Urology.

In this interview, Anthony J. Schaeffer, MD, who serves as chair of the AUA Research Council and urology representative to the National Institute of Diabetes and Digestive and Kidney Diseases Advisory Council, discusses what the future holds for urology research.

Surgeons at the Cleveland Clinic’s Glickman Urological & Kidney Institute have taken laparoscopic surgery to the next level by performing a series of surgeries requiring only a single abdominal incision. Using a device newly listed by the FDA, Jihad H. Kaouk, MD, and colleagues say the single-port procedures leave little to no scarring and reduce postoperative complications.

Medtronic, Inc. has initiated the InSite Trial, a post-market study of its sacral nerve stimulation therapy (InterStim) for the treatment of overactive bladder and urinary retention. The FDA has approved this efficacy study, which aims to enroll more than 450 patients. Those who qualify will be randomized to receive either InterStim therapy or standard medical treatment, including oral medications, as determined by their physician.

The FDA has accepted Indevus Pharmaceuticals’ new drug application for its long-acting depot preparation of testosterone undecanoate (Nebido) for the treatment of male hypogonadism. The NDA is predicated on data from six clinical studies in which more than 400 patients received at least one dose of the drug, more than 300 of whom were treated for more than 1 year.

Two tiny genetic variations may provide the best clues yet for finding more precise ways to estimate prostate cancer risk and improve screening and early detection for men of African descent, report researchers from the University of Chicago and the Translational Genomics Research Institute in Phoenix.