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New Orleans--Bicalutamide (Casodex), 50 mg, plus castration leads to an estimated 20% reduction in risk of prostate cancer death versus castration alone, according to results of a historical data analysis presented at the annual of the American Society of Clinical Oncology meeting here.

San Francisco--Results from a study evaluating the effect of urinary pH alteration in patients with interstitial cystitis suggest little benefit is likely gained from alkalinizing the urine to a neutral pH. Nevertheless, the question of how urine pH affects IC symptoms remains unanswered and requires further study, concluded the authors, from the University of British Columbia, Vancouver.

San Francisco--The tricyclic antidepressant amitriptyline (Elavil) is a safe and effective treatment for interstitial cystitis with significant benefits for reducing overall symptoms along with pain and urgency, according to the results of a German study.

New Orleans--A combination of common clinical factors can accurately predict which patients who have biochemical failure after radical prostatectomy are likely to develop metastatic progression, said investigators from Memorial Sloan-Kettering Cancer Center, New York.

A combined treatment of L-carnitine and L-acetyl-carnitine was found to increase sperm motility, especially in patients with lower baseline levels, in a study in Fertility and Sterility (2004; 81:1578-84).

Lilly ICOS has launched a limited-time offer called "The Cialis Challenge," which offers to pay for a competing erectile dysfunction drug if a patient is not satisfied with tadalafil (Cialis).

Men whose PSA level increases by more than 2.0 ng/mL during the year prior to a prostate cancer diagnosis may have a relatively high risk of future cancer death even if they undergo radical prostatectomy, according to a recent report in the New England Journal of Medicine (2004; 351:125-35).

Chronic prostatitis equals high financial costs, according to research by the Chronic Prostatitis Collaborative Research Network (Arch Intern Med 2004; 164:1231-6).

Lexington, MA-Indevus Pharmaceuticals announced that trospium chloride (Sanctura) has been approved by the FDA for the treatment of overactive bladder with symptoms of urge incontinence, urgency, and urinary frequency.

San Francisco--Stem cell therapy can repair the tissue damage that causes urinary incontinence, say Austrian researchers, who used myoblasts and fibroblasts to strengthen patients' rhabdosphincters and urethras and eliminate their symptoms.

Do you think the three available phosphodiesterase type-5 inhibitors-vardenafil hydrochloride (Levitra), tadalafil (Cialis), and sildenafil citrate (Viagra)-are essentially the same, or do they have distinct advantages in the treatment of ED?