VA Antimicrobial Stewardship Helps with UTIs

BUFFALO, NY—Implementation of an antimicrobial stewardship program (ASP) appeared to significantly decrease duration of antibiotic therapy and length of hospitalization for complicated urinary tract infection at the Buffalo, NY, VAMC, without adversely affecting 30-day readmission rates. The study, published in… Read More

Viagra Likely Doesn’t Cause Melanoma Cases

NEW YORK—A new study found higher rates of melanoma in users of the erectile dysfunction drug Viagra but could identify no direct cause and effect. A report published online by the Journal of the National Cancer Institute instead attributes the… Read More

Testosterone Trials Show Mixed Results for Users

LOS ANGELES—Testosterone replacement therapy appears to be a mixed blessing for older men with low levels of the hormone, according to recently published studies. Results of four trials published online by JAMA and JAMA Internal Medicine suggest users showed improved… Read More

Battlefield Genitourinary Damage Alters Lives Beyond Physical Injuries

Battlefield Genitourinary Damage Alters Lives Beyond Physical Injuries

Recent improvements in battlefield medical care have allowed more servicemembers to survive devastating injuries.

Older Veterans Must Weigh Benefits of ‘Expectant Management’ in Prostate Cancer

Older Veterans Must Weigh Benefits of ‘Expectant Management’ in Prostate Cancer

By Stephen Spotswood ATLANTA — For patients diagnosed with a malignancy, the natural response is to ask the physician to do everything possible to treat the cancer. The challenge for VA clinicians and others, especially with older patients who have… Read More

Genitourinary Injuries Often Caused by Pelvic Fractures

SAN ANTONIO — Combat-related pelvic fractures often are associated with lower genitourinary injuries which cause a very high rate of erectile dysfunction, according to a new study. The report, published recently in the journal Military Medicine, was on the results… Read More

Urologic Decision Aids Moderately Reduce Costs

Urologic Decision Aids Moderately Reduce Costs

SEATTLE — Rates of elective surgery for benign prostatic hyperplasia (BPH) and active treatment for localized prostate cancer declined over six months after a large health cooperative provided video-based decision aids for men with those two common problems. Yet, the… Read More

Sexual Dysfunction Common in Vets with PTSD

HOUSTON — In addition to all of their other issues, veterans with post-traumatic stress disorder (PTSD) also are at increased risk of sexual dysfunction. A review study published online in the Journal of Sexual Medicine found that male veterans with… Read More

New Veteran Study Further Complicates Testosterone Replacement Issue

New Veteran Study Further Complicates Testosterone Replacement Issue

VA Researchers Find Normalizing ‘T’ Levels Lowers Heart Risks By Brenda L. Mooney KANSAS CITY, MO — The question over how testosterone replacement therapy (TRT) affects cardiovascular health became even more contentious with a new U.S. veterans study finding that… Read More

Statins Reduce Recurrence after Prostate Cancer Surgery

DURHAM, NC – Patients should be prescribed statins after prostate cancer surgery, according to the authors of a new retrospective analysis which finds that men whobegin taking the cholesterol-lowering drugs after radical prostatectomy are less likely to have a recurrence… Read More

Prostate Cancer More Aggressive in Younger Men

ANN ARBOR, MI – Prostate cancer diagnoses are on the increase in younger men, and a new analysis suggested that the disease is typically more aggressive in those cases. The study, conducted by researchers from the Ann Arbor, MI, VAMC,… Read More

Bladder Cancer Unexpectedly High in LUTS Minus Hematuria

ATLANTA — Bladder cancer occurs more often than previously expected in patients presenting solely with lower urinary tract symptoms (LUTS) but without hematuria, according to a presentation at the 2013 meeting of the American Urological Association.1 Researchers from Emory University… Read More

Medication Use Increases in VA LUTS/BPH Patients

IOWA CITY, IA — The proportion of men who were prescribed pharmacotherapy within 90 days of diagnosis of lower urinary tract symptoms (LUTS) and related benign prostate hyperplasia (BPH) at the VA increased from 32.2% in 2003-2004 to 44.8% in… Read More

Advocates Seek Better Care for Urotrauma Wounds, Including Fertility Treatments

By Sandra Basu WASHINGTON — Extremity loss, traumatic brain injury and eye injury each have their own DoD center of excellence, but urotrauma has not received the same policy attention and care coordination as those other types of common injuries,… Read More

Smarter Screening Strategies for Prostate Cancer Hotly Debated

By Annette M. Boyle Ruth Etzioni, PhD, of FHCRC SEATTLE, WA – For the VA, the ongoing discussion about use of the controversial prostate-specific antigen (PSA) screening for prostate cancer is far from academic. Veterans Health Administration physicians diagnose more… Read More

Do Military Service and/or Mental Health Issues Lead to Urinary Tract Issues?

By Stephen Spotswood Benjamin Breyer, MD, Urologic Surgeon at the University of California, San Francisco Medical Center SAN FRANCISCO – One of the most important realizations by VA physician researchers in the past decade has been that mental illnesses such… Read More

Study: Exercise Reduces Prostate Cancer Risk in Caucasians, But Not African-Americans

By Annette M. Boyle DURHAM, NC – Researchers are grappling with the results of a new study that shows an association between increased exercise and reduced risk of prostate cancer in white men but not black men. “Bottom line, the… Read More

Longer Treatment of Male UTI Doesn’t Decrease Recurrence Rates

By Brenda L. Mooney MINNEAPOLIS – In a rare study that looked at optimal treatment of urinary tract infections (UTI) in men, researchers from the Minneapolis Veterans Health Care System found that treating the condition for more than a week… Read More

VA Study Urging Watchful Waiting for Early Prostate Cancer Sparks Controversy

By Brenda L. Mooney MINNEAPOLIS — New research out of the Minneapolis VAMC finds that radical prostatectomy does not significantly reduce the risk of death in prostate cancer patients, when compared to observation over more than a decade. While that… Read More

New Medications and Technology Advances Significantly Change VA’s BPH Treatment

By Annette M. Boyle GAINESVILLE, FL — Treatment of benign prostatic hyperplasia (BPH), the fourth most common diagnosis among VA patients over 50 years old, has changed radically in the last 15 years, with better management and medications making surgery… Read More