Beyond the political fight over the DoD’s new testosterone screening mandate remains a clinical question: Does population-level screening of a mostly asymptomatic, young military population offer significant benefit or simply raise risk?
Intradetrusor incobotulinumtoxinA Is Noninferior to OnabotulinumtoxinA in Treatment of Idiopathic Overactive Bladder
Is incobotulinumtoxinA to onabotulinumtoxinA more effective for the treatment of idiopathic overactive bladder syndrome?
Neurogenic Bladder Affects QOL for Veterans With MS, Others
Urinary tract infections (UTI) are common complications in people with neurogenic bladder (NB), which can occur in patients with multiple sclerosis, other neurological conditions and spinal cord injury.
VA Experts Push for Consistency, Innovation in Bladder Cancer Care
Bladder cancer, recently designated as a presumptive condition for Gulf War and Post-9/11 veterans, per the PACT Act, is the third most prevalent noncutaneous cancer among veterans, following prostate and lung cancer.
New Algorithm Developed for Urinary Retention Evaluation, Catheterization
A new algorithm could improve care for adult inpatients who need to be evaluated for urinary retention and possible catheterization, according to a recent study.
Pathogenic Variants Found in More Nonbladder Urinary Tract Cancer Patients
In an effort to evaluate factors that could affect the likelihood of identifying a clinically actionable germline pathogenic variant (PV), a new study investigated a real-world multicenter cohort of patients with urinary tract cancer (UTC).
More Than 14 million U.S. Adults on Statins Might Not Really Need Them
Equations that estimate 10-year risk of atherosclerotic cardiovascular disease (ASCVD) appear to have overestimated the number of U.S. adults eligible for primary prevention statin therapy, according to a new study.
Survival Rates Trend Lower in Non-Hispanic Black Patients With Uterine Cancer
Disparities in survival exist between non-Hispanic Black and non-Hispanic white patients with uterine cancer. A new study from military researchers sought to determine why.
No Increased Bladder Cancer Risk Seen With SGLT2 Inhibitors
For years, reports of higher risks of breast and bladder cancer with the use of sodium-glucose cotransporter-2 (SGLT2) inhibitors have raised concerns.
Microscopic Hematuria in Urine Rarely Raises Cancer Risk
The discovery of blood in the urine might be alarming, but do patients with microscopic hematuria (MH) and a negative initial evaluation have an elevated risk for urinary carcinoma?
Biopsies Show Surprising Rate of Aggressive Lesions in Small Renal Masses
A review of renal cell carcinoma surveillance in a four-state region found that veterans treated at the VA had a significant incidence of high-risk lesions and poor compliance with follow-up imaging.
Extracting VA Data on Invasive Bladder Cancer
Bladder cancer is the VA’s fourth-most-diagnosed cancer, and early diagnosis is important because, if the tumor spreads outside the bladder, the five-year survival rate is only about 38%.
Chlorthalidone Therapy Improves BP Control in Advanced CKD Patients
For years, clinicians have noted that inadequate evidence was available to promote the use of thiazide diuretics to treat hypertension in patients with advanced chronic kidney disease.
VHA Observational Study Finds No Links Between Testosterone, CV Events
Hormone replacement therapy can have a number of beneficial effects—improving libido and sexual function, lifting energy and mood, increasing muscle mass and bone mineral density and decreasing fat mass—in men with low levels of testosterone, according to studies.
VA Studies Seek to Find Balance in Antibiotic Duration for Male UTI Treatment
Urinary tract infection is one of the diagnoses for which antibiotics are most commonly used. So, a study determining that shorter duration treatment works as well as a longer course of antibiotics can have an outsized effect on reducing overuse of antimicrobials.
Older Veterans Present Special Challenges for Prostate Cancer Treatment
About 38% of the patients receiving care at the VA’s healthcare system served in the military during the Vietnam War era and have an average age fast approaching 70.
Antibiotics Overprescribed After Common Urological Procedures at VHA
Antibiotics appear to be routinely overprescribed for routine urological procedures within the VHA, according to a new study.
Outcomes of Genitourinary Injuries in Recent Veterans
The diagnosis and coordination of care for veterans with genitourinary injury can be improved, a new study found.
E. Coli in Poultry Linked to UTI Outbreaks
Gastrointestinal upset isn’t the only risk from a strain of Escherichia coli (E. coli) found in retail chicken and turkey products.
Most Patients Have Issues With In-Dwelling Catheters
Patients have more issues than healthcare providers might realize with complications from indwelling urethral catheters, including both infectious and non-infectious problems.
UTI reduction initiative has little effect at VHA nursing homes
In community-based, long-term care facilities, collaborative programs have been successful in reducing catheter-associated urinary tract infection (CAUTI) rates.
Wounded Warrior receives first penile/scrotum transplant
Genitourinary injuries were one of the signal wounds from the wars in Iraq and Afghanistan.
