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Archive for the ‘Incontinence’ Category

BUZZ MACHINE: Incontinence and impotence are two frightening words for a grown man, but they are the side-effects of removing the prostate and its cancer with it, writes US media blogger Jeff Jarvis in a blog he calls the “penis post”. READ MORE>

Worth the price, or at least that’s the calculation one makes beforehand: Cancer or erections? Cancer or dry underwear? Cancer loses.

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URO TODAY: Impotence drug Vardenafil can improve continence recovery after nerve-sparing radical prostatectomy, new research suggests. The daily use of vardenafil seems to provide better continence rate, although it does not seem to influence the timing needed to achieve full continence. READ MORE>

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SlingURO TODAY: The majority of 102 French prostate surgery patients fitted with a trans-obturator male sling to treat stress incontinence after a radical prostatectomy were cured (64%) or improved (18%). READ MORE>

Placement of a transobturator sling is a safe and effective procedure, giving durable results after more than a year of follow-up.

Further evaluation and high-quality controlled, randomised studies are needed to assess long-term efficacy and precise indications of this procedure for post-prostatic-surgery stress urinary incontinence management.

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DOMINION POST: In this personal account, a Lower Hutt man recalls the dire effects on his life of an enlarged prostate – and how he finally got it fixed.

When prostate rules it’s not OK

…was too late. I was in trouble again – this time on an island miles from a hospital. I returned in some discomfort to the company and tried to act as if everything was OK. We left soon after. When we got to the cottage I sat on the toilet until I got…read more…

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URO TODAY: How many times is too many when it comes to getting up in the night to pee? A study of 6000 Finns gives some predictable answers. READ MORE>

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URO TODAY: A technique for restoring the position of the urethra during radical prostatectomy – using a suture with a figure-of-eight knot – restores continence more quickly. READ MORE>

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URO TODAY: Forty percent of about 400 men treated with brachytherapy developed urinary obstructive symptoms, generally within the first three to six months, according to a study  of about 400 prostate cancer patients. READ MORE>

These symptoms resolved in a large proportion of men. Impaired potency occurred in 15% of men by six months and in more than 40% of men by 60 months. Bowel symptoms were less common and had a slower onset.

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URO TODAY: Use of a retrourethral transobturator sling after radicial prostatectomy  for prostate cancer is a highly successful treatment for incontinence, Australian researchers have found. READ MORE>

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URO TODAY: British researchers have reviewed the literature on incontinence related to prostate cancer and its treatment, as urinary incontinence is known to have a significant impact on health-related quality of life. READ MORE>

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URO TODAY: Short-term urinary side effects after prostate brachytherapy are common, follow a predictable course, and typically resolve within one year, a new study concludes. READ MORE>

Conservative management of short-term urinary side effects is recommended to minimise the risk of long-term urinary complications.

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