Implementation of a Nurse-Driven CAUTI Prevention Algorithm.

The cardiovascular thoracic step-down unit of an urban academic medical center had 4 catheter-associated urinary tract infections (CAUTIs) in 2 months compared with 5 in the previous year. The nursing literature showed that the implementation of nurse-driven algorithms for early removal of indwelling urinary catheters (IUCs) decreased the catheter days and risk of CAUTIs. Using the […]

Interventions to Treat Erectile Dysfunction and Premature Ejaculation: An Overview of Systematic Reviews.

Sexual dysfunction in men is common, and optimal treatment is complex. Although several systematic reviews concerning treatment approaches exist, a comprehensive overview without limitations concerning the population, interventions, or outcomes is lacking. To conduct a “review of reviews” to compare the effectiveness of pharmacologic, non-pharmacologic, and combined interventions. 9 electronic databases, relevant journals, and reference […]

The “Mini-Jupette” sling at the time of inflatable penile prosthesis implantation: Adequate treatment for erectile dysfunction with mild incontinence and/or climacturia after radical prostatectomy.

The usual morbidity after radical prostatectomy (RP) implies, the possible need for inflatable penile prosthesis (IPP). This study aims to validate the efficacy and safety of a sling called “Mini-Jupette” concomitantly with the implantation of an IPP that will counteract mild UI (<2 pads/day) associated or not with climacturia for patients resistant to non-invasive therapeutic […]

Cost-effectiveness of prophylactic antibiotic use to prevent catheter-associated urinary tract infections.

We evaluate the cost-effectiveness of prophylactic antibiotic use to prevent catheter-associated urinary tract infections. A decision tree model was used to assess the cost-effectiveness of prophylactic antibiotics in preventing catheter-associated urinary tract infections for patients with a short-term indwelling urinary catheter. The model accounted for incidence of urinary tract infections with and without the use […]

Bladder Hydrodistention Does Not Result In a Significant Change In Bladder Capacity For Interstitial Cystitis/Bladder Pain Syndrome Patients.

To assess the impact of multiple (two or more) bladder hydrodistentions (HODs) on anesthetic BC in a large cohort of IC/BPS patients. Urinary bladder hydrodistention (HOD) under anesthesia is a third line therapeutic approach used to treat patients with interstitial cystitis/bladder pain syndrome (IC/BPS). There is some concern that performing multiple therapeutic HODs may be […]

Marijuana use and its influence on sperm morphology and motility: identified risk for fertility among Jamaican men.

The growing international movement legislating medical marijuana has brought renewed interest to the role of marijuana smoking on fertility potential. Although studies have identified that sperm quality can be compromised by marijuana use, little focus has been placed specifically on those trying to conceive. In this study, we aimed to clarify the impact of marijuana […]

Stress Hormone and Oxidative Stress Biomarkers Link Obesity and Diabetes with Reduced Fertility Potential.

Tilting the balance in favor of antioxidant agents could increase infertility problems in obese and diabetic individuals. The aim of this study was to evaluate oxidative stress status in semen of men with type 2 diabetes and obesity to investigate whether excessive amounts of oxidative stress, as a result of diabetes and obesity, influence infertility […]

The Effect of Pelvic Floor Muscle Contraction on Detrusor Overactivity Pressure in Neurogenic and Nonneurogenic Women During Urodynamic Study: A Cross-Sectional Study.

The aims of this study were to investigate whether detrusor overactivity can be influenced by a pelvic floor muscle contraction in multiple sclerosis-associated overactive bladder and idiopathic overactive bladder volunteers and to compare urodynamic findings between the two groups. Eighteen women with multiple sclerosis-associated overactive bladder and 17 women with overactive bladder responded the overactive […]

Effects of Mirabegron on Anxiety and Depression in Female Patients with Overactive Bladder.

Treatment of overactive bladder (OAB) with antimuscarinic agents has been shown to improve depression and/or anxiety symptoms. The aim of this study was to evaluate the efficacy of mirabegron on OAB symptoms and its effects on depression and/or anxiety of treatment-naïve women with OAB. Women treated with mirabegron were prospectively evaluated by the OAB symptom […]

The impact of frailty on treatment for overactive bladder in older adults.

To examine the impact of frailty on treatment outcomes for overactive bladder (OAB) in older adults starting pharmacotherapy, onabotulinumtoxinA, and sacral neuromodulation. This is a prospective study of men and women age ≥60 years starting pharmacotherapy, onabotulinumtoxinA, or sacral neuromodulation. Subjects were administered questionnaires at baseline and again at 1- and 3-months. Frailty was assessed […]

X