Adherence and effectiveness of a single instruction of pelvic floor exercises: a randomized clinical trial.

In Brazil there are limited knowledge and education about preventative exercises for pelvic floor muscles (PFMs). We hypothesised that a single pelvic floor muscle exercise (PFME) session immediately postpartum would be effective in preventing urinary incontinence (UI) in a 3-month postpartum period with good adherence rates. Two hundred two women were approached for this randomised […]

Canadian Experience with the Adjustable Trans-Obturator Male System (ATOMS) for Post-prostatectomy Incontinence: A Multi-Centered Study.

To assess the efficacy and safety profile of the Adjustable Trans-Obturator Male System (ATOMS) for post-prostatectomy incontinence (PPI) in a multi-centered North American setting. We reviewed outcomes from 8 centers in men undergoing treatment for PPI with ATOMS. Primary outcomes were pad change and continence (defined as requiring ≤1.0 pad postoperatively for patients requiring ≥2.0 […]

Diagnosis and Conservative Management of Ureteral Orifice Injury During Robotic Prostatectomy for a Large Prostate with a Prominent Median Lobe.

Introduction: Robot-assisted laparoscopic radical prostatectomy (RALRP) is now considered the standard treatment for localized prostate cancer. However, challenges may arise when dealing with large prostates with a prominent median lobe because the ureteral orifices may not always be visible during dissection and maybe injured in the process.

Diagnosis and Conservative Management of Ureteral Orifice Injury During Robotic Prostatectomy for a Large Prostate with a Prominent Median Lobe.

Introduction: Robot-assisted laparoscopic radical prostatectomy (RALRP) is now considered the standard treatment for localized prostate cancer. However, challenges may arise when dealing with large prostates with a prominent median lobe because the ureteral orifices may not always be visible during dissection and maybe injured in the process.

Distinct structural classes of activating FOXA1 alterations in advanced prostate cancer.

Forkhead box A1 (FOXA1) is a pioneer transcription factor that is essential for the normal development of several endoderm-derived organs, including the prostate gland1,2. FOXA1 is frequently mutated in hormone-receptor-driven prostate, breast, bladder and salivary-gland tumours3-8. However, it is unclear how FOXA1 alterations affect the development of cancer, and FOXA1 has previously been ascribed both […]

Reduction of Pain During Flexible Cystoscopy: A Systematic Review and Meta-Analysis.

The Bladder Cancer Advocacy Network (BCAN) Patient Survey Network identified pain during intravesical procedures as a research priority for patients. Although intraurethral lidocaine is standard of care in this setting, evidence for its use is equivocal. We performed a systematic review of studies evaluating interventions to reduce discomfort during cystoscopy and intravesical therapies for bladder […]

Phase I neoadjuvant study of intravesical recombinant fowlpox-GM-CSF (rF-GM-CSF) or fowlpox-TRICOM (rF-TRICOM) in patients with bladder carcinoma.

Intravesical BCG is a highly effective treatment for high-grade nonmuscle invasive bladder cancer and carcinoma in situ (CIS); however, for patients who are either resistant or become unresponsive to BCG therapy there is a need for alternative treatment approaches. This study examined the safety and feasibility of intravesically administered recombinant fowlpox virus encoding GM-CSF (Arm […]

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