In a nutshell This study reviewed the effects of combined α-blocker and anticholinergic therapy on urinary symptoms in men with benign prostatic hyperplasia (BPH). Some background Men with enlarged prostates often experience bothersome urinary symptoms. These may include increased frequency or urgency of urination, frequently waking up at...
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In a nutshell This study reviewed the effects of prostatic urethral lift (PUL) – a new procedure to relieve urinary symptoms due to benign prostatic hyperplasia. Some background Benign prostatic hyperplasia (BPH) may lead to troublesome urinary symptoms, often requiring surgical intervention. Since many interventions are associated...
Read MoreIn a nutshell This study investigated the addition of training feedback, or biofeedback, to pelvic floor muscle training. Some background Pelvic floor muscle training is an effective treatment for stress urinary incontinence (and some evidence suggests for all types of urine incontinence). In pelvic floor muscle exercises, the pelvic floor muscles...
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In a nutshell This review compared the benefits and harms of different drugs used to treat urge incontinence. Some background Urge urinary incontinence (urine leakage associated with a strong need to urinate) can severely affect the quality of life of both men and women. A variety of drugs are often prescribed to treat urge urinary incontinence....
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The following guidelines provide clinical recommendations on the treatment of urinary incontinence in women. For the treatment of stress urinary incontinence (the involuntary leakage of urine with a physical activity such as coughing or sneezing), the American College of Physicians recommends first-line treatment with pelvic floor muscle training...
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In a nutshell This study investigated the effectiveness of dutasteride (Avodart) in the treatment of benign prostatic hyperplasia (BPH). Some background Dutasteride, a five-alpha reductase inhibitor (5ARI), reduces prostate size by blocking the effects of the hormone testosterone. Dutasteride is commonly used to treat urinary symptoms...
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In a nutshell This study evaluated the benefits and harms of microwave thermotherapy in the treatment of benign prostatic hyperplasia (BPH) and urinary symptoms. Some background Benign prostatic hyperplasia may lead to troublesome urinary symptoms, often requiring surgical intervention. A procedure called transurethral resection of the prostate...
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In a nutshell This study evaluated the benefits and harms of finasteride (Proscar). The effects of finasteride were compared to placebo (sham therapy with no medical effect) and other treatments for benign prostate hyperplasia (BPH). Some background Finasteride, a five-alpha reductase inhibitor (5ARI), reduces prostate size by blocking the effects...
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In a nutshell This study examined whether ulipristal acetate is safe and effective for the treatment of uterine fibroids. Some background Uterine fibroids are benign (harmless) smooth muscle tumors (myomas) that occur in the uterus. They can result in heavy menstrual bleeding, infertility and a decrease in quality of life. Patients may also...
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In a nutshell This article provides a summary of the 2013 European Association of Urology guidelines on the treatment and follow-up of men lower urinary tract symptoms (LUTS). Some background Men with enlarged prostates often experience bothersome urinary symptoms. These may include increased frequency or urgency of urination, painful urination,...
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In a nutshell This study compared the disease-free survival rates of patients who had a complete mesocolic excision with patients who had conventional surgery for treatment of colon cancer. Some background Patients with rectal cancer have higher survival rates than colon cancer patients. This is in part due to the type of surgery carried out. Many...
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In a nutshell This paper studied how pregnancy and pre-eclampsia affects heart function. Some background Pre-eclampsia is a complication of pregnancy where there is increased blood pressure and damage to an organ, usually the kidney. It is also associated with increased risk of heart disease and stroke in the mother. Assessing heart function after...
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