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Clinical Times: Genito-urinary

All entries for Genito-urinary

Proteinuria linked to increased mortality

23 February 2010

Patients with high levels of proteinuria in addition to another marker of reduced kidney function had an associated increased risk of all-cause death, heart attack or progression to kidney failure, according to a new study. Doctors investigated the association between... Read more

Smoking is major factor in choice of contraception

20 November 2009

Clinical Update - Contraception: Many of the earlier contraceptive pills had much higher dosages than the more recently introduced pills on the market. The newer pills have very low doses of oestrogen and different types of progesterone.... Read more

Progesterone-only pills appeal to women for various reasons

Gary Culliton | 20 November 2009

Clinical Update - Contraception: Previous progesterone-only pills did not regularly prevent ovulation, and there was a higher failure rate with them, according to Dr Caitriona Henchion, Medical Director of the Irish Family Planning Association.... Read more

LARCs suitable for stable relationships

20 November 2009

Clinical Update - Contraception: Long Acting Reversible Contraceptives (LARCs) include copper coils, Mirena coils, Implanon implants and Depo provera injections (which are given every 12 weeks). All of the long-acting reversible contraceptives are progesterone only.... Read more

Review disputes effect of new patch to boost sex drive

Drug and Therapeutics Bulletin | 11 March 2009

A new testosterone patch designed to pep up a woman’s sex drive after uterus and ovary removal may not work, and its long term safety is not proven, according to a new review of previously published studies. The condition, hypoactive... Read more

Managing 22q11.2 deletion syndrome and its effects

Dr Sarah Prasad and Prof Kieran Murphy | 17 February 2009

Dr Sarah Prasad and Prof Kieran Murphy write about 22q11.2DS, which is the most common chromosomal microdeletion syndrome. The most frequently occurring chromosomal microdeletion syndrome in humans is 22q11.2 deletion syndrome (DS), with an estimated incidence of one in 4,000... Read more

Aliskiren in diabetic nephropathy and the AVOID study

Dr Donal Reddan and Dr Austin Stack | 11 February 2009

Dr Donal Reddan and Dr Austin Stack, Consultants in Nephrology, explain how the results of the AVOID study have increased our understanding of direct renin inhibition. Over the past two decades, a large body of evidence has accumulated on the... Read more

Current management of stress urinary incontinence

08 October 2008

In the second part of our series on stress urinary incontinence in women, Mr Syed Jaffry examines the treatment options that are available to treat the condition. Stress urinary in-continence (SUI) is the most common type of incontinence in women,... Read more

Assessing and diagnosing stress urinary incontinence

Mr Syed Jaffrey | 01 October 2008

Stress urinary incontinence (SUI) is a common disorder among women of all ages, which compromises their quality of life (QoL) and that of their families. The bothersome symptoms of SUI may adversely affect social relationships and activities, restrict physical pursuits,... Read more

Respecting the bodily integrity rights of children

Natalya Anderson | 01 October 2008

Irish Medical Times's UK correspondent Natalya Anderson reports from a recent symposium which focussed on circumcision as a human rights issue A new campaign has been launched to encourage men and women to exercise their right to say no to... Read more

Combination therapy is best for BPH

June Shannon | 19 September 2008

Emerging data suggests that combination therapy is the future in the medical management of benign prostate hyperplasia (BPH), north Dublin GPs attending a recent clinical meeting on the condition were told. Mr Kiaran O’Malley, Consultant Urologist at the Mater Hospital... Read more

Incontinence affects one quarter of women

JAMA | 17 September 2008

Nearly one-quarter of women surveyed, and more than one-third of older women, report at least one pelvic-floor disorder, which includes urinary and faecal incontinence and the shifting of a pelvic organ, according to a new study. In the study, doctors... Read more

Elderly satisfied with sex lives

19 July 2008

An increasing number of 70-year-olds are having good sex and more often, and women in this age group are particularly satisfied with their sex lives, according to a new study. In the study, researchers in Sweden examined attitudes to sex... Read more

Ultrasonic instruments produce better results

26 June 2008

Using ultrasonic surgical instruments is associated with more favourable outcomes when compared with convent-ional instruments for colorectal and gynaecological procedures, according to a new meta-analysis of previously published studies. In the analysis, doctors looked at studies published between 1990 and... Read more

Restoring continence and restoring control

Dr Rory O'Connor | 13 June 2008

Dr Rory O'Connor on the importance of addressing the problem of altered bladder control and helping those with the condition to carry out daily activities with confidence. The Continence Foundation of Ireland, in its soon-to-be- launched National Strategy. Document regarding... Read more

Low testosterone levels not being treated

Archives of Internal Medicine 2008;168:1070-1076 | 11 June 2008

The majority of men with androgen deficiency may not be receiving treatment despite having sufficient access to care, according to a new report. Researchers identified symptoms of androgen deficiency as low libido, erectile dysfunction and osteoporosis and such less-specific symptoms... Read more

Urinary incontinence and prolapse

Dr Kelvin Boos | 30 November 2007

Female urinary incontinence and prolapse are common conditions. While not life-threatening, they can have a considerable impact on the quality of life of those who suffer from them. It is estimated that 25 per cent of women wait more than... Read more

The challenges of patient adherence in transplant therapy

16 November 2007

Solid-organ transplantation has a relatively short history of approximately 50 years, with most of the revolutionary progress having been achieved in the last two decades. Transplantation is one of the greatest success stories of the 20th century and enables people... Read more

Kidney kindness pays off

02 November 2007

Management strategies which provide optimal long-term protection to already transplanted kidneys are highly cost-effective and can help patients avoid the need for dialysis or re-transplantation, according to an innovative, transplant healthcare model presented for the first time today at the... Read more

Anti-anaemia drug may improve health of kidney disease patients

The Lancet 2007;370:1395,1415-1421 | 02 November 2007

The use of a long-acting form of the anti-anaemia drug epoetin could result in improved quality of life and simplified anaemia management, compared with conventional therapy for treating anaemia, according to a new study. In the study, doctors compared the... Read more

The debate continues over ESAs

21 September 2007

Anaemia is one of the most frequent complications of haemodialysis, and its correction is an important factor in restoring a tolerable quality of life to dialysis-dependent patients. Treatment with drugs called erythropoiesis-stimulating agents (ESAs), which stimulate the bone marrow to... Read more

Novel approaches for the treatment of chronic gout

Dr Trevor Duffy | 07 September 2007

Gout needs no introduction. It is characterised by the abnormal deposition of urate crystals as a result of hyperuricaemia. The diagnosis rests on the identification of crystals in tissue or synovial fluid. Gout presents initially with intermittent attacks of acute... Read more

Chlamydia screening is shown as not good value for money

BMJ | 31 August 2007

Proactive chlamydia screening for young adults does not represent good value for money, according to a study. Researchers noted that with proactive screening, doctors and nurses use population registers to invite people to be screened regularly, while opportunistic screening targets... Read more

Hyperparathyroidism a further risk for CKD patients

24 August 2007

For patients with chronic kidney disease (CKD), the risk of elevated levels of parathyroid hormone (PTH), or hyperparathyroidism- a significant complication that increases the risk of cardiovascular problems and death- increases along with body weight, reports a study in the... Read more

Double contraception no better at HIV protection

The Lancet | 27 July 2007

The use of diaphragms and lubricant gel in addition to condoms for HIV prevention is no more effective than condoms alone, a new study has found. In the study, researchers did a randomised trial of around 5,000 sexually active, HIV-negative... Read more

Study identifies the type of clinicians likely to give inappropriate PSA tests

Archives of Internal Medicine | 20 July 2007

Prostate-specific antigen (PSA) tests to screen for prostate cancer are frequently performed among patients for whom the PSA test is not shown to be beneficial, and clinicians with certain characteristics are more likely to order such inappropriate screening tests, according... Read more

One in three HIV-positive gay men report having unprotected sex

Sexually Transmitted Infections | 18 May 2007

More than one in three HIV-positive gay men say they have unprotected sex, a new survey has revealed. And almost one in five HIV-negative men said that they do the same, the figures showed. The findings are based on a... Read more

Opportunistic chlamydia screening queried

BMJ 2007;334:703-704,725-728 | 04 May 2007

The value of opportunistic chlamydia screening has been called into question by a leading epidemiologist. Dr Nicola Low, an epidemiologist at the University of Berne in Switzerland, said claims about screening are not supported by rigorous research or practice. In... Read more

Aggressive treatment of blood pressure and diet control needed

Dr Mary Ryan | 27 April 2007

Diabetic nephropathy is now a major cause of premature death in patients with all types of diabetes. Approximately one-sixth of patients entering renal replacement programmes in developed counties will now have diabetes, at least 50 per cent having type 2... Read more

Women need not wait to conceive after breast cancer

BMJ | 12 January 2007

Young women who are diagnosed with breast cancer need not wait the recommended two years after treatment before attempting to conceive, researchers have found. Women of child-bearing age who are diagnosed with breast cancer are currently advised to wait at... Read more

Half of men who pay for sex say they already have a partner

Sexually Transmitted Infections 2006;82:364-367 | 05 January 2007

Almost half of men who pay for sex already have a partner, according to researchers in the UK. The researchers used survey data from a standard health screening questionnaire completed by more than 2,500 men at one sexual health clinic.... Read more