Urology

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Cranberry-containing products may be more than just a folk remedy for urinary tract infections (UTIs). A systematic review and meta-analysis published in the Archives of Internal Medicine concludes that cranberry-containing products offer women protection against UTIs, particularly those prone to recurrent infections.

Stress urinary incontinence, defined by the International Continence Society as the complaint of involuntary leakage on effort or exertion or on sneezing and coughing, affects 23% to 38% of the female population in the United States over the age of 20 years.

Urinary tract injuries complicate approximately 1% of all gynecologic procedures, with a ratio of 5 bladder injuries to each ureteral injury. Additionally, urinary tract injuries occur in 0.28% of all cesarean deliveries with a 3-fold risk in repeat cesarean delivery.

Chronic pelvic pain is common in women. The broad differential diagnosis for chronic pelvic pain and overlap in symptoms among etiologies makes diagnosis challenging but underscores the need to conduct a detailed history and careful examination that considers the full spectrum of cases, according to one expert.

Although retropubic and transobturator midurethral slings may be objectively equivalent in their treatment of stress incontinence, women do not find them subjectively so, and complication rates can difer, according to a randomized trial.

Dynamic magnetic resonance imaging (MRI) of the urethra, along with static MRI, may benefit women who are experiencing lower urinary tract symptoms by helping to detect pelvic organ prolapse, according to researchers at New York University Medical Center's Department of Radiology.

Cranberry juice may protect against asymptomatic bacteriuria and symptomatic urinary tract infections in pregnant women, although more research is needed to confirm the findings, according to a report in the October issue of the Journal of Urology.

Managing nocturia

Is waking repeatedly to void robbing your patient of a good night's sleep? An expert discusses causes and treatment options that can banish her daytime fatigue-and lower her risk of nighttime falls.

Managing nocturia

Is waking repeatedly to void robbing your patient of a good night's sleep? An expert discusses causes and treatment options that can banish her daytime fatigue-and lower her risk of nighttime falls.

Women with severe ulcerative colitis who undergo colectomy with ileal pouch-anal anastomosis (IPAA) are about three times more likely to experience infertility than women treated with medical management, according to study findings published in the November issue of Gut.

Be frank about the real and potential complications when counseling patients considering assisted reproductive technologies. The list includes the link between multiple gestations and preterm delivery, the possibility of ectopic pregnancies or malformations-and much more.

Be frank about the real and potential complications when counseling patients considering assisted reproductive technologies. The list includes the link between multiple gestations and preterm delivery, the possibility of ectopic pregnancies or malformations-and much more.