Urology
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Randomized Controlled Trial Clinical Trial
Prophylactic versus therapeutic alpha-blockers after permanent prostate brachytherapy.
To evaluate the influence of prophylactic versus therapeutic alpha-blockers on urinary morbidity after permanent prostate brachytherapy. Multiple clinical and treatment parameters were evaluated to identify the factors associated with acute urinary morbidity. ⋯ Prophylactic use of alpha-blockers results in significantly less urinary morbidity than either the absence or therapeutic use of alpha-blockers. In patients receiving prophylactic alpha-blockers, the IPSS normalized significantly faster but had no impact on urinary retention or the ultimate need for postimplant surgical intervention.
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Comparative Study
United States radiation oncologists' and urologists' opinions about screening and treatment of prostate cancer vary by region.
To examine whether physicians' views on prostate cancer screening and treatment vary by geographic region in the United States. ⋯ Florida radiation oncologists and urologists reported beliefs and practices that differed from their colleagues in other regions of the United States. Whether the distinctive style of prostate cancer diagnosis and treatment in Florida results in improved outcomes has yet to be proved.