The Journal of urology
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The Journal of urology · Oct 2008
Profile of the veterans affairs urologist: results from a national survey.
The Veterans Health Administration has multiple employment arrangements for its physician staff. Urological care to veterans is provided by urologists who work in the Veterans Affairs system under 1 arrangement, including full-time Veterans Affairs, contract Veterans Affairs, part-time Veterans Affairs and fee for service. We assessed the similarities and differences of these employment arrangements, while considering factors such as race, gender, professional activities and salary. ⋯ The practice environment of the contract urologist in the Veterans Affairs system is comparable in many ways to that of the full-time employee. However, the tendency of many contract urologists to be employed in a separate practice setting has led to higher incomes and longer work hours.
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The Journal of urology · Oct 2008
Randomized Controlled Trial Multicenter Study Comparative StudyThe relevance of urodynamic studies for Urge syndrome and dysfunctional voiding: a multicenter controlled trial in children.
The objective of this study was to compare prospectively, in urge syndrome and dysfunctional voiding, clinical patterns with urodynamic patterns, to assess changes in urodynamic patterns after treatment, and to correlate urodynamic patterns and parameters with treatment outcome. ⋯ Neither detrusor overactivity nor increased pelvic floor activity during voiding correlated with treatment outcome. Standard treatment could be the first choice in urge syndrome as well as in dysfunctional voiding, reserving urodynamic studies for patients in whom this first approach fails.
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The Journal of urology · Oct 2008
Comparative StudyMental health diagnoses in patients with interstitial cystitis/painful bladder syndrome and chronic prostatitis/chronic pelvic pain syndrome: a case/control study.
We compared the rate of mental health disorders in male and female patients with pelvic pain and control subjects. ⋯ Depression and panic disorder are significantly more common in men and women with pelvic pain conditions than in controls. Medication use data suggest that anxiety and depression may be more difficult to treat in patients with urological pain syndromes than in controls.
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The Journal of urology · Oct 2008
Comparative StudyIntermittent torsion of the spermatic cord portends an increased risk of acute testicular infarction.
Intermittent torsion of the spermatic cord is an episode of acute torsion of the spermatic cord that resolves spontaneously. We compared the outcomes in boys with intermittent spermatic cord torsion treated electively with testicular fixation with those in boys with a history of recurrent scrotal pain who required emergent operation for acute spermatic cord torsion without spontaneous resolution. ⋯ When diagnosed accurately, intermittent spermatic cord torsion can be treated with elective testicular fixation with an excellent outcome. Misdiagnosis may create a cohort of boys with intermittent spermatic cord torsion who are at risk for acute unresolved torsion and potential testicular loss. Urologists should be proactive in recommending elective scrotal exploration when intermittent spermatic cord torsion is a likely diagnosis.