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Los Angeles Times PSA test: Don't do it, say angry men Los Angeles Times, CA - The dilemma for men diagnosed with the PSA test is that it often steers far too many men to treatment that can result in impotence and incontinence. ... Rowan doctor helping patients find treatment south of the border Salisbury Post, NC - Aug 3, 2008 Japanese researchers found a .6 percent incontinence rate and incidents of impotence in the low 20 percents with the ultrasound procedure. ... ORLive Presents: New Male Sling Helps Prostate Cancer Survivors ... MarketWatch - Jul 21, 2008 "This is a breakthrough development for men suffering from urinary incontinence." The minimally invasive procedure takes less than an hour and results in ... Oops, I wet my pants: The messy problem of incontinence Jakarta Post, Indonesia - Jul 15, 2008 Surgery is advisable for women suffering from severe stress incontinence. There is now a minimally invasive procedure that uses the TVT (tension-free tape) ... Stress Urinary Incontinence: An Overview of Diagnosis and ... RedOrbit, TX - Jul 23, 2008 Confounding factors can help define optimal surgical techniques to obtain the best outcomes for the patient. Between the years 1988 and 1998, incontinence ... Stress Urinary Incontinence RedOrbit Urinary Incontinence in the Childbearing Woman RedOrbit A Journey to Continence: A Case Study of Overactive Bladder Syndrome RedOrbit all 4 news articles » Perioperative Complications And Early Follow-up With 100 TVT-SECUR ... Medical News Today (press release), UK - Jul 31, 2008 Since surgical procedures are more likely to cure stress urinary incontinence rather than non-surgical procedures, Delorme first and then de Leval adapted ... Fourth International Consultation On Incontinence (ICI) - Surgery ... Medical News Today (press release), UK - Jul 26, 2008 He noted that the total number of anti-incontinence procedures has risen slightly over the last decade but that TVT-type procedures have dramatically ... Fourth International Consultation On Incontinence (ICI) - Surgery ... Medical News Today (press release) Fourth International Consultation On Incontinence (ICI) - Surgery ... Medical News Today (press release) all 4 news articles » Uroplasty Joins National Association For Continence's Industry Council MarketWatch - Jul 21, 2008 "NAFC is an important resource for those seeking solutions to incontinence and a voice for a meaningful public health debate around this problem; ...UPI EU Panel Backs GSK's Pre-Pandemic Influenza Vaccine CNNMoney.com - Jul 25, 2008 The CHMP finalised a procedure under Article 107 of the Community code on human medicinal products (Directive 2001/83/EC as amended) for oral ... Interest of retro-anal levator plate myorrhaphy in selected cases ... 7thSpace Interactive (press release), NY - Jul 30, 2008 This surgical procedure seems to improve stress urinary incontinence, frequency, nocturia, urgency, dysuria, anal incontinence, dyschesia, dyspareunia, ...

Quick, Innovative Procedure Helps Men Minimize Incontinence After Prostatectomy

The stakes are high in artery supplying blood to two-thirds of the heart

(May 11, 2007—ORLANDO, FL) -- Coronary artery bypass surgery has been the preferred treatment for patients with a blockage in the left main coronary artery, the conduit that supplies blood to about two-thirds of the heart. However, in recent years this has been challenged by stent placement in this critical artery. Trusting treatment of such a critical vessel to percutaneous coronary intervention (PCI) is anathema to some. To others, it is the reasonable next step, given recent advances in stent technology.

At the 30th Annual Scientific Sessions of the Society for Cardiovascular Angiography and Interventions (SCAI), May 9–12, 2007, in Orlando, FL, two renowned experts will debate the role of PCI and coronary artery bypass grafting (CABG) for the treatment of patients with left main coronary artery disease. Representing left main stenting will be Roxanna Mehran, M.D., FSCAI, an associate professor of medicine at Columbia University, and medical director of the Data Coordinating and Analysis Center of the Cardiovascular Research Foundation, both in New York City. Her opponent: cardiothoracic surgeon Michael J. Mack, M.D., director of the Cardiopulmonary Research Science and Technology Institute in Dallas.

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According to Dr. Mack, bypass surgery has long been the gold standard for the treatment of patients with disease of the left main coronary artery. In the mid- 1990s a large, respected clinical trial proved that surgery was superior to medical therapy. Later, bare metal stents failed to gain footing as an alternative to surgery after several studies showed unacceptable rates of death and repeat procedures.

Drug-eluting stents (DES) have markedly changed the landscape, said Dr. Mehran. This breakthrough technology once again raises the possibility that catheter techniques can safely and effectively treat left main disease. "We now have devices that have the ability to deal with much more complex disease that would previously have been treated with bypass surgery," she said. "It is time to start making comparisons of CABG and DES for disease involving the left main coronary artery."

Available data on drug-eluting stents, although better than for bare metal stents, is too little, too soon, Dr. Mack said. "Evidence from a few small studies that are underpowered for either death or heart attack does not warrant use of PCI, especially in view of concerns about late stent thrombosis, which is particularly worrisome in left main stenting," he said.

Concerns about late stent thrombosis must be resolved, Dr. Mehran agreed. But the safety of bypass surgery deserves a closer look as well. Neuropsychiatric side effects are common following the use of a heart pump to circulate blood during surgery, for example. Equally important, a large percentage of bypass grafts become narrowed with plaque build-up within five years of surgery. "In a prospective trial with hard endpoints of death and heart attack, I think we might find that drug-eluting stents stand up well to bypass surgery in left main disease—and if you could have a less invasive therapy, why wouldn’t you choose that""

Drs. Mack and Mehran agreed that important data will come from the Synergy Between PCI With Taxus and Cardiac Surgery (SYNTAX) trial, which is comparing the Taxus drug-eluting stent to bypass surgery in approximately 800 patients with left main coronary artery disease. Results are expected to be reported in September 2008, said Dr. Mack, who is on the trial’s steering committee.

"Everyone needs to wait for the results of this randomized, controlled trial before changing from the gold standard," Dr. Mack said.

Drs. Mack and Mehran will face off to debate the treatment of left main coronary artery disease on Friday, May 11, at 5:10 p.m.

About SCAI

Headquartered in Washington, DC, the Society for Cardiovascular Angiography and Interventions is a 3,700-member professional organization representing invasive and interventional cardiologists in 70 nations. SCAI’s mission is to promote excellence in invasive and interventional cardiovascular medicine through physician education and representation, and advancement of quality standards to enhance patient care. SCAI’s annual meeting has become the leading venue for education, discussion, and debate about the latest developments in this dynamic medical specialty.