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MediFocus MedCenter ©
2-1
 Benign Prostatic Hyperplasia
(UR001)
Introduction


Benign prostatic hypertrophy (BPH) is characterized by enlargement of the prostate gland in males that begins around age 40. As the gland enlarges, it can cause compression of the urethra and surrounding tissues, and thereby cause symptoms of urinary obstruction.

BPH is a nearly universal condition of older men affecting at least half of men over the age of 50. This number increases to 80% of men in their 70s. The cause is not well understood. It is not possible to determine which men will be affected with the condition and there are no genetic or other markers for assessment.

There is no relationship whatsoever between BPH and prostate cancer. BPH can, however, cause a significant amount of inconvenience, discomfort and medical morbidity for some men.

The presence of other potential causes of urinary symptoms and the complication of urinary retention must be excluded. Once this is accomplished, the management of bothersome symptoms and prevention of complications become the focus of care. The extent of treatment is usually dictated by the man's level of inconvenience and his desire to pursue the various interventions.

There are three approaches to the management of BPH: "watchful waiting", medication, and surgery.

Get the Facts... With your MediFocus Guide


The Medifocus Guide on Benign Prostatic Hyperplasia (BPH) provides answers to the following important questions and medical issues:

What are the most common symptoms of BPH?
Are there any recognized risk factors for developing BPH?
What kinds of medical tests are used to establish the diagnosis of BPH?
What is the current standard of care for the treatment of BPH?
What treatment options are available for the management of BPH?
Are there any promising new developments or potential breakthroughs in treatment?
Who are the most notable medical authorities who specialize in BPH?
Where are the leading hospitals and centers of research for BPH?
What are the most important questions to ask my doctor about BPH?
What Your Doctor Reads:


This MediFocus Guide contains an extensive listing of citations and abstracts of recent journal articles that have been published about this condition in trustworthy medical journals. This is the same type of information that is available to physicians and other health care professionals. A partial selection of journal articles that are abstracted in this MediFocus Guide includes:

Finasteride revisited: Proscar for the prostate and Propecia for the pate.
Harvard Mens Health Watch. 2000
Role of estrogens in human benign prostatic hyperplasia.
Archives of Andrology. 2000
Medical therapy for benign prostatic hyperplasia: a review of the literature.
European Urology. 2000
Interstitial laser coagulation technique. Anatomic review.
World Journal of Urology. 2000
Interstitial laser coagulation technique: considerations for office -based ILC.
World Journal of Urology. 2000
Interstitial laser coagulation technique: ILC blueprint.
World Journal of Urology. 2000
Are men with lower urinary tract symptoms at increased risk of prostate cancer? A systematic review and critique of the available evidence.
Bju International. 2000
Serenoa repens for benign prostatic hyperplasia.
Cochrane Database of Systematic Reviews [computer file]. 2000
Beta-sitosterols for benign prostatic hyperplasia.
Cochrane Database of Systematic Reviews [computer file]. 2000
Cernilton for benign prostatic hyperplasia.
Cochrane Database of Systematic Reviews [computer file]. 2000
MediFocus Guides... When You Need Trustworthy Medical Information


MediFocus.com understands that consumers who are facing serious medical issues need access to credible, up-to-date medical information to help them make informed health-care decisions. That's why we've developed the MediFocus Guides...the most advanced and trustworthy patient research guides for over 200 chronic and life-threatening conditions. Each MediFocus Guide includes a detailed overview of the condition including information about diagnosis, treatment options, cutting-edge research, and new developments; excerpts of important journal articles from the current medical literature focusing on standard treatments and treatment options; a directory of leading authors and medical institutions who specialize in the treatment of the condition; and a listing of organizations and support groups where you can obtain additional information about the illness.

MediFocus Guides are the perfect solution for consumers who wish to gain an in-depth understanding of their medical issue and avail themselves of the same type of professional level medical information that is used by physicians and other health-care professionals to help then in the clinical decision making process.
© Copyright 2000-2001 Medifocus.com, Inc. All rights reserved.








MediFocus MedCenter ©

 Erectile Dysfunction
(UR004)
Introduction


Erectile dysfunction (ED) is defined as the persistent inability to attain or maintain penile erection sufficiently for sexual intercourse. ED is characterized by the inability to attain and maintain an erection sufficiently to achieve penetration and to complete sexual intercourse. The severity of ED is often described as mild, moderate, or complete, although these terms have not been precisely defined.

Adequate function of four organ systems must be present for a man to experience a normal erection. There are the vascular, neurologic, psychologic and endocrine systems.

An estimated 10-30 million American men have some degree of erectile dysfunction. Although the incidence of ED increases steadily with age, it is not an inevitable consequence of aging.

The extent of evaluation and treatment is dependent on the man's goals for sexual function and personal preferences. Medications and nonsurgical treatments include endocrine therapy intracavernous self-injections of vasoactive drugs, vacuum therapy, intraurethral therapy topical treatments and oral therapy. Surgical options are also available.

Get the Facts... With your MediFocus Guide


The Medifocus Guide on Erectile Dysfunction provides answers to the following important questions and medical issues:

What are the most common symptoms of erectile dysfunction?
Are there any recognized risk factors for developing erectile dysfunction?
What kinds of medical tests are used to establish the diagnosis of erectile dysfunction?
What is the current standard of care for the treatment of erectile dysfunction?
What treatment options are available for the management of erectile dysfunction?
Are there any promising new developments or potential breakthroughs in treatment?
Who are the most notable medical authorities who specialize in erectile dysfunction?
Where are the leading hospitals and centers of research for erectile dysfunction?
What are the most important questions to ask my doctor about erectile dysfunction?
What Your Doctor Reads:


This MediFocus Guide contains an extensive listing of citations and abstracts of recent journal articles that have been published about this condition in trustworthy medical journals. This is the same type of information that is available to physicians and other health care professionals. A partial selection of journal articles that are abstracted in this MediFocus Guide includes:

Imaging in male hypofertility and impotence.
Bju International. 2000
Treatment of endocrinologic male sexual dysfunction.
Mayo Clinic Proceedings. 2000
UK management guidelines for erectile dysfunction.
BMJ. 2000
Cardiovascular risk and sildenafil.
American Journal of Cardiology. 2000
Cardiac disease, anxiety, and sexual functioning.
American Journal of Cardiology. 2000
The mutually reinforcing triad of depressive symptoms, cardiovascular disease, and erectile dysfunction.
American Journal of Cardiology. 2000
Erectile dysfunction: from biochemical pharmacology to advances in medical therapy.
European Journal of Endocrinology. 2000
The Israel Heart Society Expert Consensus Document: the cardiac patient and sexual activity in the era of sildenafil (Viagra).
Israel Medical Association Journal: IMAJ. 2000
The dual control model of male sexual response: a theoretical approach to centrally mediated erectile dysfunction.
Neuroscience & Biobehavioral Reviews. 2000
Central neuropharmacological agents and mechanisms in erectile dysfunction: the role of dopamine.
Neuroscience & Biobehavioral Reviews. 2000
MediFocus Guides... When You Need Trustworthy Medical Information


MediFocus.com understands that consumers who are facing serious medical issues need access to credible, up-to-date medical information to help them make informed health-care decisions. That's why we've developed the MediFocus Guides...the most advanced and trustworthy patient research guides for over 200 chronic and life-threatening conditions. Each MediFocus Guide includes a detailed overview of the condition including information about diagnosis, treatment options, cutting-edge research, and new developments; excerpts of important journal articles from the current medical literature focusing on standard treatments and treatment options; a directory of leading authors and medical institutions who specialize in the treatment of the condition; and a listing of organizations and support groups where you can obtain additional information about the illness.

MediFocus Guides are the perfect solution for consumers who wish to gain an in-depth understanding of their medical issue and avail themselves of the same type of professional level medical information that is used by physicians and other health-care professionals to help then in the clinical decision making process.
© Copyright 2000-2001 Medifocus.com, Inc. All rights reserved.






MediFocus MedCenter ©

 Stress Urinary Incontinence in Women
(UR008)
Introduction


Urinary incontinence (UI), defined as the involuntary loss of urine, is a significant health and social problem for women of all ages. UI affects approximately 13 million Americans (about
10-35% of adults) and at least half of the 1.5 million nursing home residents. Besides the inconvenience, embarrassment, and expense of dealing with UI, there are far more serious complications including infections, falls, and even institutionalization.

UI is not a normal consequence of aging and can be successfully treated 80% of the time.

Stress urinary incontinence (SUI) affects women of all ages and is the most common type of UI seen in young adult women. SUI occurs when urine leaks due to increased pressure in the abdomen causing downward pressure on the bladder in the setting of a weakened (incompetent) urethral sphincter.

Too often, women are too embarrassed to report the problem to their health care provider, or they figure that incontinence is an inevitable part of bearing children and growing older. UI can be treated successfully, thus preventing a great deal of expense, inconvenience, embarrassment, and even more serious complications. There are several behavioral and pharmacologic, as well as surgical interventions.

Get the Facts... With your MediFocus Guide


The Medifocus Guide on Stress Urinary Incontinence provides answers to the following important questions and medical issues:

What are the most common symptoms of stress incontinence?
Are there any recognized risk factors for developing stress incontinence?
What kinds of medical tests are used to establish the diagnosis of stress incontinence?
What is the current standard of care for the treatment of stress incontinence?
What treatment options are available for the management of stress incontinence?
Are there any promising new developments or potential breakthroughs in treatment?
Who are the most notable medical authorities who specialize in stress incontinence?
Where are the leading hospitals and centers of research for stress incontinence?
What are the most important questions to ask my doctor about stress incontinence?
What Your Doctor Reads:


This MediFocus Guide contains an extensive listing of citations and abstracts of recent journal articles that have been published about this condition in trustworthy medical journals. This is the same type of information that is available to physicians and other health care professionals. A partial selection of journal articles that are abstracted in this MediFocus Guide includes:

Surgery for urinary incontinence.
2000
Conservative management for urinary incontinence.
2000
Ureteric kinking after colposuspension: a case report and review of the literature.
Ulster Medical Journal. 2000
Weakness of the pelvic floor: urological consequences.
Hospital Medicine (London). 2000
Weighted vaginal cones for urinary incontinence.
Cochrane Database of Systematic Reviews [computer file]. 2000
Urinary stress incontinence among obese women: review of pathophysiology therapy.
International Urogynecology Journal & Pelvic Floor Dysfunction. 2000
Sling techniques in the treatment of genuine stress incontinence.
BJOG: an International Journal of Obstetrics & Gynaecology. 2000
The use of cadaveric fascia lata in the treatment of stress urinary incontinence in women.
Bju International. 2000
Stress urinary incontinence.
Current Opinion in Urology. 1999
Injection therapy for stress incontinence in women.
International Urogynecology Journal & Pelvic Floor Dysfunction. 1999
MediFocus Guides... When You Need Trustworthy Medical Information


MediFocus.com understands that consumers who are facing serious medical issues need access to credible, up-to-date medical information to help them make informed health-care decisions. That's why we've developed the MediFocus Guides...the most advanced and trustworthy patient research guides for over 200 chronic and life-threatening conditions. Each MediFocus Guide includes a detailed overview of the condition including information about diagnosis, treatment options, cutting-edge research, and new developments; excerpts of important journal articles from the current medical literature focusing on standard treatments and treatment options; a directory of leading authors and medical institutions who specialize in the treatment of the condition; and a listing of organizations and support groups where you can obtain additional information about the illness.

MediFocus Guides are the perfect solution for consumers who wish to gain an in-depth understanding of their medical issue and avail themselves of the same type of professional level medical information that is used by physicians and other health-care professionals to help then in the clinical decision making process.
© Copyright 2000-2001 Medifocus.com, Inc. All rights reserved.