Important Findings To Be Presented by Mount Sinai Researchers at the 2014 American Urological Association Meeting

This multi-center study included collaboration with Johns Hopkins University School of Medicine, Baltimore, MD; Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA; University of California, San Francisco, CA; Indiana University Simon Cancer Center, Indianapolis, IN; and University of Washington School of Medicine, Seattle, WA. Grant funding for this study was provided by the Dendreon Corporation, Seattle, WA.

Advertisement

• Stimulated Intrauterine Insemination Live Birth Rates are Adversely Affected by Increasing Paternal Age
  
  

It is well established that increasing maternal age leads to a higher risk of infertility, miscarriage, and chromosomal defects in offspring. A research team at Icahn School of Medicine at Mount Sinai, led by Natan Bar-Chama, MD, Associate Professor, Urology and Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai sought to answer whether paternal age had a negative impact on the ability to reproduce and the rate of successful outcomes using stimulated intrauterine insemination (IUI). In the largest study of its kind, researchers retrospectively reviewed 18,806 IUI cycles from a single center from 2003-2011. Success rates were defined as live births rates. The mean maternal age in the cohort was 36.4 years and the mean paternal age was 38.4 years. The cumulative live birth rate was 23%. After adjusting for standard predictors of life birth, researchers observed a 20% decline in live births per decade of advanced paternal age.

"This study the largest of its kind to date, clearly demonstrates that advanced paternal age negatively impacts fertility outcomes in couples undergoing the most common form of assisted reproductive technologies; stimulated intrauterine inseminations," said Dr. Bar-Chama. "This effect is important for us to discuss with the couples we care for and will enable us to better counsel patients undergoing this reproductive treatment."

Comparison of Transurethral Resection of Prostate, Plasma Button™ Transurethral Vaporization of Prostate, Greenlight™ 180-W XPS Photoselective Vaporization of Prostate, and VersaPulse® 100-W Holmium Laser Ablation of Prostate

Benign prostatic hyperplasia (BPH) is a non-cancerous increase in the size and number of cells that make up the prostate. There are several surgical modalities used at Mount Sinai in the treatment of BPH. Michael A. Palese, MD, Director of Minimally Invasive Surgery, Associate Professor, Urology, Icahn School of Medicine at Mount Sinai, will lead one of the first comparisons of all four minimally invasive modalities for the treatment of BPH at a single institution.

"Our findings will help us select the optimal treatment for each patient. This research will provide a standard of care for the surgical treatment of BPH," said Dr. Palese.

• Research on Addressing Needs of Patients Undergoing Cystectomy and Urinary Diversion
  
  

Understanding the unmet needs of cancer patients and survivors is a critical step in providing high quality care. Researchers at Icahn School of Medicine at Mount Sinai are conducting a study to examine the informational, psychosocial, and supportive care needs of patients with bladder cancer who have undergone cystectomy and urinary diversion across the disease trajectory (i.e. at time of diagnosis, following cystectomy, and during survivorship). Under the direction of Nihal Mohamed, PhD, Assistant Professor, Department of Urology, this research will provide vital insight to the patient's full spectrum of needs and information that will guide further enhancements of supportive care resources available for bladder cancer patients and survivors.

"Understanding the needs of our patients is pivotal to improving health outcomes and achieving patients' and families' satisfaction," said Mohamed.

A second study led by Nihal Mohamed, PhD, evaluates the impact of radical cystectomy on patients' quality of life, with a special focus on the sexual and urinary function. This research will help clinicians to better understand the emotional and psychosomatic aspects that influence patients' quality of life following radical cystectomy.



Source: Eurekalert