What's New | Decker

Emerging role of beta agonist therapy for treatment of OAB
The pharmacologic use of onabotulinumtoxinA (Botox®) upgraded to strongest rating of “standard" (strength of evidence grade B) by the amended 2014 AUA/SUFU guidelines.
Studies reporting trigonal injections of Botox may be associated with superior continence rates

Surgery for neurogenic bladder aims to protect the upper urinary tract and optimize continence.
Major factors to consider are the injury level, gender, habitus, dexterity, and cognitive functions.
Surgical options for storage and emptying failure are discussed, including indication, technique, and complications.
New surgical technology and regenerative medicine are mentioned together.

Ultrasonography criteria for the diagnosis of early pregnancy loss have recently been redefined.
Medical and surgical management are safe and effective, and should be influenced largely by patient preference.
Recommendations regarding interval to next conception have recently shifted away from the traditional 3 months.

Follow-up studies have shown the continuity of antisocial behaviors from childhood through the adult years.
Research has implicated brain regions that control judgment and impulse control.
Cognitive-behavioral therapy may be helpful in mild cases.

Sigal Yawetz, MD

The two leading classification systems for diagnosing mental illness are the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association and the ICD-10, the most recent edition of the International Classification of Diseases published by the World Health Organization.
There is no standard medical workup for a patient presenting with depression. Health care providers use their clinical judgment in conjunction with a good history, review of medical systems, and physical examination. Indiscriminate ordering of laboratory tests in depressed patients rarely yields useful results. A pooled analysis of psychiatric inpatients showed the rates of clinically significant laboratory findings to be remarkably low.
Single-photon emission CT (SPECT) has been promoted by some as a reliable tool in diagnosing and treating a number of psychiatric disorders, including depression. SPECT measures regional cerebral blood flow using a gamma-emitting tracer in the blood.

Sigal Yawetz, MD

Zika virus: Delayconception if potential exposure: 8 weeks: females or 3 months: males
Subclinical hypothyroid: Treatment is associated with improved pregnancy outcomes when TSH levels are above 4 mIU/L.
Tubal patency: Hysterosalpingo-contrast sonography was recently introduced as an additional screening method to assess tubal patency.

Pelvic Medicine/ Surgery