Authors
Latest:
The physician executive: How one urologist balances MD, CEO rolesIn this interview, physician executive J. Christian Winters, MD, outlines his multiple professional roles, explains how he divides his time between clinical and administrative responsibilities, and offers advice to young urologists seeking a career in leadership.
Latest:
Stark II in 2003: What urologists still need to knowEven after the tremendous victory won by the American Lithotripsy Society and the Urology Society of America last year in federal court, urologists still must be concerned with Stark II and the federal anti-kickback statute.
Latest:
The promise of PD-1 ligand pathway in treating bladder cancerResearchers have recently made progress in understanding a fundamental signaling cascade, the Programmed Death 1 (PD-1) receptor-ligand pathway,1 which holds long-awaited promise in bladder cancer intervention.
Latest:
Transgender surgery: Videos demonstrate cutting-edge techniquesIn these videos, expert surgeons demonstrate robot-assisted penile inversion vaginoplasty, single-stage metoidioplasty, and simple orchiectomy for transgender patients.
Latest:
Botulinum formulations show slight outcomes differencesA new comparative study showed that the use of intradetrusor injections of abobotulinum toxin A (Dysport) for urinary incontinence due to neurogenic detrusor overactivity provided results that were similar to or superior to those seen with onabotulinum toxin A (Botox), depending on the dosage of the latter.
Latest:
Adjuvant therapy fails in locally advanced kidney CaTwo angiogenesis inhibitors that are widely used in metastatic renal cell carcinoma did not improve survival compared with placebo when used as adjuvant treatment, a new study found.
Latest:
What Part B data reveal about BPH procedure usage"As investigational therapies and devices make their way through the approval process and into practice, urologists should stay abreast of early clinical results and may look to publicly available information for costs and utilization trends," writes Robert A. Dowling, MD.
Latest:
Expert pointers on BPH evaluation and treatmentIn this interview, Alexis E. Te, MD, discusses the evolution of LUTS treatment, what primary care providers should include in their evaluation when seeing a patient with LUTS, and how he selects treatments for patients with BPH.
Latest:
Research on bladder tissue regeneration progressesAtlanta-Tissue engineering research has grown by leaps and bounds in the past decade and a half, yielding findings that may someday have a profound impact on the field of pediatric urology. At the 2006 American Academy of Pediatrics Section on Urology annual meeting here, several groups presented cutting-edge data on novel systems for organ generation, including research demonstrating the feasibility of generating a functioning bladder from stem cells.
Latest:
HIFU may offer advantages in PCa, but the jury is still outOver the last 20 years, radical retropubic prostatectomy has evolvedto become the standard of care in men with localized prostate cancer. Becauseof the morbidity of this procedure, however, interest has grown in the developmentof non-surgical modalities. Unfortunately, many of these non-surgical approaches,such as monotherapy with radioactive seed implantation, have resulted indisappointing results or excessive morbidity, as in first-generation cryotherapy.
Latest:
Wrong testicle removed during surgery"At trial, the urology expert testified that the defendant urologist failed to offer the patient alternative treatments before proceeding with the drastic option of removing the testicle," writes Dawn Collins, JD.
Latest:
Low-dose CT stone detection: Safe during pregnancyTreatment for pregnant women who present with renal or ureteral colic may have become easier for physician and patient alike.
Latest:
Survey data show positive signs for urology's futureThe most recent Urology Times State of the Specialty survey is notable in confirming some widely accepted urologic practice trends, but challenging the significance of others.
Latest:
Dr. Wolf on the CVAC System for steerable ureteroscopic renal evacuation“I cannot overstate the impact of this device on my management of kidney stone patients," says J. Stuart Wolf, Jr., MD, FACS.
Latest:
How to administer anesthesia in the urology officeThe procedure should be of a durationand complexity that will permit the patient to recover and be discharged.
Latest:
Evolution of ureteral stents: Work is still neededSeveral approaches have been taken to attenuate lower urinary tract symptoms and improve quality of life in the stented patient.
Latest:
How to perform metabolic evaluation in stone formersPatients with nephrolithiasis frequently have metabolic abnormalities that promote calculus formation and, when identified and corrected, may attenuate stone activity.
Latest:
Newer PNL methods improve safety, reduce morbidityMontreal--Novel approaches to percutaneous nephrolithotomy, includinguse of a stent instead of a tube and using smaller tubes and stone "cones,"are helping to optimize this procedure. Researchers agree that improvingsafety and reducing morbidity are the goals of these new techniques.
Latest:
Your high-maintenance urology office staffer: Worth the hassle?Every urology practice faces this situation eventually: a difficult employee who demands disproportionate time and attention from management.
Latest:
Preserve assets for heirs after second marriageA relatively simple technique called the spousal lifetime access trust has proven especially advantageous and popular among those who have remarried and want to provide for children from a prior marriage.
Latest:
Sword, fire, ice offer options in small renal massesNephron-sparing procedures now have clear advantages over radical nephrectomy for most small renal masses.
Latest:
Using bisphosphonates to treat PCa-related bone eventsProstate cancer is the most prevalent non-cutaneous cancer diagnosed in men today, still accounting for a significant amount of morbidity and mortality in spite of increased screening efforts and advances in treatment.
Latest:
Letter: Declassifying Gleason 6 as a cancer would do more harm than good"We feel a more appropriate approach would be to retain true Gleason 6 as a cancer of extremely low metastatic potential requiring close follow-up," write Harris et al.
Latest:
ABU makes changes to reduce burden during pandemic"During these times of uncertainty, panic, and social distancing associated with COVID-19, the American Board of Urology is sensitive to the additional stress this pandemic has placed on urology practices and urologists’ ability to meet their certificate requirements," writes J. Brantley Thrasher, MD.
Latest:
Comet assay may predict assisted reproductive techniques pregnancy successThere is a significant correlation between Comet assay results and the likelihood of pregnancy using ART.
Latest:
Bladder cancer data must be taken in contextNew bladder cancer data are food for thought, but are not conclusive proof that urologists are over-treating early-stage bladder cancer and running up costs.
Latest:
Study of stone pain stresses personalized treatment"This work is important to our field, because it represents an effort to personalize treatment approaches to particular patients’ needs," writes Brian R. Matlaga, MD, MPH.
Latest:
PTNS for overactive bladder: Patient selection and techniqueThis article provides a real-world definition of refractory overactive bladder and its prevalence, then examines treatment options, with a focus on percutaneous tibial nerve stimulation as a noninvasive form of neuromodulation “for the masses.”
Latest:
Partial nephrectomy shows increased survival benefitA recently published population-based study reinforces prior evidence from retrospective studies of the increased survival benefit of partial nephrectomy over radical nephrectomy, and suggests a cancer-specific survival benefit for nephron-sparing approaches as well.
Latest:
Recurrent stone disease: Steps for practical managementBetween 30% and 60% of calcium oxalate stone patients have hypercalciuria in the absence of raised serum calcium levels.
