Good prostate cancer outcomes possible with LN-positive disease
December 1st 2012Good long-term cancer-specific outcome is possible in well-selected prostate cancer patients found to have lymph node-positive disease at radical prostatectomy, findings from analyses based on 30 years of experience at a single institution demonstrate.
Patient sues urologist following post-PCNL stricture
December 1st 2012If patients are surprised by a complication and/or adverse outcome, a lawsuit is more likely than if the risks/benefits are explained and create realistic expectations of outcomes for that particular patient and are documented in the medical record.
Urologists say independent payment advisory board defeat may still be possible
December 1st 2012The re-election of President Obama and the strengthened numbers of Democrats in both the House and Senate mean that key provisions of the Affordable Care Act are likely to be implemented over the next 2 years.
MRI allows visualization of prostate microarchitecture
December 1st 2012A group of researchers at Cornell University's Weill Medical College, New York is using magnetic resonance imaging technology at 7 Tesla to obtain prostate tissue images whose resolution rivals that seen with hematoxylin and eosin (H&E) stains.
Holmium laser enucleation of the prostate safe in patients with large prostates, study indicates
December 1st 2012In experienced hands, holmium laser enucleation of the prostate in men with BPH with glands 200 grams or greater yields outcomes similar to those of simple open prostatectomy with much less morbidity, according to a retrospective review at a single center.
Pay cuts, government regulations, health care reform represent triple threat for urologists
December 1st 2012Heading into 2013, urologists remain deeply concerned about declining reimbursement for their services, increasing government regulations, and implementation of the Affordable Care Act, according to the 2012 Urology Times State of the Specialty survey.
Midurethral sling use for stress urinary incontinence rose over 9-year period
December 1st 2012A study investigating trends in ambulatory surgery for stress urinary incontinence shows a significant fourfold increase in the annual rate of sling procedures performed over a contemporary 9-year period, and yet, submucosal injection therapy appears to be maintaining a niche for the treatment of certain patients, report researchers from the University of Michigan, Ann Arbor.
Statins linked with reduced prostate volume growth
December 1st 2012Men taking statin drugs had a modest reduction in prostate growth in a new analysis of a 4-year, large, randomized trial of the dual 5-alpha-reductase inhibitor dutasteride (Avodart) versus placebo for risk reduction of prostate cancer among high-risk men.
180W BPH laser reduces operative time, fiber usage
December 1st 2012Photoselective vaporization of the prostate using the GreenLight XPS 180W laser system (American Medical Systems, Minnetonka, MN) is associated with reduced operative time and fiber usage compared with the GreenLight HPS 120W while resulting in lower PSA levels 6 months post-procedure.
AMA delegates adopt physician employment principles
November 28th 2012The autonomy of a growing number of employed physicians should be respected, and patient care should come before the financial interests of employers, according to principles on physician employment adopted at the recent American Medical Association interim meeting in Honolulu.
Protein predicts post-RP cancer recurrence, death
November 28th 2012Men who had high levels of the activated Stat5 protein in their prostate cancer after a radical prostatectomy were more likely to have a recurrence or die from the disease compared to men who had little to no presence of the growth protein, according to a recent report.
FDA panel expresses concern over OTC OAB patch
November 21st 2012Merck has confirmed that the FDA Nonprescription Drug Advisory Committee proposed that the FDA consider labeling modifications as part of its review of oxybutynin transdermal system (Oxytrol) as an over-the-counter treatment for overactive bladder in women.
EHR usage up, but specialists fail to provide info
November 21st 2012More than two-thirds of U.S. primary care physicians now use electronic health records (EHRs), but less than one-fifth report that they routinely receive timely information from specialists or hospitals, according to a survey of physicians in the U.S. and nine other countries.
Mothers' pelvic floor dysfunction risk is often low
November 20th 2012Women without pregnancy complications or maternal risk factors for complications have low rates of significant pelvic floor dysfunction after giving birth, whether they deliver vaginally or via cesarean section, recent research shows.