What will replace the Affordable Care Act? February 23, 2017By Bob GattyPresident Trump’s campaign promise to “repeal and replace” the Affordable Care Act has proved to be easier said than done as Republicans who control Congress have been unable to devise a workable and acceptable replacement for the controversial health care law.
In this issue
From seller to buyer: Tips for a smooth transitionNeil Baum, MD, and Randy Bauman discuss their tips to making the transition from practice seller to buyer as seamless as possible to keep patient retention rates high. Ureteroscopy may adversely affect erectile functionResults of a retrospective study raise concern that ureteroscopy may adversely affect erectile function. Perioperative surgical home model reduces LOSThe perioperative surgical home is a promising model for delivering high-quality, cost-effective care for patients undergoing inpatient urologic procedures, according to the experience of urologists from Loma Linda University, Loma Linda, CA. Some post-cystectomy symptoms persist for 3 months March 01, 2017By Randy DotingaNew research suggests that post-surgery symptoms may last for at least 3 months in cystectomy patients and worsen over time in some cases, posing unique management challenges for urologists. Day of RP affects complication rates, length of stay March 01, 2017By Wayne KuznarRadical prostatectomy performed on a Friday is associated with a higher complication rate and extended hospital stay compared with the same surgery performed on other days of the week. MRI, ultrasound detect post-burst wave lithotripsy injury March 01, 2017By Randy DotingaResearchers who are investigating burst-wave lithotripsy, a potential alternative treatment for kidney stones, report that magnetic resonance imaging and ultrasound scans hold promise as tools to help scientists analyze related kidney injuries. Radical cystectomy for bladder cancer: Tools vs. techniqueThe purpose of this article is to discuss important principles of radical cystectomy, whether performed using the open, laparoscopic, or robotic approach. Men’s health: A forgotten topic March 03, 2017By Henry Rosevear MDIn many ways, policymakers, insurance companies, and certain health care providers seem to have a total disregard for men’s health, writes Henry Rosevear, MD. Dr. Stacy Loeb’s Twitter advice for urology residents March 07, 2017By Stacy Loeb MD MSc"The use of Twitter continues to grow within the field of urology, and it is important for residents to become well-versed in this important platform," writes Stacy Loeb, MD, MSc. Ureteroscopy, scribes, coding among hot topics in 2017 (so far)
March 08, 2017A quick look back at popular Urology Times articles from the beginning of 2017 reveals an intriguing cross-section of topics, including, but not limited to, ureteroscopy, the use of scribes, coding advice, and much more.
Take charge of your online reputation March 09, 2017By Lisette HiltonLove them or hate them, online reviews are reality and powerful decision-making tools for patients searching for urologists and other physicians online. Managing or mismanaging a doctor’s online reputation can make—even threaten to break—a practice. Testis Ca care deviates from guidelines in 30% of patients March 01, 2017By Badar M. Mian MDNearly one-third of men with testicular cancer undergo diagnostic or therapeutic interventions that are at odds with guidelines from the National Comprehensive Cancer Network (NCCN), according a study published in the Journal of Urology (2017; 197:684-9). Researchers validate prognostic model for mCRPC March 10, 2017By Lisette HiltonResearchers have developed and validated a clinically useful prognostic model for men with metastatic castration-resistant prostate cancer, which can be used in the front-line setting. Lipid metabolism linked to pediatric stone formation March 13, 2017By Lisette HiltonThe results could have major diagnostic and treatment implications for pediatric kidney stone patients, a researcher says. A new standard of care in muscle-invasive bladder Ca? March 14, 2017By Lisette HiltonChemoradiotherapy is an effective alternative to cystectomy in the primary management of muscle-invasive bladder cancer, British researchers say. Immunotherapy found efficacious as second-line therapyResults of an international randomized phase III study show that pembrolizumab (Keytruda) as second-line therapy for advanced urothelial carcinoma provided superior overall survival and a better safety profile compared with commonly used chemotherapy options. Single-fraction HDR BT feasible for localized PCa March 16, 2017By Leah LawrenceA definitive radiotherapy dose for localized prostate cancer can be safely administered using high-dose rate brachytherapy as a single outpatient procedure. Mental health conditions contribute to PCa-related costs March 16, 2017By Leah LawrenceMood and adjustment disorders were strong predictors of the annual number of outpatient visits, hospital admissions, and number of days in the hospital for patients with prostate and breast cancer, according to a recent study. Testosterone therapy's big week: One urologist's perspectiveAbraham Morgentaler, MD, shares why the recent publication of five studies on testosterone therapy in JAMA and JAMA Internal Medicine "was arguably the most important week ever for the science of testosterone therapy and its impact on men's health." Older drug, versatile clinicians may help IC/PBS patients“It may be that urologists need to rely more on their internal medicine instincts to find new ways to treat conditions such as IC/PBS,” writes SUNA President Gwendolyn Hooper, PhD, APRN. TRT and heart health: Conflicting findings publishedRecently published studies also evaluated testosterone replacement therapy’s effect on anemia, cognitive function, and bone density and strength. Hypofractionated IMRT outcomes comparable to standard regimen March 20, 2017By Lisette Hilton“We showed that we can safely compress radiation into a shorter time frame, into fewer treatments, at higher dose per fraction, with similar clinical outcomes and similar toxicity profiles,” said researcher Michael Wang, MD. Testis cancer patients fare poorly under ACA March 22, 2017By Lisette HiltonSince passage of the Affordable Care Act, the number of testicular cancer patients with insurance has dwindled, while rates of advanced testis cancer have climbed, according to a recent study. Quiz: Pediatric recurrent UTIs, abdomen painA 5-year-old girl is evaluated for recurrent urinary tract infections and lower abdomen pain. A kidney, ureter, and bladder x-ray and computed tomography are obtained. Spacer system maintains QoL at 3 years post RT March 23, 2017By Lisette HiltonPhase III study results suggest that a hydrogel spacer developed to separate the rectum and prostate during radiotherapy for prostate cancer works to maintain bowel and urinary quality of life and reduces late rectal toxicity by 78% at 3 years post radiotherapy.