AUA 2017: A small-town plumber’s 10 can’t-miss sessions March 15, 2017By Henry Rosevear MDIn preparation for the AUA annual meeting in May, urologist Henry Rosevear, MD, shares the 10 sessions he’s looking forward to the most.
In this issue
Circumcision requiring revision surgery prompts lawsuit March 15, 2017By Dawn Collins JDOther cases discussed in this column include ureter damage during hysterectomy, failure to follow up on kidney mass, and incontinence following pelvic organ prolapse surgery. AUA pursues revised priorities on Capitol Hill March 21, 2017By Bob GattyHundreds of urologists visited Capitol Hill last month as part of the Joint Advocacy Conference, where they met with members of Congress on key issues affecting health care, urology, and urology practices. They did so at a historic time, as lawmakers sought to enact Republican legislation to repeal and replace the Affordable Care Act. Repeat semen analyses not always necessaryFindings of a retrospective study investigating variability of semen parameters after repeat testing in adolescents with varicocele indicate that a second semen analysis is warranted only when the sperm concentration is initially abnormal. Same-day outpatient anterior urethroplasty feasibleSingle-stage anterior urethroplasty is feasible and safe when performed as a same-day outpatient procedure, even for men requiring combined substitution repairs, said University of Pittsburgh Medical Center urologists at the 2016 AUA annual meeting in San Diego. Working with APPs: Try it, you’ll like it March 22, 2017By Barry Kogan MD"The nurse practitioner that I work with is not only very knowledgeable in office-based pediatric urology but also, for problems like voiding dysfunction, more available to spend extra time with patients and their families," writes Barry A. Kogan, MD. Survey: Majority of APPs perform advanced procedures March 22, 2017By Randy DotingaAs the United States faces a urologist shortage, physician assistants and nurse practitioners will likely play an increasingly important role in the field of urology. Now, a new survey—the first of its kind—suggests that many of those in these positions are performing advanced procedures despite lacking postgraduate urologic training. Telemedicine: Reimbursement in fee-for-service, quality modelsThe provision of health care via technology and without direct eye-to-eye and skin-to-skin contact is an area of growing interest in the U.S. It is also an area of great concern. One of the key conundrums surrounding telemedicine is the when, how, and what to pay for the service. Value-based pay in 2017: Where does urology fit?Value-based payment models tend to fall into three general categories: shared savings programs, capitation models, and episode-of-care models. In this article, Robert A. Dowling, MD, reviews the current landscape of these payment models, including public and private-sector models that may serve as examples for urology. How to prosper, survive during sky-high marketsWith the U.S. stock market reaching record highs, it’s important to know how to prepare for an eventual fall. Plus, tax credits may be available for tuition payers. Biomarkers predict metastasis, biochemical recurrence March 22, 2017By Leah LawrenceClinicians may soon be able to improve the risk stratification of men with prostate cancer with the help of a genomic classifier or a biopsy-based reverse transcription polymerase chain reaction assay, according to the results of two studies presented at the Genitourinary Cancers Symposium in Orlando, FL. Novel assay may help identify prostate Bx candidates March 22, 2017By Leah LawrenceA simple blood test that measures PSA structure rather than concentration may be more accurate than PSA in identifying men who need a prostate biopsy, according to the results of a study presented at the Genitourinary Cancers Symposium in Orlando, FL. How concerned are you about radiation exposure? March 24, 2017By Karen NashUrology Times reached out to four urologists (selected randomly) and asked them each the following question: How concerned are you about radiation exposure? Why men are not immune to eating disordersTom Wooldridge, PsyD, addresses misinformation regarding eating disorders in men. Prostate Ca focal therapy’s value awaits high-quality dataIn the arena of focal therapy for prostate cancer, standardization of management will be a key component of quality data going forward, says Scott Eggener, MD. Bladder cancer test shows high sensitivity April 03, 2017By Cheryl GuttmanThe noninvasive molecular test for detecting recurrent urothelial carcinoma also demonstrates high negative predictive value in a prospective study. Prior authorization: Caught in an administrative nightmare April 05, 2017By Lisette HiltonAmong urologists, prior authorization ranks as their second most pressing concern, according to Urology Times’ 2016 State of the Specialty survey. The same survey showed the problem is getting worse, with 86% of respondents reporting that prior authorization demands are increasing. 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. What’s new in updated brachytherapy guideline April 11, 2017By Keith LoriaThe update provides evidence-based recommendations for different patient risk groups and specifies the most effective forms of the treatment for patients with prostate cancer. Studies: PCa treatments differ in QoL outcomes April 11, 2017By Wayne KuznarTwo recent JAMA studies confirm a higher rate of sexual and urinary side effects with radical prostatectomy compared with radiation therapy and surveillance. Chemotherapy may harness immune system in bladder Ca April 13, 2017By Lisette Hilton“The immune system may be an under-recognized contributor to the tumor response to chemotherapy,” said researcher Philip H. Abbosh, MD, PhD. Fluorescent cystoscopy outperforms white light method April 13, 2017By Lisette HiltonA recent study found that compared to white light cystoscopy, fluorescent cystoscopy was linked to a 41% decreased risk of bladder cancer recurrence at less than 3 months. Small molecule RNA inhibitor shows promise in PCaTargeted treatment with a small molecule RNA inhibitor demonstrates promising activity for promoting apoptosis of prostate cancer cells in culture, report investigators from Scripps Florida. Combination immunotherapy may raise response rate in mRCC“The data from our study show that combination therapy [for metastatic renal cell carcinoma] may offer a much higher response rate with manageable side effects,” says study author Jianjun Gao, MD, PhD. Age linked to decreased pelvic floor strength
April 17, 2017A recent study found that decreased pelvic floor strength after childbirth is 2.5 times more likely to affect women over age 25 years than younger women.