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December 2017 UrologyTimes1217.png
[Quiz]: Voiding symptoms progressing to retentionA 16-year-old female presents with irritative voiding symptoms progressing to “urinary retention.” Evaluation with a renal, bladder, pelvic sonogram shows two normal kidneys. What is the differential diagnosis?
Biennial vs. annual prostate biopsies: What the data showAmong men undergoing active surveillance for low-risk prostate cancer, biennial biopsies appear to be an acceptable alternative to annual biopsies.
Prostate Ca test linked to reduction in biopsiesPatients with non-suspicious digital rectal exam findings and total PSA in the 4.0- to 10.0-ng/mL range are far less likely to be biopsied if they’ve undergone Prostate Health Index (phi) testing than if they don’t.
Opioid abuse: How it is impacting men’s health"There are direct endocrine consequences of opioid use, including hypogonadism, that adversely impact men’s health," write Michael S. Leapman, MD, and Steven A. Kaplan, MD.
Urethroplasty delay results in more complex repairDelay to urethroplasty for bulbar urethral strictures is associated with repetitive interventions, stricture lengthening, and more complex repairs that have a greater risk for failure, while scheduling-related delay to reconstruction exposes men to risk for stricture-related complications, according to separate studies presented at the AUA annual meeting in Boston.
Bill would lift Stark barriers to APMsNew legislation to modify the Stark antitrust law to remove barriers so independent physicians can take advantage of advanced payment model opportunities provided to accountable care organizations in the Affordable Care Act has been introduced with the backing of the major organizations representing urology.
Financial planning: Your year-end ‘to do’ list"The potential GOP tax bill makes it difficult to know exactly how the landscape will look in 2018... nevertheless, there are some items you can take care of before the end of the year that can impact your 2017 taxes and overall financial plan," write Jeff Witz, CFP, and David Zemon.
Top 5 malpractice articles of 2017Ranging from advice on telephone triage to reports on cases involving circumcision requiring revision surgery to a missed kidney cancer diagnosis, these were our most-read “Malpractice Consult” columns online from 2017.
Medicare final rule: Urologists’ pay set to decrease (again)In this article, we provide a summary of CPT changes for 2018, the Medicare Physician Fee Schedule final rule, and the final rule for the Quality Payment Program.
Top 12 practice management articles of 2017Our most-read practice management articles covered topics including reimbursement, personal finance, and EHR fraud.
In-office andrology: Videos show office-based hydrocelectomy, vasectomy reversalThese videos depict key steps of office-based approaches to hydrocelectomy and vasectomy reversal.
UT survey results: A cautionary tale“If nearly three-fourths of currently practicing urologists become fed up with practice and leave the field, how will we meet patient demand?” asks Jeffrey Kaufman, MD.
Survey: Urologists weigh in on MIPS, APMs, burnoutOnly one-fourth of urologists report understanding the choices available to them regarding the Merit-based Incentive Payment System and Advanced Alternative Payment Models created under Medicare’s Quality Payment Program, according to the Urology Times 2017 State of the Specialty survey.
Top 9 peer-reviewed prostate cancer papers of 2017Multiparametric MRI, USPSTF’s updated PSA screening recommendation, and the landmark STAMPEDE and LATITUDE trials were among this year’s highlights in the peer-reviewed literature for prostate cancer, according to Leonard G. Gomella, MD; Stacy Loeb, MD, MS; and J. Brantley Thrasher, MD.
Do you ‘feel the Bern’? What a single-payer system portends"While I don’t know if I 'feel the Bern' about a single-payer system, I also don’t think I would have to start looking for a second job if we transitioned to that system," writes Henry Rosevear, MD.
Urologists, lawmakers share experience, expertise at AACU event
Top 5 Dr. Rosevear blogs of 2017Dr. Henry Rosevear's most-read blog posts from 2017 cover topics including the AUA annual meeting, physician employment, and pain control.
EHR survey: Urologists’ usage, satisfaction revealed"This survey adds to the growing body of evidence that a significant percentage of physicians, including urologists, continue to see shortcomings in their EHRs," writes Robert A. Dowling, MD.
Robotic radical nephrectomy sees steady increase in use"In the end, it is up to the surgeons who wish to continue to perform these robotic procedure to demonstrate their cost-effectiveness," writes Badar M. Mian, MD.
When can modifier –25 be used with an E/M code?Ray Painter, MD, and Mark Painter address some misunderstandings involving evaluation and management coding.
Urologists' resolutions for 2018Giving back. Studying and following AUA guidelines. Getting a scribe in order to spend more face-to-face time with patients. These are just a few of the responses we received when we reached out to our Editorial Advisory Board, Reader Reactor Panel, and you to find out what your professional resolutions are for 2018.
[Quiz] Abdominal pain after laparoscopic nephrectomyA 46-year-old male underwent a left laparoscopic radical nephrectomy for a cT1b renal cell carcinoma. Intra-operatively, a rent in the descending mesocolon was made during bowel mobilization but was not closed. Subsequently, the patient presented to the emergency room 4 days later with complaints of sudden onset sharp abdominal pain and nausea. A non-contrast computed tomography scan was obtained. What is the diagnosis?
What steps do you take to avoid surgical complications?"You need to make sure you’re doing the right surgery on the right patient so the surgery does not interfere with longevity," says one urologist.
Bipolar TURP associated with ‘substantial’ cost savingsBipolar transurethral resection of the prostate offers an economic benefit compared with monopolar TURP that follows from the clinical differences between the two procedures, concluded investigators who presented their findings at the 2017 Western Section of the AUA annual meeting in Vancouver, BC.
Top 5 bladder cancer articles of 2017A look at Urology Times' most-read articles on bladder cancer reveals a variety of topics, ranging from radical cystectomy to the role of protein- and cell-based urinary biomarkers for bladder cancer detection and surveillance.
Challenging cases in urology: A case of hydronephrosis, sepsis, and pain
Top 6 stone disease articles of 2017Videos demonstrating ureteroscopy techniques, the debate over medical expulsive therapy, and research into ureteroscopy's possible effect on erectile function were among our most-read stone disease articles of 2017.
Study: Active surveillance uptake remains lowThe overall use of active surveillance in men with low-risk prostate cancer is 14.2%, according to an examination of the National Cancer Data Base.
Tissue-based PCa assays not robust to multifocalityTissue-based prognostic biomarker assays for prostate cancer are not robust to tumor multifocality and heterogeneity, according to research presented at the American Society of Clinical Oncology annual meeting in Chicago.
PFUI treatment has benefits despite low initial successEarly endoscopic realignment of pelvic fracture urethral injuries is associated with a low initial success rate, but the procedure does not hinder the success of subsequent urethroplasty and has other merits that may make it worthwhile, according to urologists from the University of Washington, Seattle.
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