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    AUA 2017: A small-town plumber’s 10 can’t-miss sessions

    New guidelines, prostate cancer tests, men’s health centers just a few topic highlights

     

    3. Practice improvement. For those of us not attending the two-day pre-AUA Practice Management Conference, two postgraduate instructional courses stand out as must-attends. My practice is considering hiring our first non-physician provider and, as such, Course 005IC on integrating an advanced practice nurse or physician assistant into your practice seems perfectly timed. Course 020IC, “Coding and Reimbursement Update 2017,” is also one I will attend, as I have no desire either to leave money on the table by inappropriately under-billing or to one day wear orange for over-billing.

    4. Prostate cancer tests. It seems that every other week a different industry rep is at our door hawking what they claim is the latest and greatest genetic test for diagnosing and/or managing prostate cancer. Course 042IC on prostate cancer diagnostics seems to promise an unbiased summary of current technology and how best to use it. Further, while the data on MRI-US fusion biopsies did not impress me last year, the technology seems to be progressing and I'm curious if it is time for my group to invest in that tool. Course 047IC, which promises to be a multidisciplinary course on MRI-US fusion-guided biopsy, hopefully will answer that question.

    5. Infertility. When I left residency, I didn't think I'd do much fertility but I was wrong. My most frequent infertility patient is not the re-married man requesting a vas reversal but the young couple simply having trouble conceiving. A Sunday morning plenary lecture on “Lifestyle Changes to Improve Fertility” may help me learn what, if anything, I can offer my patients who are not azoospermic but who are still failing to conceive. Being from Colorado, I'm especially curious to learn if there are any data on the possible effect of marijuana on fertility, as my patients certainly have opinions on its usefulness.

    Related: Marijuana and me: A Colorado urologist’s experience

    6. Shockwave lithotripsy for ED. For as long as I can remember, I have always seen a display in the Science and Technology Hall from a company selling a low-frequency shockwave lithotripsy device claiming it helps guys with refractory erectile dysfunction. It always seemed a bit like snake oil to me. Over the last year, however, I have encountered enough patients in my clinic who have either successfully tried the device or are inquired about it to make me reconsider. To my amazement, the AUA seems to be thinking the same way; during Sunday morning’s plenary sessions, there will be a point-counterpoint on the effectiveness of shockwave lithotripsy for erectile dysfunction. I look forward to learning if this is something we should embrace or not.

    Next: Men's health/hypogonadism

    Henry Rosevear, MD
    Dr. Rosevear, a member of the Urology Times Clinical Practice Board, is in private practice at Pikes Peak Urology, Colorado Springs, CO.

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