Urology Times, Apr 1, 2007 - UrologyTimes

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Urology Times

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Urology Times, Apr 1, 2007
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News Feature
Experts strive to comprehend IC: What's in a name?
By Penny Allen
Bethesda, MD—Concepts of what interstitial cystitis is, what causes it, and how to treat it are changing. That was apparent with the tremendous infusion of new ideas from many specialties here at the 2006 International Symposium: Frontiers in Painful Bladder Syndrome and Interstitial Cystitis, sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases. Whether those concepts can change without changing the name of the disease, however, was a hotly debated question.
Perspective
'IC' by any other name? Consensus is needed soon
By Philip M. Hanno, MD, MPH
The lack of standardization and agreement [about what to call interstitial cystitis] are major impediments to the progress we all hope to see.
News
Biomarker changes may predict bladder cancer outcomes
By Cheryl Guttman Krader
Assessment of a set of four apoptosis markers in patients with urothelial-cell carcinoma of the bladder appears helpful for predicting which patients are at elevated risk for disease recurrence and disease-specific mortality after radical cystectomy and bilateral lymphadenectomy.
Research challenges traditional models of IC pain
By Penny Allen
Because almost 94% of painful bladder syndrome/interstitial cystitis patients experience pain in some part of their body, pain management is essential.
Drug therapies for PBS/IC continue to evolve
By Penny Allen
With 183 drugs tied to painful bladder syndrome/interstitial cystitis and none hitting a home run, what should clinicians do?
Study identifies unique subgroup of women with SUI
By Scott Tennant
Among women with stress incontinence and no signs of detrusor overactivity, there exists a significant subgroup with low voided volumes, high incidences of urgency and urge-related leaks, and relatively severe symptoms that can only be identified through careful evaluation.
Patterns emerge in mesh use for pelvic repair
By Scott Tennant
In a study designed to uncover patterns of synthetic mesh use, researchers found that those doctors who are most likely to use mesh are male surgeons, those in private practices, and those who did not undergo fellowship training.
New nerve stim approach may provide option in OAB
By Scott Tennant
Dorsal genital nerve stimulation using a minimally invasive, pre-pubic approach appears to reduce the symptoms of overactive bladder and is well tolerated by patients, according to results of a prospective, multicenter feasibility study.
Infertile men with varicoceles have fewer Leydig cells
By Caroline Helwick
Infertile men with varicoceles demonstrate reductions in Leydig cell count, along with compensatory hypertrophy and signs of oxidative stress.
Expectations guide patients' view of incontinence treatment
By Scott Tennant
Urinary incontinence patients' personal goals and expectations are more closely tied to their quality of life than is any objective measure of the disease, suggesting that treatment outcomes should be assessed in a more patient-focused manner.
Vasectomy reversal: Tissue sealants superior to sutures
By Caroline Helwick
Vasovasostomy anastomosis that is reinforced by tissue sealants is significantly less time-consuming than standard suture techniques and less likely to leak, and certain glues perform better than others.
Growth factors may play a role in vasectomy success
By Caroline Helwick
Growth factors may play a role in the micro-recanalization that can occur after vasectomy.
PBS/IC incidence, causes: Studies offer some clues
By Penny Allen
Exactly what painful bladder syndrome/interstitial cystitis is, how many people have it, what the risk factors are, what its causes are, what its natural history is, and how it differs from other types of voiding dysfunction in men are questions still looking for answers.
Hands On
Role of BMD studies, bisphosphonates in men on ADT
By Jean-Baptiste Lattouf, MD , Fred Saad, MD
This article reviews the current state of knowledge of the incidence and pathophysiology of bone loss and skeletal events in patients with prostate cancer who are on ADT.
Practice Management
Urologists eye administration budget cuts, quality initiatives
By Bob Gatty
As the Bush administration continues to push for greater expenditures for national defense and the war in Iraq, Medicare physicians are facing a tighter squeeze in the name of stabilizing the program for future generations and giving patients more information about their health care providers.
Streamline your billing without missing charges
By Ray Painter, MD , Mark Painter
Communication of charges from the physician or mid-level provider to the billing staff is often a weak link in the billing process in a physician's office.
Follow these 10 tips to expand your patient base
By Joel M. Blau, CFP
Although there are many ways to expand a practice, it's what you do inside your office that matters the most.
Hedge funds: It's all about the manager
By Joel M. Blau, CFP
A hedge fund is a private investment corporation or partnership that provides investors the ability to participate in specialized trading strategies designed to take advantage of potential opportunities in the stock, bond, and commodity markets.
Ancillary income: What's possible and what's legal?
By Neil H. Baum, MD , Robert A. Dowling, MD
In an age of declining reimbursements for traditional physician services—eyeball to eyeball with patients or standing at the operating table—many physicians are looking for replacement sources of income to keep their small businesses healthy.
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