Urology Times, Aug 1, 2007 - UrologyTimes

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Urology Times

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Urology Times, Aug 1, 2007
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News
Factors predicting bladder TCC survival identified
By Cheryl Guttman Krader
A multi-institutional retrospective analysis has identified five variables that independently predict cancer-specific survival in patients with nonmetastatic transitional cell carcinoma of the upper urinary tract.
Outcomes favor extended PLND in radical cystectomy
By Cheryl Guttman Krader
Results of a retrospective, inter-institutional study comparing outcomes of patients with urothelial carcinoma of the bladder highly favor the use of an extended template for bilateral pelvic lymph node dissection (PLND) when performing radical cystectomy.
Study documents features, outcomes of upper tract TCC
By Cheryl Guttman Krader
The primary message from a study evaluating long-term urothelial recurrence and disease-specific survival after radical nephroureterectomy for upper tract transitional cell carcinoma is that there remains a critical need for better methods to enable early diagnosis.
Study supports early cystectomy for pT1G3 TCC
By Fred Gebhart
It may be time to update treatment guidelines for transitional cell carcinoma.
Two-step TURB improves superficial TCC outcomes
By Fred Gebhart
A two-step transurethral resection (TURB) procedure in patients with superficial transitional bladder cancer, already part of practice guidelines in Germany, appears to improve patient outcomes by identifying positive tumor beds that may require a second TURB.
Adjuvant BCG offers no benefit in upper tract TCC
By Cheryl Guttman Krader
Adjuvant bacillus Calmette-Guerin appears to provide no benefit for improving the oncologic outcome of patients with upper tract transitional cell carcinoma undergoing nephroureterectomy.
Endoscopy may be effective in select TCC patients
By Scott Tennant
Patients with a relatively small volume of low-grade upper tract transitional cell carcinoma can be managed by purely endoscopic means over a long period of time.
Perspective
Evidence, not quality, is key issue for supplements
By Mark A. Moyad, MD, MPH
The real dilemma with supplements is shifting to how companies decide what ingredients they put into their products.
Q&A
Q&A with new AUA president Paul Schellhammer, MD
As new AUA president, Paul Schellhammer, MD, has listed three primary priorities for the association in 2007-08: innovation (research), education, and application (health policy).
Hands On
Metabolic syndrome and LUTS: An emerging relationship
By Kevin T. McVary, MD , Shane Russell, MD, MPH
Increasing evidence has recently pointed toward a relationship between LUTS secondary to BPH and the presence of metabolic syndrome. This relationship has been supported by recent epidemiologic findings.
Practice Management
ETFs offer some advantages over mutual funds
By Joel M. Blau, CFP
Exchange-traded funds (ETFs) are investment portfolios that trade like stocks on an exchange.
Time to add a partner to your practice?
By Judy Capko
Busy urologists seeking relief from the demands and responsibilities of running a practice are likely to entertain the possibility of bringing in a partner. But a rush to judgment can lead to mistakes that might otherwise be avoided.
Ambulatory surgery centers: To build or not to build?
By Ray Painter, MD , Mark Painter
The shift of surgical procedures from the hospital to physician-owned outpatient facilities has been the prevailing trend over the past 2 decades and will continue into the foreseeable future.
Deeper Medicare fee cut is imminent: Will Congress block it?
By Bob Gatty
Unless Congress steps in again, physicians participating in the Medicare program will see their fees reduced by an average of 9.9% for 2008, a move that already has prompted a call for action from the American Medical Association.
Three generations, very different practice styles
By Neil H. Baum, MD , Robert A. Dowling, MD
Many challenges face the group urology practice, but one issue that doesn't get much attention is the cultural challenge of mixing physicians from different generations.
New Products & Services
New Products & Services
Mountain View, CA—Percutaneous Systems' telescopic PercSys Accordion stone management device is a microcatheter equipped with a multi-fold film occlusion at the distal end. Once deployed, the occlusion conforms to and fills the ureter, preventing retrograde stone fragment migration into the kidney.

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