Urology Times, Nov 1, 2009 - UrologyTimes
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Urology Times, Nov 1, 2009
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Top Stories
Surgery for incontinence: The pendulum has swung
By Mac Overmyer
Over the course of a decade, the therapeutic pendulum in treating urinary incontinence in women swung dramatically from needle suspension and anterior urethropexy to collagen injections and back again to suspension procedures with no sound clinical trials driving the move to either approach.
Research points to expanding role of botulinum toxin in several urologic procedures
In this interview, Michael B. Chancellor, MD, discusses using botulinum toxin for treating overactive bladder, BPH, interstitial cystitis, and other conditions.
Research points to expanding role of botulinum toxin
By Philip M. Hanno, MD, MPH
In this podcast, Dr. Phil Hanno interviews Dr. Michael Chancellor on the potential role of botulinum toxin in urology.
News
Adding a physician extender? Weigh these factors first
By Anthonia Akitunde , Monica Derevjanik
To address the gap between the increasing number of urologic patients and decreasing number of urologists, some urology practices have to turned to physician extenders, also known as midlevel providers.
Shared appointments improve patient satisfaction, access
By Amanda Brower
Although shared medical appointments are a radical departure from the traditional doctor-patient visit, they are being conducted by a handful of urologists.
Diabetes found to protect against prostate cancer
By Wayne Kuznar
A diagnosis of diabetes or cardiometabolic disorders was not associated with an increased risk of incident prostate cancer, but rather a decreased incidence of the disease.
Diabetes found to protect against prostate cancer
By Urology Times staff
Cardiometabolic disorders and urologic disease represent a "perfect storm" of ailments, according to Kevin T. McVary, MD, who discusses the urologist's role in management.
Up to 6.5% of U.S. women meet interstitial cystitis/painful bladder syndrome symptom criteria
By Richard R. Kerr
A new study has found that between 3.4 and 7.9 million American women age 18 and over have symptoms consistent with IC/PBS.
New tacks in botulinum toxin show promise in interstitial cystitis
By Penny Allen
Botulinum toxin A is proving to be valuable for relief of interstitial cystitis.
Nerve growth factor level may be marker for neurogenic overactive bladder, interstitial cystitis
By Penny Allen
Nerve growth factor levels in urine could prove a useful biomarker for interstitial cystitis/painful bladder syndrome and neurogenic overactive bladder.
Multidrug therapy effective in neurogenic bladder
By Penny Allen
Alpha-blockers, tricyclic antidepressants, or both can improve compliance, lower pressures at bladder capacity, and improve reflux, incontinence, and detrusor overactivity in neurogenic bladder patients.
Majority of nocturia patients have nocturnal polyuria
By Wayne Kuznar
A study shows that most patients with nocturia have nocturnal polyuria, which is consistent with other studies showing that overproduction of urine at night is a major contributory factor to nocturia in about 80% of patients.
Majority of nocturia patients have nocturnal polyuria
By Shlomo Raz, MD , Ja-Hong Kim, MD
Drs. Shlomo Raz and Ja-Hong Kim discuss recent advances in the treatment of stress incontinence.
Erectile dysfunction linked with 43% higher risk of cardiovascular disease-related death
By Charles Bankhead
Erectile dysfunction increased the risk of cardiovascular death by 43% compared with men who had normal erectile function.
Low testosterone may play role in development of Peyronie's disease
By Charles Bankhead
Men with low levels of free testosterone had more severe penile curvature, which correlated significantly with free testosterone, according to results of a retrospective chart review.
Low testosterone may play role in development of Peyronie's disease
By Urology Times staff
Educate your patients about erectile dysfunction with a free, customizable handout.
Post-radical prostatectomy PDE-5 therapy speeds erectile function return
By Mac Overmyer
Postoperative pharmacologic therapy enhances the chances of erectile function recovery in virtually all categories of men who undergo bilateral nerve-sparing prostatectomy.
Low-risk prostate cancer well managed with active surveillance
By Charles Bankhead
Patients in active surveillance for prostate cancer were almost 20 times more likely to die of causes other than prostate cancer.
Low-risk prostate cancer well managed with active surveillance
By Leonard S. Marks, MD , Scott B. Shappell, MD, PhD
Drs. Scott B. Shappell and Leonard S. Marks discuss clinical use of urine PCA3 mRNA testing for prostate cancer.
Benign PSA enhances prostate cancer detection
By Cheryl Guttman
Benign PSA, measured in serum with a proprietary automated assay, improves prostate cancer detection when it is incorporated into an artificial neural network.
Study: Robotic prostatectomy safe in obese patients
By Cheryl Guttman
Robotic prostatectomy in morbidly obese men is feasible, reasonably safe, and appears to provide oncologic control comparable to that achieved in a normal weight population.
Prostate cancer radiation therapy may increase rectal cancer risk
By Charles Bankhead
Compared with the general population, prostate cancer patients treated with radiation therapy were almost twice as likely to develop rectal cancer.
Hands On
Robot-assisted radical prostatectomy: Recent technical modifications
By David B. Samadi, MD , Hugh J. Lavery, MD
Since the original description of the robot-assisted laparoscopic prostatectomy technique in 2002, several technical modifications have been reported.
Practice Management
'Incident to' billing rules open to interpretation
By Ray Painter, MD , Mark Painter
The issues are too complex for a simple answer when it comes to 'incident to' billing.
How to give your patient education Web video a professional look
By Neil H. Baum, MD , Robert A. Dowling, MD
Most do-it-yourself videos require a minimum of tweaking and editing before they're ready to be uploaded to the Internet.
How to give your Web video a professional look
By Neil H. Baum, MD , Robert A. Dowling, MD
In part one of this series, Drs. Neil H. Baum and Robert A. Dowling discuss the basics of shooting a patient education video.
Behind schedule with your patients? Here's how to get back on track
By Judy Capko
This article helps you identify the signs of poor scheduling and offers helpful tips to keep you on time.
Roth IRA restrictions will lift in 2010
By Joel M. Blau, CFP , Ronald J. Paprocki, JD, CFP, CHBC
2010 will be a pivotal year for retirement planning, as it will be the first time taxpayers will be able to convert funds in regular IRAs to Roth IRAs, regardless of their income level.
Roth IRA restrictions will lift in 2010
By Joel M. Blau, CFP , Ronald J. Paprocki, JD, CFP, CHBC
Looking for a financial adviser? With this list of the 150 best financial advisers for physicians, there are plenty to choose from.
A new credit card law could lead to higher fees for consumers
By Dan Danford, MBA, CRSP
Recent changes in credit card laws will likely affect everyone in ways both positive and negative.
Columns
Bladder pain syndrome/interstitial cystitis research takes new directions
Advances in the field of bladder pain syndrome/interstitial cystitis will improve the ability of the practicing urologist to help patients with this problem.
'School of life' teaches practice management skills
By Karen Nash
Is more training in business procedures needed among residents and practicing urologists?
Speak Out: Have you ever hired or considered hiring a practice consultant?
By Karen Nash
Urologists discuss the issue of hiring practice consultants.
Surgeons: Tort reform is central to health care reform
By Bob Gatty
Virtually lost in the debate over health care reform and whether it will contain a public option is an effort by advocates of medical malpractice reform to advance their cause and obtain some form of relief to the steadily increasing cost of premiums and the negative impact of defensive medicine.
State advocacy: It starts with the grassroots
By Matt Swentkofske
With guidance from the American Association of Clinical Urologists, Inc., urologists have scored key grassroots victories in state legislatures across the country over the past year.
Departments
New Urology Products and Services
By Urology Times staff
New urology products and services from Roche, Accuray Inc., American Medical Systems, Boston Scientific, Primal Pictures, Life-Tech, and Mpathy Medical.
Practice ToolsPractice Tools
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Patient Education
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Surgical Video Center

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