“Florida, specifically South Florida, is a very tough place to practice. There’s a fairly prominent infiltration of Medicare HMOs with a lot of obstruction to doing anything for the patient that’s necessary," says one urologist.
Findings of a multi-institutional cohort study provide further evidence that favorable outcomes can be achieved by carefully selected patients with muscle-invasive bladder cancer who forgo radical cystectomy after achieving a clinical complete response to neoadjuvant chemotherapy.
"[The MIPS program] provides the only mechanism for many specialists and subspecialists to engage in federally-sponsored quality improvement and demonstrate their commitment to deliver high-value care," says Parag Parekh, MD, of the Alliance of Specialty Medicine.
Also read about expansions to an intermittent catheter line, a new radiofrequency treatment for improving local vaginal circulation, an app for men navigating fertility challenges, and more.
Other pipeline products discussed in this round-up include agents for metastatic urothelial cancer, clear cell renal cell carcinoma, and stress urinary incontinence.
Other topics covered in this year's take-home messages for basic science (benign) include interstitial cystitis/bladder pain syndrome and bladder cancer.
Research on a cranberry supplement for decreasing UTI incidence as well as a finding that ketorolac was more effective than narcotics in controlling renal colic were among the AUA 2018 take-homes in quality improvement and patient safety.
Radical prostatectomy can provide superior survival compared with radiation therapy, especially in young and healthy men.
“A decade ago it was rare to have advanced practice providers as part of routine urologic care. Now they’re integral and a necessary part of any active urologic practice,” says Bradley A. Erickson, MD, MS.
Reconstructive surgery for complications from female-to-male genitourinary reconstruction surgery and complex reoperative hypospadias repair were among noteworthy trauma/reconstruction topics at AUA 2018.