Cleveland—With the growing acceptance of flexible ureteroscopy at academic centers, this endoscopic technique as a treatment for renal stones has made fewer inroads into the practices of community urologists, data from a large U.S. inpatient database indicate. The reasons for the procedure's apparent lack of popularity in the community, at least in the inpatient setting, are unclear.
Richard R. Kerr
Cleveland—A Mayo Clinic study published earlier this year raised more than a few eyebrows when its authors concluded that treatment of renal stones with shockwave lithotripsy appears to heighten the risk of diabetes mellitus and hypertension. More recently, researchers from Northwestern University reported a similar finding in patients with pancreatic stones—that SWL used in these patients may be associated with an increased risk of diabetes.
Cleveland—A staged approach to endoscopic lithotripsy may be a reasonable treatment option in patients with large renal stones who are not ideal candidates for the gold standard of percutaneous nephrolithotomy (PCNL), researchers at the University of Pittsburgh Medical Center reported. Their technique, known as staged retrograde endoscopic lithotripsy (SREL), has a slightly lower success rate than PCNL does, but it is less invasive and associated with fewer complications.
Baltimore—A new endourology/stone disease scholarship has been proposed in honor of the late Joseph W. Segura, MD.
Atlanta—If you're going to perform a vasectomy reversal, use a microscope. Despite the additional time and cost involved, microsurgical vasovasostomy is superior to the loupe-assisted macroscopic technique, findings from a recent study from Korea confirm.
Montvale, NJ--Computer software ranked at the top of planned purchases by urologists, with one-fourth of respondents to a survey saying they planned to acquire software in 2004. Cystoscopes, ureteral stents, penile prostheses, and BPH thermotherapy devices rounded out the top five planned purchases, according to the survey, conducted exclusively for Urology Times and its sister publication, Contemporary Urology.
Traverse City, MI-In the watchful eyes of the Centers for Medicare and Medicaid Services, urologist Michael Harris, MD, does not exist. Dr. Harris-a successful, board-certified urologist in private practice-would not have it any other way.