Cosmetic Surgery

Presented by Dominick J. Carbone, Jr, MD, Wake Forest University,Winston-Salem, NC.

Advances in ureteroscope design and instrumentation, along with the ready availability and technical simplicity of shock wave lithotripsy, have made the treatment of ureteral calculi simpler, more available, and more successful than ever. Indeed, the need for salvage open or laparoscopic treatment of ureteral calculi is exceptionally rare.

New Products as presented in the May 1, 2002 issue of Urology Times

What was your attraction to using PVP?

What are the benefits of PVP to the urologists?

How well do patients tolerate PVP with local or minimal anesthesia?

Please explain the importance of BPH in urology practice

This Urology Times supplement was produced by Advanstar Medical Education Services under an unrestricted grant from Laserscope www.laserscope.com. The views and opinions in this supplement are those of the interviewed physicians and do not necessarily reflect the views of the editors, Advanstar Medical Education Services or Laserscope.Copyright 2002 Advanstar Communications Inc. All rights reserved.

Ask a medical staff recruiter in San Francisco and one in West Virginia if they're having trouble filling urology positions, and you'll get two very different answers.

Canton, MA-Organogenesis Inc., has received FDA clearance to market its FortaPerm, a bioengineered surgical sling. The product, which uses the company's FortaFlex engineered collagen technology, is a natural collagen biomaterial indicated for urinary incontinence and vaginal prolapse. It is engineered to add long-term structural support to soft tissue where the patient's tissue is absent or inadequate, according to the company.

Anaheim, CA-A minimally invasive surgical technique has achieved good correction of penile curvature in Peyronie's disease patients in a small Canadian study. The technique emphasizes limited disruption of the tunica albuginea and avoidance of grafting.

Peyronie's disease resulting in shorter and curved erections occurs more commonly than the 1% to 2% of the population related in textbooks. Patients with the problem may be embarrassed to come forward, or the angulation of the erection-although uncomfortable-may not prohibit intercourse. But with more open discussion of sexuality in all forms of the media, more men are coming forward for treatment of sexual problems. Past medical treatments have been unsuccessful in restoring a straight erection in such patients. Reports of newer treatments such as intralesional verapamil and collagenase have been inconsistent and must stand the test of time.

Las Vegas--Urologists are beginning to use a more extensive biopsyregimen when working up men with suspected prostate cancer. Although thisis paying off in increased disease detection, it also has raised questionsabout whether some men are being over-treated for clinically insignificantdisease.