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Leaders of more than 30 organizations representing urologists and scores more attendees came away from the 2015 AACU state advocacy conference with a better understanding of the complicated socioeconomic issues facing the profession and a resolve to not stand idly by as public policies impacting their patients and practice are developed in Washington and state houses across the country. Learn more.

As my practice worked through the meaningful use attestation process earlier this year, I began to believe that the government was putting us through the electronic equivalent of an aerial acrobatic maneuver that would impress Ethan Hunt of “Mission: Impossible” fame. And I wasn’t pleased.

A new study on the use of a reflux calculator, developed at Children’s Hospital of Orange County in Irvine, CA, suggests the web-based risk stratification and probability model helps to predict vesicoureteral reflux patients’ 2-year risk of breakthrough urinary tract infection.

The opportunities for physicians in men’s health are tremendous. As with most career moves, blindly entering a field is ill advised. Rather, I recommend that the thoughtful young urologist carefully consider the following steps and pointers.

In this interview, David F. Penson, MD, MPH, discusses the ACA’s impact on urology, the pros and cons of a single-payer system, and why collecting and reporting outcomes data will be crucial going forward.

A novel treatment for the targeted removal of prostate tissue may soon be coming to a hospital near you. According to the results of a phase II study presented at the AUA annual meeting in New Orleans, Aquablation, a minimally invasive water ablation therapy, demonstrated efficient and precise resection of prostate tissue in patients with BPH.

The first annual Medicare physician fee schedule rule in the post-sustainable growth rate era has been proposed by the Centers for Medicare & Medicaid Services, and includes several provisions of specific interest to urologists, including attention to certain services that are considered misvalued by the agency and some modifications to Stark law regulations.

A new public perspective on quality is emerging. Online rating sites, social media, and analysis of public datasets have begun to shape a larger perspective on quality, including the quality of health care institutions and providers. In this article, I will examine one of the latest examples-the “Surgeon Scorecard.”

Joel M. Blau, CFP, and Ronald J. Paprocki, JD, CFP, CHBC, discuss the importance of qualified domestic relations order language in a divorce settlement, as well as what qualifies as a withdrawal from a retirement plan.

The prostatic urethral lift (PUL [UroLift, NeoTract, Inc.]) yields successful 3-year durability and superior rate of improvement of BPH symptoms compared to transurethral resection of the prostate, according to separate studies presented at the AUA annual meeting in New Orleans.

The association between testosterone replacement therapy (TRT) and thrombotic risk in elderly men remains controversial. While the FDA has mandated that all approved testosterone products include warnings about a possible increase in cardiovascular, stroke, and venous blood clot risk, at least one study presented at the AUA annual meeting in New Orleans found no link between TRT and cardiovascular events.

Two federal bills, one recently passed by Congress and the other recently introduced in the House of Representatives, seek to address a common area of frustration among physicians: the federal government’s electric health records meaningful use requirements.

Given the current controversy, I thought it might be worth learning about the history of the American Board of Urology and maintenance of certification to better understand why the ABU finds it necessary for us to jump through the hoops the board has created.

"Over the past 10 years, it’s been getting progressively more challenging to schedule certain tests and treatments because of insurance companies’ hoops that we have to go through," says one urologist.

The management of BPH has had an interesting roller coaster ride over the past 25 years with new medicines, minimally invasive surgical therapies, and a host of novel surgical technologies, including lasers and bipolar electrosurgery.

After accounting for the risk of reclassification, carefully monitored men with favorable-risk prostate cancer who enroll in active surveillance and undergo delayed surgery are no more likely to demonstrate adverse features associated with 15-year prostate cancer-specific mortality than their counterparts who elect immediate curative treatment, say researchers from the Johns Hopkins University Brady Urological Institute, Baltimore.

After a median of 2 years in an active surveillance cohort being followed with multiparametric-magnetic resonance imaging and MRI-transrectal ultrasound fusion-guided biopsy (“targeted biopsy”), rates of biopsy-proven pathologic progression are similar among men with low-risk and intermediate-risk disease, say researchers from the National Institutes of Health.

Among men who are potent and have low-risk prostate cancer, focal cryotherapy appears to deliver similar oncologic control but with much better recovery of erectile function than a whole-gland approach, according to an analysis using data from the Cryo On-Line Data Registry.