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Centocor Ortho Biotech Inc. has submitted a new drug application to the FDA for the investigational drug abiraterone acetate administered with prednisone for the treatment of metastatic advanced prostate cancer in patients who have received prior chemotherapy containing a taxane.

The Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health Information Technology recently announced the availability of registration for Medicare and Medicaid electronic health record incentive programs.

Urologists and other physicians who treat Medicare patients have again escaped a steep reimbursement reduction as President Obama on Dec. 15 signed legislation passed by the lame-duck Congress providing a 12-month reprieve.

For the management of refractory urge incontinence, non-pharmacologic options can be used alone or in combination with anticholinergic medications will be adequate treatment for many patients, but some will need further therapy.

While it is tempting to look only at "the bottom line," the contemporary physician manager/owner needs to have a more thorough understanding of the numbers that contribute to that bottom line and how to use that information to quickly discover problems and solutions.

We no longer need to consider if laparoendoscopic single-site surgery is safe and effective-with the caveat of experienced hands-but we do need to examine in whom the cosmetic advantages of LESS merit the added surgical complexity.

Labeling on testosterone products sold in the United States indicates that testosterone supplementation is contraindicated in men with a history of prostate cancer and in those thought to be at risk for the disease. A recent study brings the validity of that warning into question.

Two independent studies exploring how lithotripter ownership might affect urologists' choice of treatment for stone disease seem to provide conflicting results, although neither of the studies directly assessed individual practice patterns for lithotripter utilization.

Urology Product Preview

Urology drugs and devices that are in the pipeline from Pfizer Inc., Exelixis Inc., Medivation, Inc., Astellas Pharma Inc., Tengion, Inc., Agensys, Inc., and Nymox Pharmaceutical Corp.

Raj Pruthi, MD, has been promoted to chief of the division of urologic surgery within the department of surgery at the University of North Carolina at Chapel Hill School of Medicine.

The Elevate Apical and Posterior Prolapse Repair System (American Medical Systems, Minnetonka, MN) offers anatomic "cure" rates (stage ≤1 prolapse) of 89.2% in patients with apical prolapse and 91.7% in those with posterior vaginal prolapse, according to the results of a 12-month single-arm, prospective multicenter study.