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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.

In response to the looming reduction in Medicare reimbursement slated to begin Dec. 1, meridianEMR is offering a special "meridianEMR Doc Fix," which includes a 21.9% reduction on all new meridianEMR system orders beginning Nov. 10, 2010 and ending Dec. 31, 2010.

The American Medical Association's House of Delegates unanimously adopted a resolution introduced by The Endocrine Society calling for the standardization of testosterone assays, including increased measures of analytical accuracy by laboratory associations and education for clinicians who use the assays.

Men treated with androgen deprivation therapy (ADT) for prostate cancer face a 30% to 40% higher risk of colorectal cancer compared with patients who have not received this treatment, say researchers from the University of Michigan, Ann Arbor.

In patients with refractory urge incontinence, a variety of non-pharmacologic therapeutic options can be used as an alternative or complement to anticholinergic medications. Maximizing conservative measures, namely behavioral therapy and physical therapy, offers multiple benefits and adds little risk for the majority of patients.

Urologists need to be mindful of how the patient-centered medical home emerges and how they can effectively work with the model to ensure coordination of care and quality outcomes for patients with chronic urologic conditions.