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Cleveland-For now, laparoscopic cryoablation appears to be more effective than both radiofrequency (RF) ablation and high-intensity focused ultrasound (HIFU) in the treatment of small renal tumors, a group of Austrian researchers reported here at the 2006 World Congress of Endourology.

Pittsburgh-North America has now entered the competition to treat urinary incontinence with autologous muscle-derived cells with a human trial in seven patients. The prize is actual reconstruction of continence mechanisms.

Leaders from the ambulatory surgery center industry and associations with a focus on health care quality and safety have formed a leadership group called the ASC Quality Collaboration.

A trimodality treatment regimen results in excellent local control that alters patterns of failure in patients with high-risk prostate cancer, according to a study published in the International Journal of Radiation Oncology, Biology & Physics (2006; 66:389-94).

New York-Radical prostatectomy may be considered as a safe and effective management option for prostate cancer in appropriately selected HIV-positive men, according to the experience of urologic surgeons at Memorial Sloan-Kettering Cancer Center, New York.

New York-Radical prostatectomy may be considered as a safe and effective management option for prostate cancer in appropriately selected HIV-positive men, according to the experience of urologic surgeons at Memorial Sloan-Kettering Cancer Center, New York.

There isn't a urologist who hasn't experienced the following scenario: The doctor stands up to terminate the visit with the patient, asks the patient if there is anything else they would like to discuss, and the patient says no. The doctor closes the chart, puts his hand on the doorknob to leave the room, and the patient says, "There is one more thing I'd like to talk to you about."

Washington-Members of the Coalition for the Advancement of Prosthetic Urology (CAPU) spent several days during the last week of September pounding the halls on Capitol Hill, lobbying Congress to improve payment for prosthetic urology procedures and seeking comprehensive insurance coverage for prosthetic urologic procedures. Now they wait to see what their efforts may have won.

Atlanta-Two studies presented here at the AUA annual meeting suggest that new treatments could be on the horizon for the treatment of elderly patients with renal cancer and comorbid conditions. The studies are small, follow-up was relatively short, and both investigators stated emphatically that the oncologic safety of these treatments must be studied further.

Atlanta-Laparoscopic partial nephrectomy (LPN) for solitary and multiple renal tumors led to a small but statistically significant decrease in postoperative renal function, but the clinical significance of the finding remains unclear, according to a retrospective review of a patient series at the National Cancer Institute, Bethesda, MD.

Atlanta-Delays of fewer than 25 days and more than 84 days from the time a general practitioner referral assigns a patient to cystectomy show a statistically significant, positive relationship to increased patient mortality. Results from a population-based study of the relationship between delayed treatment and mortality were presented at the AUA annual meeting here.

Atlanta-Neoadjuvant chemotherapy using a three-drug combination has demonstrated activity in locally advanced transitional cell carcinoma (TCC) of the bladder, but it also possesses considerable toxicity. That was the conclusion reported in a poster by University of Michigan researchers at the American Society of Clinical Oncology annual meeting.

Atlanta-Men whose infertility is due to varicocele may be able to improve the likelihood of achieving impregnation by undergoing bilateral, rather than unilateral varicocelectomy, when indicated. This was the conclusion of the authors of a Canadian study presented here at the AUA annual meeting.

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.