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Many of the problems a beginning urologist may faceboil down to one common factor­money or the lack of it. Michael Naslund,MD, of the University of Maryland Medical Center, Baltimore, discussed someof the financial pitfalls residents may face during a seminar held Saturday.

The use of PSA testing by urologists and primary care physiciansis much lower than that suggested by practitioner- and patient-based publishedself-report estimates, according to a study of national clinic-report dataconducted by urologists at the University of Michigan, Ann Arbor.

Analysis of data from the National Institutes ofHealth Chronic Prostatitis Cohort Study has found that about three-fourthsof men with chronic pelvic pain syndrome always have post-ejaculatory pain,and that these men have more severe prostatitis symptoms overall. In addition,the researchers found no indication that ejaculatory obstruction, occultinfection, or worse inflammation was responsible.

Hand-assisted partial nephrectomy without formalclosure of the collecting system or pre-procedure ureteral stenting is safe,efficacious, and can offer several advantages over pure laparoscopic oropen procedures, according to Stephen E. Strup, MD.

San Antonio--R. Duane Cespedes, MD, and Eric J. Hick, DO, want fellow urologists to know that collagen injection therapy for stress urinary incontinence (SUI) not only works, but works well and offers long-lasting results.

San Francisco--A 3-month delay in definitive treatment of high-risk prostate cancer patients seems to increase the risk of recurrence, according to Judd W. Moul, MD, director of the Center for Prostate Disease Research and professor of surgery,

The 'golden gate' to the Golden State has much to offer explorers, sightseers, history buffs?and everyone else

It is becoming increasingly clear that immunology plays a large role in urinary tract infections and potentially in their cure. One new theory is that bacteria can influence the host's immune response by down-regulating it, suppressing the immune system and preventing the host from responding in a normal way.

Most practicing urologists have little time to closely examine the basicscience behind advances in male infertility, but the lab work that researchersare performing in this subspecialty today is poised to dramatically affectthe way urology is practiced tomorrow.

Alpha-tocopherol, a form of vitamin E, protects against the development of bladder cancer, while a second type of vitamin E, gamma-tocopherol, appears to offer no protection, according to research by the University of Texas M.D. Anderson Cancer Center in Houston.

This issue of Urology Times includes a number of articles from one ofthe most successful meetings on interstitial cystitis ever held, the NationalInstitute of Diabetes, Digestive, and Kidney Disorders and InterstitialCystitis Association joint symposium "Research Insights into InterstitialCystitis" in Alexandria, VA, last fall.

Atlanta--Fewer people are dying from prostate and other genitourinarycancers. But ask why that is, and you'll have a difficult time finding aconsensus among epidemiologists, urologists, and others.

Dehydroepiandrosterone (DHEA), a popular supplement among athletes, does not increase testosterone levels and may, in fact, break down into hormones associated with prostate gland growth, according to results of a small study from the Keck School of Medicine at the University of Southern California, Los Angeles.

The Centers of Disease Control and Prevention has launched an educational campaign aimed at informing health care providers about the health risks of diethylstilbestrol (DES) exposure.