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Bladder ultrasound is noninvasive and relatively easy to perform, which may explain its increased usage in recent years. However, the American Board of Urology has expressed concern that urologists may be overusing the test. In this exclusive Urology Times interview, Pat Fulgham, MD, president of Urology Clinics of North Texas, Dallas, discusses data on the dramatic shift in bladder ultrasound usage by some urologists. Dr. Fulgham, who teaches an annual AUA course on ultrasound, also discusses clinical and reimbursement guidelines clinicians should follow. The interview was conducted by UT Editorial Consultant Robert C. Flanigan, MD, professor and chairman of the department of urology, Loyola University Medical Center, Maywood, IL.

The National Academy of Sciences' Institute of Medicine has elected urologist John D. McConnell, MD, of the University of Texas Southwestern Medical Center in Dallas, as one of 65 new members.

A Western diet high in animal fat and low in soy creates malignant transformation in the prostate tissue, according to a study that may explain why Asian men have lower rates of prostate cancer than their Western counterparts.

Whistler, British Columbia, Canada--Radiofrequency ablation of small renal tumors appears to be an effective nephron-sparing approach for treating localized kidney cancer in a very select group of patients using imperative indications, according to a short-term study from the University of Texas Southwestern Medical Center, Dallas.

Tauranga, New Zealand--By almost all parameters measured, the efficacy of holmium laser transurethral procedures in the prostate match or exceed that of similar open and transurethral procedures, according to a significant body of work by Peter J. Gilling, MD, urologic consultant at Tauranga Hospital, New Zealand. Dr. Gilling's research has centered on two procedures'holmium laser resection of the prostate (HoLRP) and holmium laser enucleation of the prostate (HoLEP)-although HoLRP has essentially been replaced by the 100-watt HoLEP (Lumenis, Santa Clara, CA).

Montreal--Two sling systems for female stress urinary incontinence have similar rates of success and perioperative events, according to the results of two separate studies presented at the AUA annual meeting. However, one was more prone to infection and erosion than the other, one study showed.

Paris--A novel adjustable device for intrinsic sphincteric deficiency shows success in women with stress unitary incontinence after other surgeries have failed, according to findings from an international, multicenter study.

Los Angeles--The largest clinical database built on renal cell carcinoma is beginning to yield definitive answers to questions about prognosis and treatment. Analyses of histories of more than 4,000 patients at eight academic medical centers worldwide has already indicated that tumor stage, grade, and performance status have a stronger influence on prognosis than tumor stage alone and that the indications for partial nephrectomy can expand.

Nashville, TN--As institutions accrue more experience with robotic-assisted laparoscopic radical prostatectomy, they are beginning to perform outcomes analyses to evaluate the pros and cons of the procedure compared with traditional open retropubic radical prostatectomy.

Vaulx-en-Velin, France--High-intensity focused ultrasound (HIFU) appears to be a promising salvage therapy option in carefully selected recurrent prostate cancer patients who have previously undergone external beam radiation therapy. The device, which uses sound waves to target tumors, was found in a French study to stop disease progression in slightly more than 40% of patients at mean follow-up of 15 months.

Phildadelphia--Photoselective vaporization of the prostate using a new higher-power potassium-titanyl-phosphate laser is a safe and efficacious treatment for BPH, according to a study presented at the AUA annual meeting.

San Diego-A newer bulking agent consisting of synthetic calcium hydroxylapatite compares favorably with traditional glutaraldehyde cross-linked bovine collagen as a treatment for type III stress urinary incontinence or intrinsic sphincteric deficiency, according to an interim analysis of data from an ongoing randomized trial of the two substances.

Ann Arbor, MI--Urologic oncologists adept in performing open radical prostatectomy should feel comfortable undertaking robotic-assisted laparoscopic prostatectomy without worrying about encountering a significant learning curve. However, for the laparoscopic surgeon, the robot seems to offer little benefit for facilitating laparoscopic surgery, according to findings of a small prospective study from the University of Michigan, Ann Arbor.

Montvale, NJ--Computer software ranked at the top of planned purchases by urologists, with one-fourth of respondents to a survey saying they planned to acquire software in 2004. Cystoscopes, ureteral stents, penile prostheses, and BPH thermotherapy devices rounded out the top five planned purchases, according to the survey, conducted exclusively for Urology Times and its sister publication, Contemporary Urology.

Sanofi-Synthelabo Inc. has introduced a money-back guarantee program for BPH patients not satisfied after taking extended-release alfuzosin hydrochloride (Uroxatral) as directed by their physician.

An increased dose of highly conformal external beam radiation shows a survival advantage over conventional-dose therapy in men with early-stage prostate cancer, according to study results presented at the American Society for Therapeutic Radiology and Oncology annual meeting in Atlanta.