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Dr. Ruth Westheimer signed copies of her new book, "Conquering theRapids of Life: Making the Most of Midlife Opportunities," for AUAmeeting attendees. The book touches on health problems in the aging maleand female, including interstitial cystitis, incontinence, sexual dysfunction,and prostate problems. Dr. Ruth is shown here at the Ortho-McNeil booth.

Chicago-The Coalition for the Advancement of Prosthetic Urology (CAPU),fresh from its first battle in Washington earlier this year over reimbursementfor prosthetic urology devices and procedures, took another big step forwardwith a standing-room-only presentation at the AUA meeting here on Tuesday.

Urologix, Inc. has received FDA approval to market the Cooled ThermoCathtreatment catheter, which is designed for use in conjunction with the company'sTargis microwave generator, for the treatment of BPH. The product incorporatescatheter cooling technology designed to improve the heat exchange coupledwith improved catheter conformance to urethral tissue.

Chamber Music

An informal chamber music ensemble concert gave AUA meeting attendees abrief respite from the meeting's bustle yesterday. Concert violinist YuraLee and violist Lawrence Neuman were joined by William Sloan, MD; FritzSchroeder, MD; and Mary Olssen, RN. The concert was presented by The StradivariSociety.

Chicago-A biopsy of men with PSA levels of 2.6 to 4.0 ng/mL may detectorgan-confined prostate cancer more often than a biopsy in men with a PSAlevel >4.0 ng/mL, according to a large study from Washington University,St. Louis, presented yesterday. This may result in better clinical outcomes,including a lower biochemical progression rate.

Chicago-Positive surgical margins are associated with an increased riskof cancer recurrence after radical prostatectomy, and adjuvant radiationtherapy given before recurrence may benefit patients with positive margins,according to a Memorial Sloan-Kettering Cancer Center study.

Chicago-Patients with carcinoma in situ or recurrent Ta, Tis, or T1 bladdercancer are at increased risk of dying of the disease within 5 years unlessthey achieve a complete response with bacille Calmette-Guérin therapy,say researchers from the Southwest Oncology Group.

Chicago-Morbidity and hospital stay after standard post-chemotherapyretroperitoneal lymph node dissection (RPLND) decreased in testis cancerpatients undergoing the procedure over a 10-year period, even no changesoccurred in surgical technique. Researchers from Indiana University Schoolof Medicine suggest that this outcome probably reflects changes in care.

Chicago-Women who undergo cesarean section without a trial of labor appearto be significantly less likely to experience stress urinary incontinencethan those who deliver vaginally or underwent a CS for obstructed labor,according to a study from Israel.

Chicago-When renal tumors are found in a patient less than 45 years old,a benign pathology is more common, especially in women. Symptomatic presentationis also more common in younger patients, perhaps because young patientsare less likely to undergo ultrasound or computed tomography evaluationfor nonspecific complaints.

Chicago-Six weeks of antimicrobial therapy with levofloxacin (Levaquin)appears to improve symptoms of chronic prostatitis/chronic pelvic pain syndromein men, although the benefits are not sustained, according to a Canadianstudy presented yesterday.

Chicago-African-American men with clinically localized prostate cancerhave poorer overall and cancer-specific survival rates compared with similarwhite patients, according to results of a retrospective study. This disparitycan be substantially explained by differences in socioeconomic status andlower rate of surgical treatment among African-Americans.

Chicago-Plaintiffs' lawyers in medical liability lawsuits contend thatthere is a direct correlation between the level of service a physician providesand his or her risk of being sued."What causes malpractice claims is not malpractice," said JamesW. Saxton, chairman of the health care litigation group at Stevens &Lee in Lancaster, PA. "What causes malpractice claims-60% to 70% ofthem-is lack of service."

Tyco Healthcare offers the Liebel-Flarsheim Hydra Vision DR UrologicalImaging System with the ViewMax LCD Dual Monitor Viewing Option, which providesmonitor positioning flexibility and procedural vision. A lightweight triplearticulating arm with ergonomic handle allows the monitors to easily bemoved and placed for virtually any need, which increases physician comfortand patient positioning, the company says.

UrologyTrends.com (www.urologytrends.com), an online communitydedicated to providing educational resources to the practicing urologist,is launching this week. The web site is intended to help urologists improvepatient care by providing a convenient forum to expand their knowledge ofkey clinical, economic, and patient management issues.

Chicago-Urologists interested in Medicare reimbursement rates for prostheticurology should consider attending an informational lunch hosted by the Coalitionfor the Advancement of Prosthetic Urology (CAPU). John Mulcahy, MD, chairmanof CAPU, which is comprised of leading clinical experts and researchersin prosthetic urology and the nation's leading manufacturers and developersof prosthetic urological devices, will discuss the group's advocacy andoutreach initiatives.

Chicago -Once daily dosing with ciprofloxacin extended-release 1,000 mg (CiproXR) is as safe and effective as twice a day administration with conventionalciprofloxacin, 500 mg (Cipro), in the treatment of complicated urinary tractinfections and acute pyelonephritis, according to the results of a NorthAmerican, multicenter study.

Chicago-Leading a healthy lifestyle may stop or even reverse the progressionof prostate cancer as measured by PSA levels in men undergoing watchfulwaiting, according to the findings of the first randomized controlled clinicaltrial on the subject.

Chicago-Patients under 65 years of age are more likely to return to baselinecontinence, potency, and physical health 1 year after radical prostatectomy,according to results from a multicenter study presented yesterday. Also,RP patients without comorbidities and those with high health self-ratingsare more likely to return to baseline physical and mental health, respectively.

Medstone's STS-TC Transportable Spark Gap Lithotripter features the largest available focus (12 x 90 mm) and facilitates fragmentation of larger stones and mitigates positioning errors. The anterior/posterior shockwave transmission allows the deeper penetration required for obese patients or horseshoe kidneys.