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Physician Education: Urology

Neoadjuvant Chemotherapy in the Management of Bladder Cancer

Some urologists are now beginning to weigh the advantages of administering chemotherapy in the neoadjuvant setting to certain patients.  Dr. Jeffrey Gingrich of UPMC believes a multidisciplinary approach that involves the oncologist early on provides the patient with more complete information, and perhaps improved outcome.

A New Option in Treating Urethral Strictures

While urethral strictures are typically treated by dilation or internal urethrotomy, Mang Chen, MD, an urologist at UPMC says a newer procedure called urethroplasty, may be a better option for some patients.

Prostate Cancer Screening and Treatment

Presently, there is much debate about whether current screening practices have led to over diagnosis and over-treatment of prostate cancer. Some physicians believe that decisions about screening and treatment should be made on a case-by-case basis.

The Role of Surveillance in the Management of Kidney Cancer

Active surveillance, also known as watchful waiting, is the least invasive treatment option for patients with small renal masses but for some, it may be one of the most effective. Active surveillance may eliminate over diagnosis and over treatment of indolent kidney cancers. By reviewing test results and having quality discussions, patients and physicians work together to identify the right treatments at the right time.

Using Cesium in Low-Dose Brachytherapy

Ronald Benoit, MD, a urologist at UPMC, gives an update on brachytherapy and details his experience with the less-common isotope, Cesium 131.

Guidelines for Percutaneous Nephrolithotomy

Dr. Timothy Averch describes PCNL to remove large kidney stones and discusses patients who may benefit from this minimally invasive approach.

Robotic-Assisted Pediatric Urology Surgery

Surgeons at Children's Hospital of Pittsburgh of UPMC are now routinely using a robot to assist in complicated bladder and renal reconstructive procedures. This robotic-assisted approach often results in less blood loss, less pain, and shorter recovery times.

Managing Congenital Urologic Disease in Adults

Many congenital urologic problems are identified and treated in infancy or childhood. In some instances, however, congenital urologic disease can present in adulthood. In these cases, it's important for physicians to know there are urologists trained in pediatric and adult urology who can help. Dr. Michael Ost, an endourologist specialized in adult and pediatric urology at UPMC explains why physicians such as himself are best suited to manage these diagnoses.

The Causes and Treatments of Male/Female Infertility

Infertility experts discuss many of the causes and treatments of male and female infertility and explain how techniques such as ICSI, MicroTESE, and IVF may help couples achieve a biological pregnancy.