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Spotlight
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Managing
the vasectomy patient:
From preoperative Counselling through
postoperative follow-upVasectomy failures
are usually due to either ineffective
Counselling of patients regarding
the time delay between treatment and
achievement of azoospermia or to spontaneous
recanalization of the vas deferens.
The authors offer recommendations
for Counselling patients regarding
vasectomy risks and the need for postvasectomy
follow-up, and describe factors that
may contribute to vasectomy failure.
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| Focus On:
Business & Practice |
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E&M documentation:
Two points you may be missing
Most urologists do not need a course
in "E&M Documentation 101,"
but two specific documentation issues
are worth clarifying. For some of
you, this may be old hat. However,
a lot of clinicians still do not understand
two important points: the guidelines
on how to document and code for an
established patient visit and the
value of the use of the 1995 documentation
guidelines for the physical exam.
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| Features |
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Improving
the efficacy of ESWL
The Dornier HM3 remains
the "gold standard" lithotripter.
The authors re-examine the concepts
behind the initial success of the
HM3 and explore new ESWL techniques
and adjunctive procedures that may
at last lead to increased effectiveness
of ESWL while still decreasing morbidity,
pain, and the incidence of side effects.
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