Brian J. Flynn, MD, presented “The Future of Male SUI Surgery is Now” during the 44th Annual Ralph E. Hopkins Urology Seminar on February 5, 2025, in Jackson Hole, Wyoming.
This content is available free to the GRU Community. Login or create an account to view it.
How to cite: Flynn, Brian J. “The Future of Male SUI Surgery is Now.” February 5, 2025. Accessed Mar 2025. https://grandroundsinurology.com/the-future-of-male-sui-surgery-is-now/
The Future of Male SUI Surgery is Now – Summary
Brian J. Flynn, MD, discusses male stress urinary incontinence. In this 19-minute presentation, Dr. Flynn explores advancements in treatment, particularly the shift toward passive and adjustable devices.
With the aging population, cognitive and dexterity challenges in operating active devices pose significant concerns, leading to interest in passive alternatives requiring no manual manipulation. Two promising adjustable devices, the ATOMS and ProACT, offer success rates approaching those of the artificial sphincter while maintaining minimally invasive surgical approaches.
Dr. Flynn details the refinement of implant techniques, emphasizing fluoroscopic and ultrasound guidance to optimize placement and function. He shares insights from his extensive surgical experience. The step-by-step technical walkthrough of implantation demonstrates precision in trocar placement, balloon positioning, and intraoperative adjustments. He presents intraoperative fluoroscopic and cystoscopic views to illustrate technique refinements that enhance efficacy.
Dr. Flynn gives a comprehensive analysis of devices, outlining considerations for patient selection and future directions in incontinence management.
About The 44th Annual Ralph E. Hopkins Urology Seminar:
The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 44th iteration of the meeting took place from February 5th to February 8th, 2025, in Jackson Hole, Wyoming.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Brian J. Flynn, MD, is a professor of surgery/urology and fellowship director in Functional and Reconstructive Urology (FRU) at the University of Colorado, Anschutz Medical Center, Division of Urology, in Denver, Colorado. Dr. Flynn earned his medical degree from Temple University in Philadelphia, Pennsylvania. He completed a six-year residency in urology at Geisinger Medical Center in Danville, Pennsylvania, and a one-year fellowship in female urology and reconstructive urology at Duke University in Durham, North Carolina. He is board-certified in urology and female pelvic medicine and reconstructive surgery. Dr. Flynn earned his Bachelor of Science in biomedical engineering from the University of Rochester in Rochester, New York.
Dr. Flynn’s focus is in functional and reconstructive urology with an active
practice in male/female urinary incontinence, voiding dysfunction, urethral stricture disease, and robotic bladder/ureteral reconstructive surgery. He is a national leader in the use of minimally invasive surgical techniques and robotics for the treatment of urinary incontinence, bladder neck contracture, urethral stricture, and ureteral obstruction. He has developed new techniques for AUS, ProACT, bladder neck
reconstruction, and suprapubic catheter placement.
Dr. Flynn has authored numerous clinical papers, surgical videos, and textbook chapters. He has also presented internationally on surgical management of urethral stenosis with an emphasis on non-transecting techniques, post-prostatectomy incontinence, genitourinary fistula, and ureteral stricture disease.
