Brian S. Christine, MD, presented “Climacturia After Radical Prostatectomy: What is It? Why is It? How Do We Treat It?” during the 28th Annual Innovations in Urologic Practice conference on September 22, 2024, in Denver, Colorado.

How to cite: Christine, Brian S. “Climacturia After Radical Prostatectomy: What is It? Why is It? How Do We Treat It?” September 22, 2024. Accessed Oct 2026. https://grandroundsinurology.com/climacturia-after-radical-prostatectomy-what-is-it-why-is-it-how-do-we-treat-it/

Climacturia After Radical Prostatectomy: What is It? Why is It? How Do We Treat It? – Summary

Brian S. Christine, MD, addresses the overlooked issue of climacturia in men who have undergone radical prostatectomy.

In this 19-minute talk, Dr. Christine outlines both conservative and surgical management strategies for climacturia. Simple approaches include bladder emptying before intercourse and the use of constriction rings, pharmacologic treatments, and surgical options like suburethral slings. For patients with severe erectile dysfunction requiring penile implants, he discusses an innovative approach using a Mini Jupette sling.

Dr. Christine emphasizes the need for better preoperative counseling on climacturia and highlights the range of available treatment options tailored to individual patient needs, from conservative measures to advanced surgical interventions.

About The 28th Annual Innovations in Urologic Practice:

Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma; men’s health topics like male infertility, andrology, and sexual dysfunction; OAB and voiding dysfunctions; and ways to diagnose and treat infections in the urology patient.

For further educational activities from this conference, visit our collection page.

Mohit Khera, MD, MBA, MPH, presented “Panel Discussion: Men’s Health, Andrology, and Infertility” at the 27th Annual Innovations in Urologic Practice conference on September 23, 2023.

How to cite: Khera, Mohit “Panel Discussion: Men’s Health, Andrology, and Infertility.” September 2023. Accessed Oct 2026. https://grandroundsinurology.com/panel-discussion-mens-health-andrology-and-infertility/

Panel Discussion: Men’s Health, Andrology, and Infertility – Summary

Mohit Khera, MD, MBA, MPH; Brian S. Christine, MD

About The 27th Annual Innovations in Urologic Practice:

Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma; men’s health topics like male infertility, andrology, and sexual dysfunction; OAB and voiding dysfunctions; and ways to diagnose and treat infections in the urology patient.

For further educational activities from this conference, visit our collection page.

Brian S. Christine, MD, presented “Treatment of Male Stress Urinary Incontinence” at the 27th Annual Innovations in Urologic Practice conference on September 22nd, 2023.

How to cite: Christine, Brian S. “Treatment of Male Stress Urinary Incontinence.” September 2023. Accessed Oct 2026. https://grandroundsinurology.com/treatment-of-male-stress-urinary-incontinence/

Treatment of Male Stress Urinary Incontinence – Summary

Brian S. Christine, MD, provides guidance on the assessment and treatment of stress urinary incontinence (SUI) after radical prostatectomy. Dr. Christine begins by discussing the pelvic support changes that happen in men post-prostatectomy, the relationship between the loss of pelvic support and incontinence, and the different mechanisms behind moderate and severe SUI. 

Dr. Christine encourages urologists to assess each post-prostatectomy patient presenting with  SUI symptoms using a thorough work-up to determine SUI mechanism and severity, an awake cystoscopy to visualize the function of the external sphincter, and a Standing Cough Test. He explains that these three steps in SUI assessment allow the attending physician to ensure that the treatment will match the severity and mechanism of the patient’s incontinence.

He then explores the process of selecting the optimal treatment between the two principal surgical options for treating male SUI: the male sling and the artificial urinary sphincter. Dr. Christine reiterates the importance of tailoring the therapy based on the information gathered during the assessment and advises urologists to visit surgeon educators on-site and develop their surgical placement skills. 

Dr. Christine concludes by exploring the treatment of recurrent SUI in men who have been previously treated for SUI. He provides guidance on treating men with a prior male sling and men with a malfunctioning or affected artificial urinary sphincter.

About The 27th Annual Innovations in Urologic Practice:

Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma; men’s health topics like male infertility, andrology, and sexual dysfunction; OAB and voiding dysfunctions; and ways to diagnose and treat infections in the urology patient.

For further educational activities from this conference, visit our collection page.

Brian S. Christine, MD, presented “Best Treatment for Male Incontinence: Sling” during the Innovations in Urologic Practice 2020 virtual conference in September 2020.

How to cite: Christine, Brian S. “Best Treatment for Male Incontinence: Sling.” September 26th, 2020. Accessed Oct 2026. https://grandroundsinurology.com/best-treatment-for-male-incontinence-sling/

Best Treatment for Male Incontinence: Sling – Summary

In the first part of this urologic debate, Brian S. Christine, MD, Director of Prosthetic Urology and Men’s Sexual Health at Urology Centers of Alabama in Birmingham, argues that the sling is the best treatment for post-prostatectomy stress urinary incontinence in men. He goes over how to select the right candidates for a sling, the pre- and post-operative procedural steps, and the resulting success rate. Dr. Christine notes that slings are best used in patients with mild to moderate stress urinary incontinence as determined by a severity grading system. He considers two options for determining incontinence severity, the pad test and the standing cough test, observing that the latter is preferable given that it is done in-office versus by the patient at home. Dr. Christine then provides a detailed explanation of the surgical steps and technique using an AdVance XP male sling. He concludes that the sling, when used on the ideal candidate with a standing cough test grade of 0, 1, or 2, results in a post-operative success rate of 82-83% of patients who are dry or pad-free. Alexander Gomelsky, MD, FACS, argues in favor of using an artificial urinary sphincter in the second part of the debate here.

About the Innovations in Urologic Practice 2020 virtual conference:
Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma, men’s health topics like male infertility and sexual dysfunction, and ways to diagnose and treat infections in the urology patient. Dr. Christine presented this talk virtually at the 2020 conference.

Brian S. Christine, MD, presented “Use of Social Media in Men’s Health Urologic Practice” during the Innovations in Urologic Practice 2020 virtual conference in September 2020.

How to cite: Christine, Brian S. “Use of Social Media in Men’s Health Urologic Practice.” September 26th, 2020. Accessed Oct 2026. https://grandroundsinurology.com/use-of-social-media-in-mens-health-urologic-practice/

Use of Social Media in Men’s Health Urologic Practice – Summary

Brian S. Christine, MD, a urologist and Fellowship Director and Director of Prosthetic Urology and Men’s Sexual Health at the Urology Centers of Alabama in Birmingham, discusses the use of social media in men’s health urologic practices. He begins by discussing older mediums and why they are no longer effective at getting the word out, as well as the limitations of word of mouth. He goes on to talk about why leveraging social media platforms is important for reaching the widest possible audience and attracting new patients. Dr. Christine then explains what has worked for him and his practice and what has not. He emphasizes the importance of creating a personal website that is separate from the practice that can be linked to all of one’s social media accounts. He also highlights the social media platform that has been the most effective for him: Youtube. Youtube is particularly helpful because it allows users to upload high-quality educational videos; the majority of Dr. Christine’s new patients that seek him out on their own do so after watching one of his surgical videos. Dr. Christine then gives advice about how to be successful on Youtube and pitfalls to avoid when making videos. He offers specific tips about how to make the same kind of high-quality videos that appear on his Youtube channel. Finally, he observes that the biggest roadblock is not making the commitment to begin.

About the Innovations in Urologic Practice 2020 virtual conference:
Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma, men’s health topics like male infertility and sexual dysfunction, and ways to diagnose and treat infections in the urology patient. Dr. Christine presented this talk virtually at the 2020 conference.

Brian S. Christine, MD, presented “Telesurgery: Using the Virtual Classroom to Educate” during the 24th Annual Innovations in Urologic Practice on September 13, 2019 in Santa Fe, New Mexico.

How to cite: Christine, Brian S. “Telesurgery: Using the Virtual Classroom to Educate” September 13, 2019. Accessed Oct 2026. https://grandroundsinurology.com/telesurgery-using-the-virtual-classroom-to-educate/

Telesurgery: Using the Virtual Classroom to Educate – Summary:

Brian S. Christine, MD, describes the evolution of using the operating room as a classroom to employing virtual classrooms for surgical education in the modern era. He emphasizes the value and potential of interactive real-time live streaming, as opposed to pre-recorded videos, to educate practicing urologists and residence. 

About the 24th Annual Innovations in Urologic Practice

Innovations in Urologic Practice (Innovations) is an annual, multi-day, CME-accredited conference devoted to innovative diagnostic and treatment strategies for and controversies related to some of the most common urologic problems in the current era. The topics covered include oncological management of the bladder, kidney, and prostate. The conference also emphasizes general urology topics in pelvic reconstruction and trauma, men’s health, and infections in the urology patient. Dr. Christine presented this lecture during the 24th Innovations in 2019. Please visit this page in order to register for future Innovations meetings.

Brian S. Christine, MD, presented “Managing Complications Following Penile Implant Surgery” during the 24th Annual Innovations in Urologic Practice on September 13, 2019 in Santa Fe, New Mexico.

How to cite: Christine, Brian S. “Managing Complications Following Penile Implant Surgery” September 13, 2019. Accessed Oct 2026. https://grandroundsinurology.com/managing-complications-following-penile-implant-surgery/

Managing Complications Following Penile Implant Surgery – Summary:

Brian S. Christine, MD, reviews common complications that occur following penile implant surgery and techniques for addressing them. He specifically discusses the management of device infection, glans necrosis, scrotal hematoma, glans hypermobility, supersonic transporter (SST) deformity, and reservoir herniation.

About the 24th Annual Innovations in Urologic Practice

Innovations in Urologic Practice (Innovations) is an annual, multi-day, CME-accredited conference devoted to innovative diagnostic and treatment strategies for and controversies related to some of the most common urologic problems in the current era. The topics covered include oncological management of the bladder, kidney, and prostate. The conference also emphasizes general urology topics in pelvic reconstruction and trauma, men’s health, and infections in the urology patient. Dr. Christine presented this lecture during the 24th Innovations in 2019. Please visit this page in order to register for future Innovations meetings.

Brian S. Christine, MD presented “Pitfalls and Pearls of Penile Prosthesis Surgery” during the 23rd Annual Innovations in Urologic Practice on September 14, 2018 in Santa Fe, New Mexico.

How to cite: Christine, Brian S. “Pitfalls and Pearls of Penile Prosthesis Surgery” September 14, 2018. Accessed [date today]. https://grandroundsinurology.com/pitfalls-and-pearls-of-penile-prosthesis-surgery/

Pitfalls and Pearls of Penile Prosthesis Surgery – Summary:

Brian S. Christine, MD, reviews the history of penile implant surgery. He then demonstrates critical steps, correct technique, and precautions to avoid intraoperative complications in scrotal and infrapubic placement of inflatable penile prosthesis (IPP).

Abstract:

Introduction

Inflatable penile prosthesis (IPP) surgery is a particularly effective treatment for erectile dysfunction (ED), either with or without concomitant Peyronie’s disease. The history of penile implants dates back more than a century, with the most significant innovations credited primarily to Drs. Brantley Scott and Hernan Carrion.

Purpose

This presentation concentrates upon the 3-piece IPP and the surgical approaches commonly employed in order to place the device. For instance, the AMS 700™ from Boston Scientific and Titan® Touch from Coloplast are among currently available IPP devices. The three most common of these surgical approaches are scrotal, infrapubic, and subcoronal incisions. Each of these techniques have benefits and drawbacks for the patients as well as for physicians. This presentation then includes image and video demonstrations of critical steps and correct technique involved in these surgeries. The demonstrations also describe intraoperative “safety checks” to help the surgeon recognize and address problems that arise during the procedure.

About Innovations in Urologic Practice

Innovations in Urologic Practice (IUP) is an annual CME-accredited conference devoted to updating urologists on the rapidly changing healthcare environment. Topics focus on innovative diagnostic and treatment strategies, controversies, new and currently developing technologies, and challenges in today’s urologic practice. Dr. Taylor presented this lecture during the 23rd IUP in 2018. Please visit this page in order to learn more about future IUP meetings.