Brian J. Flynn, MD

Brian J. Flynn, MD

University of Colorado, Anschutz Medical Center

Denver, Colorado

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.

Disclosures:

Clinical investigator for Cook Myosite, Boston Scientific, and Uromedica

Talks by Brian J. Flynn, MD

Functional Urology Discussion

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.

Alan J. Wein, MD, PhD (hon), FACS, is Professor of Clinical Urology and Director of Business Development and Mentoring at the Desai Sethi Institute of Urology at the University of Miami Miller School of Medicine. He is Emeritus Professor of Urology/Surgery and Emeritus Chief of Urology and Program Director of the Perelman School of Medicine at the University of Pennsylvania.

Dr. Wein received his undergraduate degree from Princeton University and completed medical school, surgery, basic research, and urology training at the University of Pennsylvania (Penn). After serving in the army following his training, he returned to Penn where he ultimately became Chief of Urology and Director of the Residency Program (for 38 and 44 years, respectively). Dr. Wein holds an honorary PhD from the University of Patras, Greece and was conferred an honorary professorship by the Institute of Urology, Russian Ministry of Health.

Dr. Wein’s primary interests include the physiology and pharmacology of the lower urinary tract, evaluation and management of urinary incontinence and all types of lower urinary tract and pelvic floor dysfunction; problems with prostate enlargement and obstruction; and the evaluation and management of prostate, bladder, and kidney cancer. He has received numerous awards and honors for excellence in the field of urology and has been recognized nationally and internationally through his many affiliations and professional memberships. These include the American Association of Genitourinary Surgeons (AAGUS), the Clinical Society of Genitourinary Surgeons (CSGUS); the American Surgical Association; the Society of Surgical Oncology; the Society of Urologic Oncology (where he is a founding member); the Society of Pelvic Surgeons; Society of Urodynamics, Female Pelvic Medicine, and Urogenital Reconstruction (SUFU); the International Continence Society (ICS); Société Internationale d’Urologie (SIU); the American Urological Association (AUA); the European Association of Urology (EAU); and the Royal Society of Medicine.

Dr. Wein’s most notable awards include the Urodynamics Society Lifetime Achievement Award; the F. Brantley Scott Award of the American Foundation for Urologic Diseases; the Hugh Hampton Young Award of the AUA; the Ferdinand C. Valentine Award of the New York Academy of Medicine; the National Association for Continence Continence Care Champion Award; Lifetime Achievement Awards from SUFU, the ICS, and the SIU; the Ellis Island Medal of Honor; and the Keyes Medal by the AAGUS, which is recognized as the greatest individual citation in the specialty, awarded for outstanding contributions in the advancement of urology. Most recently, an annual mentorship award in his name has been commissioned by SUFU and another by the division of urology at Penn. Dr. Wein has authored or co-authored over 1,000 papers and book chapters, held multiple editorial positions on scientific journals and has edited or co-edited over 35 books. He is currently the editor-in-chief of Neurourology and Urodynamics and Urology Case Reports. Dr. Wein was editor-in-chief of the ninth, 10th, and 11th editions of Campbell-Walsh Urology, the gold standard textbook in the field and the name of the 12th and succeeding editions has been changed to Campbell-Walsh-Wein Urology to reflect his contributions to the field. Two chairs have been raised and named in his honor in the division of urology, department of surgery at the University of Pennsylvania Perelman School of Medicine.

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Functional Urology: A New Sub-Specialty or Rebranding?

Brian J. Flynn, MD, focuses on defining and exploring the evolving specialties of functional and reconstructive urology, emphasizing the need for rebranding within the field. In this 11-minute talk, he stresses that functional urology, similar to specialties like female pelvic medicine and pediatric urology, deserves rebranding efforts.

Dr. Flynn advocates for collaboration between urologists and non-physicians to expand the field’s influence, particularly in addressing lower urinary tract dysfunctions. He also discusses how urologists can better integrate into the broader medical community, learning from global models, especially in Europe and Canada, where functional and integrative approaches are more advanced.

Functional urology is a comprehensive, patient-centered specialty with a broad scope of practice encompassing all lower urinary tract disorders.

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Female Stress Urinary Incontinence 2023

Brian J. Flynn, MD, provides a comprehensive update on managing female stress urinary incontinence (SUI) as of 2023. His 24-minute presentation meticulously reviews the latest advancements in both diagnostic and therapeutic approaches.

Dr. Flynn compares the advantages and disadvantages of current treatment options for SUI, including bulking agents, TVT, MUS, and TOT. While mid-urethral slings remain the gold standard for treatment, Dr. Flynn highlights emerging alternatives, including adjustable slings and ACT, which offer tailored solutions for patients with varying degrees of SUI.

Dr. Flynn stresses the importance of individualized treatment planning, which considers patient preferences, comorbidities, and previous surgical history when choosing a treatment plan to optimize patient outcomes.

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FRU Discussion

Brian J. Flynn, MD, and Alan J. Wein, MD, PhD (Hon), FACS, discuss the evolution of functional urology.

In this 16-minute discussion, Dr. Wein emphasizes the holistic approach to functional urology, which encompasses all measures to restore normal bladder function, whether through medication, pelvic floor therapy, or surgery. Of note is his stance against dividing male and female urology, advocating for an integrated approach that addresses dysfunction across genders.

Dr. Wein and Dr. Flynn discuss the overlap between storage and voiding dysfunctions, like stress and urge incontinence, which often coexist. Dr. Wein shares insights on how treating one issue can sometimes alleviate the other, though the relationship remains unclear. He stresses the importance of a unified, simplified approach to diagnosis and treatment.

Other colleagues attending the discussion provided perspective and emphasized collaborative, team-based approaches to functional urology. A urogynecologist highlighted how gynecologists primarily manage female pelvic health and storage issues, while a pediatric urologist underscored the importance of standardized nomenclature and communication across specialties.

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Functional and Reconstructive Urology: A New Subspecialty or Rebranding

Brian J. Flynn, MD, defines functional and reconstructive urology and its place in future and existing urological practices. Dr. Flynn introduces functional and reconstructive urology as an area that focuses on disorders related to urinary and pelvic floor dysfunctions, such as urinary incontinence, pelvic organ prolapse, and overactive bladder.

Dr. Flynn discusses the historical context of functional and reconstructive urology, explaining how aspects of functional urology and reconstructive urology have been present in urology for decades. He acknowledges that while the conditions treated are not new, the emphasis on a multidisciplinary approach and the incorporation of advanced diagnostics and therapeutic techniques justifies viewing functional and reconstructive urology as a distinct subspecialty, rather than a form of alternative medicine.
Dr. Flynn concludes by illustrating how functional and reconstructive urology impacts patient care and quality of life. He provides authoritative sources for continuing education in functional and reconstructive urology.

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