Maxx A. Gallegos, MD, Author at Grand Rounds in Urology

Maxx A. Gallegos, MD

University of New Mexico

Albuquerque, New Mexico

Dr. Maxx A. Gallegos is an Assistant Professor of Urology in the Department of Surgery at the University of New Mexico Health Sciences Center in Albuquerque. He also serves as the Associate Resident Program Director in the Division of Urology there. He graduated with honors from the University Of Kansas School Of Medicine in 2011. From 2016 to 2017, he worked as a reconstructive urologist at Detroit Medical Center in Michigan. In addition to his positions at UNM, Dr. Gallegos also has a private practice in Albuquerque. He is an expert in plastic surgery of the urogenital system, and his clinical interests include urethral and ureteral reconstructive surgery, genital aesthetic surgery, urologic prosthetics, genital/urinary trauma, and adolescent to adult urologic care. Dr. Gallegos is a Fellow of the Alpha Omega Alpha Honor Medical Society and a member of the American College of Surgeons.

Disclosures:

Talks by Maxx A. Gallegos, MD

Pelvic Fracture Urethral Disruption: The Hardest Straightforward Case

Posted by Maxx A. Gallegos, MD | Jul 2024

Maxx A. Gallegos, MD, discusses Pelvic Fracture Urethral Disruption/ Injury (PFUI), including its etiology, diagnosis, preoperative planning, and treatment. He begins by debunking a few myths about the location of PFUIs and their etiologies.

Dr. Gallegos then presents the process of diagnosis for PFUIs, and which tools are inappropriate for diagnosis and preoperative planning. He discusses the benefits and setbacks of preoperatively treating PFUI patients with Primary Realignment versus Super Pubic Tube alone.

Dr. Gallegos then outlines the reconstruction challenges associated with treating PFUIs. He notes that, while the surgical steps are straightforward, complications due to the number of required sutures, lack of urethral length, and the proximity to the rectum are common.

He concludes by sharing tips, tricks, and best practices for successful urethral reconstruction after a PFUI. He compares the outcomes for males and females and presents examples of each.

Genital Reconstruction After Massive Tissue Loss

Posted by Maxx A. Gallegos, MD | Feb 2021

Maxx A. Gallegos, MD, Director of Reconstructive Urology at the University of New Mexico Health Sciences Center in Albuquerque, New Mexico, presents on genital reconstruction after patients have suffered massive tissue destruction. He addresses the epidemiology and etiology of genital tissue destruction, as well as the physiology of healing. Though rare, there are many possible ways a person can experience loss of genital skin, including burns, necrotizing fasciitis, lymphedema, self-mutilation, and sclerotic conditions. The incidence of necrotizing fasciitis is also rising, likely due to increased incidence of diabetes in the United States population. As primary intention healing is not a viable option in these severe cases, Dr. Gallegos recommends secondary intention techniques, such as grafts and fasciocutaneous flaps. Dr. Gallegos then presents several case studies, including four patients with Fournier’s gangrene, a patient with stab wounds, and a patient with lymphedema. He concludes by describing his postoperative process and how frequently patients should return for wound checks.

Urethral Stricture Management in the 21st Century: Treatments for Even the Worst Urethras

Posted by Maxx A. Gallegos, MD | Nov 2018

Maxx Gallegos, MD, reviews traditional urethral stricture management techniques, specifically direct visualization internal urethrotomy (DVIU) and dilation. He then discusses new and emerging techniques, especially urethroplasty, that may better benefit these patients.