Stephen R. Kraus, MD, MBA, FACS, Author at Grand Rounds in Urology

Stephen R. Kraus, MD, MBA, FACS

University of Texas Health Science Center

San Antonio, Texas

Stephen R. Kraus, MD, MBA, FACS, is a professor and the interim chair of the Department of Urology at the University of Texas Health Science Center at San Antonio (UTHSCSA), where he heads the Division of Female Urology, Neuro-Urology & Voiding Dysfunction. Dr. Kraus completed his undergraduate education at Brandeis University and earned his MD from the University of Medicine and Dentistry of New Jersey (UMDNJ) - Rutgers

Robert Wood Johnson Medical School, where he completed his residency in urology. He completed a fellowship in neuro-urology, incontinence, and urodynamics at the Baylor College of Medicine in Houston. Dr. Kraus earned his MBA with a healthcare focus from the University of Texas at San Antonio College of Business to serve in healthcare leadership and administration. At UTHSCSA, Dr. Kraus has served in many positions including Medical Director for the Department of Urology’s clinical operations, Senior Hospital Medical Director for Quality & Safety, and Chief Medical Officer for Inpatient Services.

A fellow of the American College of Surgeons (FACS), Dr. Kraus is also a member of the American Urological Association (AUA), the South Central Section of the AUA, the Texas Urological Society, the International Continence Society (ICS), and the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU). He served on the board of directors and as the chair of education for SUFU, and he continues to serve on the board of directors and as the chair of the education committees for the Texas Urologic Society. Dr. Kraus also serves on the American Board of Urology oral exam committee.

Dr. Kraus has served as faculty for many postgraduate courses on topics including neurourology, female urology, overactive bladder, male incontinence and voiding disorders, and urodynamics. Dr. Kraus served on the AUA/SUFU National Guidelines Panel on Urodynamics and the AUA/SUF National Guidelines Panel on Female Stress Urinary Incontinence. Dr. Kraus co-chaired the AUA/SUFU National Guidelines Panel on Neurogenic Lower Urinary Tract Dysfunction and headed the SUFU Overactive Bladder (OAB) Clinical Care Pathway Project.

Dr. Kraus has been actively engaged in research and has served as principal investigator for a variety of studies and grants including the Urinary Incontinence Treatment Network, sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (NIH). In addition to serving on the editorial board of Drugs & Aging, BMC Urology, and World Journal of Urology, Dr. Kraus serves as a reviewer for the Journal of Urology, Urology, and Neurourology & Urodynamics.

Dr. Kraus’ clinical practice is heavily focused on urinary incontinence, overactive bladder, Neurogenic Bladder and complex voiding disorders.

Talks by Stephen R. Kraus, MD, MBA, FACS

AUA Guidelines on Neurogenic Lower Urinary Tract Dysfunction

Posted by Stephen R. Kraus, MD, MBA, FACS | Dec 2024

Stephen R. Kraus, MD, MBA, FACS, reviews the updated neurogenic lower urinary tract dysfunction (N-LUTD) guidelines, previously known as neurogenic bladder guidelines. In this 10-minute talk, he notes that the redefined terminology reflects a more comprehensive approach, addressing both bladder and outlet dysfunction.

Kraus explains patients are classified into low, moderate, or high-risk categories based on factors like neurological disease and bladder function. The guidelines use these categories when recommending treatment. Dr. Kraus gives examples, illustrating how the guidelines provide individualized patient treatment. Further, he emphasizes that the guidelines highlight the importance of ongoing monitoring to ensure treatment efficacy and prevent complications in high-risk patients.

Urodynamics Review

Posted by Stephen R. Kraus, MD, MBA, FACS | Sep 2024

Stephen R. Kraus, MD, MBA, FACS, provides a comprehensive review of urodynamics, discussing key concepts and practical applications in evaluating lower urinary tract function. This 14-minute presentation emphasizes the importance of understanding both the storage and emptying phases of bladder function.

Dr. Kraus details how dysfunction can arise from a bladder issue, an outlet problem, or both. Specific examples are given and complex cases are also included. Kraus notes results from various tests, such as those for stress incontinence, overactive bladder, and neurogenic bladder, help guide the use of urodynamics in clinical practice. He highlights the need for careful interpretation of test results to ensure accurate diagnosis and treatment planning.