Wesley A. Mayer, MD

Baylor College of Medicine

Houston, Texas

Wesley A. Mayer, MD, is an associate professor of urology, the vice chair for education of the Scott Department of Urology, and an assistant dean of graduate medical education at Baylor College of Medicine in Houston, Texas. Dr. Mayer earned his medical degree from Baylor College of Medicine, graduating with highest honors. He completed his internship in general surgery and his urology residency at the University of Pennsylvania in Philadelphia, Pennsylvania. Dr. Mayer is fellowship-trained in advanced robotic, laparoscopic, and endoscopic surgery in Baylor College of Medicine’s Scott Department of Urology. Dr. Mayer specializes in advanced minimally invasive surgical treatments for urologic diseases including robotic, laparoscopic (including single-site), endourologic, and percutaneous surgery. He has a special interest in kidney cancer, kidney stones, upper urinary tract reconstruction, adrenal masses, and transplant urology. He has also published research and has been invited to speak on these topics at several national and international conferences. Dr. Mayer has been repeatedly selected as a “Top Urologist in Houston, Texas” in The Leading Physicians of the World and a “Top Doc” in Houstonia Magazine. Dr. Mayer is an accomplished educator. He received prestigious Norton Rose Fulbright Faculty Excellence Awards for educational leadership, as well as for teaching and evaluation. He was nominated for the 2020 Distinguished Faculty Award at Baylor College of Medicine and for a national teaching award from the Resident and Fellows Committee of the American Urological Association (AUA). Dr. Mayer has been an invited faculty member for several national educational courses, including the AUA’s Annual Oral Board Examination Review course and the AUA’s Mentored Laparoscopy course. Dr. Mayer served on the Accreditation Council for Graduate Medical Education’s (ACGME) Urology Milestones 2.0 Working Group, which created competency-based developmental outcome goals used by all accredited urology residency programs in the United States. He has participated in a number of task forces for the Society of Academic Urologists and for the ACGME’s Urology Standing Panel for Accreditation Appeals. Dr. Mayer has published widely on innovations in surgical education, co-authoring over 30 publications on cutting-edge surgical technology and techniques, and he has been an invited panelist at numerous national and international conferences concerning a variety of topics in education.

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Talks by Wesley A. Mayer, MD

Endoscopic Challenges in the Renal Transplant Patient

Posted by Wesley A. Mayer, MD | Apr 2021

Wesley A. Mayer, MD, outlines common urologic complications of renal transplant patients and discusses surgical options and endoscopic strategies to build confidence in managing these patients. Some of the urologic complications for renal transplant patients include ureteral strictures and urolithiasis. Dr. Mayer discusses using endourologic treatment, ureteroscopy, and PCNL to treat these complications. He discusses that there are more kidney donors accepted with stones and how to select patients for these transplants. He explains that ex vivo ureteroscopy is a safe, quick, and relatively straightforward and effective management option for donor kidneys with stones. He suggests working with an endourologist in complex cases.

Guideline-Based Approach to Metabolic Stone Management for the General Urologist

Posted by Wesley A. Mayer, MD | Feb 2021

Wesley A. Mayer, MD, Associate Professor of Medicine at Baylor College of Medicine in Houston, Texas, discusses the AUA guidelines for the medical management of kidney stones, also known as nephrolithiasis. There are 27 guidelines, fitting into the categories of evaluation, diet therapy, pharmacologic therapy, and follow-up. Dr. Mayer urges urologists to care for the whole patient, and to not just focus on the surgical issue. Nephrolithiasis is both a surgical and medical disease, making follow-up with these patients essential. For example, urologists can use a metabolic work-up to reduce the risk of future stone formation. Dr. Mayer concludes by reemphasizing that stone management often requires multiple modalities, including diet and medication, and by noting that for complex cases, urologists may want to consider referring patients to a dietician or other expert.

Mini and Ultra-Mini Percutaneous Nephrostolithotomy: Is It All It’s Cracked up to Be?

Posted by Wesley A. Mayer, MD | Oct 2019

Wesley A. Mayer, MD, discusses technological and procedural developments in mini percutaneous nephrostolithotomy (mPCNL) over the last 20 years. He describes the varied tools and methods of the procedure, outlines the lack of data on the efficacy of the procedure, and discusses the advantages and possible drawbacks of this method over standard PCNL.

The Bottom Line: Practical Application of Clinical Trial Data to Advanced Renal Cell Carcinoma

Posted by Wesley A. Mayer, MD | Jan 2019

Wesley A. Mayer, MD, reviews the landmark trials that set the standard of care for cytoreductive nephrectomy (CN) and the impact of targeted therapy on this technique. He discusses recent clinical trials on CN and targeted therapy, as well as data regarding cytoreductive partial nephrectomy.

Recurrent Flank Pain: Strategies for the Successful Workup and Management of a Frustrating Clinical Conundrum