Seattle

The Association Between Testosterone Treatment and Incident of Cardiovascular Events among Testosterone Deficient U.S. Veterans

The Association Between Testosterone Treatment and Incident of Cardiovascular Events among Testosterone Deficient U.S. Veterans

Posted by | Oct 2024

Thomas J. Walsh, MD, MBA, MS, provides a detailed examination of the relationship between testosterone treatment and the incidence of cardiovascular events among testosterone-deficient U.S. veterans.

In this 19-minute presentation, Dr. Walsh outlines the background of testosterone deficiency, noting ongoing concerns regarding its safety, particularly its potential to increase the risk of heart attacks, strokes, and other heart-related issues.

Drawing on data from a large cohort of U.S. veterans, Dr. Walsh discusses the incidence of cardiovascular events in patients undergoing testosterone therapy compared to those who do not receive such treatment. He discusses the methodology used in the study, including the selection of participants, the duration of follow-up, and the statistical analyses employed to control for confounding variables.

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Implantable Tibial Nerve Stimulation (iTNS): Revi

Implantable Tibial Nerve Stimulation (iTNS): Revi

Posted by | Sep 2024

Suzette E. Sutherland, MD, MS, URPS, focuses on implantable tibial nerve stimulation (ITNS) for treating overactive bladder and urinary incontinence. In this 17-minute presentation, she introduces the Revi device featured in the OASIS trial.

After discussing the Revi device’s benefits, Dr. Sutherland reviews the implantation procedure and the 12-month data from the OASIS trial, which show promising results. The device is considered safe, with no serious adverse events reported. Minor issues such as discomfort were easily resolved with reprogramming, a feature of note with this device.
Sutherland emphasizes the importance of ease of use, safety, and flexibility in choosing ITNS devices. As more implantable devices enter the market, factors like surgical complexity, reprogrammability, battery replacement needs, and ongoing support will determine their success.

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Simplified Management of Male Genital Pain

Simplified Management of Male Genital Pain

Posted by | Aug 2024

Ryan P. Terlecki, MD, FACS, presents a focused and practical approach to managing male genital pain, emphasizing simplification in both diagnosis and treatment. In this presentation, he stresses the importance of thorough patient history and physical examination and introduces a streamlined diagnostic framework to identify the underlying causes of genital pain.

Dr. Terlecki advocates for an intake questionnaire, physical exam, and lab work, focusing on symptom relief and quality of life as primary treatment goals. He reviews various medical causes of symptoms and possible treatment solutions, including referrals to other health practitioners, such as pain management specialists, orthopedists, or even alternative medicine providers. His insights provide a clear and actionable framework for urologists seeking to improve outcomes for patients suffering from this often debilitating condition.

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