Video Archives

Stone Volume is a Better Predictor of Spontaneous Stone Passage

Posted by Seth K. Bechis, MD | Oct 2024

Dr. Seth K. Bechis, MD, discusses the critical role of stone volume as a predictor of spontaneous stone passage in patients with urolithiasis. He emphasizes that while stone size has traditionally been considered the primary factor in determining the likelihood of spontaneous passage, emerging evidence suggests that stone volume offers a more accurate assessment. Dr. Bechis advocates for integrating this assessment into routine evaluation protocols.

In this 16-minute presentation, Dr. Bechis explains that stone volume, which accounts for both the size and the three-dimensional shape of the stone, provides a more comprehensive measure that correlates better with clinical outcomes. This is especially relevant in determining whether to pursue active intervention or adopt a more conservative, observational approach.

Update on Penile Implants: Best Practice and Taking Care of Complications

Posted by Jesse N. Mills, MD | Oct 2024

Jesse N. Mills, MD, delivers an insightful presentation on the latest advancements and best practices in using penile implants.

In this 14-minute discussion, Dr. Mills reviews prep and surgical techniques. He also discusses both early and late complications associated with penile implants and outlines strategies for addressing issues such as infection and erosion. He stresses the importance of patient follow-up to ensure early detection and management of complications, thereby improving long-term outcomes.

Dr. Mills concludes by emphasizing the need for continuous education and skill development among urologists to keep pace with advancements in penile implant technology and surgical techniques. His presentation is a comprehensive guide for clinicians seeking to enhance their practice in managing penile implants and caring for patients experiencing complications.

Female Stress Urinary Incontinence 2023

Posted by Brian J. Flynn, MD | Oct 2024

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.

Trends of Urinary Diversion: Declining Popularity of Continent Diversion

Posted by Margit Fisch, MD, FEAPU, FEBU | Oct 2024

Margit M. Fisch, MD, FEAPU, FEBU, discusses the evolving trends in urinary diversion, emphasizing the declining popularity of continent diversion techniques. She analyzes the factors contributing to this shift, citing advancements in surgical techniques, patient outcomes, and the growing preference for less complex procedures.

She delves into the challenges associated with continent diversions, including the higher risk of complications, the need for patient adherence to catheterization, and the potential for long-term issues such as stenosis or pouch-related problems.

Fisch questions the quality of recent data on continent diversion’s effectiveness and underscores the importance of ongoing research and innovation. She encourages urologists to stay informed and carefully consider evolving evidence when planning surgical strategies for urinary diversion.

Early Continence Recovery after Robotic Assisted Radical Prostatectomy: The Role of Prostatic Shape

Posted by Pierluigi Bove, MD | Oct 2024

Pierluigi Bove, MD, explores the role of prostatic shape in continence preservation and recovery after robotic-assisted radical prostatectomy (RARP). Dr. Bove begins with a review of the key preoperative anatomical landmarks and how they inform surgical strategy.

Dr. Bove presents data supporting the relationship between preoperative Membranous Urethral Length (MUL,) bladder neck preservation, prostatic shape, and continence recovery post-RARP. He notes that preserving as much of the MUL and bladder neck as possible led to significantly higher rates of continence. Additionally, he notes that prostates with no membranous urethral overlap, or “apple-shaped” prostates, had the best urinary continence recovery.

Dr. Bove concludes by presenting video examples of RARP surgical strategies which preserve/ promote continence recovery. He presents common complications during RARP and examples of how his institution has compensated for them.