Latest Videos Archives

Anterior Urethroplasty – Bulbar (A Primer For Part-Time Plumbers)

Posted by Ryan P. Terlecki, MD, FACS | Jan 2025

Ryan P. Terlecki, MD, FACS, emphasizes key elements for success in urethral surgery, focusing on preoperative planning, technical precision, and effective patient management.

A central message in this 11-minute presentation is to set realistic patient expectations while acknowledging that success is never guaranteed even with advanced surgical techniques. Terlecki compares conservative endoscopic management with surgical options, emphasizing that surgical planning requires careful consideration of anatomy, patient history, and the specifics of the stricture.

Dr. Terlecki stresses meticulous preparation, including the importance of standard protocols. Preoperative collaboration with anesthesia and other specialties is encouraged, along with video primers to prepare team members. Intraoperative decisions, such as when to transition from endoscopic to open surgery, are highlighted as critical moments requiring flexibility. He stresses that surgeons should stay calm under pressure and stick to their plan, even when faced with unexpected challenges.

Future Directions (FD) in Molecular Targeted Imaging (MTI) and Theranostics Discussion

Posted by Robert E. Reiter, MD, MBA | Jan 2025

Robert E. Reiter, MD, MBA, highlights advances in molecular targeting and imaging in prostate cancer, with a focus on PSMA PET imaging. PSMA PET is expanding its role, particularly in identifying primary or secondary tumors when MRI results are negative or ambiguous. This application, under investigation in the Primary Two study, could reduce unnecessary biopsies and improve tumor detection.

In this 7-minute presentation, Dr. Reiter reviews PSMA-guided surgical resection using fluorescence or radioguidance to enhance precision. He asserts that this approach could reduce positive margins, optimize node removal, and support nerve-sparing techniques when appropriate, improving functional outcomes.

Reiter also discusses PSMA PET in oligometastatic disease, specifically the optimal treatment approach when few metastases are present. In addition, PSMA imaging is being explored in focal and radiation therapies, where it could provide a more accurate assessment of recurrence and treatment response; in advanced prostate cancer, PET could help identify resistant lesions for targeted radiotherapy.

PCNL Challenges: How to Keep the Train on the Rails

Posted by Wesley A. Mayer, MD | Jan 2025

Wesley A. Mayer, MD, offers a comprehensive discussion on optimizing percutaneous nephrolithotomy (PCNL), focusing on minimizing complications, strategic planning, and adaptive surgical techniques.

In this 20-minute presentation, Dr. Mayer reviews indications for PCNL with updates on guidelines. He stresses the importance of individualized treatment decisions. Mini PCNL is emphasized for challenging lower pole stones, and for smaller stones, balancing efficiency and patient outcomes.

Dr. Mayer stresses preoperative preparation, underscoring the value of detailed imaging. The choice of access (prone vs. supine) is tailored based on patient anatomy, stone location, and procedural requirements. The importance of a flexible and adaptive approach is stressed, with practical examples illustrating the decision-making process when encountering complications.

Lastly, Dr. Mayer underscores the importance of knowing when to continue versus when to safely abort a procedure, reflecting on the need for prudent judgment to optimize patient safety and surgical outcomes.

Single Incision Slings

Posted by Jason M. Kim, MD | Jan 2025

Jason M. Kim, MD, discusses single-incision slings, a less invasive option for treating stress incontinence in women. In this 9-minute presentation, Dr. Kim offers single-incision slings as a less invasive option than traditional retropubic and transobturator slings, eliminating many of the complications associated with traditional methods. He begins with a short background of midurethral slings, including possible complications and why a single incision option would be preferable.
Dr. Kim discusses the benefits of the single-incision sling and shows examples of possible options. He asserts that this less invasive therapy eliminates many complications associated with traditional methods. He also shares studies that have demonstrated its efficacy, including the 2022 Cochrane review and a randomized trial published in The New England Journal of Medicine.

Update on the PROFILE and IMPACT Studies

Posted by Jana McHugh, MB Bch BAO (Hons), MRCPI, FFR | Jan 2025

Jana McHugh, MB Bch BAO (Hons), MRCPI, FFR, discusses the IMPACT and PROFILE studies, which focus on prostate cancer risk and detection in genetically predisposed populations.

In this 11-minute presentation, McHugh shows that both studies emphasize early detection in genetically high-risk men, particularly BRCA mutation and Lynch syndrome carriers. Updated methodologies incorporate multi-ancestry PRS and expanded genetic sequencing to refine risk assessment and address disparities. These findings highlight the importance of precision screening in managing prostate cancer in diverse, high-risk populations.