International Functional and Reconstructive Urology Update Archives

IFRUU Lectureship: Development of a Simple-Minded and User-friendly Classification System Applicable to All Types of Lower Urinary Tract Dysfunction

Posted by Alan J. Wein, MD, PhD (hon), FACS | Aug 2024

Alan J. Wein, MD, PhD (hon), FACS, discusses a simplified and user-friendly classification system for lower urinary tract dysfunction (LUTD), which can be applied to both neurogenic and non-neurogenic conditions. In this 15-minute presentation, he acknowledges the contributions of earlier researchers and emphasizes the utility of this classification system as a guide for diagnosis and management.

The proposed system divides LUTD into two main categories: failure to store and failure to empty, with further subdivisions based on bladder or outlet dysfunction. The system is designed to be practical and applicable to various clinical scenarios. The system simplifies diagnosis and offers a logical framework for treatment options.

Greenlight PVP

Posted by Gregg R. Eure, MD, FACS | Aug 2024

Gregg R. Eure, MD, FACS, outlines the use of GreenLight laser therapy in urology, focusing on its advantages and technique. In this 8-minute presentation, he shares that this laser therapy is efficient, with treatments often lasting under an hour and offering quicker recovery compared to transurethral resection of the prostate (TURP).

Dr. Eure shares that the GreenLight laser is ideal for underwater procedures, comparing it to different laser types, such as thulium and holmium lasers, which are primarily used for stone treatment. He concludes the presentation with practical tips, including managing anticoagulated patients, avoiding use in radiated tissue, and suggestions for patient counseling regarding postoperative expectations.

International Functional and Reconstructive Urology Update

Posted by David Utz | May 2024

The Urology Today conference will keep urologists, urologic oncologists, and other healthcare providers educated on the most pertinent issues in urology practices. Areas of focus include urologic oncology, men’s health and reconstruction, female urology, pediatric urology, kidney stones and related conditions, and methods of providing the best care amidst the required logistics of the business side of medicine.

Posterior Urethral Stenosis: BNC after BPH Surgery

Posted by Brian J. Flynn, MD | Apr 2024

Brian J. Flynn, MD, discusses bladder neck contracture, its frequency, causes, and management options. This 10-minute presentation begins with an overview of bladder neck stenosis terminology, emphasizing its iatrogenic nature primarily resulting from surgical interventions on the prostate, such as transurethral procedures. Flynn highlights the importance of understanding patient history and conducting thorough evaluations, including uroflow studies, post-void residual measurements, and cystoscopy.

Different surgical techniques for reconstruction are covered, with photographs, videos, and illustrations aiding the discussion. Dr. Flynn also reviews preventive measures to avoid subsequent complications, emphasizing precise surgical techniques, including careful incision placements and energy application to minimize damage. Flynn shares personal experiences with cases, highlighting the importance of accurate diagnosis and treatment planning.

The Path to Progress: Value in Continual Professional Development

Posted by Ryan P. Terlecki, MD, FACS | Apr 2024

Ryan P. Terlecki, MD, FACS, emphasizes the importance of continuous professional development (CPD) for medical professionals, particularly urologists. In this 13-minute presentation, he encourages self-investment in meaningful ways that may often be neglected, such as seeking external feedback and mentorship.

The concept of post-game analysis, using video playback to evaluate surgical techniques and outcomes, is introduced as a valuable tool for surgeons to improve. Terlecki underscores the value of peer feedback, noting studies showing significant outcome differences between surgeons with varying skill levels. He encourages others to embrace coachability and continuous self-improvement, aiming to refine their skills while navigating the challenges of the modern medical landscape.