International Functional and Reconstructive Urology Update Archives

“Just Drink a Glass of Wine” and Other Things Doctors Get Wrong About Sex Med

Posted by Kelly J. Casperson, MD | Dec 2024

Kelly J. Casperson, MD, discusses the complexities surrounding female sexual health, addressing both societal misconceptions and medical gaps. In this 21-minute talk, she emphasizes that sex education, even for medical professionals, has been inadequate, with little attention paid to female anatomy.

Casperson highlights the medical community’s oversimplification of female sexual dysfunction, dividing it into issues of desire, arousal, orgasm, and pain. She critiques the cultural tendency to prescribe medications for low sexual desire without first addressing lifestyle, relational dynamics, and patient understanding of their own sexual health.

In her discussion on treatments, Casperson points out the challenges women face in getting access to effective therapies for sexual dysfunction. Additionally, Casperson addresses misconceptions about menopause and the effects of declining hormones on sexual and urinary health.

Prostate Cancer Survivorship

Posted by Humberto Villarreal, MD, MSCI | Dec 2024

Humberto Villareal, MD, MSCI, provides an overview of prostate cancer survivorship, emphasizing its prevalence and the importance of comprehensive care post-treatment.

Key points in this 9-minute presentation include the challenges of discussing treatment options with patients, particularly regarding the immediate and long-term effects of different therapies. Survivorship care plans are vital, providing structured guidelines for monitoring recurrence and addressing adverse treatment effects. Villareal stresses that these plans ideally involve a multidisciplinary approach, integrating input from healthcare providers, mental health professionals, and caregivers with the patient at the center.

Pediatric to Adult Transition in Urology

Posted by Daniel Wood, MBBS, PhD, FRCS | Dec 2024

Daniel Wood, MBBS, PhD, FRCS, provides an overview of the transition from pediatric to adult care for patients with complex urological conditions. This 6-minute talk highlights the challenges patients face as they move from a trusted pediatric care team to adult providers, emphasizing the need for continuity of care. Dr. Wood explains that transition is not merely the transfer of care but involves preparing young adults to manage their health, develop long-term care plans, and ensure they are connected with adult healthcare providers.

Wood touches on the significance of managing neuropathic bladder conditions in patients transitioning from pediatric to adult care. He underscores the necessity of addressing sexual health and fertility, topics often overlooked. The speaker also stresses the role of multidisciplinary care, involving nephrologists and urologists, to optimize patient outcomes.

Female SUI: Full-length MUS, PVS

Posted by Christopher E. Wolter, MD | Dec 2024

Christopher E. Wolter, MD, focuses on advancements in the surgical management of female stress urinary incontinence, emphasizing the evolving role of different sling techniques. In this 11-minute presentation, Wolter highlights midurethral slings (MUS), specifically retropubic slings, widely accepted as the gold standard.

The discussion includes photographic, ultrasound, and drawn images to illustrate correct sling placement. Wolter also discusses patient selection criteria for different sling options. He notes that addressing the stress component first often helps alleviate urgency; however, data suggests that urgency symptoms resolve in 66% of cases when treated with mid-urethral slings. Finally, Wolter acknowledges the importance of patient counseling and education, to assure sling success.

SUI – AUA/SUFU Guidelines 2017 — Amendment 2023

Posted by Suzette E. Sutherland, MD, MS, URPS | Dec 2024

Suzette E. Sutherland, MD, MS, URPS, discusses the AUA and SUFU guidelines for evaluating and treating stress urinary incontinence (SUI). In this five-minute talk, Dr. Sutherland reviews the five key components for evaluating a patient with SUI and discusses indications for advanced diagnostic tools such as cystoscopy and urodynamics.
Dr. Sutherland’s discussion continues with the Guideline’s treatment options, both non-surgical (pessaries, vaginal inserts, and pelvic floor muscle exercises), and surgical (bulking agents, midurethral slings). The recent amendment to the guidelines now allows clinicians to offer single-incision slings alongside retropubic and transobturator slings for patients, reflecting their comparable safety and effectiveness.