Jackson Hole Seminars Archives

Management of Nocturia: An Unmet Need in LUTS

Posted by Kevin T. McVary, MD, FACS | Jun 2018

Kevin T. McVary, MD, illustrates that while nocturia is the leading lower urinary tract symptom (LUTS) complaint that prompts men to seek out urological care, the condition persists without improvement in 50% of patients, even after treatment. Therefore, there is a significant unmet need in nocturia management practices. He discusses the condition’s financial and quality of life (QOL) burdens, its multifactorial etiology, and his perspective on treatment approaches.

Utilization of Advanced Practice Providers

Posted by Chris M. Gonzalez, MD, MBA, FACS | Jun 2018

Chris M. Gonzalez, MD, MBA, FACS, explains how integrating advanced practice providers (APPs) into the urology workforce may provide a solution to increasing physician demand in the United States. He then discusses the American Urological Association’s (AUA’s) perspective of the physician led, team-based approaches to integrating APPs, state scope of practice laws, on-site and didactic training options, the possibility of inpatient APP consultation, and reimbursement for APP services.

Biomarkers for Prostate Cancer: Whom to Treat

Posted by Gerald L. Andriole, Jr., MD | Jun 2018

Gerald L. Andriole, Jr., MD, discusses the limitations and successes in the design of the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial (PLCO) and European Randomized Study of Screening for Prostate Cancer (ERSPC) trials. He also emphasizes the importance of patient selection in PSA screening and utilizing other diagnostic methods.

En Bloc TURB – More Than a Safe and Feasible Surgical Technique

Posted by Salvatore Micali, MD | Jun 2018

Salvatore Micali, MD, discusses the pros and cons of en bloc transurethral resection of bladder (TURB) and its advantages over classical TURB. Specifically, he describes how en bloc TURB lends itself to correct specimen orientation, easier identification of the tumor growth front and whether the disease has invaded the chorion, and better determination of the deep surgical margin.

Surgical Management of Refractory Bladder Neck Contracture after BPH Surgery

Posted by Brian J. Flynn, MD | Jun 2018

Brain J. Flynn, MD, identifies the frequency of bladder neck contracture (BNC) following benign prostatic hyperplasia (BPH) surgery, prevention strategies, and endoscopic and surgical management. Furthermore, he explains his BNC management algorithm and the currently available lower urinary tract reconstructive procedure options.