Jackson Hole Seminars Archives

AUA Urethral Stricture Guidelines

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

Chris Gonzalez MD, MBA, FACS, who served on the 2016 American Urological Association (AUA) Male Urethral Stricture Panel, summarizes the guidelines his panel drafted and provides commentary. He analyzes the indications for evaluation, diagnosis, treatment, and follow up in bulbar, penile, and prostatic urethral strictures, as well as in pelvic fracture urethral injury (PFUI). Furthermore, he discusses the future research needed to perfect urethral stricture management practices.

Surgical Management of Stone Disease

Posted by Peter G. Schulam, MD, PhD | Jun 2018

Peter Schulam MD, PhD, discusses the 2016 American Urological Association (AUA)/ Endourology Society guidelines regarding observation of renal calculi, the treatment of ureteral and renal stones, urolithiasis during pregnancy, and the role of open surgery in stone disease. Specifically, he discusses medical expulsive therapy (MET), ureteroscopy, and shockwave lithotripsy (SWL).

Cytoreductive Surgery in the Era of Targeted Therapy for Kidney Cancer: If Yes, When?

Posted by Riccardo Autorino, MD, PhD, FEBU | Jun 2018

Riccardo Autorino MD, PhD, FEBU, discusses the decline in using cytoreductive nephrectomy (CN) for metastatic renal cell carcinoma (mRCC) due to the shift toward targeted therapy in urological practice. He explains the rationale behind CN, its drawbacks, and individual scenarios in which it could provide a benefit, as opposed to targeted therapy and nephron-sparing surgery (NSS). Furthermore, he presents the current therapeutic algorithm for patient selection in these treatment options.

Which Sling to Use – What, When, Why and Who?

Posted by Larissa V. Rodriguez, MD | Jun 2018

Larissa V. Rodriguez, MD, discusses considerations for midurethral sling surgery to treat stress urinary incontinence (SUI) that the American Urological Association (AUA) guidelines do not cover, including how to treat non-index patients and choosing optimal slings for individual cases. Specifically, she compares the outcomes of retropubic, transobturator, and autologous fascia pubovaginal slings in various patient demographics. She also summarizes the evolution of sling surgery and how it came into widespread use.

Priaprism Through a New Prism: Alternative Perspectives on the AUA Guidelines

Posted by Tobias S. Köhler, MD, MPH | Jun 2018

Tobias S. Kohler MD, MPH, discuss the current AUA guidelines regarding priapism, covering proper diagnosis, sympathomimetic injections, phenylephrine use, shunt techniques, and oral medications. He then suggests changes to these guidelines, such as including proper patient counseling, minimizing proximal shunts, and early penile prosthesis. Furthermore, he proposes a new algorithm for the management of this condition.