Alan W. Shindel, MD, MAS, reviews the basic scientific concepts behind low intensity shock wave therapy and the rationale for its use in the management of erectile dysfunction (ED). He discusses existing data from both animal and human models supporting this treatment, as well as the knowledge gaps that must be addressed before adopting it into clinical practice.
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Alan W. Shindel, MD, MAS, explains the current evidence-based recommendations for Peyronie’s disease as described in the 2015 American Urological Association (AUA) guidelines, emphasizing the shared decision-making aspect of these guidelines. He provides an overview of the recommendations regarding the diagnosis of this condition, as well as medical therapy, injections, and surgical repair options.
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Ryan P. Terlecki, MD, FACS, explains the phenomenon of physician burnout as it relates to urologists and outlines the threats it poses to physician wellness. Using his personal experience as a urologist, he discusses practical tips for improving operational efficiency and striving for an improved work/life balance, such as practicing mindfulness, time management, and monotasking.
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Alan W. Shindel, MD, MAS, highlights the fact that, while cisgender lesbian, gay, and bisexual (LGB) people have many similar medical concerns to straight cisgender patients, physicians should exhibit medical professionalism by compentently caring for health risks specific to LGB patients. He reviews urologic concerns germane to this community, like urinary and sexual wellness, as well as quality of life considerations in gay men with prostate cancer.
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Brian J. Flynn, MD, discusses the management of mid/upper ureteral strictures, from evaluation and medical decision making to available treatment options for ureteral reconstruction. He then illustrates surgical techniques and considerations for robotic ureteral reconstruction using buccal mucosa grafts.
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