Ralph E. Hopkins Urology Seminar Archives

Simplified Management of Male Genital Pain

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

Ryan P. Terlecki, MD, FACS, presents a focused and practical approach to managing male genital pain, emphasizing simplification in both diagnosis and treatment. In this presentation, he stresses the importance of thorough patient history and physical examination and introduces a streamlined diagnostic framework to identify the underlying causes of genital pain.

Dr. Terlecki advocates for an intake questionnaire, physical exam, and lab work, focusing on symptom relief and quality of life as primary treatment goals. He reviews various medical causes of symptoms and possible treatment solutions, including referrals to other health practitioners, such as pain management specialists, orthopedists, or even alternative medicine providers. His insights provide a clear and actionable framework for urologists seeking to improve outcomes for patients suffering from this often debilitating condition.

The Immortal Field of Longevity in Men’s Health

Posted by Jesse N. Mills, MD | Aug 2024

Jesse N. Mills, MD, discusses longevity, an evolving field in men’s health. Dr. Mills begins by framing longevity within the broader context of men’s health, emphasizing that longevity is not merely about extending lifespan but enhancing the quality of life.
Dr. Mills explores the key factors contributing to longevity, including testosterone management, cardiovascular health, and mental well-being. He discusses many popular anti-aging therapies that, once only used by professional athletes, have become more common, such as saunas, cold plunges, and hyperbaric oxygen chambers. Moreover, Dr. Mills discusses pharmaceuticals that improve longevity, including semaglutides, metformin, and testosterone.
He also discusses the critical importance of cardiovascular health, noting that many of the same factors that contribute to heart disease—such as diet, exercise, and stress management—are also essential for promoting longevity. He also delves into the psychological aspects of longevity, arguing that addressing issues such as depression, anxiety, and social isolation is crucial.

Surgical Planning for Robotic Prostatectomy When You Are Not the First Surgeon to the Site: Access and Salvage Challenges

Posted by John W. Davis, MD | Aug 2024

John W. Davis, MD, FACS, explores the complexities associated with surgical planning for robotic prostatectomy, particularly when the surgeon is not the first to operate on the site. He underscores the importance of meticulous preoperative planning, which includes thoroughly reviewing the patient’s medical history.

Dr. Davis discusses various challenges that surgeons may encounter, such as scar tissue formation, adhesions, and changes in the pelvic anatomy. He also addresses adapting robotic surgical techniques to accommodate the patient’s altered anatomy.
In addition to access challenges, Dr. Davis delves into the complexities of salvage prostatectomy. Despite these challenges, he stresses that successful outcomes are achievable with proper planning and technique.

Changing Paradigm in the Diagnosis Band Management of Erectile Dysfunction

Posted by Mohit Khera, MD, MBA, MPH | Aug 2024

Mohit Khera, MD, MBA, MPH, Professor of Urology and Director of the Laboratory for Andrology Research at the McNair Medical Institute at Baylor College of Medicine, identifies the paradigm shifts presented in 2018 guidelines for erectile dysfunction (ED), and the current landscape of treating these patients with regenerative therapies.

Peyronie’s Disease: Surgical Approaches

Posted by William O. Brant, MD, FACS, FECSM | Aug 2024

William O. Brant, MD, FACS, FECSM, Urologist at the Veterans Affairs Medical Center in Salt Lake City, Utah, presents an analysis of surgical approaches for Peyronie’s disease. With a focus on both shortening and lengthening procedures, Dr. Brant delves into the intricacies of various surgical techniques, providing a thorough examination of each method’s benefits and considerations. In his meticulous exploration, Dr. Brant begins by discussing the placation technique, a procedure aimed at addressing the excessive curvature caused by Peyronie’s disease. He elucidates the surgical process, highlighting its potential for restoring penile function and improving patient satisfaction. Furthermore, Dr. Brant explores the outcomes of placation, including changes in penile length and erectile function, enabling readers to grasp the potential benefits and limitations associated with this approach. Moving forward, the discussion expands to encompass plaque incision and excision techniques, which involve the precise removal of the fibrous plaque responsible for the curvature. Beyond the technical aspects, Dr. Brant also emphasizes the importance of personalized decision-making in the management of Peyronie’s disease. He discusses the significance of considering individual patient needs, taking into account factors such as disease severity, patient preferences, and overall health. The presentation encompasses an array of clinical scenarios and surgical techniques, showcasing Dr. Brant’s wealth of experience and expertise in the field. From the assessment of deformities to the exploration of different incision options, the presentation offers a comprehensive overview of the surgical approaches available for Peyronie’s disease.