AUA 2017: Incidence of Stress Incontinence Following Posterior Urethroplasty Among Radiation-Induced Posterior Urethral Stenoses
Boston, MA (UroToday.com) The purpose of this study was to identify the incidence of stress urinary incontinence in patients with radiation-induced urethral strictures who underwent EPA. These patients were compared to those undergoing urethroplasty for pelvic fracture.
AUA 2017: Quality of life among men after after Rectourethral fistula repair
Boston, MA (UroToday.com) The University of Washington presented their data on quality of life in men after repair of a rectal urethral fistula. The series had 21 patients. In the post-op period, patients with a history of radiation had a 30% rate of Grade III or higher complications versus 10% in the non-radiated patient.
AUA 2017: Point-Counterpoint Debate: Refractory Urge Incontinence - Which Comes First?
Boston, MA (UroToday.com) At the Society for Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction, Dr. Stephen Kraus moderated a Point-Counterpoint debate on Refractory Urge Incontinence - Which Comes First? Debaters were Dr. David Ginsberg arguing the position of using onabotulinumtoxin A first and Dr. Suzette Sutherland arguing the position of sacral neuromodulation first.
AUA 2017: What You Need to Know about Treating Interstitial Cystitis
Boston, MA (UroToday.com) At the Society for Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction, the program began with Dr. Christopher Payne discussing the topic, "What You Need to Know about Treating Interstitial Cystitis."
AUA 2017: Artificial Urinary Sphincters
Boston, MA (UroToday.com) Dr. Ouida Lenaine Westney presented the approach to recurrent bladder neck contractures in patients with an artificial urinary sphincter already in place. She recommends making a perineal incision to open the cuff and then using a resectoscope to open the contracture. Additionally, smaller scopes can be used, such as a pediatric cystoscope or a semi-rigid ureteroscope. Balloon dilation of the contracture under fluoroscopy is also a potential option.
AUA 2017: Charles Devine Lecture: Surgical Management of Anastomotic Stenosis After Radical Prostatectomy
Boston, MA (UroToday.com) Anastomotic stenosis after radical prostatectomy can be prevalent in up to 32% of patients. Typically patients present in the first six months after surgery. In order to plan the surgical approach to a repair, the urologist must establish the length, location and etiology of the stenosis.
AUA 2017: Complex Bladder and Prostatic Urinary Fistulas
Boston, MA (UroToday.com) Dr Alex Vanni discussed the use of gracilis muscle interposition for radiation urinary fistula repair. Success rates for this repair is 86% compared to 50% with a York Mason technique, with fewer complications. He repairs the urethra with a buccal mucosa graft and then rotates in a gracilis flap.