CUA 2018: External Shock Wave Therapy for Pelvic Pain in Men: A Long Term Treatment Option

Halifax, Nova Scotia ( Chronic pelvic pain syndrome (CPPS) is a frequent outpatient urological diagnosis with increasing incidence, reported around 15% especially younger generations and all ethnic origins. It affects around 50% of men throughout their lifetime and can cause urinary and erectile dysfunction if left untreated affecting their quality of life. Currently, there is a lack of guidelines for the management of CPPS. 

CUA 2018: Routine Complete Blood Count has Limited Value Post-Percutaneous Nephrolithotomy in Identifying Hemorrhagic or Infectious Complications

Halifax, Nova Scotia ( At the beginning of his talk, Tad Kroczak, MD, a urology fellow at the University of Toronto, gave a brief background to the percutaneous nephrolithotomy (PCNL) procedure by explaining how complication rates are usually quite low at high volume centers. Similarly, he did mention that hemorrhage and sepsis rates are typically < 5%. Additionally, Dr. Kroczak mentioned that post-operative bloodwork including a complete blood count (CBC) is routinely performed in the early post-operative period at most centers during the routine overnight admission. Due to the low prevalence of any complications following PCNL, a postoperative CBC test may represent a low-value care practice without much benefit. Dr. Kroczak set out in order to test this question and determine the validity of this procedure. 

CUA 2018: Holmium Laser-Assisted Endoscopic-Guided Retrograde Nephrostomy Access for Percutaneous Nephrolithotomy in Prone Split-leg Position

Halifax, Nova Scotia ( In modern clinical practice, obtaining percutaneous access during percutaneous nephrolithotomy (PCNL) remains a challenge for many urologists, thus requiring assistance from interventional radiologists to create antegrade access prior to the procedure. However, the retrograde approach has recently begun to gain favor in some clinical practices since the refinement of the technique with the Lawson puncture wire from Cook Medical.

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