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PEER-TO-PEER CLINICAL CONVERSATIONS |
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| Single-Use Disposable Cystoscopy |
| Roger Dmochowski MD, MMHC, FACS, David Chaikin, MD, BS, and Vijay Goli, MD, FACS |
| In this conversation, Roger Dmochowski, David Chaikin, & Vijay Goli discuss the United States Federal Drug Administration cleared single-use disposable UroViu cystoscopic platform and share their experience with the device as well as the economic implications for Urology and UroGynecology practices. |
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A Novel Sublingual Vaccine for Prevention of Recurrent Urinary Tract Infections in Women
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J. Curtis Nickel MD, FRCSC
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| Diane Newman is joined by J. Curtis Nickel as he highlights his 2021 American Urological Association (AUA) presentation of a novel sublingual vaccine for the prevention of urinary tract infections in women.
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Facing Pelvic Pain
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Elise De, MD
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| Elise De joins Diane Newman in this conversation on chronic pelvic pain syndrome highlighting the recent publication of “Facing Pelvic Pain: A Guide for Patients and Their Families”. Dr. De, whose current research focuses on pelvic pain and voiding dysfunction highlights diagnosing and managing pelvic pain syndrome, ways to treat the symptoms, along with strategies for success for other providers and for patients in managing pelvic pain and improving quality of life.
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| John K. Lattimer Lecture: The Urinary Microbiome Impacts Urologic Disease |
| J. Curtis Nickel, MD, FRCSC |
| In this lecture, J. Curtis Nickel discusses the impact of the urinary microbiome on urologic disease. Dr. Nickel notes that the traditional dogma is that the urinary tract is normally sterile, a belief that has persisted until the last decade. Interestingly, when the Human Microbiome Project was undertaken (2007-2016), the urinary tract was not included. Dr. Nickel notes that since then, increased utilization of next-generation sequencing has improved and changed our understanding of microbes. |
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| Urethroplasty Outcomes for Urethral Stricture Disease in Patients with Neurogenic Bladder or Bladder Dysfunction Requiring Clean Intermittent Catheterization - Beyond the Abstract
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| Jason Lui, Nathan Shaw, Andrew Cohen, Benjamin Breyer
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| Patients with neurogenic bladder or severe myogenic failure require safe bladder drainage. Often, these patients are managed with clean intermittent catheterization, however, long-term CIC can result in significant urethral trauma, including the development of urethral stricture disease (USD). In severe cases of USD, management requires urinary diversion, catheterizable channel, permanent suprapubic tube, or urethroplasty. This abstract presents data on the safety and efficacy of urethroplasty in this population and offers thoughts on the ideal transition back to clean intermittent catheterization following urethroplasty.
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| Office Flexible Cystoscopy and Voiding Cystourethrogram in the Evaluation of Women With rUTIs Influence Their Management
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| Janett Ordonez, Alana Christie, and Philippe Zimmern
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| A prospectively maintained database of consecutive women evaluated for recurrent urinary tract infections (rUTI) was retrospectively reviewed for findings of flexible cystoscopy and voiding cystourethrogram (VCUG). Demographic data analyzed included parity, gravity, body mass index, age, ethnicity, race, smoking history, duration of urinary tract infection history, history of diabetes, hormone replacement therapy, prior urological surgeries, sexual activity and possible relationship with rUTIs, coital prophylaxis use, urine culture findings, antibiotic resistance/allergies, cystoscopy, standing VCUG findings, and treatment.
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| Differences in Cystoscopic Findings Between Men and Women With Interstitial Cystitis in the VA Healthcare System |
| Andrew Chen, MD, Catherine Bresee, MS, Amanda De Hoedt, MS, Jayoung Kim, Ph.D., Stephen Freedland, MD, Jennifer Anger, MD, MPH |
| The aim of this retrospective chart review was to determine if there were differences in cystoscopic findings between genders. All hospital visits of men and women at the Veteran Health Affairs Hospital System between October 2004 – July 2016 were analyzed. Patients> 18 years of age with an established diagnosis of interstitial cystitis/bladder pain syndrome (IC/BPS) and who underwent cystoscopy were included. Patient demographics and cystoscopic findings of ulceration, glomerulation, inflammation, trabeculation, and tumors were analyzed. |
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