Voiding Dysfunction/BPH
John Stoffel, MD
Chief, Division of Neurourology, Pelvic Reconstruction
Department of Urology, University of Michigan
Humphrey Atiemo, MD
Medical Doctor Urology
Vattikuti Urology Institute, Henry Ford Hospital
Michael Kennelly, MD
Professor, Department of Urology
Carolinas Medical Center, Atrium Health
Rose Khavari, MD
Associate Professor
Houston Methodist Hospital
Anne Pelletier Cameron, MD (she/her/hers)
MD FRCSC FPMRS
University of Michigan
Course Description: Caring for the complex neurogenic bladder/voiding dysfunction patient can be very challenging. For many everyday clinical scenarios, there are no "standard of care" pathways to use. As a result, clinicians learn how to treat these patients through discussion of case examples and debating the current best care practices. This course will focus on discussing and debating common controversies in patient care regarding the diagnosis and treatment of neurogenic voiding dysfunction. The audience will be presented several management strategies by experts in the field and choose which strategy is most applicable to a case scenario.
After attending this course, learners will be able to:
- Identify key management goals for refractory urinary incontinence, urinary retention and chronic urinary tract infections in neurogenic bladder patients.
- Discuss how specific tests, such as urodynamics, urinary analysis/culture and upper tract imaging, may or may not improve neurogenic bladder patient care for different scenarios.
- Understand risks and benefits of using intermittent catheterization, suprapubic tubes and surgical reconstruction to improve patient safety and/or quality of life.
- Develop a care plan for managing complex neurogenic bladder/voiding dysfunction patients for conditions such as spinal cord injury, multiple sclerosis, Parkinson's disease and spina bifida, and be able to explain the plan to patients.
The audience will learn about caring for these complex patients through participation in a Hot Air Balloon Debate classroom. A Hot Air Balloon Debate is an educational debate in which a number of speakers attempt to present the best argument to win the approval of an audience. The audience is invited to imagine that the speakers are flying in a hot air balloon which is sinking. After each round of debate, someone must be thrown out of the balloon to keep it afloat. The audience will evaluate the strength of each debater's argument and vote which debater is removed from the balloon each round. The debate continues until only one debater remains (https://en.wikipedia.org/wiki/Balloon_debate)