057IC - Male Reconstructive Urology for the General Urologist

Sunday, April 30, 2023

10:00 AM – 12:00 PM CST

Location: S103C

Instructional Course Director(s)

Joel Gelman, MD

University of California, Irvine

Instructional Course Faculty(s)

Nima Baradaran, MD

The Ohio State University
Keith Rourke, MD (he/him/his)

Professor
University of Alberta
FY

Faysal Yafi, MD

Associate Professor of Urology, Chief of Division of Men's Health and Reconstruc
University of California Irvine

Course Description:This course will review the natural history, initial evaluation and treatment of the male patient with anterior urethral strictures, posterior urethral injuries, obstruction after surgery and/or radiation for prostate cancer, urethral-genital trauma, and other disorders of the penis and scrotum including Peyronie's disease. Topics will include a review of diagnostic urethral calibration with bougie-à-boules, the proper technique for performing urethral imaging (retrograde urethrogram and voiding cystourethogram), new techniques to place suprapubic tubes percutaneously, and a review of current indications and techniques for dilation, urethrotomy and open reconstruction. In addition, the management of urethral genital trauma and other penile-scrotal disorders will be reviewed. This course will focus on basic techniques applicable to the general urologist and also serve as an update on current best practices and guidelines with a focus on algorithms for decision making.

Learning Objectives:

Outline best practices for the evaluation of the male patient with urethral stricture disease.
Review techniques of bougie urethral calibration, retrograde urethrogram and voiding cystourethrogram.
Discuss current percutaneous techniques for suprapubic tube placement, which will enable the participant to perform the placement of 16Fr Foley-type catheters in an emergency setting.
Describe the evaluation and all options for management of urethral and bladder neck narrowing after surgery and/or radiation for prostate cancer.
Discuss the current state-of the-art diagnosis and management of penile curvature, genital injuries, scrotal lymphedema and hidradenitis with an emphasis on the use of management algorithms.