Lower Urinary Tract Conditions VL

Making Sense of Advanced Technologies to Integrate into your OAB Program "Presentation" - Kari Bailey, David Sussman & Neil Kocher

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At the 2024 LUGPA annual meeting, Kari Bailey, David Sussman, and Neil Kocher discuss advanced overactive bladder therapies, highlighting the shift toward earlier use of neuromodulation and tibial nerve stimulation. They emphasize patient selection, multimodal approaches, and the role of patient navigation in optimizing outcomes. Biographies: Kari Bailey, MD, Anne Arundel Urology, Annapolis, MD Da...

Social Factors Impact Urethral Stricture Surgery Outcomes - Hiren Patel

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Ruchika Talwar hosts Hiren Patel to discuss a multi-institutional study examining the impact of social deprivation on anterior urethral stricture recurrence after urethroplasty. Using the TURNS database of over 1,400 patients, the research reveals that higher social deprivation scores correlate with increased stricture recurrence rates and shorter recurrence-free intervals following surgery. The c...

Elite Female Athletes Show Higher Rates of Pelvic Floor Dysfunction and Dyspareunia - Avanti Rangnekar

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Diane Newman hosts Avanti Rangnekar to discuss research examining pelvic floor dysfunction and dyspareunia in elite female athletes at the University of Pennsylvania. The study investigates whether rigorous athletic training contributes to increased incidence of pelvic floor dysfunction, particularly focusing on provoked vestibulodynia (PVD) and painful intercourse among NCAA Division I athletes i...

Study Finds Dose-Response Relationship Between Pack-Year Smoking and Urinary Urgency - Avanti Rangneka

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Avanti Rangnekar joins Diane Newman to discuss research examining the relationship between smoking and urinary urgency in women. The study, conducted through ResearchMatch, analyzes data from over 1,700 community-based women to evaluate both current smoking status and cumulative pack-year history's impact on overactive bladder symptoms. The findings reveal that current smokers face significantly h...

Rise of Testosterone Clinics Raises Concerns Over Side Effects and Safety - Martin Miner

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Martin Miner discusses a Wall Street Journal article highlighting concerns about testosterone clinics and replacement therapy. Dr. Miner explains who makes appropriate candidates for testosterone therapy, emphasizing the importance of both low levels and clinical symptoms, while cautioning against the trend of younger men seeking treatment purely for body image concerns. He discusses how testoster...

The Rise of FRU: How Functional Urology Intersects with Reconstructive Urology - Brian J. Flynn

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Brian Flynn discusses the emerging field of functional urology. Dr. Flynn defines functional urology as a comprehensive approach to non-cancer, non-stone, adult urological issues, focusing on restoring patients' functionality. He positions it as a bridge between reconstructive and traditional urology, emphasizing the need for expertise in both surgical techniques and physiological understanding. D...

HoLEP vs ThuLEP: Comparing Laser Enucleation Techniques in Prostate Surgery "Presentation" - Bruce Gao

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At the World Congress of Endourology and Uro-Technology, Bruce Gao presents a case study comparing holmium laser enucleation of the prostate (HoLEP) and thulium fiber laser enucleation of the prostate (ThuLEP) performed on the same patient with symmetrical lateral lobes. Dr. Gao describes the surgical technique, highlighting differences between the two laser types. The left lobe undergoes HoLEP, w...

Ureteral Stricture Risk After Ureteroscopy: The PULS Score "Presentation" - Amir Lavasani

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At the World Congress of Endourology and Uro-Technology, Amir Lavasani presents a study on ureteral stricture formation following ureteroscopy, analyzing 550 cases from 2018 to 2022. The research examines the relationship between stricture formation and injury severity using the Post-Ureteroscopic Lesion Scale (PULS). The study concludes that stricture rates significantly increase with partial or...

Oxybutynin-Associated Cognitive Impairment: Evidence and Implications for Overactive Bladder Treatment - Beyond the Abstract

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Anticholinergic medications have long been mainstays of overactive bladder (OAB) treatment. Oxybutynin, a first-generation anticholinergic, still accounts for more than half of all OAB medication prescriptions, despite associations with impaired memory and cognition, as well as mounting evidence that it may increase the risk of incident dementia. Biographies: Michael Chancellor, MD, Corewell Healt...

Pelvic Floor Disorders among Minority Women: Differences in Prevalence, Severity and Health-Related Social Needs - Raveen Syan & Aaron Gurayah

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Ruchika Talwar interviews Aaron Gurayah and Raveen Syan about their study on pelvic floor disorders among minority women. The research highlights that while these disorders affect a quarter of U.S. women, minority women receive treatments less frequently. The study examines the prevalence, severity, and impact of unmet health-related social needs among Hispanic and Black women, revealing that thes...