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
The major objective of this course is to provide the general urologist with a practical approach to male patients who presents with urethral or penile disorders. 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, penile disorders such as Peyronie's Disease and certain scrotal disorders such as lymphedema or hidradenitis. Topics will include a review of the appropriate diagnostic urethral stricture evaluation including calibration with bougie à boules and the proper technique for performing urethral imaging (retrograde urethrogram and voiding cystourethogram). In addition, we will discuss new techniques to place suprapubic tubes percutaneously along with office-based tests that may be indicated in the patient with Peyronie's Disease. Current indications and techniques for urethral dilation, urethrotomy and open reconstruction will be discussed. 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 serve as an update on current best practices and guidelines with a focus on algorithms for decision making.