Apanel of trauma experts will help AUA2018 attendees become better equipped to address serious urological injuries during a Complex Cases presentation Monday morning titled Bladder and Genital Trauma. The 30-minute presentation begins at 9 am during the Prime Time plenary session in the Esplanade Ballroom at Moscone South.
Presenter Richard Santucci, MD, FACS, a urologist at Brownstein-Crane Surgical Services, said the impetus for the session was a desire to put together a “dream team” of genitourinary, trauma and reconstruction experts who could share strategies for tackling some of the most complex cases a urologist may see.
“A big part of AUA’s mission is to teach the basics and the guidelines, and to develop algorithms and other tools for everyday practice,” said Dr. Santucci, who recently served as co-chair of the AUA urethroplasty guidelines panel. “This session is a bit different because it deals with those less frequent occasions when you’re in the middle of a trauma and you can’t call anyone for help. With this session, we hope to demonstrate integrative, high level, multifactorial ways to think about trauma to equip clinicians for those situations.”
Steven Hudak, MD, who is an active duty Lieutenant Colonel in the U.S. Army and a reconstruction urologist at Brooke Army Medical Center and at the San Antonio Uniformed Services Health Education Consortium, will discuss complex genital injuries.
“Dr. Hudak sees a lot of complex blast injuries, which are sometimes seen in civilian life as well,” Dr. Santucci said. “ So the cases he will share highlight patients with complex genital injury who also have polytrauma and need longitudinal care. Our experts also have experience with other devastating injuries such as penile amputation.”
The panel also includes Daniel Dugi, MD, FACS, associate professor in the Department of Urology at Oregon Health & Science University, and Bryan Voelzke, MD, MS, associate professor in the Department of Urology at the University of Washington Medical Center. The panel will review several complex conditions, including polytrauma when several everyday injuries coincide.
“We all know how to deal with a ruptured urethra. We all know how to deal with an open fracture pelvis. We all know how to deal with a bladder injury. But do we all know what to do when all three of these injuries together stack up on top of one another?” Dr. Santucci asked. “We’re going to build attendees a pyramid of information where we emphasize the basic moves and then the intermediate moves and then the advanced moves. We intend to make it useful for experts and beginners alike.”
Each presenter will review two complex cases and the panel will cover a variety of practical strategies for each. Dr. Santucci said most of the cases will be unique, but there will be a few that overlap if there are multiple treatment approaches.