A panel of experts will explore current best practices in the management of complicated female urological issues during a Complex Cases session Tuesday morning titled Female Urology. Gary Lemack, MD, will moderate the 30-minute session, which will begin at 10 a.m. in Ballroom East at the Boston Convention and Exhibition Center.
“We’ll discuss complex cases of urinary incontinence and pelvic organ prolapse involving scenarios that many urologists see in their practices on a regular basis,” said Dr. Lemack, professor of Urology, Program Director of Urology, and Program Director of Female Pelvic Medicine and Reconstructive Surgery at the University of Texas Southwestern Medical Center.
“Patients with complicated cases of stress incontinence, such as recurrent incontinence following prior surgery and urgency incontinence, including those who failed medical management, may be understandably disappointed and many may seek additional care from urologists,” Dr. Lemack said. “The panel will address cases such as these, focusing on helping those disappointed patients.”
Dr. Lemack will be joined in the session by Stephen Kraus, MD, MS, FACS, professor and Head of the Division of Female Urology, Neuro-Urology and Voiding Dysfunction at the University of Texas Health Science Center; Anne P. Cameron, MD, FRCSC, associate professor of Urology at the University of Michigan; and John Stoffel, MD, professor of Urology and Associate Chair of Ambulatory Urology at the University of Michigan.
The panel will review a complex case involving a patient with neurologic disease and severe voiding dysfunction or incontinence.
“Patients with neurogenic bladder disorders, such as those with spinal cord injury, spina bifida, multiple sclerosis and Parkinson’s disease, often benefit from urologic evaluation and treatment, and this case will highlight one such scenario,” Dr. Lemack said. “These conditions often make it more difficult to determine how best to treat patients effectively and, in some cases, can result in kidney damage, highlighting the need for ongoing surveillance.”
The AUA is partnering with the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) to develop guidelines for the treatment of neurogenic lower urinary tract dysfunction. David A. Ginsberg, MD, professor of Urology at the University of Southern California, will chair the guideline panel, and the guideline will be developed within the next one to two years.
“But in the meantime, before those guidelines are completed, the experts on this Complex Cases panel will offer up some important advice on treating the variety of complicated issues that can arise in these patients,” said Dr. Lemack, who is the current president of SUFU.