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Spouses speak up: The impact of mesh sling complications on the patient’s spouse – a qualitative analysis study. Una Lee, Shreeya Popat, MD &@jchyu_MD joins Ruchika Talwar to discuss this overlooked issue in a conversation on UroToday > bit.ly/4arsL13

Single-use vs. multi-use catheters for CIC: 🔸 No difference in UTI rate 🔸 Single use may be more convenient, but no difference in CIC compliance 🔸 LOTS of waste 🚮 Food for thought from Chris Elliot MD PhD Stanford Urology SUFU #SUFU24

Great overview of existing and upcoming tibial nerve stimulation options! Thank you Suzette E Sutherland, MD, MS, FPMRS #SUFU24

Jocelyn J. Fitzgerald MD Allie Tabakin, MD Charan Mohan Kelli Aibel, MD, MPH Mazen Mansour Northwell Urology Well, my NP hated me for analyzing this. 😖70% needed PA. 🫣Unpredictable cost. 😅20 to 40 minutes per PA. 🤓~60% able to fill rx. 😕34% d/c drug eventually 😅Not able to figure out a pattern of basic coverage by insurance type or comorbities

“Terrible 5:” clinical situations to consider urinary diversion Drew Peterson Duke Urology 🔹Devastated outlet 🔹Hostile bladder w/ pain 🔹Recurring cystitis/hematuria 🔹Fistula 🔹Upper tract damage Ileal conduit can give good QOL to challenging patients SUFU #SUFU24

4-step response to misgendering a patient: guide to recover from “cringe” situations by @StuReynoldsMD Vanderbilt Urology 1. Acknowledge 2. Apologize 3. Advance 4. Action Excellent panel on creating an inclusive practice Jennifer Anger, MD, MPH Doreen E. Chung Yahir Santiago-Lastra | Urology SUFU #SUFU24

FPMRS is now Urogynecology and Reconstructive Pelvic Surgery (#URPS)! Excited for a name that more clearly reflects our subspecialty work to other urologists, physicians, and our patients Maude Carmel MD SUFU #SUFU24

Entertaining debate on testing in sacral neuromodulation (SNM) IMO in-office tests (PNE) make SNM ⬆️ accessible, appealing for patients. I’m excited to offer this therapy in North Houston Kelsey-Seybold Clinic Priya Padmanabhan Jaschar Shakuri-Rad Medtronic Pelvic Health Axonics SUFU #SUFU24

Do you recommend hysterectomy w/ prolapse surgery? Thorough review of data Nirit Rosenblum Grace Biggs Hysterectomy 🔸may ⬆️ CV comorbidities, dementia 🔸adds OR time, EBL (though small) 🔸may reduce reoperation Risk of gyn cancer after uterine preservation 0.61% SUFU #SUFU24

Love this perspective from Cristiano M. Gomes c/o Dr. Alan Wein “Some individuals require more certainty than others,” and decision for UDS depends on attitudes “regarding failure and postprocedural complications” UDS can inform surgeon and patient expectations SUFU #SUFU24

URPS urologists take care of complex male voiding dysfunction and incontinence and if we did not, it would be a disservice to many patients across the gender spectrum.

Spouses speak up: The impact of mesh sling complications on the patient’s spouse – a qualitative analysis study. Una Lee, Shreeya Popat, MD &@jchyu_MD joins Ruchika Talwar to discuss this overlooked issue in a conversation on UroToday > bit.ly/4arsL13

March 12 is National Working Mom’s Day! 👩‍👧

Stepping in for lead author Liz Olive, MD: Frank Jefferson - he is everywhere! 🤜🤛 Tackling intravesical mesh after mid urethral sling: laser excision had ⬇️ success but less invasive, may require multiple procedures. Counsel appropriately! #NCSAUA24

The specialty was previously called Female Pelvic Medicine and Reconstructive Surgery (FPMRS) and transitioned its nomenclature to Urogynecology & Reconstructive Pelvic Surgery (URPS) on January 1, 2024. Learn more about #URPS: 🔗 sufuorg.com/about.aspx #PelvicHealth #WeAreSUFU

Testosterone tx in 🚺 w/ Mohit Khera 💁‍♀️ Benefits for libido, depression, bone density, diabetes, ❤️ health 💁‍♀️ Cream, pellets, injections can be used 💁‍♀️ Focus on free T, symptoms 💁‍♀️ No data showing ⬆️ cancer risk Excellent TUUGS program by Kathleen Kobashi

Thank you Dr Melissa Kaufman Vanderbilt Urology for review of new Amer. Urol. Assn. #GSM guidelines at TUUGS: Vaginal estrogen 🔸Compliance is most important for success. Lots of options! 🔸Some ⬆️ recurrence risk in patients currently on SERMs, no increased mortality risk Kathleen Kobashi

Mindfulness in practice with Dharam Kaushik Houston Methodist Urology and Residency Program at TUUGS Maximize time spent on quadrant 2: important tasks. Work to minimize quadrant 3: urgent but not important Now where does #UroSoMe fall? 😂 Kathleen Kobashi

Fun, informative perspectives Stephen Kraus MD, MBA, FACS at TUUGS Mixed incontinence challenges: 🔹 Urodynamics may not be predictive 🔹 Urgency usually greater source of bother — consider treating 1st 🔹Exception is incompetent sphincter: consider occlusion test w/ urodynamics Kathleen Kobashi

Thank you Kathleen Kobashi for including me on complex #URPS case panel w/ Ricardo R Gonzalez MD Danielle Antosh Dr. Julie Stewart Houston Methodist Urology and Residency Program : discussed timing, dx, robotic vs vaginal surgical approaches for vesicovaginal fistula Honored to provide fistula care in North Houston Kelsey-Seybold Clinic