SUFU 2008 Winter Meeting Highlights Of The Moderated Drugs And Devices, BPH, Stress Incontinence/Prolapse Poster Session
Main Category: Urology / NephrologyAlso Included In: Conferences
Article Date: 08 Mar 2008 - 1:00 PDT
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UroToday.com - Posters #21 and #22: These presentations focused on the development and implementation of a curriculum for urodynamic teaching for urology residents. A survey of graduating urology residents showed that despite the fact that only 32% of residents had performed urodynamic studies (UDS) during their training, 87% of them stated that they had training in UDS and 50% reported adequate UDS training. The authors emphasized the importance of creating a single systematic approach to UDS with a curriculum that includes terminology, equipment set up, study performance, interpretation, and reporting.
Poster #26: The authors discussed the importance of considering the diagnosis of obstructive sleep apnea (OSA) in patients with significant nocturia without evidence of other urological disease. Preliminary data was presented on the use of urine osmolarity as a diagnostic tool to aid in the identification of OSA as the cause for nocturia.
Posters #28, #29, #30: Though most primary care physicians (PCP) indicate familiarity with interstitial cystitis/painful bladder syndrome (IC/PBS), there appears to be a knowledge deficit about the clinical characteristics of IC/PBS and thus, variable practice patterns in diagnosis and treatment of the condition.
Regarding the management of IC, the UCLA group presented their results of a pilot short term study using acupuncture and demonstrated a significant improvement in validated symptom and quality of life index scores (UDI and IIQ, respectively) but lack of improvement in sexual function. Stimulating sites were located in the anterior and posterior pelvis and lower extremities, including posterior tibialis.
Conversely, the Cleveland Clinic group presented their long term outcomes of cystectomy and bladder substitution for treatment of refractory IC in a young patient population (33 years of age). They demonstrated significant and durable improvement in voiding and sexual function, overall quality of life, and cessation of pain symptoms following urinary diversion.
Moderated by: Gamal M. Ghoniem, MD, FACS and Michael J. Kennelly, MD at the Society for Urodynamics and Female Urology (SUFU) 2008 Winter Meeting - February 28 - March 2, 2008 Miami, Florida, USA
Reported for UroToday.com by Kathleen C. Kobashi, MD, Head, Section of Urology and Renal Transplantation, Virginia Mason Medical Center
Co-Director Continence Center, Virginia Mason Medical Center Clinical Associate Professor of Urology, University of Washington
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