Educational Needs & Objectives
The upcoming 2018 SUFU winter meeting will include both a basic and translational research focus as well as a high-level clinical curriculum. The meeting will be comprised of panel discussions, keynote addresses, and research abstracts on conditions that affect the lower urinary tract and pelvic floor. This format will be utilized to provide an interactive presentation of state-of the-art knowledge in some of the most active areas in benign urologic research. The overall objective of the meeting will be to disseminate current knowledge in this field and stimulate advanced thinking to further our understanding of the pathophysiology and treatment of pelvic floor disorders.
Though the conditions that will be discussed are benign, it is well-established that they can have a tremendous negative quality of life impact on patients and their families not to mention the huge economic burden they place on society. The educational needs of the attendees are based upon the importance of having a global understanding of pelvic floor disorders in order to optimize the care of our patients with these disorders. The clinical science portion of the meeting will include topics related to male and female incontinence, underactive bladder, refractory overactive bladder, neurogenic bladder, transgender medicine and gender reassignment surgery, recurrent urinary tract infections, nocturia, benign prostatic hypertrophy, the use of imaging in the assessment of pelvic floor disorders, the role of urodynamics, transitional medicine, and different approaches to pelvic floor reconstruction. In addition, practical and important non-clinical topics such as coding, physician burnout, differences in generational approaches and attitudes in the workplace, and potential effects of healthcare reform on FPMRS will be covered.
Attendees of the SUFU program should be familiar with these conditions and the latest thinking regarding these important clinical and practice-related topics. The meeting will be designed to encourage and foster interactions and collaboration between clinicians, investigators and basic scientists. Attendees will benefit from dialogue regarding these topics, which will facilitate their ability to provide optimal patient care.
At the conclusion of the SUFU 2018 Winter Meeting, participants will be able to:
- Discuss the options for patients in the face of clinically significant recurrent or persistent post-prostatectomy incontinence following a male sling.
- Describe caveats of treating the truly refractory OAB, how to counsel patients, and when to consider reconstruction.
- Discuss the entity of underactive bladder, the pathophysiology of the condition, and the impact of UAB in certain clinical scenarios.
- Explain approaches to urologic reconstructive surgery following injuries sustained during non-urologic radical surgery.
- Identify the updated AUA/SUFU SUI guidelines, including the rationale behind the key points of focus.
- Describe the pathophysiology of nocturia and be comfortable with the proper thorough evaluation and treatment of patients with nocturia, taking into consideration the potential contributing factors to their condition.
- Identify the challenges and needs that patients with spina bifida and their parents face as they transition from the care of the pediatric to the adult urologist.
- Discuss different causes for AUS failure, the appropriate work-up and troubleshooting, and the management of the patient with the failed AUS.
- Describe current and future directions and anticipated challenges that may be encountered as healthcare reform proceeds.
- Assess the major accomplishments of the UITN, its impact on the current evaluation and management of female urinary incontinence, and the current gaps and future directions in the field.
- Explain the unique health issues associated with the transgender patient population and the process of gender reassignment.
- Review the phenomenon of physician burnout, its potential causes, and strategies to combat and address this problem.
- Identify the differences in backgrounds, beliefs, and attitudes between generations that can pose challenges in today’s workplace, as the most successful individuals will be those who recognize these inherent differences and incorporate that thinking into their approach to each other.
- Describe the concept of vaginal rejuvenation, patient perception and reasons for pursuit of this treatment, and the pros and cons of vaginal rejuvenation in contemporary practice given the current state of the evidence.
- Discuss the role and value of urodynamics in the management of patients with post-prosatectomy incontinence.
- Explain the changes brought forth by the evolution of the FPMRS specialty and what might be anticipated in the future.
- Identify the variety of options available for treatment of the “huge” prostate, and the pros, cons, and challenges of each.
- Recognize the imaging modalities available to facilitate diagnosis and treatment or patients with pelvic floor FPMRS disorders and understand their utility and optimal roles.
- Discuss the importance of collaborative research in the advancement of FPMRS and the imperative role of a multi-disciplinary team, with each member bringing a different and important perspective to the table.
- Employ proper evaluation and diagnosis of UTIs, preventative strategies based on each individual patient, and appropriate treatment utilizing good stewardship of antibiotics.
- Recognize the concept and importance of translational research and how it may impact the field of FPMRS.
- Review FPMRS-specific coding in order to be in compliance with proper practice.
- Explain surgical options for apical prolapse, including a variety of vaginal, open abdominal and robotic approaches and be able to discuss the important considerations and the pros and cons of each treatment option.
- Describe the differences between hysterectomy and hysteropexy insofar as that which is reflected in the contemporary literature and best evidence.
- Discuss important considerations and the pros and cons of each of a variety of treatment options for neurogenic bladder and the considerations associated with each.