Northwest Urological Society 2009 Preliminary Agenda Fri Dec 4, 2009 Health Policy Agenda 8:30
Opening Remarks
Fred Govier, MD NWUS President
8:35
Health Policy Introductions and Preview
Jeff Frankel, MD AACU President
8:45
The Canadian Health Care System: Similarities and Differences
9:15
Health Care Reform 2009: Its Impact on the Practice of Urology and our Patients
Larry Goldenberg, MD AUA Western Section Past President NWUS Past President BC Urological Society Past President
Jeff Kaufman, MD AACU Past President CUA Past President
10:00 Pay-for Performance, Value-based purchasing and other new payment models Dave Penson, MD, MPH Director, Center for Surgical Quality and Outcomes Research Vanderbilt University
10:45 2010 Legislative Preview: Hot issues for Northwest Urology Practices
Jeff Frankel, MD AACU Presiden
Congressman Dave Reichert invited
11:15 Panel Discussion: Relevant Issues in the Northwest concerning Urology Health Policy Forum Faculty
12:00 Lunch in Exhibit Hall Scientific Session Agenda 1:00 Opening Remarks
Fred Govier, MD NWUS President
1:05 Keynote Lecture: Successful management of IC and Pelvic Pain Syndromes Raymond R. Rackley, MD Professor of Surgery The Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio
1:40
Scientific Session I: moderated by Bruce Dalkin, MD and Larry Goldenberg, MD Oncology I DOES PERI-OPERATIVE BELLADONNA AND OPIUM SUPPOSITORY IMPROVE POST-OPERATIVE PAIN FOLLOWING LAPAROSCOPIC RADICAL PROSTATECTOMY? RESULTS OF A SINGLE INSTITUTION RANDOMIZED STUDY Matt Holman MD, Paul Kozlowski MD, Chris Porter MD, Erin Odom BS, Chris Bernards MD, Nancy Neil PhD, and John M. Corman, MD , Virginia Mason Medical Center, Seattle, WA Abstract #942
LAPAROSCOPIC PARTIAL NEPHRECTOMY Stephen Lukasewycz, M.D., Michael A. Traver, M.D., and Paul M. Kozlowski, M.D. Virginia Mason Medical Center, Seattle, WA Abstract #929 ROBOTIC PARTIAL NEPHRECTOMY: THE INITIAL EXPERIENCE AT A CANADIAN TERTIARY CARE CENTER Metcalfe, CB, Nguan CY, University of British Columbia Dept. of Urological Sciences, Vancouver, BC. Abstract #911 SURGICAL COMPLICATIONS RESULTING FROM ROBOTIC RADICAL PROSTATECTOMY Douglas E Sutherland, (MultiCare Urology, Tacoma, WA); Compton J Benjamin, Song Hau Tran, Jason D Engel, Harold A Frazier, II, George Washington University, Washington, DC Abstract #906 DIFFERENCES IN PRESENTATION AND OUTCOMES FOR DUCTAL VERSUS ADENOCARCINOMA OF THE PROSTATE Christopher J Welty, Todd M Morgan, Funda Vakar-Lopez, Jonathan L Wright University of Washington, Seattle, WA Abstract #951 TECHNIQUE OF ROBOTIC ASSISTED LAPAROSCOPIC CYSTOPROSTATECTOMY WITH INTRACORPOREAL ILEAL CONDUIT CONSTRUCTION. William J. Ellis, M.D. and Jonathan L. Wright M.D. University of Washington. Seattle WA Abstract #958
2:25 Scientific Session II: moderated by Bryan Voelzke, MD Bladder/Urethra DOES BODY MASS INDEX INFLUENCE CHOICE OF URINARY DIVERSION? Siamak Daneshmand, M.D., Matt Ashley, B.A., Houman Mirtorabi. Section of Urologic Oncology, Oregon Health & Science University, Portland, OR Abstract #934 LONG TERM PATIENT SATISFACTION WITH THE ARTIFICIAL URINARY SPHINCTER Alvaro Lucioni, M.D., David E. Rapp, M.D.*, Jason Kim, M.D., Fred E. Govier, M.D. Virginia Mason Medical Center, Seattle, WA Abstract #919 POSTERIOR URETHROPLASTY: THE HARBORVIEW EXPERIENCE Ryan S. Hsi, MD; James M. Hotaling, MD; Anup Shah, MD; Hunter Wessells, MD; Bryan B. Voelzke, MD Department of Urology, University of Washington, Seattle, WA Abstract #939 DEVELOPMENT OF A MURINE MODEL OF MALE URETHRAL STRICTURE Ian P. Luttrell and Kanchan Chitaley, Department of Urology, University of Washington, Seattle, WA Abstract #915 EXERCISE IMPROVES BLADDER FUNCTION OF DIABETIC MICE Manasi H. Vadhavkar, Ismail Laher, Lynn Stothers University of British Columbia, Vancouver, BC, Canada. Abstract #910 CONTINENT CUTANEOUS DIVERSION IN PATIENTS WITH PRIOR RENAL TRANSPLANT DIVERTED VIA ILEAL CONDUIT Siamak Daneshmand, M.D., Section of Urologic Oncology, Oregon Health & Science University, Portland, OR Abstract #933 TRANS-PERINEAL INJECTION OF BOTULINUM TOXIN IN MEN WITH CPPS. Henry Gottsch, Jay Lee, Richard Berger, Claire Yang., Department of Urology, University of Washington, Seattle, WA Abstract #925
3:15
Break/ View Exhibits
3:45
Scientific Session III: moderated by Paul Kozlowski, MD and Michael Conlin, MD Endourology/ Minimally Invasive Surgery STANDARDIZED LINEAR PORT PLACEMENT FOR ALL TRANSPERITONEAL LAPAROSCOPIC RENAL AND ADRENAL SURGERY: EXPERIENCE WITH 1264 CASES Jonathan D Harper, John T Leppert, Alberto Breda, Peter G Schulam . Department of Urology, UCLA Medical Center, CA Abstract #947 LAPAROSCOPIC AUGMENTATION CYSTOPLASTY Stephen Lukasewycz, M.D., Michael A. Traver, M.D., Kathleen C. Kobashi, M.D., and Paul M. Kozlowski, M.D. Virginia Mason Medical Center, Seattle, Washington Abstract #909 THE CAPABILITY OF ANTIRETROPULSION DEVICES TO REDIRECT FLUID IRRIGATION DURING URETEROSCOPY L. M. Jonat, B. K. Poh, D. Lange, B. H. Chew The Stone Centre at Vancouver General Hospital, Vancouver, BC Abstract #949 FOCUSED ULTRASOUND APPLICATION FOR THE TREATMENT OF LOWER POLE KIDNEY STONES Anup Shah, MD *, Bryan W. Cunitz, MS †, Wei Lu, MS †, Mathew D. Sorensen, MD MS *, Marla Paun †, Lawrence A. Crum, PhD †, Michael R. Bailey, PhD † * Department of Urology, University of Washington † Center for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington Abstract #902 ROBOT ASSISTED LAPAROSCOPIC SIMPLE RETROPUBIC PROSTATECTOMY IN THE COMMUNITY SETTING: A PILOT STUDY D. Champ Weeks, MD and Douglas E. Sutherland, MD MultiCare Urology, Tacoma, WA Abstract #904 ROBOTIC ASSISTED LAPAROSCOPIC DONOR NEPHRECTOMY: A PROSPECTIVE CASE SERIES A.G. Kavanagh and C. Nguan University of British Columbia, Vancouver, BC, Canada. Abstract #952 CHANGES IN RENAL PRESSURE WITH URETERAL CATHETERS AND ANTIRETROPULSION DEVICES DURING PERCUTANEOUS NEPHROLITHOTOMY L. M. Jonat, B. K. Poh, D. Lange, B. H. Chew The Stone Centre at Vancouver General Hospital, Vancouver, BC, Canada Abstract #948 (Jonat et al)
4:40
5:00
Guest Lecture: Secondary therapy in prostate cancer: What happens when clinical concerns and health reimbursement policies collide? David Penson, MD Professor
of
Urologic
Surgery
at
Vanderbilt
University
Medical
Center,
Nashville, TN
Director of the Center for Surgical Quality and Outcomes Research at the Vanderbilt Institute of Medicine and Public Health in Nashville
Adjourn
Saturday Dec 5, 2009 8:15
Keynote Lecture: Female Pelvic Anatomy Raymond R. Rackley, MD Professor of Surgery The Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio
8:45
Scientific Session IV: moderated by Fred Govier, MD Female Urology/Voiding Dysfunction PRESENCE OF INTRINSIC SPHINCTER DEFICIENCY DOES NOT PREDICT A WORSE OUTCOME IN PATIENTS UNDERGOING BONE ANCHORED PROXIMAL URETHRAL SLING PLACEMENT Alvaro Lucioni, M.D., Jason Kim, M.D., Fred E. Govier, M.D., Kathleen C. Kobashi, M.D.: Virginia Mason Medical Center, Seattle, WA. Abstract #922 THE COURSE OF THE DORSAL NERVE OF THE CLITORIS Van Anh T. Ginger, MD, PhD(a), Christopher J. Cold, MD(b), Claire C. Yang, MD(a,c) a University of Washington, Department of Urology, Seattle, WA, USA b Marshfield Clinic, Department of Pathology, Marshfield, WI, USA c Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA Abstract #937 IS THE BONE-ANCHORED PROXIMAL URETHRAL SLING A REASONABLE SALVAGE OPTION FOR TREATMENT OF STRESS URINARY INCONTINENCE AFTER A FAILED SLING OR BLADDER NECK SUSPENSION? Alvaro Lucioni, M.D., Jason Kim, M.D., Fred E. Govier, M.D., Kathleen C. Kobashi, M.D. Virginia Mason Medical Center, Seattle, WA. Abstract #920 STRUCTURE AND INNERVATION OF THE LABIA MINORA: MORE THAN MINOR SKIN FOLDS Van A. T. GINGER, MD, PhD; Christopher J. COLD, MD; Claire C. YANG, MD Department of Urology, University of Washington, Seattle, WA Department of Pathology, Marshfield Clinics, Marshfield, WI Abstract #950 TWELVE-MONTH OBJECTIVE AND SUBJECTIVE OUTCOMES FROM A WORLDWIDE REGISTRY OF TVT PUBOVAGINAL SLINGS IN WOMEN WITH STRESS URINARY INCONTINENCE. Grier, M.D., Kalffeisch, M.D., Botha, M.D., Lee, M.D., Tincello, M.D., Buschbaum. M.D., Lucente, M.D., Khandwala, M.D., Han, M.D., Aguirre, M.D., Elser, M.D., Raders, M.D. Abstract #928 URISNG PORCINE SMALL INTESTINE SUBMUCOSA FOR MANAGEMENT OF RECURRENT MESH EXTRUSION AFTER SACROCOLPOPEXY Alvaro Lucioni, M.D., Jason Kim, M.D., Fred E. Govier, M.D., Kathleen C. Kobashi, M.D.: Virginia Mason Medical Center, Seattle, WA. Abstract #921
9:30
Point Counter Point: Controversies in Pelvic Floor Medicine moderated by Kathleen Kobashi, MD Panelists: Elizabeth Miller, MD Ray Rackley, MD
9:45
Break/ Exhibit Hall
10:15 Scientific Session V: moderated by Steven Skoog MD Pediatrics COMPARISON OF THE LEARNING CURVE AND OUTCOMES FOR ROBOTIC-ASSISTED VERSUS OPEN PEDIATRIC PYELOPLASTY Mathew D. Sorensen, MD, MS†, Catherine Delostrinos, MD‡, Michael H. Johnson, MD‡, Richard W. Grady, MD^†, Thomas S. Lendvay, MD^† ^Division of Pediatric Urology, Seattle Children’s Hospital, Seattle, WA †Department of Urology, ‡University of Washington School of Medicine Seattle, WA Abstract #946 LAPAROENDOSCOPIC SINGLE SITE SURGERY: APPLICATION OF A NOVEL TECHNIQUE TO PEDIATRIC UROLOGY Ismael Zamilpa MD, Thomas S. Lendvay MD; Seattle Children’s Hospital, Seattle, WA Abstract #931 NEAR INFRA RED SPECTROSCOPY (NIRS): A NON-INVASIVE METHOD TO EVALUATE THE FUNCTION OF THE LOWER URINARY TRACT IN CHILDREN. K. Afshar MD, A.E. MacNeily MD, L. Stothers MD, A. Macnab MD; Department of Urologic Sciences, University of Britich Columbia, Vancouver, BC Abstract #918 MEASUREMENT AND CORRELATES OF ANOGENITAL DISTANCE IN HEALTHY, NEWBORN INFANTS. Richard Grady, Lauren Beard, Christine Zhou, Sheela Sathyanaryana. Seattle Children’s Hospital Division of Urology, The University of Washington Department of Pediatrics. Abstract #945 CAN WE RELY ON THE PRESENCE OR APPEARANCE OF A DEFLUX BLEB ON ULTRASOUND TO PREDICT VESICOURETERAL REFLUX RESOLUTION AFTER INJECTION THERAPY? Authors: Ismael Zamilpa MD, Thomas S. Lendvay, MD. Seattle Children’s Hospital, Seattle, Washington Abstract #930 PEDIATRIC FEMALE GENITAL TRAUMA: VARIABILITY IN EVALUATION AND MANAGEMENT ACROSS FREE-STANDING PEDIATRIC HOSPITALS IN THE UNITED STATES Josephine Hidalgo-Tamola, MD 1,2, Margarett Shnorhavorian, MD, MPH1,2, Cindy Larison, MA2, Michelle Garrison, PhD2, Martin A Koyle, MD1,2, Robert Sawin, MD, MPH1,2, Adam Goldin, MD,MPH1,2 1 University of Washington, Seattle WA, 2Seattle Children’s Hospital, Seattle WA Abstract #903
11:00 Scientific Session VI: moderated by Byron Joyner, MD Miscellaneous MEN'S HEALTH: AN OVERVIEW FROM A POPULATION HEALTH PERSPECTIVE. Larry Goldenberg MD, Dan Bilsker, PhD, Joyce Davison RN,PhD, Elliott Goldner, MD. UBC Department of Urologic Sciences, Vancouver, BC. Abstract #935 IMPACT OF SEXUAL AND URINARY DYSFUNCTION ON QUALITY OF LIFE IN MEN AND WOMEN WITH LONGSTANDING TYPE 1 DIABETES. Hunter Wessells, Aruna Sarma, David Penson, Alan Jacobson, and the DCCT/EDIC STUDY GROUP. University of Washington Seattle WA Abstract #912 A NOVEL ONLINE VIDEO LEARNING RESOURCE TO ENHANCE UROLOGY MEDICAL EDUCATION S Jones1, T Fraser1, A Human1, C Wallis1, C Wu1, K Kwan1, P Verma1, S Wise1, J Chan1, J Chen1, A Taggar1, D Youssef1, H Merkeley1, M Butterfield1, J Masterson1, D Duffy1 and G Blair1 1 The University of British Columbia, Vancouver, BC. Canada Abstract #953 RICHARD TURNER-WARWICK: PIONEER OF URODYNAMICS AND RECONSTRUCTIVE SURGERY Brian Duty, M.D, John Barry, M.D. Division of Urology & Renal Transplantation, Oregon Health & Science University, Portland, Oregon Abstract #944
UNCERTAIN BENEFIT AND COMPETING AUTONOMIES –THE BIOETHICS OF SURGICAL INNOVATION Stephanya B Shear, MD MPH1,3 and Maureen Kelley, PhD1,2 1 Truman Katz Center for Pediatric Bioethics Seattle Children’s’ Hospital, 2 University of Washington, Department of Medical Ethics and Humanities. 3 Department of Urology, Division of Pediatric urology, Seattle, WA Abstract #917 URETEROINGUINAL HERNIA: EVALUATION AND MANAGEMENT OF INGUINAL HERNIAS CONTAINING A URETER. CASE REPORT. William E Heaton, MD and William M Anderson, MD. Spokane VA Medical Center. Spokane Washington Abstract #914 THE DESIGN AND INTEGRATION OF A NOVEL ONLINE PROBLEM-BASED LEARNING RESOURCE TO ENHANCE UNDERGRADUATE MEDICAL EDUCATION Mike Butterfield1, Tyler Fraser1, Simon Jones1, Larry Goldenberg1, 2, John Masterson1, 2 1 University of British Columbia, Vancouver, BC, Canada, 2
Urologic
Sciences,
BC
Children's
Hospital,
Vancouver,
BC,
Canada Abstract #927
11:50 State of the Art Lecture: GU Injuries: Treatment and Prevention Strategies Hunter Wessells, M.D. Professor and Chairman, University of Washington Department of Urology, Seattle, WA
12:15
Lunch
1:15
Scientific Session VII: moderated by Sia Daneshmand, MD and Paul Lange, MD Oncology II INCIDENCE OF FLUOROQUINOLONE RESISTANT POST-BIOPSY E. COLI SEPSIS – END OF AN ANTIBIOTIC ERA? Mike Traver, MD, Erin Odom, BS and John M. Corman, MD. Seattle, CA Abstract #943 TRANSITION TO ROBOTIC PROSTATECTOMY: CHALLENGES FOR THE EXPERIENCED OPEN SURGEON IN THE CANADIAN HEALTHCARE SYSTEM. Larry Goldenberg MD, Nicholas C Buchan MD, UBC Department of Urologic Sciences, Vancouver, BC. Abstract #936 TECHNIQUE OF ROBOTIC ASSISTED LAPAROSCOPIC EXTENDED PELVIC LYMPH NODE DISSECTION IN MEN WITH HIGH RISK PROSTATE CANCER. William J. Ellis, M.D. University of Washington. Seattle WA. Abstract #959 HUMAN PROSTATE CANCER XENOGRAFTS IN LIT/LIT MICE EXHIBIT REDUCED GROWTH AND ANDROGEN-INDEPENDENT PROGRESSION Kiyoshi Takahara1, Howard Tearle1, Martin E. Gleave1,2 and Michael E. Cox1,2 1The Vancouver Prostate Centre, Vancouver Coastal Health Authority, Vancouver, BC, Canada, 2 Department of Urologic Sciences, University of British Columbia, Vancouver, British Columbia, Canada Abstract #932 TOREMIFENE IMPROVES PSA PROGRESSION FREE SURVIVAL IN CASTRATE MEN WITH DETECTABLE BASELINE PSA LEVELS Lin DW, Brawer MK, Steiner MS, Morton RA, Rodriguez D, Barnette G, Hancock ML, Yu EY. University of Washington and GTX Inc Abstract #938 POSITIVE SURGICAL MARGINS AT RADICAL PROSTATECTOMY PREDICT PROSTATE CANCERSPECIFIC MORTALITY: SUPPORT FOR OPTIMIZING SURGICAL TECHNIQUE AND PATHOLOGICAL EVALUATION AT RADICAL PROSTATECTOMY Jonathan L Wright1, 2 ,Bruce L. Dalkin1 ,Lawrence D True3 ,William J Ellis1 ,Janet L Stanford2 ,Paul H Lange1 ,Daniel W Lin1, 2 Affiliation: Department of Urology(1) and Pathology(3) University of Washington. Public Health Sciences, Fred Hutchinson Cancer Research Center (2) Abstract #916
2:00
State of the Art Lecture: Optimizing Outcomes after Radical Prostatectomy: Technology or Technique? Christopher Amling, M.D. Professor and Chief, Division of Urology, Oregon Health and Sciences University, Portland, OR
2:30
Break/Exhibit Hall
3:00
Scientific Session VIII: moderated by Thomas Hefty, MD and John Barry, MD Infertility/Transplant LONG-TERM ANALYSIS OF POST-RENAL TRANSPLANT DONOR OUTCOMES: DONOR RECOVERY Long-term Analysis of Post-Renal Transplant Donor Outcomes: Donor Recovery Anastasia Radetski1, Gordon Yip1, Kiara Hennessey1, Tamryn Law1, Christopher Nguan1 1UBC Department of Urologic Sciences, Vancouver, BC Abstract #940 RENAL TRANSPLANTATION IN ANTI-COAGULATED PATIENTS Christian S. Kuhr, Ramasamy Bakthavatsalam, Thomas R. Hefty Virginia Mason Medical Center and University of Washington, Seattle, Washington Abstract #955 TERATOSPERMIA DOES NOT PREDICT POOR OUTCOMES IN IVF OR ICSI: A META-ANALYSIS James M. Hotaling MD, James F. Smith MD MS, Mitchell Rosen, MD, Kathleen Lin, MD, Charles Muller, PhD and Thomas J. Walsh MD MS University of Washington, Seattle, WA and University of California, San Francisco, CA Abstract #913 MICROSURGICAL VASOVASOTOMY: COMPARISON OF SINGLE VS DOUBLE LAYER MICROSURGICAL TECHNIQUE Molly E. Fuchs, BA, Eugene F. Fuchs MD, OHSU Portland, Oregon Abstract #908 MALE INFERTILITY AMONG YOUNG U.S. WAR VETERANS James M. Hotaling, MD, Thomas J. Walsh, MD MS: University of Washington, Seattle, WA Abstract #941 REAL-TIME PENILE TUMESCENCE AND RIGIDITY MONITORING: RESULTS IN HEALTHY, POTENT MEN Henry Gottsch, Claire Yang; University of Washington Department of Urology Abstract #926 CASE REPORT: RECURRENT HIGH-FLOW PRIAPISM TREATED WITH SELECTIVE ARTERIAL EMBOLIZATION AFTER REPEATED TREATMENTS FOR LOW-FLOW PRIAPISM. Christopher J.D. Wallis: Medical Student (MSI 3), University of British Columbia Island Medical Program Nathan A. Hoag, MD: Resident (R1), University of British Columbia Dept. Of Urological Sciences Peter J. Pommerville, MD, FRCPC: University of British Columbia Dept. Of Urological Sciences Michael E. Huk, MD, FRCPC: Victoria General Hospital Dept. of Radiology Abstract #901 TEN ILLUSTRATED TIPS FOR PENILE PROSTHESIS SURGERY John M. Barry, M.D. Oregon Health & Science University Abstract #923
4:00
Keynote Speaker: The argument against the use of synthetic mesh kits for POP Raymond R. Rackley, MD Professor of Surgery The Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio
5:00
Adjourn