A Faculty of World Experts in Genitourinary Reconstructive Surgery bring you a truly Special Edition of this year's 14th GURS Masterclass discussing complex cases of urethral stricture and prostate cancer survivorship management, delivering 4 Keynote lectures, 6 Expert Video demonstration of urethroplasty techniques, 3 Semi-live surgeries, 22 Case discussions and 3 Hot Topic Panel discussions. Truly a 3-day LIVE event no practicing or aspiring GURS-Urologist would like to miss!
'Keynote Lecture' and 6 short instructional 'Step-by-Step Video demonstration' will bring to you the latest developments and urethroplasty techniques to manage distal penile, non-traumatic bulbar, complex full-length strictures, and traumatic strictures of the bulbo-membranous urethra. The 'Semi-live Surgery' of the day will demonstrate the ease of performing the safest minimally invasive procedure to treat non-traumatic urethral strictures - Hydrophilic Nitinol guidewire-assisted urethral stricture dilatation! 'Case Discussions' will provide profound insight into how our experts approach difficult cases and patients who failed previous urethroplasty and highlight the 'Never-Event' complications of optical urethrotomy! The session concludes with 'Questions to the Expert Panel' discussing how COVID-19 has impacted urethral stricture management and how promising new treatment technologies and research may bring us closer to a cure of urethral stricture disease.
GURS-Urologists are increasingly confronted with patients surviving Prostate Cancer but have developed most complex lower urinary tract morbidity from primary treatment complications. The Expert Panel will discuss these difficult problems in depth during the 'Hot Topic Panel Discussion' and 'Case Discussions' and will give advice on treatment strategies for patients who are obstructed and incontinent at the same time! The 'Keynote Lecture’ will provide state-of-the art overview of the 'Medical Device Development of the Artificial Urinary Sphincter (AMS800) and its future direction’. The 'Semi-live Surgery' of the day will show in detail how to implant a more difficult bulbar artificial urinary sphincter in a patient who had previous open trans-perineal repair of anastomotic disruption after radical prostatectomy.
The last Day of the 14th GURS Masterclass is dedicated to the salvage management of the most complex complications arising from Prostate Cancer Treatments. Urinary Fistulation into the rectum or pubic bone happen after any form of prostate cancer treatments. The ‘Case Discussions’ will highlight, that in Prostate Cancer the adage “The Cure is worse than the Disease!” can easily become true, and most complex reconstructive surgery is required to attempt rehabilitation to treat debilitating pain or septic complications. The wisdom to know when to do what, but also when best not to do anything, can be most challenging! The 'Keynote Lectures’ are state-of-the art teaching on Uro-symphyseal and Uro-rectal fistula surgery and the 'Semi-live Surgery' of the day will show in detail how to do a transperineal Uro-rectal fistula repair. Increasingly, in the most advanced Expert Centres for Robotic Surgery, these complex salvage procedures are carried out robotically, which will be discussed and demonstrated in the ‘Hot Topic Panel Discussion’.
1. Demonstrate contemporary urethroplasty technique and management for complex cases by didactic video instruction, lecture and discussion.
2. Appreciate the need to promote the safest minimally invasive intervention for first-line treatment of non-traumatic urethral strictures to prevent patient harm.
3. Understand patient-centered selective approach when dealing with complications from Prostate Cancer Treatment.
4. Appreciate the need to seek inter-disciplary raport and advise on potential devastating functional outcomes when secondary irradiation treatment for Prostate Cancer is considered.