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 Larry Goldenberg, MD
AUA Western Section Past President
NWUS Past President
BC Urological Society Past President

9:15 Health Care Reform 2009: Its Impact on the Practice of Urology and our Patients
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 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

5:00 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 CANCER-

SPECIFIC 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