Desai Sethi Urology Institute brings famend thought leaders to Miami Seashore.
From urologic cancers to feminine urology to male infertility to kidney stones and sexual well being, high urologists from all through the nation shared their insights and sensible suggestions at “Urology on the Seashore,” a convention hosted January 13-15 by the Desai Sethi Urology Institute on the College of Miami Miller College of Drugs.
Greater than 150 specialists and normal urologists, fellows, and residents attended the institute’s inaugural in-person convention on the Fontainebleau Resort, studying from acknowledged leaders in a variety of disciplines and having fun with the institute’s hospitality. Sylvester Complete Most cancers Middle on the Miller College was a platinum sponsor, whereas Axonics, Inc., Boston Scientific, and Medtronic have been gold sponsors and Focal One was a silver sponsor.
Our convention introduced collectively world-renowned thought leaders in all elements of urology. With its intimate setting, the convention supplied three days of alternatives for residents, fellows, and professionals to community and have one-on-one discussions with our distinguished audio system.”
Dipen J. Parekh, M.D., convention chair, founding director of the Desai Sethi Urology Institute and chair of urology on the Miller College
Along with college from Desai Sethi, convention presenters got here from the Mayo Clinic, Fox Chase Most cancers Middle, Johns Hopkins, UCLA, New York College, Duke College, Mount Sinai, Dana Farber Most cancers Institute, Vanderbilt College, College of Washington, and different tutorial medical facilities.
Presenters shared the most recent information on matters spanning urologic oncology in prostate, renal, higher tract, and bladder cancers from consultants at Sylvester, a part of UHealth, in addition to benign illness processes together with female and male reconstructive surgical procedure and male infertility/andrology. Different classes centered on well being disparities and profession improvement.
“Urology on the Seashore gave normal urologists an opportunity to listen to from high specialists about diagnosing, treating and managing affected person situations they see regularly,” mentioned convention course director Bruno Nahar, M.D., urologic oncologist at Sylvester and assistant professor of urology. “As an illustration, our institute takes a multidisciplinary method for treating superior prostate cancers, and there are numerous new methods that provide hope to sufferers and households. For low-risk cancers, we attempt to keep away from pointless biopsies or remedies utilizing imaging and biomarkers.”
Feminine urology points, reminiscent of pelvic flooring issues, have been highlighted in one other convention session. “We now have an incredible group of girls urologists who collaborate on analysis in addition to delivering the very best degree of medical care,” mentioned convention course director Raveen Syan, M.D., assistant professor of medical urology. “I believe everybody who attended our convention got here away with new information.”
Kidney Most cancers and Males’s Well being
Urology on the Seashore started Friday afternoon with a session on kidney most cancers, as Miami urologist Vivek Venkatramani, M.D., moderated a panel dialogue on difficult instances. Dr. Parekh then led a dialogue on surgical innovation with semi-live surgical procedures.
Ranjith Ramasamy, M.D., affiliate professor of urology and director, reproductive urology, led the second session on male infertility, andrology, and males’s well being. “The sexual well being session centered on the most recent advances in each female and male sexual dysfunction,” he mentioned. “Our audio system mentioned present remedies to handle erectile dysfunction and infertility as properly revolutionary future choices.”
Urology specialist Libert Ramos, D.N.P., famous that superior apply suppliers are an important a part of the boys’s well being care group, fostering independence and supporting affected person satisfaction and outcomes.
Prostate and Testis Oncology
In an interactive Saturday session, Dr. Nahar offered a wholesome 53-year-old male’s intermediate prostate most cancers case and requested attendees whether or not focal remedy or surveillance was the very best method. After a dialogue of additional assessments or imaging, the consensus was to encourage the affected person to hunt therapy. Affiliate Professor of Urology and member of Sylvester, Sanoj Punnen, M.D., famous that the institute’s Miami Lively Surveillance Protocol gives insights as to which sufferers usually tend to progress to superior prostate most cancers.
Jim C. Hu, M.D., M.P.H., director of the LeFrak Middle for Robotic Surgical procedure and the Ronald P. Lynch Chair in Urologic Oncology at Weill Cornell Drugs in New York, led a panel dialogue on surgical improvements in prostate most cancers. “Our objective is to treatment most cancers first, then keep continence and efficiency,” mentioned Dr. Nahar, who mentioned the “modified hood” surgical method.
Neeraj Agarwal, M.D., professor of medication and a Presidential Endowed Chair of Most cancers Analysis on the Huntsman Most cancers Institute, College of Utah, supplied an replace on medical trials for treating metastatic prostate most cancers, and Joel Sheinfeld, M.D., testicular most cancers specialist at Memorial Sloan Kettering Most cancers Middle in New York, gave an replace on managing seminoma, a malignant germ cell tumor.
Ian Thompson, M.D., a prostate most cancers specialist in San Antonio, Texas, and member of the Nationwide Most cancers Institute’s Board of Scientific Advisors, gave a digital presentation on “Three Research that Modified My Observe.” He cited analysis that reveals earlier detection for metastatic illness and longer survival charges ought to be thought of when reviewing therapy choices.
Well being Disparities
Regardless of advances in current a long time, Black males proceed to have a better incidence and mortality charge from prostate most cancers than different races, and Hispanic males have greater charges of testicular most cancers -; two of the well being disparities outlined in a session led by Leslie Deane, M.D., M.S., chief of urology service, Miami Veterans Affairs Medical Middle.
Yaw Nyame, M.D., assistant professor of urology on the College of Washington in Seattle, famous that “race” is a social financial and political assemble, and well being disparities are sometimes attributable to a person’s residing and environmental situations. “We have to take a look at how we serve marginalized populations, together with people with disabilities and psychological well being points, in addition to the LGBT group,” he mentioned. “A patient- and community-centered method is the important thing to delivering equitable care.”
Ekene Ada Enemchukwu, M.D., M.P.H., assistant professor at Stanford College, cited analysis carried out with Dr. Syan on disparities in look after Black ladies with urinary incontinence or pelvic flooring issues. “Sufferers with navigators by means of the well being system have been extra more likely to observe by means of with their care,” she mentioned. “In the meantime, urologists ought to take the time to grasp the obstacles going through many minority sufferers and attain out to their main care physicians to coordinate particular person care.”
After talking on “Disparities in Kidney Stone Care,” Kymora Scotland, M.D., Ph.D., assistant professor of urology and director of endourology analysis at UCLA in Los Angeles, highlighted the necessity for better variety within the medical workforce. “We now have to achieve out to our communities and get youngsters involved in medication at a younger age,” she mentioned. “That is the very best long-term approach to develop our pipeline of suppliers.”
Profession Growth
Profession improvement is in vital subject for educational and medical urologists, in addition to trainees, in response to Stacy Loeb, M.D., a prostate most cancers specialist with New York College Langone Well being. In her speak on “Advertising Your self and the Function of Social Media,” Dr. Loeb famous the significance of setting targets and taking management of 1’s skilled narrative.
“Many sufferers select their supplier based mostly on a doctor’s digital presence,” she mentioned. “If you’re recruiting individuals for medical research, medical college students or trainees, a robust social media platform can be crucial.”
Later within the session, Dr. Parekh moderated a panel dialogue on “The Path to Management in Drugs.” Requested whether or not leaders are “born or made,” the panelists agreed that the suitable abilities may be realized, no matter one’s innate character. “Search out mentors, together with these exterior medication, who can offer you good suggestions,” mentioned Dr. Parekh. “And bear in mind you can be a pacesetter with no title.”
Feminine and Male Urology
Katherine Amin, M.D., and Laura Martin, D.O., assistant professors of urology, took half in a panel dialogue on “Updates in Administration of Stress Urinary Incontinence.” Victor Nitti, M.D., professor of urology at UCLA Well being in Los Angeles, then gave a keynote speak on the “Case-Based mostly Method to Midurethral Sling Placement versus Urethral Bulking Agent.
Miami urologist Hemendra Shah, M.D., and Robert Marcovich, M.D., affiliate professor of urology and resident program director on the institute, moderated a session on “Benign Prostatic Hyperplasia/Endo,” together with a panel dialogue of minimally invasive surgical remedy in BPH.
On Sunday morning, Chad Ritch, M.D., M.B.A., affiliate professor of urology and member of Sylvester, moderated a session on “Urology Oncology: Bladder and Higher Tract” that included a panel dialogue on the administration of higher tract urothelial carcinoma.
Scientific teacher Archan Khandekar, M.D., and urologist Helen Hougen, M.D. led a tumor board multidisciplinary dialogue of frequent genitourinary malignancies. Within the closing session, North Carolina urologist Aaron Lentz, M.D. gave a keynote speak on “Administration of Male Incontinence,” adopted by a panel dialogue of adverse situations.
Reflecting on lasting influence of Urology on the Seashore, Dr. Nahar mentioned, “Our convention echoed the mission of the Desai Sethi Urology Institute to draw high expertise, speed up revolutionary approaches, and foster collaboration between specialties like fundamental and translational sciences, biomedical engineering, and know-how.”
