From Mr Rowland Rees
Chair of the BAUS Section of Andrology & Genito-Urethral Surgery
"... expert advice on difficult urethral & andrological problems ..."
On behalf of the Section’s executive committee, it gives me huge pleasure to invite you all to our annual section meeting at this year’s BAUS meeting in Liverpool. Male genital conditions are a common feature of every urologist’s practise, and our aim is to update all of you in what is going on in andrology and genito-urethral surgery. This dynamic field is going through significant changes, and I hope you can join us for an update.
We will start with Monday morning with our popular "Updates" session highlighting recent changes and advances in the fields of erectile dysfunction, Peyronie’s disease and male infertility. All three speakers are fully immersed in both the clinical and academic aspects of their subjects, and are eminently qualified to update us.
The next session, "Andrological Challenges" focuses on three areas that are not always optimally managed in everyday practice.
- Male fertility considerations can often be overlooked during the diagnosis and treatment of urological cancer, storing up yet another blow to survivors who may then have difficulty conceiving. Majid Shabbir, who spans large fertility and oncology centres, will outline what is best practise in this situation.
- As andrologists, we are asked to see men whose circumcision has not met with expectations, and there is no doubt that central obesity is a risk factor for a poor outcome. I will consider causation, but also how to counsel, avoid and salvage problems relating to circumcision in the obese.
- One of the most challenging problems in andrological surgery is advanced Peyronie’s disease causing complex deformities, penile shortening and complete ED. So, for our third challenge, David Ralph will share his wealth of experience and opinion on the role of grafts, implants and other interventions to salvage such situations.
To conclude our morning, we are privileged to welcome Professor André van der Merwe from South Africa, who has successfully led a penile transplant programme at Stellenbosch University. His tale of the related social and ongoing medical challenges is both moving and inspiring, and I am sure you will enjoy it.
After lunch, we move over to urethral surgery and we start with Daniela Andrich outlining the exciting developments in the field of stem cell research in urethral stricture disease. Following that, we have two of the greats of urethral surgery in the world – Sanjay Kulkarni from Pune will tell us of his vast experience of repairing posterior urethral injuries in India, followed by Professor Tony Mundy on the management and outcome of the rising epidemic of uro-rectal fistulae.
We will then join the FNUU section for a joint session on reconstructive urology, and I would like to thank the FNUU Section Chair, Chris Harding, for help in putting that together. Training is a topical issue in British urology, and Sanjay Kulkarni will return to the stage to tell us how he manages to teach urethroplasty in India. This will be followed by Tamsin Greenwell, who will help us understand decision-making and outcomes when treating incontinence after radiotherapy.
To complete a packed and exciting day, Amar Alhasso and Marc Lucky will remind us how to manage the urinary and sexual complications in cauda equina syndrome and the neurologically compromised patient. I’m sure that many will find this update on neurourology useful.
Finally , I should add that the AGUS section will also be running a session on Tuesday afternoon of the main meeting, with some distinguished speakers, covering the latest evidence on how treating sexual dysfunction can benefit general health. There is also our poster session on Wednesday, and of course our regular courses.
I do hope that all of the above, and your trip to Liverpool, will leave you appropriately updated, give you a chance to catch up with colleagues and, most of all, to enjoy yourselves.