From Mr Christopher Harding
Chair of the BAUS Section of Female, Neurological & Urodynamic Urology
"... the three B's - bariatric, bulky & bendy ..."
I am delighted to welcome you to SFNUU at BAUS 2017 in sunny Glasgow! The FNUU Section Committee - Chris Harding (Newcastle), Nikesh Thiruchelvam (Cambridge), Mary Garthwaite (Middlesbrough), Sheilagh Reid (Sheffield), Richard Parkinson (Nottingham), Rizwan Hamid (London via Rawalpindi) and Sophia Cashman (Watford) - aided by Roger Walker (St Helier) and Roland Morley (London) are delighted to present a topical, thought-provoking, at times controversial, and above all, educational update in FNUU for generalists and specialists alike.
Monday’s Section Annual Meeting will provide an update on the politically charged issue of mesh and synthetic tapes. Mike Palmer (Glasgow) is going to summarise what is happening with mesh and tape-related issues in the UK, Victor Nitti (New York) is going to let us know the US experience with mesh and tape complications and how to best manage them, and Richard Parkinson is going to provides us with insights into medico-legal aspects of mesh and tape complications, hopefully helping us all avoid (if possible in the current climate) litigation. Finally, to round off the morning, Nikesh Thiruchelvam and Sophia Cashman will update us on the latest developments in the FNUU stress urinary incontinence audit.
After lunch we are discussing the 3 B’s – Bariatric, Bulking and Bendy! Ian Eardley (Leeds) is going to let us know how we should approach surgery in our increasingly overweight population. Should we insist or encourage high BMI patients to lose weight before elective surgery? Could this help them avoid surgery and/or reduce their complications from surgery, or is it just another form of rationing?
Following on from the mesh and tape controversies, there has been an upsurge in the use of intraurethral bulking agents, in particular using the newer agents. Is this the best way to help our patients and do least harm or are we doing them a disservice and leaving them high and wet? Steve Foley (Reading) is going to help us decide.
Many of us have noted an increasing number of referrals of patients with a variety of connective tissue disorders such as Ehlers-Danlos syndrome. Vik Khullar (London), one of the UK’s best known urogynaecologists, has a particular interest in this patient group and their urological problems, and is going to advise us about the disorders, patients and how to manage their urological issues. Chris Harding and I will end this session with a round-up on recent FNUU developments and training opportunities.
Finally, following a reviving coffee, we have a joint session with the Section of Andrology. Juan I Martínez- Salamanca is going to let us know how to decide between a sling or a sphincter for men with post-prostatectomy urinary incontinence and whether dual penile / AUS implantation is a good idea or a recipe for an expensive disaster. Emmanuel Chartier-Kastler (Paris) is going to talk to us about the role of slings and sphincters in the management of female stress urinary incontinence. Penultimately, we have a debate about the best technique for the management of penile urethral strictures between Paul Anderson (Dudley) in "Camp 2-stage" and Daniela Andrich (London via Ulm) in "Camp 1-stage". Finally, Victor Nitti (New York) is going to end the day by guiding us through the management of female urethral strictures.
Continuing on from our excellent and exciting Monday, there is a FNUU poster session on Tuesday from 12.00 to 13.30hr, covering the latest and best developments in UK FNUU. This should be excellent and I encourage you all to attend and interact with the presenters.
There is also a FNUU session within the BAUS main meeting on Tuesday afternoon from 14.30 to 15.30hr, which will cover the often confusing and difficult topics of: Female Urinary Retention (Magda Kujawa from Stockport), OAB in men (Altaf Mangera from Sheffield) and Urinary Incontinence in the Elderly (Siobhan Woolsey from Belfast).
I would like to end by welcoming Mo Belal (Birmingham via Wolverhampton) and Suzanne Biers (Cambridge) to the FNUU Committee, and to wish Chris Harding all the best as he takes over from me as Section Chair at the end of the year. FNUU is a brilliantly interesting and diverse subspeciality, and I would encourage all trainees to consider a career in it!