The Future of Male SUI Surgery Is Now with Dr. Brian J. Flynn, MD скачать в хорошем качестве

The Future of Male SUI Surgery Is Now with Dr. Brian J. Flynn, MD

Brian J. Flynn, MD, discusses male stress urinary incontinence. In this 19-minute presentation, Dr. Flynn explores advancements in treatment, particularly the shift toward passive and adjustable devices. With the aging population, cognitive and dexterity challenges in operating active devices pose significant concerns, leading to interest in passive alternatives requiring no manual manipulation. Two promising adjustable devices, the ATOMS and ProACT, offer success rates approaching those of the artificial sphincter while maintaining minimally invasive surgical approaches. Dr. Flynn details the refinement of implant techniques, emphasizing fluoroscopic and ultrasound guidance to optimize placement and function. He shares insights from his extensive surgical experience. The step-by-step technical walkthrough of implantation demonstrates precision in trocar placement, balloon positioning, and intraoperative adjustments. He presents intraoperative fluoroscopic and cystoscopic views to illustrate technique refinements that enhance efficacy. Dr. Flynn gives a comprehensive analysis of devices, outlining considerations for patient selection and future directions in incontinence management.