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ForwardPractical PCNL: From Access to Exit - A Hands-On Course - New York (2018)
The Hands-on Course is now SOLD OUT. Spots are still available for the Didactic-Only option.* Please note that the Didactic-Only option includes lectures and video sessions, but does not include the Surgical Skill Stations on Saturday, July 14 at 1:00 p.m. - 5:00 p.m.
This is a hands-on, intensive course in PCNL. It is geared for the practicing Urologist who wants to gain comfort with performing percutaneous stone removal, obtaining his/her own percutaneous access using both fluoroscopy and ultrasound, and familiarity with current instrumentation including flexible ureteroscopy. The course will include didactic lectures, multiple different simulators, and live patient experience with ultrasound imaging.
Target Audience
- Resident
- Urologist
Learning Objectives
After attending this course, participants will be able to:
- Obtain percutaneous access to the kidney using both fluoroscopy and sonography.
- Review instrumentation integral to optimizing PCNL success (including tract dilation, graspers, baskets, flexible nephroscopy).
- Demonstrate the optimal methods for post-operative drainage and management of the percutaneous tract.
- Recognize and manage complications of PCNL.
- Perform and review ultrasound imaging.
- Apply knowledge gained in this course to develop a practice which is comfortable in offering PCNL to its patients as an integral surgical procedure in the treatment of stone disease.
- Gain familiarity with flexible ureteroscopy and instrumentation, and learn how to utilize it in combination with PCNL to enhance access and stone treatment success.
This educational series is supported by independent educational grants from:
- Bard Medical
- Cook Medical
- Olympus Corporation of the Americas
- Richard Wolf Medical Instruments Corporation
Saturday, July 14, 2018
7:00 – 7:20 am Registration/Breakfast
7:20 – 7:30 am Welcome/Course Format
Arthur Smith, MD
7:30 – 8:00am Fundamentals of Renal Ultrasound
Bruce Gilbert, MD, PhD, FACS
8:00 – 8:20 am Fundamentals of Fluoroscopy/Radiation Safety
Art Rastinehad, DO
8:20 – 8:40 am Case Selection (STONE Morphometry) Selection of Access Site
Zeph Okeke, MD
8:40 – 8:50 am Positioning for PCNL
Arthur Smith, MD
8:50 – 9:10 am Fluoroscopy-guided Perc Access: “Bull’s Eye” and “Drift Down”
Arthur Smith, MD
9:10 – 9:25 am Endoscopically-guided Perc Access with Fluoroscopy
Robert Sweet, MD
9:25 – 9:45 am Ultrasound-guided Perc Access and Complications
Art Rastinehad, DO
9:45 – 10:00 am Break
10:00 – 10:20 am Dilation of Tract and Complications
Zeph Okeke, MD
10:20 – 10:45 am Difficult Access: Tricks and Tips
Arthur Smith, MD
10:45 – 11:05 am Stone Removal and Lithotripsy – Pneumatic, Ultrasound, Laser
Zeph Okeke, MD
11:05 – 11:25 am Flexible Nephroscopy
David Hoenig, MD
11:25 – 11:45 am Flexible Ureteroscopy in PCNL: Access Sheaths and other Tips
Robert Sweet, MD
11:45 am – 12:15 pm Medical Management of Kidney Stones
David Hoenig, MD
12:15 – 12:30 pm Review of AUA Guidelines for Medical and Surgical Management
Of Urolithiasis
Zhamshid Okhunov, MD
12:30 – 1:00 pm Lunch
1:00 – 5:00 pm Surgical Skill Stations
- Renal Ultrasound on Live Model
- Percutaneous Access under Fluoroscopy
- Percutaneous Access under Ultrasound
- Flexible Ureteroscopy and Percutaneous Access
Sunday, July 15, 2018
7:30 – 8:00 am Breakfast
8:00 – 8:20 am Exit Strategies: Tubes vs. Tubeless, Floseal, Selection of
Nephrostomy Tubes, Post-Op Imaging
David Hoenig, MD
8:20 – 8:45 am Difficult Access: Tricks and Tips
Arthur Smith, MD
8:45 – 10:30 am Surgical Cases – Video
PCNL – Fluoroscopy-guided Access and Stone Removal –
Graspers, Lithotripsy and Insertion of Nephrostomy or Stent
PCNL – Ultrasound-guided Access and Stone Fragmentation with
Lithoclast
PCNL with Multiple Tracts and Flexible Nephroscopy
PCNL – Endoscopic assisted
Flexible Ureteroscopy for Residual Stones
10:30 – 10:50 am Break
10:50 – 11:10 am Complications and How to Prevent Them for PCNL
Art Rastinehad, DO
11:10 – 11:30 am Complications and How to Prevent Them for URS
Zeph Okeke, MD
11:30 am – 12:30 pm Difficult Cases: Panel Discussion/Q & A Session
12:30 pm Course Adjourns
What To Know Before You Go
Registration
Registration will begin at 7:00 a.m. on Saturday morning in the Smith Institute for Urology Centre Street Hallway. All attendees must check-in at registration to receive their name badge and course syllabus. The didactic portion of the course will begin promptly at 7:20 a.m.
Meals
A continental breakfast, box lunch and coffee breaks will be provided on Saturday. A breakfast will be provided on Sunday at the course location.
Complimentary Shuttle from Hotel
The Inn at Great Neck will provide a shuttle to the Smith Institute for Urology on Saturday, July 14, 2018 at 6:15 and 6:35 AM. The shuttle will return to the Inn at Great Neck at 5:00 PM. The hotel will provide a shuttle on Sunday, July 15, 2018 at 7:00 and 7:30 AM.
Dress
Attire is business casual for the meeting. Temperatures in meeting rooms can sometimes be cool, so we advise that you bring a jacket or sweater with you to all meeting functions.
Weather
The average temperatures in Lake Success, NY during this time of year are a high of 97ºF and a low of 69ºF.
Travel
Hotel Information
Inn at Great Neck
30 Cutter Mill Road
Great Neck, New York 11021
http://www.innatgreatneck.com
Make your reservation today!
To hold a reservation, a major credit card number must be provided.
Reference the American Urological Association Practical PCNL course when making your reservation to receive the special group rate. To hold a reservation, a major credit card number must be provided. $185 single/double occupancy. Reference the American Urological Association Practical PCNL course when making your reservation to receive the special group rate.
Cut-off Date: Friday, June 22, 2018.
*Once the AUA group block is full, which may be prior to the cut-off date, the AUA is unable to guarantee rooms at this rate or at this hotel.
Check-in: 3 p.m.
Check-out: 12 p.m.
Parking
Valet: $14.00 per day (overnight)
Complimentary parking is available at the course location across the street from the Center for Advanced Medicine. At the first light past Marcus Avenue, from Lakeville Road make a left at the second entrance marked “Entry 2” of the Center for Advanced Medicine. The Parking Lot on you left hand side is available to you throughout the course.
Car Rental
Hertz is pleased to offer special discounted car rental rates to AUA course and meeting attendees. Make your rental car reservation online or call 1-800-654-2240 and mention the AUA discount code, CV# 04SG0005.
Tourism
The Inn at Great Neck is located on the historic Gold Coast of Long Island. "West Egg" from F. Scott Fitzgerald's novel, The Great Gatsby, refers to Great Neck. What has made Great Neck such a well-regarded locale has been its picturesque scenery that is in close proximity to Manhattan. Our convenient location offers guests a great starting point to discover the cultural, historic and natural attractions of Long Island's North Shore, as well as our dining and nightlife. From the magnificent gardens of Old Westbury, to a historic walking tour of our Great Neck village, there is plenty to do and see nearby. Be sure to visit the local museums, arboretums, mansions, gardens, beaches, hiking trails, shopping villages, state parks, theaters, restaurants, golf courses, bike paths, fishing piers, farmer's markets and more.
Name | Company | Role | Financial |
David Hoenig, MD | Best Doctors, Inc. | Employee | Yes |
Individual legal firms | Other | Yes | |
Arthur Smith, MD | Cook…..discontinued | Health Publishing, Meeting Participant or Lecturer, Owner, Product Development | Yes |
Olympus | Owner, Product Development | Yes | |
Boston Scientific | Owner, Product Development | Yes | |
Robert Sweet, MD, FACS | American Urological Association | Consultant or Advisor, Meeting Participant or Lecturer, Scientific Study or Trial | No |
Society of Laparoendoscopic Surgeons | Leadership position, Consultant or Advisor, Meeting Participant or Lecturer, Scientific Study or Trial, Other | No | |
Department of Defense | Scientific Study or Trial | Yes | |
ARL | Scientific Study or Trial | Yes | |
Bruce Gilbert, MD, PhD | Auxilium | Scientific Study or Trial | Yes |
Mero Pharmaceuticals | Scientific Study or Trial | Yes | |
Zeph Okeke, MD | Nothing to disclose. | ||
Zhamshid H. Okhuonv, MD | Nothing to disclose | ||
Art Rastinehad, DO |
Philips, Inc. |
Scientific Study or Trial |
Yes |
NanoSpectra Biopsciences | Consultant or Advisor, Scientific Study or Trial | Yes | |
Education Council Disclosures: | |||
Name | Company | Role | Financial |
Michael R. Abern, MD | Department of Defense Prostate Cancer Research Program | Scientific Study or Trial | Yes |
| American Urological Association Office of Education | Consultant or Advisor | Yes |
| Department of Defense Prostate Cancer Research Program | Consultant or Advisor | Yes |
Sero Andonian, MD | Lumenis | Meeting Participant or Lecturer, Scientific Study or Trial | Yes |
Timothy Charles Brand, MD | Nothing to disclose |
| |
Anthony A. Caldamone, MD | Nothing to disclose |
| |
Matthew S. Christman, MD | Nothing to disclose |
| |
John D. Denstedt, MD | Cook Urology | Owner, Product Development | Yes |
| Endourological Society | Leadership Position | Yes |
| Endourological Society | Health Publishing | Yes |
Jody Donaldson | Nothing to disclose |
| |
Shelby Englert | Nothing to disclose |
| |
Allen Gao, MD, PhD | Pandomedx | Leadership Position, Owner, Product Development | Yes |
Matthew Thomas Gettman, MD | COVR Medical | Consultant or Advisor | Yes |
| Intuitive Surgical | Consultant or Advisor | Yes |
| Exact Sciences | Scientific Study or Trial | Yes |
Howard B. Goldman, MD | allergan | Consultant or Advisor | Yes |
| Medtronic | Consultant or Advisor, Meeting Participant or Lecturer, Scientific Study or Trial | Yes |
| Cook | Scientific Study or Trial | No |
| Nuvectra | Consultant or Advisor | Yes |
| Axonics | Consultant or Advisor | Yes |
| NewUro | Consultant or Advisor | Yes |
| Galvani | Consultant or Advisor | Yes |
| bioness | Scientific Study or Trial | No |
William C. Huang, MD | Photocure | Scientific Study or Trial | Yes |
| Karl Storz | Scientific Study or Trial | Yes |
| Intuitive | Meeting Participant or Lecturer | Yes |
William C. Hulbert, Jr., MD | Nothing to disclose |
| |
Name | Company | Role | Financial |
Brant Inman, MD, MS, FRCSC | Dendreon | Scientific Study or Trial | No |
| Genentech Inc | Scientific Study or Trial | No |
| Combat Medical | Consultant or Advisor, Scientific Study or Trial | Yes |
| FKD Therapies | Scientific Study or Trial | No |
| Nucleix | Scientific Study or Trial | Yes |
| Urogen | Scientific Study or Trial | Yes |
Mark L. Jordan MD,FACS | Nothing to disclose |
| |
Martin A. Koyle, MD | Nothing to disclose |
| |
Yair Lotan, MD | abbott | Scientific Study or Trial | No |
| Cepheid | Consultant or Advisor, Scientific Study or Trial | No |
| Pacific Edge | Scientific Study or Trial | No |
| FKD | Scientific Study or Trial | No |
| MDxHealth | Consultant or Advisor, Scientific Study or Trial | Yes |
| biocancell | Scientific Study or Trial | No |
| GenomeDx Biosciences Inc | Scientific Study or Trial | No |
| photocure | Consultant or Advisor, Scientific Study or Trial | No |
Nicole Lara Miller, MD | Boston Scientific Corporation | Consultant or Advisor, Meeting Participant or Lecturer | Yes |
| Practical Reviews In Urology | Health Publishing | Yes |
Manoj Monga, MD, FACS | Fortec | Other | Yes |
Ajay Kumar Nangia, MBBS, FACS
| AUA News | Leadership Position, Health Publishing | Yes |
NIH CCN Trial | Scientific Study or Trial | Yes | |
Urology Care Foundation | Leadership Position | No | |
AUA Health Policy Council | Leadership Position | No | |
South Central AUA | Leadership Position | No | |
ASRM | Leadership Position | No | |
Curtis Nickel, MD
| Farr Laboratories | Consultant or Advisor | Yes |
Aquinox | Scientific Study or Trial | No | |
PureTech Health | Consultant or Advisor | Yes | |
AUA | Health Publishing | Yes | |
NIH | Scientific Study or Trial | Yes | |
Canadian Institute of Health Research | Scientific Study or Trial | Yes | |
Interface Biologics | Consultant or Advisor | Yes | |
Alvio Therapeutics | Consultant or Advisor | Yes | |
Seikagaku Corporation | Consultant or Advisor | Yes | |
Medifocus | Consultant or Advisor | Yes | |
RedLeaf Medical | Consultant or Advisor | Yes | |
Victor William Nitti, MD
| Astellas | Health Publishing, Scientific Study or Trial | No |
Allergan | Health Publishing, Scientific Study or Trial | No | |
Serenity Pharmeuticals | Investment Interest | Yes | |
Medtronic | Scientific Study or Trial | No | |
Christopher Porter, MD | Nothing to disclose | ||
Ganesh V. Raj, MD, PhD | Ptares | Owner, Product Development | Yes |
| C-diagnostics corp | Consultant or Advisor, Investment Interest | Yes |
| amgen | Meeting Participant or Lecturer | Yes |
| Johnson and Johnson | Consultant or Advisor, Owner, Product Development | Yes |
| Astellas | Meeting Participant or Lecturer | Yes |
| ASTELLAS | Consultant or Advisor, Meeting Participant or Lecturer | Yes |
| Janssen | Owner, Product Development | Yes |
| BAYER | Consultant or Advisor, Meeting Participant or Lecturer | Yes |
| SANOFI | Consultant or Advisor, Meeting Participant or Lecturer | Yes |
| GaudiumRx | Leadership Position, Investment Interest, Owner, Product Development | Yes |
| Medivation | Consultant or Advisor, Meeting Participant or Lecturer, Scientific Study or Trial | Yes |
EtiraRx | Leadership Position, Investment Interest, Owner, Product Development | Yes | |
Accreditation: The American Urological Association (AUA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit Designation: The American Urological Association designates this live activity for a maximum of 13.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other Learners: The AUA is not accredited to offer credit to participants who are not MDs or DOs. However, the AUA will issue documentation of participation that states that the activity was certified for AMA PRA Category 1 Credit™.
Evidence Based Content: It is the policy of the AUA to ensure that the content contained in this CME activity is valid, fair, balanced, scientifically rigorous, and free of commercial bias.
AUA Disclosure Policy: All persons in a position to control the content of an educational activity (i.e., activity planners, presenters, authors) are required to disclose to the provider any relevant financial relationships with any commercial interest. The AUA must determine if the individual’s relationships may influence the educational content and resolve any conflicts of interest prior to the commencement of the educational activity. The intent of this disclosure is not to prevent individuals with relevant financial relationships from participating, but rather to provide learners information with which they can make their own judgments.
Resolution of Identified Conflict of Interest: All disclosures will be reviewed by the program/course directors or editors for identification of conflicts of interest. Peer reviewers, working with the program directors and/or editors, will document the mechanism(s) for management and resolution of the conflict of interest and final approval of the activity will be documented prior to implementation. Any of the mechanisms below can/will be used to resolve conflict of interest:
- Peer review for valid, evidence-based content of all materials associated with an educational activity by the course/program director, editor, and/or Education Content Review Committee or its subgroup.
- Limit content to evidence with no recommendations
- Introduction of a debate format with an unbiased moderator (point-counterpoint)
- Inclusion of moderated panel discussion
- Publication of a parallel or rebuttal article for an article that is felt to be biased
- Limit equipment representatives to providing logistics and operation support only in procedural demonstrations
- Divestiture of the relationship by faculty
Off-label or Unapproved Use of Drugs or Devices: The audience is advised that this continuing medical education activity may contain reference(s) to off-label or unapproved uses of drugs or devices. Please consult the prescribing information for full disclosure of approved uses.
AUA PARTICIPANT INFORMATION & POLICIES
Disclaimer: The opinions and recommendations expressed by faculty, authors and other experts whose input is included in this program are their own and do not necessarily represent the viewpoint of the AUA.
Consent to Use of Photographic Images: Attendance at or participation in AUA meetings and other activities constitutes an agreement by the registrant to AUA's use and distribution (both now and in the future) of the attendee's image or voice in photographs and electronic reproductions of such meetings and activities.
Audio, Video and Photographic Equipment: The use of audio, video and other photographic recording equipment by attendees is prohibited inside AUA meeting rooms.
Reproduction Permission: Reproduction of written materials developed for this AUA course is prohibited without the written permission from individual authors and the American Urological Association.
Special Assistance/Dietary Needs: The AUA complies with the Americans with Disabilities Act §12112(a). If any participant is in need of special assistance or has any dietary restrictions, please see the registration desk.
Available Credit
- 13.75 AMA PRA Category 1 Credit™
- 13.75 Non-Physician Participation