Rocky Mountain Urological Society 2016 Annual Spring Meeting April 8 9, Embassy Suites Denver Tech Center Centennial, Colorado

Transcription

1 Rocky Mountain Urological Society 2016 Annual Spring Meeting April 8 9, 2016 Embassy Suites Denver Tech Center Centennial, Colorado Register before March 14, 2016, to receive the early registration discounted fee! Register quickly and easily online at tinyurl.com/rmus2016

2 PRESIDENT S MESSAGE Dear Colleagues, Join us at the 2016 Rocky Mountain Urological Society meeting at the Embassy Suites Denver Tech Center, April 8 9. Dr. Brian Flynn and the Program Committee have brought together a number of dynamic speakers for our agenda this year. Our main topics will be bladder cancer and the practical management of kidney stones, and we are excited to bring in Dr. Jeffrey Holzbeierlein from the University of Kansas School of Medicine and Dr. Julie Riley from the University of New Mexico School of Medicine to each present several topics. We will also have panel discussions incorporating some of our local experts in clinical and academic practice. Besides our main topics, we will also have a COPIC lecture as well as a health policy presentation in which we will predict the future of American medicine with help from various physicians and administrators representing different areas of practice. We will also have a moderated poster session this year to highlight the impressive efforts of our urology residents. This has proven to be a popular addition to the annual meeting. Again, let me invite you to Denver. I look forward to meeting friends and colleagues, both old and new! Scott B. Jennings, MD President, Rocky Mountain Urological Society EDUCATIONAL NEEDS & OBJECTIVES Educational Needs Bladder Cancer: Bladder cancer is common in industrialized countries. It is the fifth most common type of cancer in the United States. It is the fourth most common in men and the ninth in women. This disease is associated with significant morbidity and death. Urothelial carcinoma (transitional cell carcinoma) is by far the most common type of bladder cancer in the United States. The so-called transitional cells are normal cells that form the innermost lining of the bladder wall. In transitional cell carcinoma, these normal lining cells undergo changes that lead to the uncontrolled cell growth characteristic of cancer. Bladder cancers are classified by how deeply they invade into the bladder wall, which has several layers. Typically we subdivide bladder cancer into superficial and invasive diseases. There is significant variation in workup and treatment of bladder cancer across the country. Technology is rapidly changing, with introduction of numerous new minimally invasive medical and surgical options over the past few years. Given the significant role that community urologists play in diagnosis and treatment of bladder cancer, it is felt that a comprehensive update on diagnosis, workup and treatment of bladder cancer is needed at this meeting. Patients with high risk non-muscle invasive bladder cancer present a unique challenge to the practicing urologist. The opportunity to preserve a patient s bladder must carefully be weighed against the risk of progression. In this session, the speakers will discuss the role of BCG in the management of high grade NMIBC, the risks of progression in these patients. In addition, the speaker will review how to manage side effects of BCG and what to do when patients can t tolerate or receive BCG. There has been a fair bit of debate recently regarding the optimal surgical approach for patients with muscle invasive bladder cancer undergoing cystectomy. The results of the RAZOR trial, a randomized trial of open cystectomy vs. robotic cystectomy, are currently pending. However, in this session, the speaker will review the available date for robotic and open cystectomy and make the case that patient selection is the critical component on which approach to choose. Early recovery pathways are a mainstay of cystectomy. However, there is a critical need to improve nutrition during this time period, which has not been addressed in most ERAS pathways. In this session, the speaker will present data on the baseline malnutrition seen in patients undergoing cystectomy. The speaker will discuss how malnutrition effects outcomes and then describe a pilot study that we have conducted and recently published looking a nutritional supplement that can modulate the immune response after cystectomy. The speaker will present data on preserving weight after cystectomy and decreasing surgical infections using this approach. Robotic Surgery: Robotic-assisted laparoscopic surgery is a minimally invasive way to perform abdominal and pelvic surgery. The Food and Drug Administration approved robotic surgery with the Da Vinci Surgical System in The technique has been rapidly adopted by hospitals in the United States and Europe for use in the treatment in a wide range of conditions. The most

3 widely used clinical robotic surgical system includes a camera arm and mechanical arms with surgical instruments attached to them. The surgeon controls the arms while seated at a computer console near the operating table. The console gives the surgeon a high definition, magnified, 3D view of the surgical site. The surgeon leads other team members who assist during the operation. It is important that urologists specify and formulate the technical aspects and key procedural steps to optimize surgical outcomes. The speaker will give the audience the technical pearls to improve patient care and outcomes. Kidney Stone Disease: Urolithiasis is the term that refers to the presence of stones in the urinary tract, while nephrolithiasis (nephro means kidney, and lithiasis stone) refers to kidney stones and ureterolithiasis refers to stones lodged in the ureter. The size of the stone doesn t matter as much as where it is located and whether it obstructs or prevents urine from draining. Kidney stone disease is the most common problem a urologist will see in their practice. There are a variety of ways treating stone disease including ureteroscpy, shock-wave lithotripsy and percutanous nephrolithotomy. Ureteroscopy is a minimally invasive method of treating stone disease and can be used either as primary therapy or as salvage therapy for residual stones following treatment with other modalities such as extracorporeal shockwave lithotripsy (ESWL) and/or percutaneous nephrolithotomy (PCNL). Compared with ESWL, ureteroscopic lithotripsy achieves a greater stone free state. In select cases, ureteroscopy has been shown to be a viable and effective means of treating stone disease where ESWL may be contraindicated (e.g. pregnant women and pediatric patients). In percutaneous nephrolithotomy or nephrolithotripsy, the surgeon puts a hollow tube into the kidney and either removes (lithotomy) or breaks up and removes (lithotripsy) the stone. This surgery may be used if shock wave lithotripsy or ureteroscopy does not work or if there is a very large stone. Urologists are frequently called upon to educate, diagnose, and treat men with urolithiasis. Given the rapid rise of such therapy, and given conflicting data, it is felt that a thorough discussion of this subject is much needed at this year s meeting. The speaker will give the audience the technical pearls to improve patient care and outcomes when performing ureteroscopy and percutaneous nephrolithotomy. Health Policy and Medico Legal Concerns for Urologists: As part of the rapidly changing health care delivery system in this country, payers both private and public systems are evolving to care for patients. Different systems use different models to care for patients and provide quality of care delivered by physicians. In the socioeconomic hour at this year s meeting, we will explore the changes in practice that impact physicians. We will also provide information on what happens when a patient files a complaint against a urologist and how the provider may respond including the role of arbitration and settlement. Educational Objectives At the conclusion of the RMUS 2016 Annual Spring Meeting, attendees should be able to: 1. Identify the risk factors for bladder cancer. 2. Describe when to preserve the bladder in patients with cancer. 3. Identify when early cystectomy is indicated. 4. Describe the role of BCG in the management of high grade NMIBC. 5. Report the risk factors for bladder cancer progression. 6. Demonstrate how to manage side effects of BCG, and illustrate what to do when patients can t tolerate or receive BCG. 7. Analyze when to perform an open cystectomy and when to perform Robotic cystectomy. 8. Summarize the RAZOR trial, a randomized trial of open cystectomy vs robotic cystectomy. 9. Create factors that are important for patient selection for various approaches the cystectomy. 10. Integrate the role of nutrition in early recovery pathways for cystectomy, and review baseline malnutrition seen in patients undergoing cystectomy. 11. Explain how malnutrition affects cystectomy outcomes, the role of nutritional supplements and how they can modulate the immune response after cystectomy. 12. Indicate how nutrition can preserve weight after cystectomy and how optimal nutrition can decrease surgical infections. 13. Formulate the role of radiation therapy and chemotherapy in the treatment of bladder cancer. 14. Determine how to place trocars and dock the robot for robotic surgery, optimize patient positioning in robotic surgery. 15. Explain how to improve surgical techniques in robotic surgery and ureteroscopy. 16. Describe surgical techniques for placing a ureteral access sheath and ureteral stent and baskets. 17. Describe surgical techniques for pecutaneous stone surgery. 18. Describe the laser settings for lithotripsy. 19. Identify how to gain access for percutaneous nephrolithotomy. 20. Explain procedure selection for urolithiasis. 21. Describe how value based purchasing affects the business of medicine. 22. Explain the legal process if you are named in a patient complaint or lawsuit, arbitration, and/or settlement in a medical malpractice claim.

4 ACCREDITATION CONTINUING MEDICAL EDUCATION CREDIT INFORMATION Accreditation This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Surgeons and the Rocky Mountain Urological Society. The American College of Surgeons is accredited by the ACCME to provide continuing medical education for physicians. AMA PRA Category 1 Credits The American College of Surgeons designates this live activity for a maximum of 8.75 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses and other healthcare professionals will receive a Certificate of Attendance. For information on the applicability and acceptance of Certificates of Attendance for educational activities certified for AMA PRA Category 1 Credit from organizations accredited by the ACCME, please consult your professional licensing board. General Disclaimer The statements and opinions contained in this program are solely those of the individual authors and contributors and not of the Rocky Mountain Urological Society. The appearance of the advertisements is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality, or safety. The content of this publication may contain discussion of off-label uses of some of the agents mentioned. Please consult the prescribing information for full disclosure of approved uses. The Rocky Mountain Urological Society disclaims responsibility for any injury to persons or property resulting from any ideas or products referred to in the abstracts or advertisements. Special Assistance We encourage participation by all individuals. If you have a disability, advance notification of any special needs will help us better serve you. Call (847) if you require special assistance to fully participate in the meeting. CALL FOR ABSTRACTS The Rocky Mountain Urological Society is now collecting abstracts to be presented at the Poster Session at this year s spring meeting. This is a great opportunity for urology residents to discuss their work and received feedback from their peers. Topics include but are not limited to: Andrology Female Pelvic Medicine General Urology Lap/Robotic Urology Infertility Pediatric Urology Reconstructive Urology Stone Disease Urologic Oncology The deadline to submit your abstract is Tuesday, March 15 at 11:59 p.m. (CST). Please submit your abstract to Julia Norwich at julia@wjweiser.com.

5 RMUS 2016 ANNUAL SPRING MEETING PROGRAM SCHEDULE April 8-9, 2016 All sessions will be located in the Colorado Room unless otherwise noted. Speakers and times are subject to change. FRIDAY, APRIL 8, 2016 OVERVIEW 12:30 p.m. - 7:00 p.m. Registration/Information Desk Open Location: Ballroom Foyer 3:00 p.m. - 3:20 p.m. Break with Exhibitors 12:00 p.m. - 7:00 p.m. Exhibit Hall Open 6:00 p.m. - 7:00 p.m. Welcome Reception Location: Colorado Room GENERAL SESSION 12:00 p.m. - 12:50 p.m. Board of Directors Meeting Location: Douglas Room 1:00 p.m. - 1:15 p.m. Business Meeting 1:15 p.m. - 1:20 p.m. Welcome and Announcements President: Scott B. Jennings, MD Colorado Springs, CO 1:20 p.m. - 2:00 p.m. Management of High Risk Nonmuscle Invasive Bladder Cancer with BCG and What to do in BCG Intolerant Patients Speaker: Jeffrey M. Holzbeierlein, MD, FACS University of Kansas Medical Center Kansas City, KS 2:00 p.m. - 2:30 p.m. Chemotherapy for Bladder Cancer: How I Do It Speaker: Maurice Markus, MD Rocky Mountain Cancer Center Colorado Springs, CO 2:30 p.m. - 3:00 p.m. What s New in Radiation Therapy for Bladder Cancer Speaker: Thomas Pugh, MD University of Colorado School of Medicine Denver, CO 3:20 p.m. - 4:00 p.m. Robotic Cystectomy and Open Cystectomy: Complimentary Approaches to the Patient with Invasive Bladder Cancer Speaker: Jeffrey M. Holzbeierlein, MD, FACS University of Kansas Medical Center Kansas City, KS 4:00 p.m. - 5:00 p.m. Bladder Cancer: Panel Discussion and Case Presentation Moderator: Shandra S. Wilson, MD University of Colorado Health Science Center Aurora, CO Panelists: Mark B. Fisher, MD Lafayette, CO Thomas W. Flaig, MD University of Colorado Health Science Center Aurora, CO Jeffrey M. Holzbeierlein, MD, FACS University of Kansas Medical Center Kansas City, KS Speaker: Thomas Pugh, MD University of Colorado School of Medicine Denver, CO 5:00 p.m. - 6:00 p.m. Health Policy: The Future of US Medicine Presenter: David L. Sobel, MD, JD Urology Associates Englewood, CO 6:00 p.m. Closing Remarks SATURDAY, APRIL 9, 2016 OVERVIEW 7:00 a.m. - 2:00 p.m. Registration/Information Desk Open Location: Ballroom Foyer 7:00 a.m. - 11:00 a.m. Exhibit Hall Open 7:00 a.m. - 8:00 a.m. Continental Breakfast with Exhibitors 10:20 a.m. - 10:40 a.m. Break with Exhibitors 12:30 p.m. - 1:30 p.m. Industry Satellite Symposium GENERAL SESSION 8:00 a.m. - 8:05 a.m. Introduction President: Scott B. Jennings, MD Colorado Springs, CO 8:05 a.m. - 9:00 a.m. Moderated Poster Session Moderators: Ty T. Higuchi, MD, PhD University of Colorado School of Medicine Aurora, CO Julie M. Riley, MD University of New Mexico Albuquerque, NM 9:00 a.m. - 9:40 a.m. Ureteroscopy: Top 10 Tips and Tricks, Latest Technology Speaker: Julie M. Riley, MD University of New Mexico Albuquerque, NM

6 9:40 a.m. - 10:20 a.m. Early Recovery Pathways for Cystectomy: A Focus on Immunotrition Speaker: Jeffrey M. Holzbeierlein, MD, FACS University of Kansas Medical Center Kansas City, KS 10:40 a.m. - 11:20 a.m. Copic: The Fastest 20 Seconds in Surgery Speaker: Jeffery Varnell, MD Surgical Consultants of Aurora Aurora, CO 11:20 a.m. - 12:00 p.m. What s New in Percutaneous Nephrolithotomy: Mini-perc, Antegrade Approach, Obese Patients, Bilateral Stones Speaker: Julie M. Riley, MD University of New Mexico Albuquerque, NM 12:00 p.m. - 12:30 p.m. Quality Improvement in Robotic Surgery Speaker: Paul D. Maroni, MD University of Colorado Health Science Center Aurora, CO 1:30 p.m. - 2:30 p.m. Urolithiasis: Panel Discussion and Case Presentation Moderator: Wilson R. Molina, Jr., MD Denver, CO Panelists: Craig Peterson, MD San Juan Urology St. Montros, CO Julie M. Riley, MD University of New Mexico Albuquerque, NM Noel E. Sankey, MD Denver, CO Carsten M. Sorensen, MD The Urology Center of Colorado Denver, CO 2:00 p.m. Adjourn Disclaimer Statement Statements, opinions and results of studies contained in the program are those of the presenters/authors and do not reflect the policy or position of RMUS, nor does RMUS provide any warranty as to their accuracy or reliability BOARD OF DIRECTORS President Scott B. Jennings, MD 1633 Medical Center Point Colorado Springs, CO (719) Fax: (719) President-Elect Brian J. Flynn, MD University of Colorado Denver Division of Urology, Room L E. 17 th Ave., Box C319 Aurora, CO (720) Fax: (720) Secretary/Treasurer Sean P. Manion, MD 1925 Mountain View Ave. Longmont, CO (303) Fax: (303) Immediate Past President Ali M. Sarram, MD Advanced Urology, PC Lioness Way, Suite 210 Parker, CO (303) Fax: (303) Legislative Representative David L. Sobel, MD, JD Urology Associates 799 E. Hampden Ave., Suite 430 Englewood, CO (303) Fax: (312) Northern Representative Benjamin Paul Wisner, MD Urology Center of the Rockies, PC 2315 E Harmony Rd., Suite 140 Fort Collins, CO ( Program Director Randall B. Meacham, MD University of Colorado School of Medicine Division of Urology M/S C E. 17 th Ave. Aurora, CO (303) Fax: (303) Southern Representative Richard A. Walsh III, MD Pikes Peak Urology 6071 E. Woodmen Road, Suite 300 Colorado Springs, CO (719) Fax: (719) Member at Large Craig A. Peterson, MD San Juan Urology, PC 904 S 4 th Street Montrose, CO (970) Fax: (970) Program Committee Brian Joseph Flynn, MD (Chair) Scott B. Jennings, MD, Sean Patrick Manion, MD Randall B. Meacham, MD HEADQUARTER OFFICE WJ Weiser & Associates, Inc E. Woodfield Road, Suite 350 Schaumburg IL (847) Fax: (847) Executive Director Wendy J. Weiser Associate Director Julia A. Norwich

7 The deadline for discounted early registration is March 14, Complete the registration form below OR register quickly and easily online at: tinyurl.com/rmus2016 Please select the category that best describes your status: RMUS 2016 ANNUAL SPRING MEETING REGISTRATION FORM Fellow Industry Employee Non-Physician Provider Other Other Medical Professional Physician Researcher Resident Student/Trainee Urologist Urology Fellow Urology Resident INDUSTRY EMPLOYEES ONLY Industry Employee whose company is already supporting RMUS OR Industry Medical Science Liaison $350 (Proof of MSL Title may be required before confirmation of registration) Industry Employee whose company is NOT already supporting RMUS $800 Your submission will need to be approved prior to confirmation of your registration. Approval may be based on current Industry support. To find out if your company is currently supporting RMUS, please contact Brittany Kallman in the Registration Department at (847) or by at American College of Surgeons (ACS) 1. Are you a member of the American College of Surgeons? Yes No 2. If you are an ACS member, please enter your member ID below to expedite your CME processing: How did you learn about this conference? (Check all that apply) Advertisement in Professional Journal Calendar/Monthly Listing Member Newsletter Please print clearly Registration Brochure Mailer Website Word of Mouth/Colleague First Name: Last Name: Degree(s): Badge First Name: Address: Home Office City: State: Zip: Phone: Fax: MEETING REGISTRATION Registration Categories Early Discounted Regular Fees Total Cost (through 3/14/2016) (after 3/14/2016) Member Physician $150 $175 =$ Member Non-Physician Provider $125 $150 =$ Senior Members $115 $140 =$ Non-Member Physician $325 $350 =$ Non-Member Non-Physician Provider $200 $225 =$ Resident Complimentary Complimentary =$ (expected graduation year ) Fellow Complimentary Complimentary =$ (expected graduation year ) Student Complimentary Complimentary =$ (expected graduation year )

8 Will you be attending the Welcome Reception? Yes No Additional Welcome Reception Tickets for Non-Registered Guests: *One ticket is included with attendee registration. Please only purchase if you are bringing additional guests. Welcome Reception # of tickets = at $25 per ticket = Total Registration Fees Total Additional Evening Functions Tickets GRAND TOTAL $ $ $ Payment Information: RMUS requires full payment for registration fees and optional activities by check or credit card. Check (payable to RMUS) Visa MC American Express Credit Card #: Expiration Date: CVV#: Name on Credit Card: Billing Address: Signature: The issuer of the card identified on this item is authorized to pay the amount shown as TOTAL upon proper presentation. I promise to pay such TOTAL (together with any other charges due thereon) subject to and in accordance with the agreement governing the use of such card. PHONE REGISTRATIONS CANNOT BE ACCEPTED. Acceptable registration methods include: By Fax: (847) By Mail: RMUS, 1100 E Woodfield Road Suite 350 Schaumburg, IL Online: tinyurl.com/rmus2016 Registration Cancellation & Refund Policy Registration refund requests must be submitted in writing to the RMUS Executive Office by 3/14/2016. All refund requests will be subject to a $25 processing fee. No refunds will be made after 3/14/2016. Please forward payment to: RMUS Attn: Registration Two Woodfield Lake 1100 East Woodfield Road, Suite 350 Schaumburg, IL

9 Registration Fee Includes: Entrance to scientific sessions Breakfast One ticket to the Welcome Reception Program Materials Early Registration Deadline Meeting registration forms must be received by the RMUS Executive Office by 3/14/2016 to receive the discounted early registration rate. All forms received after this deadline will be assessed the regular registration fee. Registration Cancellation & Refund Policy Registration refund requests must be submitted in writing to the RMUS Executive Office by 3/14/2016. All refund requests will be subject to a $25 processing fee. No refunds will be made after 3/14/2016. Special Needs For accommodations on the basis of disability or special dietary needs, please call (847) Questions Please feel free to contact the RMUS Executive Office by: Phone: (847) Fax: (847) rmus@wjweiser.com Embassy Suites Denver Tech Center E. Costilla Ave. Centennial, CO Main: (303) Website: Room Rate: $ plus tax Hotel Deadline: March 14, 2016 Reservations: (303) REGISTRATION INFORMATION HOTEL INFORMATION Room Rate RMUS has negotiated a discounted rate of $ plus tax at the Embassy Suites Denver Tech Center. Hotel Deadline The deadline to receive the RMUS group rate is 3/14/2016. RMUS encourages you to make your reservation early, as the hotel and discount block may sell out before this date. After this date, reservations will be accepted based on availability and higher rates may apply. Registration/Information Desk Hours Location: Ballroom Foyer Friday, April 8, :30 p.m. 7:00 p.m. Saturday, April 9, :00 a.m. 2:00 p.m. Exhibit Hall Hours Friday, April 8, 2016 Saturday, April 9, 2016 GENERAL MEETING INFORMATION 12:00 p.m. 7:00 p.m. 7:00 a.m. 11:00 a.m. EVENING FUNCTIONS Welcome Reception Date: Friday, April 8, 2016 Time: 6:00 p.m. 7:00 p.m. Attire: Business Casual Cost: One ticket is included with registration. You may purchase additional tickets for $25.00 per ticket. Enjoy hors d oeuvres and cocktails while visiting with colleagues and this year s exhibitors and sponsors. TRAVEL & TRANSPORTATION Airport Information Denver International Airport is approximately 29 miles from the Embassy Suites Denver Tech Center or 40 minutes by car. Taxi Cab Services Several taxi companies operate at the Denver International Airport. Taxi rates for a one-way transfer to the hotel cost approximately $ Rental Car Information Avis Rent-A-Car is the official rental car company for the RMUS 2016 Annual Spring Meeting. For reservations, please call (800) , and use the code J to receive the discounted rate. Parking The Embassy Suites Denver Tech Center offers complimentary self-parking. Reservations Attendees are responsible for making their reservations by calling the hotel at (303) Please reference the RMUS 2016 Annual Meeting to receive the discounted rate. Hotel Deposit and Cancellation Policy All reservations must be accompanied by a first night room deposit or guaranteed with a major credit card. These deposits are fully refundable if the hotel is notified three days prior to arrival and a cancellation number is obtained.

10 Two Woodfield Lake 1100 East Woodfield Road, Suite 350 Schaumburg, IL ADDRESS SERVICE REQUESTED RMUS 2016 Annual Spring Meeting REGISTRATION FORM ENCLOSED April 8-9, 2016 Obtain detailed meeting information and/or register quickly and easily online at tinyurl.com/rmus2016