New England Section of the American Urological Association
NEAUA Residency Program at CESI
Sunday September 9, 2019
7:30AM - 12:00PM
Laser Course Hands-On Session
Chair: Lori B. Lerner, MD
Faculty: Shaun Wason, MD

After attending this course, participants will be able to:
  1. Discuss how laser energies work and the physics behind them in order to apply the energies appropriately.
  2. Compare the different wavelengths of laser energies and how they are best utilized.
  3. Apply laser energy sources to models in the hands-on lab.
  4. Evaluate how laser energies differ by demonstrating the ability to use energies appropriately.
  5. Assess the dangers of laser energy that is not applied correctly and how harm can occur to patients and operating room personnel.
Participants will attend a didactic portion, followed by hands on lab, utilizing the following laser energies: Carbon dioxide, holmium, thulium, diode, and KTP. A multiple choice test will be administered. Attendees who successfully complete the course will receive a certificate of attendance and participation.
Hands-On Topic Rotation Stations

1. BPH Treatments
Chair: Shaun Wason, MD
This hands-on lab is intended for urology residents interested in expanding their knowledge and skills with a variety of endoscopic procedures for BPH including; laser enucleation with tissue morcellation, photo-vaporization, prostatic urethral lift and water vapor therapy. This lab will feature a variety of lasers and techniques with state-of-the-art enucleation models and simulators.

2. Stones
Chair: Kevan Sternberg, MD & Abe D'Amato, MD
The goal of the hands on stone session will be to familiarize and reinforce basic and advanced endourologic skills for resident trainees. A variety of flexible and rigid scopes will be provided to practice ureteral and renal navigation. An array of disposable devices will be available to practice basic skills including stone capture and manipulation. Percutaneous renal access models will be available to familiarize with this technique. Ultrasound guided ESWL will simulated with hands-on ultrasound scanning practice. Guidance and tips and tricks will be provided during the session by the course facilitators.

3. Andrology
Chair: Martin S. Gross, MD & Jared Bieniek, MD
At the Andrology station, attendees will take a deeper dive into the evaluation and management of hot-topic men's health conditions including erectile dysfunction, Peyronie's disease, and hypogonadism. The rotation will begin with a short didactic illustrating how to integrate appropriate treatments for these conditions into a burgeoning urologist's clinical and operative practice. Following, groups will move through hands-on mini-stations with clinical experts demonstrating old and new generations of penile prosthetics, models for Xiaflex injections, and Testopel insertion kits.

4. Reconstruction/Female Urology
Chair: Richard Kershen, MD & Leslie Rickey, MD
The goal of this station is to introduce participants to a variety of procedures to treat female incontinence. Devices and models will be available to demonstrate and practice different approaches for midurethral sling placement, periurethral bulking, and sacral neuromodulation. Tips and tricks as well as patient safety considerations will be emphasized.

5. Ultrasound
Chair: Kevin R. Loughlin, MD & Guy Manetti, MD
Transrectal ultrasound fusion prostate biopsy
The goal of this hands-on course is to familiarize participants with the MRI to ultrasound computerized coregistration process that facilitates targeted fusion prostate biopsies. After reviewing the basics of transrectal ultrasound of the prostate, residents will have the opportunity to practice fusion biopsy techniques by using phantom models with both the UroNav and BK Fusion biopsy systems. Faculty will also discuss advantages and challenges to incorporating targeted fusion prostate biopsy into clinical practice.