Target Audience
This course is designed for practicing urologists-in-training, non-physician providers and allied health professionals who are involved with urolithiasis and endourology. Other medical specialists, including internists and family practice physicians, may derive benefits from the course.
Course Description/Purpose/Need
A variety of minimally invasive approaches is available for the treatment of upper tract stones, and it is advisable that the general urologist be equipped to offer a full spectrum of treatment options. As such, one of the objectives of this course is to review the basic principles of endoscopy and shock wave lithotripsy as well as to provide guidance for the selection of appropriate treatment modalities. New technologies and techniques to facilitate these procedures will be reviewed, and tips to recognize, treat and avoid complications will be presented. However, surgical treatment of upper tract stones is only part of the comprehensive management of stone disease. This course will additionally review the pathophysiology of stone disease and provide a simplified diagnostic program and treatment algorithm for the prevention of recurrent stones. At the completion of this course, the practitioner should be able to provide comprehensive medical and surgical care for the patient with current or previous stones.
Learning Objectives
Upon completion of this course, participants should be able to:
review the pathophysiology of stone disease
perform a diagnostic metabolic evaluation and formulate a rational treatment plan for stone prevention, including dietary measures and medication
describe the mechanism of action and indications for medical expulsive therapy
examine current imaging techniques for urolithiasis and understand how to apply them
identify current and new endoscopes and instrumentation
apply the basic principles of ureteroscopy and percutaneous renal surgery in order to safely and consistently perform successful endoscopic treatment for upper tract stones
identify and manage the complications of ureteroscopy and percutaneous nephrolithotripsy
compare the differences in current lithotriptors
review the complications and limitations of shock wave lithotripsy
select and apply an appropriate treatment modality for upper tract stones of a particular size, location and composition
diagnose and properly manage stones in pregnant women and children
select appropriate treatment for patients with stones in anomalous kidneys
discuss the economics of stone disease, as well as the particulars of correct coding for endourologic treatments
Support our Initiative to Go Green
The syllabus publication for the Segura Annual Urolithiasis Update 2009 course will be provided on a CD-ROM.
Electronic copies of the presentations will be available for download and print prior to the course.
The Web site where handouts can be accessed will be e-mailed to registrants two weeks prior to the course.
Audience Response System
Enhance your learning experience with the Audience Response System (ARS). The ARS will be provided throughout the course to facilitate an interactive learning environment and an opportunity to actively participate in audience discussion during the course presentations.
Scientific Program Schedule
Friday, August 21, 2009
7 a.m.
Continental Breakfast and Registration
Session I
7 – 7:30 a.m.
Medical Evaluation: Comprehensive and Simplified Approaches
Glenn M. Preminger, MD
7:30 – 7:50 a.m.
Hypercalciuria: Pathophysiology and Management
Glenn M. Preminger, MD
7:50 – 8:10 a.m.
Hyperoxaluria: Pathophysiology and Management
Dean G. Assimos, MD
8:10 – 8:30 a.m.
Hypocitraturia and Gouty Diathesis
Glenn M. Preminger, MD
8:30 – 9 a.m.
Dietary Therapy
Dean G. Assimos, MD
9 – 9:20 a.m.
Uric Acid and Cystine Stones: Etiology and Management
Margaret S. Pearle, MD, PhD
9:20 – 9:40 a.m.
Infection and Drug-Induced Stones
Dean G. Assimos, MD
9:40 – 10 a.m.
Break
10 – 10:20 a.m.
Pathogenesis of Stone Disease
James E. Lingeman, MD
10:20 – 10:40 a.m.
Medical Expulsive Therapy: Why, When and How?
Ojah Shah, MD
10:40 a.m. – Noon
Case Discussion and Questions: Medical Management in Action
Noon – 1 p.m.
Lunch
Session II
1 – 1:30 p.m.
Flexible and Rigid Ureteroscopes: Which One Should I Buy?
Raymond J. Leveillee, MD, FRCS-G
1:30 – 2 p.m.
Ureteroscopy–The Basics: How to Do It the Same Way Every Time
Margaret S. Pearle, MD, PhD
2 – 2:30 p.m.
Stone Removal: Extraction and Intracorporeal Lithotripsy
Raymond J. Leveillee, MD, FRCS-G
2:30 – 2:50 p.m.
Break
2:50 – 3:20 p.m.
Ureteroscopic Management of Renal and Ureteral Calculi: Tips and Tricks
Glenn M. Preminger, MD
3:20 – 3:50 p.m.
Complications of Ureteroscopy: How to Avoid Them and How to Handle Them
Ojas Shah, MD
3:50 – 5 p.m.
Panel: Questions and Answers
Meeting Adjourns
Saturday, August 22, 2009
7 – 7:30 a.m.
Continental Breakfast and Registration
Session III
7:30 – 8:10 a.m.
Percutaneous Renal Access and Stone Treatment Made Easy
James E. Lingeman, MD
8:10 – 8:30 a.m.
Exiting the Kidney: Big Tubes, Small Tubes, No Tubes
Raymond J. Leveillee, MD, FRCS-G
8:30 – 9 a.m.
Complications of Percutaneous Nephrostolithotomy
Mantu Gupta, MD
9 – 9:40 a.m.
Shockwave Lithotripsy: Technology and Technique
James E. Lingeman, MD
9:40 – 10 a.m.
Break
10 – 10:40 a.m.
Treatment Selection: Evidence-Based
Margaret S. Pearle, MD, PhD
10:40 a.m. – Noon
Panel: Questions and Cases
Noon – 1 p.m.
Lunch
Session IV
1 – 1:30 p.m.
Imaging: Pre-Op Planning and Follow-up
Margaret S. Pearle, MD, PhD
1:30 – 2 p.m.
Management of Stones in Patients with Anomalous Kidneys
Mantu Gupta, MD
2 – 2:30 p.m.
Stones in Pregnancy
James E. Lingeman, MD
2:30 – 3 p.m.
Management of the Pediatric Stone Patient
Dean G. Assimos, MD
3 – 3:20 p.m.
Break
3:20 - 3:50 p.m.
The Economics of Stone Removal and the Mysteries of Coding Explained
Raymond J. Leveillee, MD, FRCS-G
3:50 – 4:30 p.m.
Panel: Questions and Cases
Meeting Adjourns
Course Director
Margaret S. Pearle, MD, PhD
Professor of Urology and Internal Medicine
Department of Urology
The University of Texas Southwestern Medical Center
Dallas, TX
Faculty
Dean G. Assimos, MD
Professor, Surgical Sciences
Vice Chair, Department of Urology
Wake Forest University School of Medicine
Winston-Salem, NC
Mantu Gupta, MD
Associate Professor of Urology
Director of Endourology at Columbia
College of Physicians and Surgeons
New York, NY
Raymond J. Leveillee, MD, FRCS-G
Professor of Clinical Urology
Radiology & Biomedical Engineering
Chief, Division of Endourology,
Laparoscopy and Minimally Invasive Surgery
University of Miami
Miami, FL
James E. Lingeman, MD
Director of Research
Methodist Hospital Institute for Kidney Stone Disease
Volunteer Clinical Professor
Department of Urology
Indiana University School of Medicine
Indianapolis, IN
Glenn M. Preminger, MD
Director, Comprehensive Kidney Stone Center
Professor of Urologic Surgery
Division of Urologic Surgery
Duke University Medical Center
Durham, NC
Ojas Shah, MD
Assistant Professor of Urology
Director, Endourology and Stone Disease
Chief of Urology, Bellevue Hospital
New York University School of Medicine
New York, NY
Hotel and Transportation Information
The New Yorker Hotel is one of the most popular hotels in New York City. Come revel in the newly re-imagined grandeur of our historic hotel. The newly renovated and upgraded guest rooms and suites deliver contemporary comforts that leave nothing to be desired for today’s business travelers. You will be treated to complimentary Wi-Fi, a flat panel HDTV, plush bedding and magnificent views of the city’s skyline. Our multi-lingual staff provides warm, caring service to travelers from across the oceans and around the world.
Telephone:
1-866-800-3088 (Ask for Code CGAUA)
To hold a reservation, a major credit card number must be provided.
Guest Room Rate:
$150 single/double occupancy. Reference the AUA Urolithiasis Course (Code CGAUA) to receive the special group rate. 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 this hotel.
Cut-off Date:
Friday, July 31, 2009
Guest rooms may not be available at the AUA special rate after this date.
Address:
481 Eighth Avenue (at 34th Street)
New York, NY 10001
Many privately owned garages can be located in close proximity to The New Yorker Hotel. There is no hotel-owned parking at the facility.
Transportation:
Penn Station-Amtrak: The hotel is within walking distance of Penn Station for all Amtrak travelers.
La Guardia Airport: Super Shuttle transfer can be reserved by going to www.supershuttle.com or by calling 1-800-258-3826. Rates vary depending upon the day of the week and hour of pickup. Taxi service is approximately $16-26 plus bridge tolls.
JFK Airport: Super Shuttle transfer can be reserved by going to www.supershuttle.com or by calling 1-800-258-3826. Rates vary depending upon the day of the week and hour of pickup. Taxi service is approximately $45 plus bridge and/or tunnel tolls.
Newark Airport: Super Shuttle transfer can be reserved by going to www.supershuttle.com or by calling 1-800-258-3826. Rates vary depending upon the day of the week and hour of pickup. Taxi service is approximately $69-75 plus bridge and/or tunnel tolls. Please add an additional $15 surcharge for transportation from New York City back to Newark Airport.
Car Rental: Avis is offering special discounted rates to all meeting attendees. Reservations can be made by calling 1-800-331-1600; reference the AUA Avis World Wide Discount (AWD) number J907607 or visit www.avis.com. Be sure to enter the AWD number J907607 and "Best" in the rate code to receive the available discount.
Registration Fees and Information
AUA Member
$600
Non-member
$725
Allied Healthcare Professional Member
$375
Allied Healthcare Professional Non-member
$425
Cancellation Policy
Through June 19, 2009 the cancellation fee is $75. If you cancel between
June 19, 2009 and July 17, 2009, the cancellation fee is $125. There are no refunds after July 17, 2009.
The AUA has the right to cancel this course if a minimum enrollment is not reached by Monday, July 6, 2009. If the AUA cancels this course, registration fees will be refunded in full and notification will be sent by Wednesday, July 8, 2009.
Conference Confirmation
A written confirmation will be sent from our office approximately two weeks after your registration is received and processed.
CME Information
The American Urological Association (AUA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The AUA takes responsibility for the content, quality and scientific integrity of this continuing medical education (CME) activity.
Credit Designation
The AUA designates this educational activity for a maximum of 15.00 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
AUA Disclosure Policy
As a provider accredited by the ACCME, the AUA must ensure balance, independence, objectivity and scientific rigor in all its activities.
All faculty participating in an educational activity provided by the AUA are required to disclose to the audience any relevant financial relationships with any commercial interest to the provider. The intent of this disclosure is not to prevent faculty with relevant financial relationships from serving as faculty, but rather to provide members of the audience with information on which they can make their own judgments. The AUA must resolve any conflicts of interest prior to the commencement of the educational activity. It remains for the audience to determine if the faculty’s relationships may influence the educational content with regard to exposition or conclusion. When unlabeled or unapproved uses of drugs or devices are discussed, these are also indicated.
Unlabeled or Unapproved Use of Drugs or Devices
It is the policy of the AUA to require the disclosure of all references to unlabeled or unapproved uses of drugs or devices prior to the presentation of educational content. The audience is advised that this CME activity may contain reference(s) to unlabeled or unapproved uses of drugs or devices. Please consult the prescribing information for full disclosure of approved uses.
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.
Evidence-based Content
As a provider of CME accredited by the ACCME, it is the policy of the AUA to review and certify that the content contained in this CME activity is valid, fair, balanced, scientifically rigorous, and free of commercial bias.
Audio, Video and Photographic Equipment
Audio, video and other photographic recording equipment is prohibited inside AUA meeting rooms.
Special Assistance
The AUA, an organization accredited for CME, complies with the Americans with Disabilities Act §12112(a). If any participant is in need of special assistance or has any dietary restrictions, a written request should be submitted at least one month in advance. For additional assistance with your request please call 1-800-908-9414.
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