Instructional Course - Requires Course Pass, Additional Registration Required

Instructional Course

023IC - Management of Ureteral Stricture Disease

Saturday, May 19
7:30 AM - 9:30 AM
Location: MCC WEST, 2006

The spectrum of ureteral stricture disease can present the urologist with management challenges. The potential surgical conundrums created by various etiologies, location and and severity necessitates urologists to be familiar with the entire gamut of diagnostic approaches and treatment alternatives.

This course will present the breadth of available options and provide step-by-step pathways in managing ureteral strictures. Evaluation, choices of intervention as well as situation specific recommendations will be presented in a case based manner. Basic principles of treatment such as preservation of a vascular supply, excision of diseased tissue and a watertight as well as a tension-free anastomosis will be reviewed along with techniques to achieve, assess and monitor success. The curriculum will review management from acute setting through repair and follow-up. Diagnostic schema to determine etiology will be reviewed. Management options presented will include endoscopic incision, bowel interposition and use of autologous flaps. An algorithmic process will be integrated into each portion of the course.

Learning Objectives:

Sammy E. Elsamra

Rutgers Robert Wood Johnson Medical School & Rutgers Cancer Institute of New Jersey

I joined the Urologic Cancer Program at Rutgers Cancer Institute of New Jersey in August 2014 and am an assistant professor of surgery in the Division of Urology at Rutgers Robert Wood Johnson Medical School. I received my undergraduate degree in Chemical Biology at the Stevens Institute of Technology (Hoboken, NJ) with high honors and then completed my medical degree at the University of Medicine and Dentistry of New Jersey (now Rutgers)—New Jersey Medical School in Newark, NJ. Excelling in both clinical and research endeavors, I completed my urologic surgical residency at the Alpert Medical School of Brown University (Providence, RI). Following graduation from urologic residency, I completed a two-year Endourology Society accredited fellowship at the Smith Institute for Urology (part of the North Shore Long Island Jewish Health System in New Hyde Park, NY), under the guidance of Dr. Arthur Smith and Dr. Louis Kavoussi. I have extensive experience with nearly all laparoscopic and robotic urologic procedures, but have special interest in laparoscopic and robotic partial nephrectomy, radical prostatectomy, and radical cystectomy with intracorporeal urinary diversion (completely robotic approach to urinary diversion after robotic cystectomy). I also have a special interest in organ-sparing procedures for cancer, including percutaneous resection of upper tract urothelial carcinoma, which is classically treated with removal of the entire kidney and ureter.

I am a member of the American Urologic Association, the Endourologic Society, and the Soceity of Urologic Oncology.

I am the Assistant Program Director for the Urology Residency at RWJMS & recently I have been appointed the director of robotic surgical services at Robert Wood Johnson University Hosptial in New Brunswick, NJ.


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Thomas W. Jarrett

George Washington University School of Medicine

Dr Jarrett is currently the Chairman of Urology at the George Washington University School of Medicine. His main focus is Endourology with a concentration on minimally invasive upper tract surgery. Doctor Jarrett graduated magna cum laude from Duke University and then went to Emory University for medical school and general surgery training. He did his residency in Urology at the New York Hospital - Cornell Medical Center and Memorial Sloan Kettering Cancer Center. His fellowship was at the Long Island Jewish Medical Center. He went on to be faculty at the Johns Hopkins School of Medicine prior to becoming Professor and Chairman of Urology at the George Washington School of Medicine.


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Louis R. Kavoussi

Smith Instiitute for Urology, Hofstra Northwell School of Medicine

Dr Louis Kavoussi is Waldbaum Gardiner Professor and Chairman of the Smith Institute for Urology at Hofstra- Northwell School of Medicine on Long Island NY. He is a world renouned expert in minimally invasive urology who helped develop laparoscopic kidney and prostate surgery. He has has won multiple awards including the Gold Cystoscope from the AUA, The Computerworld Award from the Smithsonian and The Clayman Mentoring Award from the Endourological Society. He has over 500 Publications and has edited over 10 Texts including Cambell's Urology.


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Richard E. Link

Associate Professor of Urology, Carlton Smith Endowed Chair in Urologic Education, Director Division of Endourology and Minimally Invasive Surgery
Baylor College of Medicine

Richard E. Link, M.D., Ph.D., Associate Professor of Urology and the Carlton-Smith Endowed Chair in Urologic Education at the Baylor College of Medicine, is a Board-certified and fellowship-trained urologist specializing in the treatment of urologic disease affecting the kidney, ureter, and prostate. He focuses on the use of laparoscopic, robotic-assisted, percutaneous, and endoscopic techniques to treat kidney tumors, renal and ureteral obstruction, and urinary tract stones. He directs the BCM Division of Endourology and Minimally Invasive Surgery and is active, nationally, in teaching these techniques to other urologists through the American Urological Association Office of Education. He has also directed the BCM fellowship program in Minimally Invasive Urologic Surgery since 2008.

Dr. Link has been an early pioneer in the development of laparoendoscopic single-site donor nephrectomy, a less invasive laparoscopic technique in which a donor kidney can be removed via only a single, small peri-umbilical incision for transplantation. He serves as Director of Living Donor Procurement for several major kidney transplant programs in Houston, including CHI/SLEH/BCM, Texas Children’s Hospital, the Houston Methodist Hospital and the Michael E. Debakey Veterans Affairs Medical Center. He also co-directs the BCM Comprehensive Stone Clinic, which provides a state-of-the-art multidisciplinary tertiary referral center for patients with complex kidney stones.

Dr. Link completed his Ph.D. in Molecular and Cellular Physiology at Stanford University. His research laboratory studies the genetic basis for renal cell carcinoma and urinary tract stone disease using a combination of genetically engineered mouse models, stem cell biology, and sophisticated whole genome molecular techniques. His clinical research interests include surgical simulation, decision analysis modeling, and the application of 3D reconstruction and printing techniques to surgical education.


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023IC - Management of Ureteral Stricture Disease


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