The aim of the course is to familiarize the urologist with the latest surgical techniques in urethral reconstruction, to teach the correct removal of grafts and flaps, to introduce the technique of penile filling with hyaluronic acid, to allow the urologist to know the step-by-step procedure for: implanting a male sling, an artificial sphincter and
penile prosthesis.
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Course Coordinators
Dr. Rodrigo Krebs
Dr. Tiago Mierzwa
Dr. Ruimario Coelho
Honorary Professor USA
Honorary Professor USA
Duration of 2 days
10 hours of theoretical and practical hands-on cadaver-lab training
6 hours of live surgeries at Nossa Senhora das Graças Hospital
7:30 - Reception at Scolla
8:00 - Indications for sling and artificial sphincter - Dr. André Cavalcanti (RJ)
8:10 - Sling and video sphincter step by step - Dr. Kurt McCammon (USA)
8:25 - Management of complications - Dr. André Cavalcanti (RJ)
8:35 - Discussion
8:40 - Indications for penile prosthesis - Dr. Ruimario Coelho (PR)
8:50 - Semi-rigid vs. inflatable prosthesis - Dr. Gustavo Paul (PR)
9:00 - Suprapubic vs. peno-scrotal access - Dr. Tiago Mierzwa
9:10 - Discussion
9:20 - Coffee break
9:30 - Hand-on cadaver (3 students and 2 instructors per cadaver)
Sling implant
Artificial Sphincter Implantation
Semi-rigid prosthesis implantation
Inflatable prosthesis implant
12:30 - End of morning session
12:30 - 13:30 - Lunch
13:30 - Approach to the navicular and proximal penile fossa - Dr. Diego Oliveira (MG)
13:40 - Urethroplasty in patients with hypospadias - Dr. Tiago Rosito (RS)
13:50 - Flap removal for complex reconstructions - Dr. Andre Cavalcanti (RJ)
14:00 - Urethroplasty in panestenosis - Dr. Kurt McCammon
14:15 - Coffee Break
14:30 - Hands-on cadaver - (3 students and 2 instructors per cadaver)
Approach to the navicular fossa
How to perform Webster's 4 maneuvers (detachment of the urethra, opening of the crura, inferior pubectomy, corpus cavernosum transposition)
Kulkarni technique
Barbagli / Palminteri technique
Asopa technique
Pre-rectal technique for approaching the posterior urethra
Gracilis and gluteus removal
16:00 - Coffee break
18:30 - Closing ceremony
20:30 - Social dinner
Live surgeries | 2 cases at Nossa Senhora das Graças Hospital
Transmission to the classroom
2 students from the operating room as assistants
8h00 - Penile prosthesis implant - (Dr. Andre Cavalcanti - Dr Tiago Mierzwa - Dr Gustavo Paul - Dr Ruimario Coelho)
10h00 - Anterior urethroplasty - (Dr Kurt McCammon - Dr Tiago Rosito/Patrick Tavares - Dr Rodrigo Krebs - Dr Diego Oliveira)
Urologists interested in:
Deepen your knowledge of the most common urethroplasty techniques, such as Nikolavsky, Barbagli, Kulkarni, Asopa and McAnninsh.
Mastering graft and flap techniques in urethroplasty: how to use penile and peno-scrotal flaps. How to remove and prepare oral mucosa for grafting.
Master the technique of muscle or myocutaneous flaps for reconstruction in urinary fistulas: gracilis flap, gluteal flap and recto-abdominal flap.
Male sling and artificial sphincter: indications, surgical technique, management of complications.
Penile prosthesis: technical differences between semi-rigid and inflatable prostheses.
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