What to expect and what to look forward to

07 July 2016

As patients demand for improved solutions and better quality of life, the increase of current knowledge becomes a higher priority. “It is essential to organise a meeting where experts can participate and contribute to the solving functional issues. We aim to expand our knowledge so we can help patients further,” says Dr. Javier Romero-Otero of the ESGURS local organising committee.

New developments
With such a high concentration of the world’s best genitourinary reconstructive surgeons, ESGURS16 offers a platform for discussion and debate. Dr. Romero-Otero says, “Most of the experts will share their experiences from a practical point of view. The meeting will have pragmatic sessions for majority of the problems we find in our daily practice. It is a good platform for urologists involved in functional and reconstructive urology can share their knowledge and brainstorm.”

ESGURS Chairman Dr. Rados Djinovic says, “Developments in prosthetic surgery in both primary and re-do cases, urethral surgery, and new modalities in the therapy of Peyronie’s disease will be broadly discussed at the meeting.”

Challenges and resolutions
The meeting will also focus on addressing current challenges. Dr. Djinovic gives an example, “There are some fields which are still missing good and reliable treatment results for conditions such as Peyronie’s disease, incontinence surgery, some congenital and rare diseases (e.g. bladder dysfunctions, hypospadias or bladder exstrophy). We will need more intensive collaboration with other specialities as well, such as paediatric urology or plastic surgery, to improve care. Also, we need better results with more difficult conditions such as total penile reconstruction in traumatized or transgender patients.”

“If I could name one of the major challenges, it would be young male patients with congenital urological problems who will grow up and will increasingly need solutions for their urinary and sexual functions. We are building neophallus with radial forearm graft with dorsal graft; perhaps, penile transplant will be their solution. We are working to improve their quality of life. We are living at an exciting time,” shares Dr. Romero-Otero.

Expected breakthroughs in the field
Progress in medical innovations soared in recent years. Dr. Romero-Otero foresees vast improvement in tissue engineering. “Imagine a new era where grafts supply, rejection issues and ischemia will not be problems any longer.”
Dr. Djinovic predicts penile transplant may also find its place for transgender patients as some centres already started with penile transplant for patients after traumatic penile loss. He adds that urethral transplant may be an option for patients with severe long urethral structures.

Future applications
Reconstructive surgery may have been a field for selected surgeons but demand is rising. Dr. Romero-Otero says, “Our daily practice will be more involved with reconstructive surgery. It is time to increase our level of knowledge in this area.”