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Take home messages by John M. Barry, MD
2021 Special Virtual Program

Many thanks to Dr. Barry for taking the time to make this contribution.


  • At large volume centers, automated semen analysis seems to be as accurate, and more cost- effective, than technician semen analysis.
  • The simpler procedure of testicular sperm aspiration (TESA) is as effective as testicular sperm extraction (TESE) in men with obstructive
  • Traumatic brain injury can cause male hypo- gonadism. Look for it.
  • The equal access, no-cost military health care system removes socioeconomic barriers for diagnosis and treatment of testis (And most other health care problems.)
  • When men arrive for prostate cancer screening, perhaps they should be screened for obstructive sleep apnea. The STOP-BANG and Epworth Sleepiness Scale (ESS) are just two clicks away on the web.
  • A three gene (ERG, PCA3 and SPDEF) urine test has been developed to assess risk for significant prostate It may be helpful to select biopsy candidates. Will it replace the annual DRE and PSA?
  • Mobilization of the distal urethra (MUG) is a reasonable, unstented approach to distal
  • Bladder-to-skin ileal chimneys are still
  • Men's health clinics seem to be worthwhile for post-radical prostatectomy patients, especially those with erectile dysfunction.
  • Perhaps disagreements among pathologists will be eliminated when prostate cancer grades can be determined by artificial intelligence (AI) Perhaps AI will eliminate MRI PIRAD disagreements, as well.
  • Silver-coated catheters and prophylactic antibiotics don't seem to reduce catheter-associated urinary tract
  • Perhaps we should rediscover bilateral orchiectomies to solve the problem of delayed or missed LHRH agonist or antagonist injections.
  • Prostatic urethral lift (PUL) procedures are effective.
  • The continuum of care for advanced prostate cancer is becoming rather Make friends with your medical oncologist.
  • Parastomal hernias after ileal conduit creation are quite common. Perhaps peristomal mesh should be incorporated into the original procedures.
  • HIFU may be finding a place in the treatment of prostate cancer.
  • The metabolic syndrome seems to be associated with aggressive prostate cancer. Is it because the higher estradiol levels in these men select for castrate- resistant prostate cancer?
  • A stone former with a serum calcium of 5 or greater should have a serum parathyroid hormone test.
  • A re-do buccal mucosa harvest for urethroplasty after graft site closure doesn't affect long-term oral
  • Radiation continues to be a 4X risk factor for ureteroenteric strictures after urinary
  • The Akita diabetic mouse is proving to be a good model for the study of diabetic bladder dysfunction.
  • In an underactive rat bladder model, electrical stimulation of the proximal urethra improved bladder
  • The Feagin Leadership Program appears to be worthwhile for surgeons who aspire to leadership positions in medicine.
  • Magnetic beads were removed as a string of beads from a man's urethra with cold-cup biopsy
  • There is no need to discontinue aspirin before prostate
  • Thrombosis of a corpus cavernosum responded to
  • There was a reported death by Foley
  • A virtual Happy Hour is better than no Happy