From October 4th to 8th, the XXXV Congress of the American Confederation of Urology (CAU) received more than 1200 urologists from Latin America, North America, Portugal and Spain at Megapolis Convention Center, in Panama City. As an add-on to the scientific program, the ICS Educational Course focused on diagnosis and treatment of neurogenic lower urinary tract dysfunction. This course was organised by the ICS Neuro-Urology Promotion Committee, which was represented by Dr. Marcio Averbeck (Porto Alegre, Brazil) and Dr. Juan Carlos Castano (Medellin, Colombia).
The ICS course took place over 2 hours on October 7th in the afternoon. Dr. Averbeck opened the session presenting a practical overview on neurophysiology and on the different patterns of detrusor/sphincter dysfunctions associated with neural disease at various levels (cerebral/ suprasacral/sacral). The diagnostic work-up for patients with neurological diseases and LUTS was addressed by Dr. Mauricio Plata (Bogota-Colombia), who highlighted the importance of urodynamics in individuals with spinal cord injuries. The therapeutic options for detrusor overactivity and detrusor underactivity were discussed by Dr. Castro-Diaz (Spain) and Dr. Castano, respectively. Dr. Ervin Kocjancic (USA) presented newer perspective on the management of neurogenic lower urinary tract dysfunction. Finally, Dr. Sergio Duran and Dr. Jorge Moreno (Mexico) presented interesting clinical cases on multiples sclerosis and spinal cord injuries. The audience was attentive to the indication of Sacral Anterior Root Stimulator (SARS) in a patient with refractory autonomic dysreflexia and lower urinary tract dysfunction secondary to traumatic spinal cord injury (first implant of SARS in Mexico City).
During the session attendants were able to ask questions and discuss practical aspects of the treatment of neuro-urological patients with the ICS faculty.
Article by Emmanuel Chartier Kastler, ICS Neuro-Urology Promotion Committee Chair on behalf of the ICS Education Committee.