Sexual Medicine Society of North America, Inc.

17th Annual Fall Scientific Meeting of SMSNA

November 3-6, 2016
The Phoenician, Scottsdale, AZ

Formerly known as: 2016 Annual Fall Scientific Meeting of SMSNA


Scientific Program

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07:00 a.m. - 08:00 a.m.
Industry Sponsored Breakfast Symposium
Location: Grand Ballroom ABC

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08:00 a.m. - 10:00 a.m.
Plenary Session 3
Location: Grand Ballroom D
Moderators: Gregory A. Broderick, MD & Landon W. Trost, MD

08:00 a.m. - 08:15 a.m.
AUA Lecture
Richard K. Babayan, MD

08:15 a.m. - 08:30 a.m.
Medicare coverage in the bedroom: "The lights are on..."
Eugene Y. Rhee, MD, MBA

08:30 a.m. - 08:45 a.m.
Social Media
Brian Steixner, MD

08:45 a.m. - 09:00 a.m.
Billing in Men's Health
Edward Karpman, MD

09:00 a.m. - 09:15 a.m.
Billing in Reconstructive Urology
Joshua A. Broghammer, MD

09:15 a.m. - 09:30 a.m.
Practice: Scribes, Incident-to Billing, Group Appointments
Andrew R. McCullough, MD

09:30 a.m. - 09:45 a.m.
Workplace Violence
William M. Schiff, MD

09:45 a.m. - 10:00 a.m.
Developing a Toolbox of Essential Communication Skills for Sexual Medicine Providers
Bruce R. Kava, MD

10:00 a.m. - 10:30 a.m.
Coffee Break
Location: Foyer

10:30 a.m. - 12:00 p.m.
Plenary Session 4
Location: Grand Ballroom D
Moderators: Joshua A. Broghammer, MD & Ryan Terlecki, MD

10:30 a.m. - 10:45 a.m.
Male to Female Transgender Surgery
Thomas Satterwhite, MD

10:45 a.m. - 11:00 a.m.
Female to Male Transgender Surgery
Curtis N. Crane, MD

11:00 a.m. - 11:15 a.m.
Prosthetics in Female to Male Transgender
Lee Zhao, MD

11:15 a.m. - 11:30 a.m.
Endocrine Aspects of Transgender Care
Charles Moser, PhD, MD

11:30 a.m. - 11:45 a.m.
Mental Health in Transgender
Stephen B. Levine, MD

11:45 a.m. - 12:00 p.m.


12:00 p.m. - 01:30 p.m.
Industry Sponsored Lunch Symposium
Location: Grand Ballroom ABC

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01:30 p.m. - 03:00 p.m.
Erectile Dysfunction Surgical
Location: Grand Ballroom D
Moderators: Mark E. Leo, MD & Hossein Sadeghi-Nejad, MD, FACS

01:30 p.m. - 01:40 p.m.
Podium #045: Glandular Necrosis Following Penile Implant: Etiology & Treatment Suggestions
C. Mora-Estaves

01:40 p.m. - 01:50 p.m.
Podium #046: Outcomes of Men Undergoing Glanulopexy for Managing SST Deformity with Penile Prostheses
M. Ziegelmann

01:50 p.m. - 02:00 p.m.
Podium #047: The Efficacy of Durasphere as a New Agent for the Treatment of Hypermobile Glans
J.J. Wallen

02:00 p.m. - 02:05 p.m.
Poster #203: Molecular Analysis Using PCR to Amplify Extracted 16S Ribosomal DNA Appears to Identify Antibiotic Sensitivities / Resistance to Biofilm Found on Penile Prosthesis In-Vivo
L. Dawn

02:05 p.m. - 02:10 p.m.
Poster #204: Fibrillar™ (Oxidized Regenerated Cellulose) Reduces the Risk of Postoperative Hematoma Following Inflatable Penile Prosthesis
A.T. Rozanski

02:10 p.m. - 02:15 p.m.
Poster #205: A Pilot Study Assessing Frailty in Patients Undergoing Penile Implantation
M. Brennan

02:15 p.m. - 02:20 p.m.
Poster #206: Penile Implants Act as a Tissue Expander and may Lead to an Increase in Penile Length and Girth
A. Abdel Raheem

02:20 p.m. - 02:25 p.m.
Poster #207: Surgeon Preference Intraoperatively in Surgical Technique for Residual Curvature After Penile Prosthesis Implantation in Patients with Penile Curvature: Results of the PROPPER Study
G. Henry

02:25 p.m. - 02:30 p.m.
Poster #208: Use of the Subcoronal Approach during Placement of a Salvage Inflatable Penile Implant
J.A. Beilan

02:30 p.m. - 02:35 p.m.
Poster #209: The Subcoronal Approach: A Sound Technique for Salvage Penile Prosthesis Surgery
J.A. Beilan

02:35 p.m. - 02:40 p.m.
Poster #212: A Novel Technique Describing the use of a Video Laryngoscope to assist in Ectopic Reservoir Placement during Inflatable Penile Prosthesis Surgery
P. Maria

02:40 p.m. - 02:45 p.m.
Poster #210: New Data Regarding Penile Length Preservation After IPP Implantation
J.J. Wallen

02:45 p.m. - 02:50 p.m.
Poster #202: Utilization of Erectile Dysfunction Therapies Following Radical Prostatectomy
W. Kirby

02:50 p.m. - 02:55 p.m.
Poster #211: Incidence of Unanticipated Penile Curvature at the Time of Penile Prosthesis
William O. Brant, MD

02:55 p.m. - 03:00 p.m.

01:30 p.m. - 03:00 p.m.
Basic Science
Location: Grand Ballroom EF
Moderators: Alexander W. Pastuszak, MD, PhD & Carol A. Podlasek, PhD

01:30 p.m. - 01:45 p.m.
Quantifying Female Sexual Function: What is Necessary and Sufficient?
Melissa A. Farmer, PhD

01:45 p.m. - 01:52 p.m.
Podium #053: Inhibition of TNF-alpha Signaling can Prevent Parasympathetic Nerve Function by Upregulating ERK Signaling
H. Matsui

01:52 p.m. - 01:59 p.m.
Podium #054: Opiorphins Role in the Development of Priapism Associated with Sickle Cell Diseas.
K. Davies

01:59 p.m. - 02:06 p.m.
Podium #055: Optimization of Sonic Hedgehog Delivery from Self-assembled Nanofiber Hydrogels to Prevent Erectile Dysfunction in a Cavernous Nerve Crush Model
Carol A. Podlasek, PhD

02:06 p.m. - 02:13 p.m.
Podium #056: Dyslipidemia but Not Hyperglycemia Appears as the Main Factor Damaging Muscle Derived Stem Cells and their Tissue Repair Capacity by Long-term Exposure to a Type 2 Diabetic Milieu
N.F. Gonzalez-Cadavid

02:13 p.m. - 02:20 p.m.
Podium #057: Sonic Hedgehog Promotes Sprouting of Neurons in the Pelvic Ganglia and Cavernous Nerve During Regeneration
Carol A. Podlasek, PhD

02:20 p.m. - 02:27 p.m.
Podium #058: Bradykinin B1 Receptor Antagonism Prevents Angiotensin II-Induced Erectile Dysfunction
B.A. McCormick

02:27 p.m. - 02:34 p.m.
Podium #059: Cysteine 42 of Protein Kinase G 1? is Critical for Erection Generation
J.D. La Favor

02:34 p.m. - 02:41 p.m.
Podium #060: Endopeptidase Inhibition: A New Option to Influence Penile Smooth Muscle Tone? An in Vitro Approach
S. Ueckert

02:41 p.m. - 02:48 p.m.
Podium #061: Stromal Derived Factor-1 Penile Injections Improve Erectile Function Preservation following Nerve Crush Injury by Enhancing Stem Cell Recruitment to the Major Pelvic Ganglion
N. Sopko

02:48 p.m. - 02:55 p.m.
Podium #062: Transnitrosylation in Nitric Oxide-Mediated Penile Erection
B. Musicki

02:55 p.m. - 03:00 p.m.

01:30 p.m. - 03:05 p.m.
Mental/Transgender Medicine and Surgery
Location: Estrella Ballroom
Moderators: Stanley Althof, PhD & Daniela Wittmann, PhD, LMSW

01:30 p.m. - 01:45 p.m.
Mental Health/Psychological Issues Related to Transgender
Stephen B. Levine, MD

01:45 p.m. - 01:55 p.m.
Podium #048: Feelings of Depression Are Associated With Sexual Dysfunction and Hypogonadal Symptoms
Alexander W. Pastuszak, MD, PhD

01:55 p.m. - 02:05 p.m.
Podium #049: Exposure to Transgender-Related Care and Its Perceived Importance in Urology Residency Training
G.W. Dy

02:05 p.m. - 02:15 p.m.
Podium #050: Midline Infrapubic Penile Implant Insertion in Transmen after Phalloplasty may Decrease Complication Rates and Operative Times
A.J. Vollstedt

02:15 p.m. - 02:25 p.m.
Podium #051: Building an Academic Medical Center Multidisciplinary Genital Gender Affirming Surgery Program: The University of California San Francisco Experience-- Initial Outcomes and Lessons Learned
M. Garcia

02:25 p.m. - 02:35 p.m.
Podium #052: The Current State of Surgical Training in Transgender Care – A National Survey of Urology and Plastic Surgery Residency Programs
G.W. Dy

02:35 p.m. - 02:40 p.m.
Poster #213: Not Growing Up With Both Parents Affects Sexual Behavior Later in Life
F.E. Ramirez

02:40 p.m. - 02:45 p.m.
Poster #214: Spiritual Material and Sexual Relationships Outside Marriage
F.E. Ramirez

02:45 p.m. - 02:50 p.m.
Poster #215: Bilateral Orchiectomy For Transgender Patients: An Efficient Surgical Technique That Anticipates Future Vaginoplasty and is Associated with Minimal Morbidity
M. Garcia

02:50 p.m. - 02:55 p.m.
Poster #216: Active Surveillance for Low Risk Prostate Cancer in a Trans Female- a Case Study and Knowledge Gap
Y. Krakowsky

02:55 p.m. - 03:00 p.m.
Poster #217: Design and Early Clinical Experience with a Smartphone-Based Biofeedback App to Improve Pelvic Floor Muscle Training (Kegel Exercises) and Routine Neovagina Self-Care after Transgender Gender Affirming Surgery
M. Garcia

03:00 p.m. - 03:05 p.m.
Poster #218: The Rationale for a Urologic Surgical Approach to the Surgical Plane Anterior to Denonvillier’s Fascia for Creation of the Neovaginal Cavity during MtoF Vaginoplasty: A Human Cadaveric Histologic Study and Clinical Outcomes
M. Garcia

03:00 p.m. - 03:30 p.m.
Coffee Break
Location: Foyer

03:30 p.m. - 04:30 p.m.
Location: Grand Ballroom D
Moderators: Steven N. Gange, MD, FACS & Jaspreet S. Sandhu, MD

03:30 p.m. - 03:40 p.m.
Podium #067: Convective Water Vapor Energy Ablation Effectively Treats Lower Urinary Tract Symptoms Due to Benign Prostatic Enlargement While Preserving Erectile and Ejaculatory Function: Results of a Multicenter, Randomized, Controlled Trial
N. Gupta

03:40 p.m. - 03:50 p.m.
Podium #068: Prostatic Urethral Lift Preserves Sexual Function: 4 Year Results from LIFT Randomized Study
Steven N. Gange, MD, FACS

03:50 p.m. - 03:55 p.m.
Poster #228: Relationship of Physical Activity and Sedentary Behaviors with LUTS in Korean Health Checkup Examinees
H.J. Park

03:55 p.m. - 04:00 p.m.
Poster #229: 180-W XPS GreenLight Laser Vaporization versus Transurethral Resection of the Prostate for the Treatment of Benign Prostatic Hyperplasia: 2 Months Safety and Efficacy Results in Korean
D.G. Moon

04:00 p.m. - 04:05 p.m.
Poster #230: Predictors of Improvement in Storage Symptoms at 3-year after 120W GreenLight High Performance System Laser for Benign Prostate Hyperplasia
H. Son

04:05 p.m. - 04:10 p.m.
Poster #231: Testosterone Replacement Therapy is Not Associated with Clinical Worsening of Lower Urinary Tract Symptoms
N. Gupta

04:10 p.m. - 04:15 p.m.
Poster #232: Prostatic Urethral Lift: Does Size Matter?
K.G. Tayon

04:15 p.m. - 04:20 p.m.
Poster #233: Incontinence Rates after Pressure Regulating Balloon Exchange in Patients with Artificial Urinary Sphincters: A Single Center Review
J. Basilius

04:20 p.m. - 04:25 p.m.
Poster #234: Urethral Cuff Erosion Rate after Pressure Regulating Balloon Exchange in Patients with Artificial Urinary Sphincters: A Single Center Review
J. Basilius

04:25 p.m. - 04:30 p.m.

03:30 p.m. - 05:00 p.m.
Other Aspects, FSD and Basic Science
Location: Grand Ballroom EF
Moderators: Ashley H. Tapscott, DO & Faysal A. Yafi, MD, FRCSC

03:30 p.m. - 03:45 p.m.
Helping Men utilize ED Therapy
Christian Nelson, PhD

03:45 p.m. - 03:52 p.m.
Podium #069: NO-independent and Purinergic-dependent NANC-mediated Relaxation in the Proximal vs Distal Internal Pudendal Artery
M.R. Odom

03:52 p.m. - 03:59 p.m.
Podium #070: Efficacy and Safety of a Newly Developed Polylactic Acid Microsphere as an Injectable Bulking Agent for Penile Augmentation: 18-months follow-up
K. Ko

03:59 p.m. - 04:06 p.m.
Podium #071: A Novel Biological Device to Secure and Protect Neophallus Penile Prosthesis Cylinders and the Neourethra following Phalloplasty: Acellular Matrix of Intact Penile Tunica made from Human Penis Specimens following Vaginoplasty
M. Garcia

04:06 p.m. - 04:13 p.m.
Podium #072: S-nitrosylation of NOS Pathway Mediators in the Penis Contributes to Cavernous Nerve Injury-induced Erectile Dysfunction
B. Musicki

04:13 p.m. - 04:20 p.m.
Podium #073: Alterations of microRNA Expression in a rat Model of Cavernous Nerve Injury
C. Liu

04:20 p.m. - 04:25 p.m.
Poster #235: Conversations with Women About Female Sexual Dysfunction (FSD) and Treatment with Bremelanotide
P.E. Koochaki

04:25 p.m. - 04:30 p.m.
Poster #236: Review of the Evidence of the Female Prostate as a Functional, Sexually-Relevant Gland in Some Women
Irwin Goldstein, MD

04:30 p.m. - 04:35 p.m.
Poster #237: Impacts on Habitual Exposure of Internet Pornography on Sexual Addiction and Sexual Functions in Korean Adult Women
K. Min

04:35 p.m. - 04:40 p.m.
Poster #238: A 10-Year Interval Study to compare the Prevalence and Risk Factors of Female Sexual Dysfunction in Korea
H. Son

04:40 p.m. - 04:45 p.m.
Poster #239: Sexual and Non-sexual Improvements in Women with HSDD: Personal Experiences with Flibanserin Treatment
S.W. Goldstein

04:45 p.m. - 04:50 p.m.
Poster #240: Alcohol Use and Sexual Health Concerns in a Sexual Health Clinic
K. Hebert

04:50 p.m. - 04:55 p.m.
Poster #241: Postmenopausal Women improve Health Makers after Intensive Lifestyle Intervention
F.E. Ramirez

04:50 p.m. - 05:00 p.m.

03:30 p.m. - 05:00 p.m.
Female Sexual Dysfunction
Location: Estrella Ballroom
Moderators: Melissa A. Farmer, PhD & Sharon J. Parish, MD, NCMP

03:30 p.m. - 03:40 p.m.
Podium #063: In-Office Treatment of Clitorodynia: Lysis of Clitoral Adhesions Following Dorsal Nerve Block
S.A. King

03:40 p.m. - 03:50 p.m.
Podium #064: Hemodynamic and Pharmacokinetic Interactions of Intranasal Bremelanotide and Ethanol in a Phase 1, Randomized, Placebo-Controlled, Double-Blind, Three-Period, Three-Way Crossover Study
J. Lucas

03:50 p.m. - 04:00 p.m.
Podium #065: The “G-spot” is Not a Structure Evident on Macroscopic Anatomic Dissection of the Vaginal Wall
N. Hoag

04:00 p.m. - 04:10 p.m.
Podium #066: Anatomic Sites and Risk Factors for Deep Dyspareunia
P.J. Yong

04:10 p.m. - 04:15 p.m.
Poster #219: Anterior Vaginal Wall Peri-Urethral Tissue: An Extensive Literature Review and Meta-analysis of Orgasmic and Overall Sexual Function Post Mid-Urethral Sling Surgery
R.S. Rubin

04:15 p.m. - 04:20 p.m.
Poster #220: Effects of an Educational Program on depressed Postmenopausal Participants
F.E. Ramirez

04:20 p.m. - 04:25 p.m.
Poster #221: A Retrospective Single Center Study of Vulvoscopic Findings, Female Sexual Function Index (FSFI) Scores and Hormonal Blood Test Values in Menopausal Women with Female Sexual Dysfunction Pre- and Post-Hormonal Treatment
Irwin Goldstein, MD

04:25 p.m. - 04:30 p.m.
Poster #222: The Neurobiology and Efficacy of Bremelanotide in HSDD
J. Pfaus

04:30 p.m. - 04:35 p.m.
Poster #223: How much Girth is too much Girth? Dimensions of Bestselling Insertive Sex Toys to Guide Maximal Phalloplasty Dimensions
M. Garcia

04:35 p.m. - 04:40 p.m.
Poster #224: Vaginal Mechanically-Triggered ATP Signaling is Impaired in Diabetic Mice
J. Harroche

04:40 p.m. - 04:45 p.m.
Poster #225: Unlocking Female Sexual Dysfunction in Muslim Women in America: A Retrospective Look at the Incidence of Vaginismus in this Population
S. Rahman

04:45 p.m. - 04:50 p.m.
Poster #226: Effect of Flibanserin on Body Weight During Treatment for Hypoactive Sexual Desire Disorder in Premenopausal and Postmenopausal Women
James A. Simon, MD, CCD, NCMP, FACOG

04:50 p.m. - 05:00 p.m.

05:00 p.m. - 05:30 p.m.
SMSNA Business Meeting (members only)
Location: Grand Ballroom D


05:30 p.m. - 06:30 p.m.
Young Clinicians Mixer
Location: RELISH Burger Bistro

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