Wesley A. Mayer, MD, presented “Guideline-Based Approach to Metabolic Stone Management for the General Urologist” virtually during the Innovations in Urologic Practice 2020 virtual conference in September 2020.
How to cite: Mayer, Wesley A. “Guideline-Based Approach to Metabolic Stone Management for the General Urologist” September 26th, 2020. Accessed Dec 2024. https://dev.grandroundsinurology.com/guideline-based-approach-to-metabolic-stone-management-for-the-general-urologist/
Summary:
Wesley A. Mayer, MD, Associate Professor of Medicine at Baylor College of Medicine in Houston, Texas, discusses the AUA guidelines for the medical management of kidney stones, also known as nephrolithiasis. There are 27 guidelines, fitting into the categories of evaluation, diet therapy, pharmacologic therapy, and follow-up. Dr. Mayer urges urologists to care for the whole patient, and to not just focus on the surgical issue. Nephrolithiasis is both a surgical and medical disease, making follow-up with these patients essential. For example, urologists can use a metabolic work-up to reduce the risk of future stone formation. Dr. Mayer concludes by reemphasizing that stone management often requires multiple modalities, including diet and medication, and by noting that for complex cases, urologists may want to consider referring patients to a dietician or other expert.
About the Innovations in Urologic Practice 2020 virtual conference:
Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma, men’s health topics like male infertility and sexual dysfunction, and ways to diagnose and treat infections in the urology patient. Dr. Mayer presented this talk virtually at this year’s conference.
ABOUT THE AUTHOR
Dr. Mayer is an Associate Professor of Medicine at Baylor College of Medicine in Houston, Texas. He specializes in advanced minimally invasive surgical treatments for urologic diseases, including robotic, laparoscopic (including single-site), endourologic, and percutaneous surgery. He has a special interest in kidney cancer, kidney stones, upper urinary tract reconstruction, adrenal masses, and transplant urology. Dr. Mayer graduated from Baylor College of Medicine with the highest honors. He completed his internship in general surgery and his urology residency at the University of Pennsylvania. He was fellowship-trained in minimally invasive urology by Baylor College of Medicine’s Scott Department of Urology.
Dr. Mayer has published research on robotic partial nephrectomy, single-site donor nephrectomy, and treatment of kidney stones. Dr. Mayer is currently Baylor College of Medicine’s Urology Residency Program Director, and education is a major focus of his. His education initiatives have been presented at national meetings. Dr. Mayer has been recognized for his outstanding teaching and education efforts with the prestigious Norton Rose Fulbright Faculty Excellence Award for Teaching and Evaluation as well as the Norton Rose Fulbright Faculty Excellence Award for Educational Leadership. He has also been selected as a “Top Urologist in Houston, TX” by The Leading Physicians of the World, as well as a “Top Doctor 2019” by Houstonia Magazine.
