Hackensack University Medical Center’s Department of Urology Presented 12 Abstracts at the American Urological Association 2021 Annual Meeting

September 17, 2021

Hackensack University Medical Center Urology Team

Hackensack Meridian Hackensack University Medical Center, ranked #1 hospital in New Jersey by U.S. News & World Report’s 2021-2022 “Best Hospitals” Honor Roll with the state’s only nationally-ranked Urology Program – also recognized as New Jersey’s Best Urology Program since 2013 – presented 12 abstracts at the American Urological Association’s (AUA) 2021 Annual Meeting, held virtually, September 10-13, 2021.

Sixty percent of the department’s abstracts that were submitted for consideration were accepted, which is significantly higher than the average acceptance rate of 25 percent. Four abstracts have been recognized as exceptional and slated for podium presentations (indicated with asterisk (*) in the list below).

Hackensack Meridian Hackensack University Medical Center’s Urology department is made up of 40 urologists, many with advanced fellowship training in a range of urologic disciplines including urologic oncology, infertility, stone disease, sexual dysfunction, female urology and pediatric urology. The accepted abstracts reflect the department’s commitment to high-quality research and the breadth of urological care services provided at Hackensack Meridian Hackensack University Medical Center.

Abstract categories and topics include:

Single Port Robotic Surgery
Hackensack Meridian Health Hackensack University Medical Center was the first hospital in New Jersey to successfully perform surgeries using the da Vinci SP® Surgical System, which inserts all surgical instruments through one small abdominal incision, improving surgical outcomes and allowing quicker patient recovery. A renowned Center of Excellence for robotic surgery, Hackensack Meridian Hackensack University Medical Center was one of only 10 sites in the U.S. selected to launch the new single port platform. Site selection was based on breadth of experience in robotic surgery. The medical center’s team of urologic surgeons have performed a combined total of over 8,500 robotic surgeries, which places the team well
within the top echelon in the field. To date the team has used the new technology to perform partial nephrectomy; radical nephrectomy; radical prostatectomy; pyeloplasty; ureteroplasty; ureteroplasty with mucosal graft.

  1. Single-port robotic-assisted laparoscopic transureteroureterostomy.
  2. Single port robotic radical cystectomy with intracorporeal bowel diversion: Initial experience and review of early surgical outcomes.*
  3. Single port robotic radical cystectomy with intracorporeal creation of neobladder: Description of technique and perioperative outcomes.
  4. Matched analysis of perioperative outcomes between extraperitoneal single port and intraperitoneal multiport prostatectomy: A single-institutional experience.
  5. Single port vs. multiport robotic pyeloplasty: Matched analysis of perioperative and follow-up outcomes.
  6. Comparison of perioperative outcomes of single port and multiport robotic assisted partial nephrectomy: A multi-center study.*

Surgical Management of Erectile Dysfunction
Hackensack Meridian Hackensack University Medical Center’s sexual health specialists are board certified and fellowship-trained in sexual medicine and are at the the forefront of the latest approaches to men’s urological care, including innovative techniques to preserve sexual function. For some with severe erectile dysfunction, surgery may be the only treatment option due to physical trauma, prior surgery in the pelvis, or a medical condition, such as cancer. Their doctors work with patients to determine which device or procedure best suits their needs and lifestyle.

  1. Survival of penile prosthesis in simultaneous vs. staged penile prosthesis and artificial urinary sphincter implantation.*
  2. Survival of artificial urinary sphincter in simultaneous vs. staged artificial urinary sphincter and penile prosthesis implantation.

Advanced Imaging for Kidney Cancer
3D Imaging contributes to successful robotic kidney-sparing surgery at Hackensack Meridian Hackensack University Medical Center. IRIS is an interactive, three-dimensional (3D) anatomical model system designed to assist surgeons with pre-surgical planning and provide a reference intraoperatively. Generated from preoperative CT scans with contrast, the IRIS model can be accessed via an app on the iPhone or iPad. Using TilePro, the surgeon is able to
connect their device to the robotic surgical console and see the IRIS model on the screen. This video abstract shows how IRIS can be used to improve surgical planning and patient outcomes during robotic partial nephrectomy, as well as the distinct advantages compared to traditional 2-D.

  1. A guide to utilizing IRIS, a segmented 3D model, to improve surgical planning and patient outcomes during robotic partial nephrectomy.

Complex Robotic Urinary Reconstructions
Hackensack Meridian Hackensack University Medical Center urologists use robotic technology for a wide range of urological conditions in men and women. Over 90 percent of the major urological procedures done at Hackensack Meridian Hackensack University Medical Center are performed using this state-of-the-art technology. The precision of this robotic technology is ideal for delicate and complex urological surgeries, including complex robotic urinary reconstruction, allowing surgeons to perform complicated procedures while avoiding damage to surrounding structures such as fragile nerves. The surgeons have helped develop some of this specialty’s most successful ureteral procedures which they teach to physicians from around the world.

  1. Intermediate outcomes following robotic nontransecting ureteral reimplantation.*

Management of Advanced Bladder Cancer and Kidney Cancer
Hackensack Meridian Hackensack University Medical Center’s urology team pioneered the use of robotic-assisted surgery to treat prostate cancer over a decade ago. They have continued to pioneer advanced robotic partial nephrectomy techniques to treat kidney cancer and robotic reconstruction procedures to build new bladders and rebuild ureters. The team utilizes the latest robotic technology and 5 dedicated systems replacing the need for
traditional open surgical procedures in more than 90 percent of our patients. Surgeons throughout the world visit Hackensack Meridian Hackensack University Medical Center to learn these latest robotic surgical advances and procedures developed by their urologic team.

  1. Robot-assisted laparoscopic right radical nephrectomy with right IVC thrombectomy and repair with bovine graft.
  2. Survival Outcomes of pT3a Pathological Upstaging in Partial vs. Radical Nephrectomy for Renal Cell Carcinoma.

“Hackensack Meridian Hackensack University Medical Center urologists are pioneers in the field of minimally invasive robotic surgery for urological conditions, performing more single port procedures than any other center in the northeast, ” said Michael D. Stifelman, M.D., chair of Urology and director of Robotic Surgery at Hackensack University Medical Center, chief of Urologic Oncology, John Theurer Cancer Center at Hackensack University Medical Center and professor and founding chair of Urology at Hackensack Meridian School of Medicine. “As a result, we are recognized as New Jersey’s only nationally-ranked Urology program and Best Urology program in the state, according to the U.S. News & World Report’s 2021-2022 “Best Hospitals” Honor Roll. Our 60 percent AUA acceptance rate reflects our incredible team of urologists known both nationally and worldwide for excellence in robotic surgery and our dedication to research and a commitment to providing advanced, evidence-based care.”

“Our urologists are leading the way in numerous subspecialty areas, including single port robotic surgery, urologic cancer care and sexual health and fertility,” said Mark D. Sparta, FACHE, president and chief hospital executive, Hackensack Meridian Hackensack University Medical Center and executive vice president of Population Health, Hackensack Meridian Health. “Recognition of our team’s research efforts at the AUA annual meeting is an honor that will also help to improve the standard of urological care across the nation.”