Adult and pediatric reconstruction were strongly highlighted at the MA-AUA (Mid-Atlantic AUA) Annual Meeting held in Williamsburg, Virginia, from October 19 to 21, 2023. On Thursday afternoon, Dr Ronak Gor (assistant professor, Cooper University) moderated a plenary session, entitled “MAAUA Experiences in Global Medicine,” highlighting further topics from Dr Michael Metro (professor, Temple University Medical Center), who spoke on “Why Medical Missions and How to Get Involved,” followed by “Training Local Physicians Through Medical Missions” presented by Dr Ramon Virasoro (professor, Eastern Colorado VA Healthcare System). Audiences also heard from Dr Kurt McCammon (professor and chair, Eastern Virginia Medical School), who spoke on the topic, “Using New Technology to Improve Humanitarian Work.” The session served as a reminder of the importance of continued international work for patients with complex genitourinary reconstruction needs.

On Friday morning, attendees were able to view posters from the third moderated poster session focusing on reconstruction, sexual dysfunction, and andrology. This session included 15 unique abstracts. The broad range of topics provided all in attendance with newfound knowledge on such varied topics as “Costs Associated with Urologic Care After Iatrogenic Ureteral Injury,” presented by Dr Joanna Marantidis (resident, MedStar Health). Yash Shah (medical student, Thomas Jefferson University) presented work reviewing educational materials on erectile dysfunction on TikTok, finding low engagement with educational materials despite their high quality. Utilizing the SEER-Medicare dataset, Dr Jacqueline Zillioux (assistant professor, University of Virginia) examined the relationship between cognitive and manual dexterity disorders following artificial urinary sphincter implantation, providing evidence to support the need for close monitoring after sphincter surgery for those with or at risk for cognitive challenges.

Following this session, audiences heard from Dr Daniel Marchalik (associate professor, MedStar Health), who moderated the panel on AUA guideline updates, which featured an update on disorders of ejaculation guidelines from Dr Devang Sharma (United Urology Group). Later in the day, audiences heard additional novel information regarding the care of transgender patients in the plenary session, entitled “Clinical Approach to Transgender Patients,” moderated by Dr Sean T. Corbett (associate professor, University of Virginia). Further topics included “Best Practices for Transgender Women” by Dr Laura M. Douglass (assistant professor, Temple University Medical Center), followed by “Best Practices for Transgender Men” by Dr Krishnan Venkatesan (assistant professor, MedStar Health). The final session was “Phalloplasty Penile Implants: Status Reports” by Dr Andrew Cohen (assistant professor, Johns Hopkins University).

An additional plenary session, “Contemporary Management of Fournier’s Gangrene,” was moderated by Dr Paul H. Chung (associate professor, Thomas Jefferson University). Attendees heard from invited guest speaker Dr Judith Hagedorn (associate professor, University of Washington) as she presented on “Surgical Management and Reconstruction for Fournier’s Gangrene.” We are very grateful to Dr Hagedorn for making the long trip to Williamsburg from Seattle. Dr Hagedorn also joined the next plenary session as a panelist, focusing on the topic “Pediatric to Adult Urological Transition Care: What do General Urologists Need to Know?”. The session was moderated by Dr Caleb Kovell (associate professor, University of Pennsylvania). In addition to Dr Hagedorn, the session included Dr Puneeta Ramachandra (assistant professor, Nemours Children’s Hospital) and Dr Keara DeCotiis (assistant professor, Nemours Children’s Hospital).

A midafternoon poster session on Saturday focused on pediatrics and included many topics of reconstructive urology. The session was moderated by Dr Thomas Fitzgibbon (assistant professor, Penn State) and Dr Christina Ho (assistant professor, Children’s National). Diverse topics included “A Single Center’s Changing Trends in Management and Outcomes of Primary Closure of Classic Bladder Extrophy: An Evolving Landscape” presented by Dr Ahmad Haffar (resident, Johns Hopkins University), who presented evidence to suggest that delay of primary closure for bladder exstrophy does not appear to increase closure failure. Dr Zoe Gan (resident, University of Pennsylvania) presented on the “Effect of Initial Management Strategy for Ureterocele on the Timing of Eventual Major Reconstructive Surgery: A Survival Analysis.” In her work highlighting the time to major reconstructive surgery from birth based on ureterocele management strategy, she presented evidence to indicate nonoperative ureterocele management did not appear to lead to shorter times to reconstructive surgery.

We are grateful to all the panelists and speakers for their time and expertise. We look forward to the next annual meeting of the Mid-Atlantic Section in 2024 at the Greenbrier in White Sulfur Springs, West Virginia.