Overactive Bladder CCP Provider Flowchart
Centers of Excellence
Functional Urology
Curated by clinicians: educational forums with videos, abstracts and conference information
An Intro to UroToday's Functional Urology Center of Excellence by Alan Wein, MD, PhD, FACS
It is with great pleasure that I welcome all of you to the Urotoday Center of Excellence on Functional Urology. My goal is to highlight current topics of interest by citing selected and specific presentations, published articles, and commentaries on important topics in the areas encompassed by the term “functional urology.”
We will include video interviews, text summaries of presentations at key meetings (prepared by those with expertise in the area and in attendance at the meeting), summaries of published articles by the authors themselves and by me, and, occasionally, referenced commentaries on currently discussed topics. Expect some of the “expert opinions” to contradict one another on certain points- this means that whatever topic is being discussed is still a matter of some controversy.
Alan J. Wein, MD, PhD (hon.) Dr. Alan Wein received his undergraduate degree from Princeton University and did his medical school, surgery, basic research and urology training at the University of Pennsylvania. After serving in the Army following his training, he returned to Penn where he ultimately became Chief of Urology and Director of the Residency Program (for 38 and 40 years respectively). He holds an honorary PhD from the University of Patras, Greece and was conferred an Honorary Professorship by the
Read More
Men's Health
Clinical Pathways Resources
SUFU offers the Overactive Bladder Clinical Care Pathway for use by providers and patients
Overactive Bladder CCP Patient Roadmap
Five Changes You Can Make to Improve Bladder Health
Controlling Your Bladder Urges
Guide to Pelvic Floor Muscle Training
Health Bladder Habits
Physician-Scientist Commentaries
Peer-reviewed Abstract Supplemental Commentaries
Decreasing Blood Loss in TURP Surgery: The Role of 5-Alpha Reductase Inhibitors: Enough To Make A Difference?
Written by Alan J. Wein, MD, PhD (hon.)
Desai Sethi Institute of Urology, University of Miami Miller School of Medicine.
A recent online publication in the British Journal of Urology International highlighted a systemic review of randomized controlled trials evaluating bleeding related outcomes in patients undergoing transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) who were treated preoperatively with 5-alpha reductase (f5 ARI) inhibitors, either finasteride or dutasteride, compared to placebo or nothing.
Membranous Urethral Length as an Aid in Predicting Postprostatectomy Urinary Incontinence
Written by Alan J. Wein, MD, PhD (hon.)
Desai Sethi Institute of Urology, University of Miami Miller School of Medicine.
Lee et al, comprising authors from a number of institutions, published a retrospective observational study conducted on 147 consecutive patients who underwent endoscopic enucleation of the prostate (HoLEP) for benign prostatic obstruction between 2018 and 2024, assessing whether membranous urethral length (MUL), as measured on preoperative magnetic resonance imaging (MRI), is a predictor for postoperative stress urinary incontinence (SUI).
The Mortality Gap Between Men and Women
Written by Alan J. Wein, MD, PhD (hon.)
Desai Sethi Institute of Urology, University of Miami Miller School of Medicine.
In the online version of JAMA, published February 20, 2026, reports under the headings of “News and Analysis”1 and “Medical News in Brief”2 highlighted the persistent discrepancy in life expectancy between men and women. The original articles on which these reports are based3,4 merit close attention, as their data may refine how we frame this issue.
Chipping Away At Nocturia By Treating Sleep Apnea
Written by Alan J. Wein, MD, PhD (hon.)
Desai Sethi Institute of Urology, University of Miami Miller School of Medicine.
A recent article by Kudlata et al from the Medical College of Georgia1 brings to mind the established but not very frequently discussed association of obstructive sleep apnea (OSA) with nocturia. In this report, the issue was looked at by conducting a retrospective chart review of 37 patients with nocturia
Trials of Low-intensity Shock Wave (LiSWT) Therapy for Erectile Dysfunction; Don’t Compare Apples to Oranges - Expert Commentary
Written by Alan J. Wein, MD, PhD (hon.)
Desai Sethi Institute of Urology, University of Miami Miller School of Medicine.
LiSWT has emerged as a safe non-invasive treatment option for erectile dysfunction. Reports regarding efficacy are heterogeneous at best, and both the AUA (American Urological Association) and the SMSNA (Sexual Medicine Society of North America) have in the past considered the therapy
Increasing Popularity of Bulking Agents as a First Choice Surgical Treatment for Stress Urinary Incontinence in Women. What Factors Affect Choice? - Expert Commentary
Written by Alan J. Wein, MD, PhD (hon.)
Desai Sethi Institute of Urology, University of Miami Miller School of Medicine.
Over recent decades, the mid-urethral sling has become the gold standard surgical treatment for stress urinary incontinence (SUI) in women. Despite a high efficacy rate, complications and adverse events have been reported in up to 20% of cases.
Are Accurate Urodynamic Studies Without Wires and Indwelling Catheters Possible and Practical? - Expert Commentary
Written by Alan J. Wein, MD, PhD (hon.)
Desai Sethi Institute of Urology, University of Miami Miller School of Medicine.
A team of urologists and engineers from the Cleveland Clinic and Case Western Reserve recently published1 their experience with a device which they developed, a novel, wireless, catheter-free urodynamics monitor (UM) for the detection of intravesical pressure.
Trends in the Treatment of Stress Urinary Incontinence in a Tertiary Care Center after the Introduction of Polyacrylamide Hydrogel - Expert Commentary
Written by Alan J. Wein, MD, PhD (hon.)
Desai Sethi Institute of Urology, University of Miami Miller School of Medicine.
Over recent decades. The mid-urethral sling has become the gold standard surgical treatment for stress urinary incontinence (SUI) in women. Despite a high efficacy rate, complications and adverse events have been reported in up to 20% of cases. With the advent of true shared decision making
The 21st Century Marks a Rise in TURP Retreatment Rates: An Analysis of Veterans Health Administration Data - Expert Commentary
Written by Alan J. Wein, MD, PhD (hon.)
Desai Sethi Institute of Urology, University of Miami Miller School of Medicine.
Is the era within which a TURP was performed associated with differences in reoperation rates, specific surgical side effects, or the requirement for BPH medication 5 years afterwards? This question was explored by a group primarily from the University of California, San Diego, and recently published in the World Journal of Urology.
A Critical Analysis of the Methodological Limitations in Trials of Low-Intensity Shockwave Therapy for Erectile Dysfunction - Expert Commentary
Written by Alan J. Wein, MD, PhD (hon.)
Desai Sethi Institute of Urology, University of Miami Miller School of Medicine.
Low-Intensity Shockwave Therapy (LiSWT) has emerged as a safe, non-invasive treatment option for erectile dysfunction. Reports regarding efficacy are heterogeneous at best, and both the AUA (American Urological Association) and the SMSNA
Can We Predict Whether A Man with Acute Or Chronic Urinary Retention Will Void after Bladder Outflow Resistance Reduction Surgery? - Expert Commentary
Written by Alan J. Wein, MD, PhD (hon.)
Desai Sethi Institute of Urology, University of Miami Miller School of Medicine.
This subject, which has lately become a more frequent topic of discussion, was reviewed by a committee at the International Consultation on Incontinence-Research Society (ICI-RS), and a summary of pertinent discussion points published in 2024. Controversies regarding the utility of invasive urodynamic studies in men with lower urinary tract symptoms
Patient Education Resources
State of the Evidence Review Articles
Physician-Scientist Review Articles
State of the Evidence Review Articles
Conference Coverage
Conference Highlights Written by Physician Scientists