Pressure with Purpose: Using NPWT to Transform Urological Wound Healing

Negative pressure wound therapy (NPWT) has become an invaluable adjunct in the management of complex urological wounds, offering benefits that extend beyond traditional wound healing. Patients undergoing treatment for conditions such as Fournier's gangrene, radical pelvic surgery, urinary fistulas, perineal wounds, traumatic injuries, and complex reconstructive procedures often present with challenging wounds complicated by contamination, tissue loss, edema, and high exudate levels. This session will explore the unique considerations for applying NPWT in the urological patient, including wound assessment, protecting urinary diversions and exposed structures, managing moisture and contamination, dressing selection, pressure settings, and strategies to facilitate definitive closure. Through evidence-based recommendations, practical techniques, and clinical case studies, participants will gain confidence in incorporating NPWT safely and effectively into multidisciplinary urological wound management to improve healing, reduce complications, and optimize patient outcomes.