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Dr. Lance Marr

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Specialty: General Urology, Benign Prostatic Hyperplasia (BPH), Minimally Invasive Surgery

Education

Undergraduate: U.S. Air Force Academy; Bachelor of Science, Western Oregon University, Monmouth, Oregon
Medical School: M.D., Oregon Health and Science University, Portland, Oregon
Internship: Oregon Health and Science University, Portland, Oregon
Residency: Oregon Health and Science University, Portland, Oregon
Fellowship: Northwestern University, Evanston, Illinois

Practice

The Oregon Clinic
5050 NE Hoyt St. Suite 514
Portland, Oregon 97213

Site of Service

In-Office

UroLift Local Anesthesia Protocol

UroLift Anesthesia Protocol:  This information is presented in conjunction with Dr. Marr. Surgical technique, medication and anesthesia regimens are based on his experience with the UroLift System. Medical practice is solely the responsibility of the treating physician and not the named physicians or NeoTract, Inc.

  • The steps in this protocol are presented in the sequence performed by Dr. Marr.
  • Oral medication:
    • Antibiotic: Keflex (oral) 4 doses every 6 hours or Bactrim 1x pre-op and 1x before bedtime.
    • In rare cases based on the patient, pre-op Ativan is prescribed
  • Topical Anesthesia
    • Cold (4°C), 2% Lidocaine solution, 50ml, instilled in the bladder via 16Fr Catheter and catheter tip syringe
    • Cold (4°C), 2% Lidocaine gel, 5ml, instilled into the urethra
    • Clamp penis for 20 minutes, prior to procedure
  • Nitrous Oxide (offered as an option)

Group Type

  • Private Practice

First UroLift Case Date

  • October 2016

 

Program Agenda:

Objective:

Demonstrate the Premier Patient Experience offered by the UroLift® System treatment in the clinic setting with local anesthesia.

Location & Logistics:

  • Day Prior to Program:
      • Arrival:
        • Into PDX
        • Before 5:00pm
        • Attendee transportation to and from airport via UC or Lyft/Uber
      • Lodging:
        • Location: TBD
      • Dinner:
        • Time: 7:00pm
        • Location: TBD
        • Attendee transportation to and from restaurant via Uber/Lyft or UC
  • Day of Program:
      • Preceptor Event Address:
      • The Oregon Clinic
        1510 Division St. Suite 10
        Oregon City, Oregon 97045
  • Attire:  Scrubs or Business Casual
  • Arrival to Event: 8:00am
  • Depart:1:45pm
  • Departure Flights:
    • Out of PDX
    • After 3:30pm
  • Didactic Presentation
    • UroLift System as part of the standard of care for BPH
    • Clinical Data: risks and benefits
    • Coding, reimbursement, & economics
    • Personal Experience

Agenda

8 AM – Attendees Arrive and Welcome
• Attendee arrival – Light breakfast and refreshments provided
• Didactic presentation (continued)
• Discuss additional Q&A along with outline of day
• Review procedure room setup and facility
• Case 1 Preview: history, work-up & reasons for selecting UroLift System treatment

9 AM – First Case
• Observe 1st case
• Post-case review
• Potential BPH consult/UroLift follow-up
• Case 2 Preview: history, work-up & reasons for selecting UroLift System treatment

10 AM – Second Case
• Observe 2nd case
• Post-case review
• Potential BPH consult/UroLift follow-up
• Case 3 Preview: history, work-up & reasons for selecting UroLift System treatment

11 AM – Third Case
• Observe 3rd case
• Post-case review
• Potential BPH consult/UroLift follow-up
• Case 4 Preview: history, work-up & reasons for selecting UroLift System treatment

12 PM – Fourth Case
• Observe 4th case
• Post-case review
• Potential BPH consult/UroLift follow-up

12:30PM – 1PM – Lunch
• Lunch provided
• Q & A
• Goals for implementing learning

1 PM – Wrap Up
• 2 BPH workup cysto observations
• Group Photo

1:45 PM - Departure

Additional Case Observation Day Details:
• Anatomy models and slides will be utilized in between cases to demonstrate device functionality, advanced placement and troubleshooting.
• The number of observed cases, consults, cystos as well as the specific times of the activities may be subject to change
• Agenda may differ based on patient scheduling.