About

Jeremy B. Myers, MD, completed specialty training with Dr. Jack McAninch at the University of California, San Francisco, with a fellowship in trauma and urologic reconstructive surgery. His clinical practice is highly active in urologic reconstruction, performing approximately 80 urethral stricture surgeries and about 40 urinary diversions annually. His expertise encompasses a broad range of conditions including urethral strictures, ureteral scarring, complications from radiation treatments, fistulas, neurogenic bladder, urinary diversion, male incontinence, and transgender health, among others. Dr. Myers is recognized for his thorough and compassionate approach, emphasizing patient-centered care, clear communication, and detailed explanations of treatment options. His reputation is reflected in high patient satisfaction scores, with a patient rating of 4.9 out of 5 based on 173 reviews, highlighting his knowledge, professionalism, and attentive manner.

Research topics

• Medicine
• Internal medicine
• Surgery
• Pathology
• Urology
• Physical therapy
• Pediatrics

Selected publications

• A multicenter prospective cohort study of endoscopic urethral realignment versus suprapubic cystostomy after complete pelvic fracture urethral injury

  Journal of Trauma and Acute Care Surgery · 2022 · 16 citations

  Senior authorCorresponding
  • Medicine
  • Surgery
  • Internal medicine

  BACKGROUND: Pelvic fracture urethral injury (PFUI) occurs in up to 10% of pelvic fractures. There is mixed evidence supporting early endoscopic urethral realignment (EUR) over suprapubic tube (SPT) placement and delayed urethroplasty. Some studies show decreased urethral obstruction with EUR, while others show few differences. We hypothesized that EUR would reduce the rate of urethral obstruction after PFUI. METHODS: Twenty-six US medical centers contributed patients following either an EUR or SPT protocol from 2015 to 2020. If retrograde cystoscopic catheter placement failed, patients were included and underwent either EUR or SPT placement based on their institution's assigned treatment arm. Endoscopic urethral realignment involved simultaneous antegrade/retrograde cystoscopy to place a catheter across the urethral injury. The primary endpoint was development of urethral obstruction. Fisher's exact test was used to analyze the relationship between PFUI management and development of urethral obstruction. RESULTS: There were 106 patients with PFUI; 69 (65%) had complete urethral disruption and failure of catheter placement with retrograde cystoscopy. Of the 69 patients, there were 37 (54%) and 32 (46%) in the EUR and SPT arms, respectively. Mean age was 37.0 years (SD, 16.3 years) years, and mean follow-up was 463 days (SD, 280 days) from injury. In the EUR arm, 36 patients (97%) developed urethral obstruction compared with 30 patients (94%) in the SPT arm ( p = 0.471). Urethroplasty was performed in 31 (87%) and 29 patients (91%) in the EUR and SPT arms, respectively ( p = 0.784). CONCLUSION: In this prospective multi-institutional study of PFUI, EUR was not associated with a lower rate of urethral obstruction or need for urethroplasty when compared with SPT placement. Given the potential risk of EUR worsening injuries, clinicians should consider SPT placement as initial treatment for PFUI when simple retrograde cystoscopy is not successful in placement of a urethral catheter. LEVEL OF EVIDENCE: Therapeutic/Care Management; Level III.

  DOI

• Sexual function following pelvic fracture urethral injury and posterior urethroplasty

  Translational Andrology and Urology · 2021 · 32 citations

  Senior authorCorresponding
  • Medicine
  • Surgery
  • Internal medicine

  BACKGROUND: To evaluate erectile and sexual function after pelvic fracture urethral injury (PFUI) by performing a retrospective review of a large multi-center database. We hypothesized that most men will have erectile dysfunction (ED) and poor sexual function following PFUI, which will remain after posterior urethroplasty. METHODS: Using the Trauma and Urologic Reconstructive Networks of Surgeons (TURNS) database, we identified PFUI patients undergoing posterior urethroplasty. We excluded patients with incomplete demographic, surgical and/or questionnaire data. Sexual Health Inventory of Men (SHIM), Male Sexual Health Questionnaire (MSHQ), and subjective changes in penile curvature were collected before urethroplasty surgery and at follow-up. We performed descriptive statistics for erectile and ejaculatory function using STATA v12. RESULTS: ED (≥5 point decrease in score). Of the men with pre-operative MSHQ data, 46/74 (62.1%) had difficulty with ejaculation, 25/35 (71%) had change in penile length, and 6/33 (18%) reported penile curvature. In men with post-operative MSHQ, 19/44 (43%) expressed difficulty with ejaculation, 23/32 (72%) had change in penile length, and 9/33 (27%) reported penile curvature. CONCLUSIONS: There is a high rate of severe ED, both following PFUI and remaining after posterior urethroplasty. Additionally, rates of ejaculatory difficulty and patient perceived changes in penile length and curvature underscore the complex nature of the impact of these injuries on sexual function beyond simple erectile function.

  DOI

• The creation and validation of a short form of the Neurogenic Bladder Symptom Score

  Neurourology and Urodynamics · 2020 · 34 citations

  Senior authorCorresponding
  • Medicine
  • Urology
  • Pathology

  AIM: To develop a short form (SF) of the 24-item Neurogenic Bladder Symptom Score (NBSS). METHODS: We used three previously published datasets. First, we selected the most responsive questions within each of the domains. Internal validity of the NBSS-SF was assessed using Cronbach's α. External validity was assessed by evaluating hypothesized relationships with other questionnaires and testing correlations with the full NBSS domains. Test-retest reliability of the NBSS-SF domains was determined using an intraclass coefficient (ICC). RESULTS: Using data from a prior responsiveness study, we selected questions for the NBSS-SF from the incontinence domain (three), storage/voiding domain (three), consequences domain (two); these would make up the NBSS-SF. We used the original NBSS validation cohort of 230 patients with multiple sclerosis (MS), spinal cord injury (SCI), or spina bifida, and found the Cronbach's α was .76 for the NBSS-SF; the external validity was high, with correlations between specific NBSS-SF domains/total scores and the Qualiveen-SF, ICIQ, and AUASS generally similar to those seen with the NBSS. Correlations between the NBSS-SF domains and the full NBSS domains were high. The NBSS-SF ICC in a subset of 120 patients was 0.84. The NBSS-SF performed similarly in two additional independent datasets. CONCLUSIONS: The total score of the NBSS-SF has appropriate validity, reliability, and could be used instead of the full NBSS to minimize the assessment burden. The full NBSS may be better suited if the primary focus of the study is on neurogenic bladder symptoms, or if individual NBSS domains are of interest.

  DOI

• Frequency of patient-reported UTIs is associated with poor quality of life after spinal cord injury: a prospective observational study

  Spinal Cord · 2020 · 34 citations

  • Medicine
  • Internal medicine
  • Physical therapy
  PublisherDOI

• Outcomes and Risk Factors of Revision and Replacement Artificial Urinary Sphincter Implantation in Radiated and Nonradiated Cases

  The Journal of Urology · 2020 · 40 citations

  • Medicine
  • Urology
  • Surgery

  PURPOSE: Risk factors for complications after artificial urinary sphincter surgery include a history of pelvic radiation and prior artificial urinary sphincter complication. The survival of a second artificial urinary sphincter in the setting of prior device complication and radiation is not well described. We report the survival of redo artificial urinary sphincter surgery and identify risk factors for repeat complications. MATERIALS AND METHODS: A multi-institutional database was queried for redo artificial urinary sphincter surgeries. The primary outcome was median survival of a second and third artificial urinary sphincter in radiated and nonradiated cases. A Cox proportional hazards survival analysis was performed to identify additional patient and surgery risk factors. RESULTS: Median time to explantation of the initial artificial urinary sphincter in radiated (150) and nonradiated (174) cases was 26.4 and 35.6 months, respectively (p=0.043). For a second device median time to explantation was 30.1 and 38.7 months (p=0.034) and for a third device it was 28.5 and 30.6 months (p=0.020), respectively. The 5-year revision-free survival for patients undergoing a second artificial urinary sphincter surgery with no risk factors, history of radiation, history of urethroplasty, and history of radiation and urethroplasty were 83.1%, 72.6%, 63.9% and 46%, respectively. CONCLUSIONS: Patients without additional risk factors undergoing second and third artificial urinary sphincter surgeries experience revision-free rates similar to those of their initial artificial urinary sphincter devices. Patients who have been treated with pelvic radiation have earlier artificial urinary sphincter complications. When multiple risk factors exist, revision-free rates decrease significantly.

  DOI

• Development and Validation of A Male Anterior Urethral Stricture Classification System

  Urology · 2020 · 34 citations

  • Medicine
  • Surgery
  • Internal medicine
  DOI

Frequent coauthors

• Sean P. Elliott

  University of Minnesota

  1106 shared

• Bradley A. Erickson

  NYU Langone Health

  1080 shared

• Benjamin N. Breyer

  University of California, San Francisco

  1067 shared

• Sorena Keihani

  University of Utah

  914 shared

• Nima Baradaran

  University of California, San Francisco

  879 shared

• Ian Schwartz

  874 shared

• Frank Burks

  872 shared

• Richard A. Santucci

  854 shared

Education

• M.D., Trauma and Urologic Reconstructive Surgery

  University of California, San Francisco

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