About

John Samuel Wiener is a Professor of Urology and a Professor of Pediatrics at Duke University. He is based at the Duke Department of Urology, with a professional address at 1572C Clinical Research II, Durham, NC 27710, and a mailing address at Box 3831 Med Center, Durham, NC 27710. His roles involve contributions to urology and pediatric medicine, indicating a focus on clinical and research activities within these fields. The department's resources and programs suggest his involvement in education, training, and research initiatives related to urology and pediatrics at Duke University.

Research topics

• Medicine
• Internal medicine
• Pediatrics
• Surgery
• Intensive care medicine
• Urology
• Business
• Immunology
• Psychiatry
• Psychology
• Finance
• Pathology
• Gastroenterology
• Gynecology
• Clinical psychology
• Family medicine

Selected publications

• What the editors are reading - August 2025

  Journal of Pediatric Urology · 2025-05-26

  editorial1st authorCorresponding
  PublisherDOI

• Editorial comment - Augmentation cystoplasty and continent channels in the bladder exstrophy–epispadias complex: A 20- year experience

  Journal of Pediatric Urology · 2025-05-01

  editorial1st authorCorresponding
  PublisherDOI

• Commentary to Navigating the waters of LUTS from childhood to puberty – NOPIA meeting (ICI-RS 2024)

  Journal of Pediatric Urology · 2025-08-15

  article1st authorCorresponding
  PublisherDOI

• MP12-19 INFERTILITY IN MEN WITH SPINA BIFIDA: A SYSTEMATIC REVIEW

  The Journal of Urology · 2025-04-08

  review
  PublisherDOI

• Urologic Manifestations of Uterine Leiomyomata in Women with Spina Bifida

  Urology · 2025-07-28

  articleSenior author
  PublisherDOI

• Preliminary analysis of the Female Genital Self-Image Scale (FGIS-4) and the Male Genital Self-Image Scale (MGIA-5) in an international sample of adults with spina bifida

  The Journal of Sexual Medicine · 2025-03-15

  article

  INTRODUCTION: Common chronic health conditions associated with spina bifida (SB) may impact sexual health among adults in this population, including genital self-image (GSI), but no studies explore this topic. AIM: The primary aim of this study was to provide a preliminary psychometric assessment of the four-item Female Genital Self-Image Scale (FGSIS-4) and the five-item Male Genital Self-Image Scale (MGSIS-5) for use among adults with SB. A secondary aim was to describe the association of GSI with key demographic, health, and sexual experience characteristics. METHODS: An international online survey collecting background and clinical data was administered to adults with SB over 12 months. We assessed internal consistency, construct validity, and convergent validity for GSI. Bivariate regression was used to explore the individual associations of each variable with the FGSIS-4 and MGSIS-5. OUTCOMES: GSI was measured using the 4-item Female Genital Self-Image Scale (FGSIS-4) and the 5-item Male Genital Self-Image Scale (MGSIS-5); sexual function measures (sexual desire and overall satisfaction) from the Female Sexual Function Index and the International Index of Erectile Function; and health-related quality of life with Quality of Life Assessment in Spina Bifida for Adults. RESULTS: Participants (N = 217 women and N = 146 men) were primarily heterosexual and had a median partial-to-full college education. Half of all the participants were in a relationship and living independently. A third of both men and women were community ambulators, and a quarter of both reported full genital sensation. About half of the sample (women: 47.1%; men: 46.2%) reported clean intermittent catheterization (CIC). Both scales demonstrated good internal reliability (FGSIS-4: 0.845; MGSIS-5: 0.877) and a single-factor construct structure. Higher FGSIS-4 and MGSIS-5 scores correlated positively with sexual desire overall sexual satisfaction, health-related quality of life, and urinary continence but did not vary with using CIC. CLINICAL IMPLICATIONS: Because GSI negatively impacts sexual health and sexual function, clinicians treating patients with SB should consider discussing GSI as part of routine care. STRENGTHS AND LIMITATIONS: Although this research measured women's and men's GSI behavior in a large international sample of adults with SB, it is limited by its cross-sectional and retrospective design, as well as by its non-clinical convenience sample. CONCLUSION: The FGSIS-4 and MGSIS-5 show preliminary desirable psychometric properties for the measurement of GSI in the SB population.

  PublisherDOI

• Diagnostic Test Characteristics of Ultrasound-Based Hydronephrosis for Chronic Kidney Disease in Children and Adolescents With Myelomeningocele: Results From the UMPIRE and National Spina Bifida Patient Registry Cohort Studies

  The Journal of Urology · 2025-02-07 · 1 citations

  articleOpen access

  PURPOSE: Renal ultrasounds are performed in patients with myelomeningocele to screen for markers of kidney health, including hydronephrosis. We evaluated the diagnostic accuracy of hydronephrosis to screen for low kidney function defined by estimated glomerular filtration rate (eGFR). MATERIALS AND METHODS: , calculated using the bedside Schwartz formula. Hydronephrosis was dichotomized into any/none. We calculated sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of any hydronephrosis using eGFR as the reference standard. RESULTS: In UMPIRE, 221 patients were included with median age 2.4 years (IQR, 1.9-3.8) and 24% having eGFR < 90. Any hydronephrosis vs none conferred a sensitivity/specificity/PPV/NPV of 25%/75%/24%/77%, respectively. In NSBPR, 2269 patients were included with median age 13 years (IQR, 9.6-16.3) and 17% having eGFR < 90. Any hydronephrosis vs none conferred a sensitivity/specificity/PPV/NPV of 24%/87%/26%/85%, respectively. CONCLUSIONS: . This low sensitivity suggests that hydronephrosis alone is a poor screening marker of kidney health.

  PublisherOA PDFDOI

• John Wiener, MD

  The Journal of Urology · 2025-08-08

  article1st authorCorresponding
  PublisherDOI

• Editorial Comment

  The Journal of Urology · 2024-05-30

  editorial1st authorCorresponding

  No AccessJournal of UrologyEditorial Comment30 May 2024Editorial CommentThis article comments on the following:Quality of Life and Bladder Symptoms in Adolescents and Young Adults With Spina Bifida Who Catheterize via Urethra vs Catheterizable Channel John S. Wiener John S. WienerJohn S. Wiener https://orcid.org/0000-0003-4764-8018 Duke University Medical Center, Durham, North Carolina View All Author Informationhttps://doi.org/10.1097/JU.0000000000004046AboutFull TextPDF Cite Export CitationSelect Citation formatNLMIEEEACMAPAChicagoMLAHarvardTips on citation downloadDownload citationCopy citation ToolsAdd to favoritesTrack Citations ShareFacebookLinked InTwitterEmail "Editorial Comment." The Journal of Urology, Publish Ahead of Print, pp. REFERENCES 1. . Quality of life and bladder symptoms in adolescents and young adults with spina bifida who catheterize via urethra vs catheterizable channel. J Urol.2024; 212(2):000-000. doi: 10.1097/JU.0000000000004013 Link, Google Scholar 2. . Surgery is not superior to dilation for management of vaginal agenesis in Mayer-Rokitansky-Küster-Hauser syndrome: a multicenter comparative observation study in 131 patients. Am J Obstet Gynecol.2018; 219(3):281.e1-281.e9. doi: 10.1016/j.ajog.2018.07.015 Crossref, Medline, Google Scholar 3. .; National Spina Bifida Patient Registry. Bladder management and continence outcomes in adults with spina bifida: results from the National Spina Bifida Patient Registry, 2009 to 2015. J Urol.2018; 200(1):187-194. doi: 10.1016/j.juro.2018.02.3101 Link, Google Scholar © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsRelated articlesJournal of Urology3 May 2024Quality of Life and Bladder Symptoms in Adolescents and Young Adults With Spina Bifida Who Catheterize via Urethra vs Catheterizable Channel Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information John S. Wiener Duke University Medical Center, Durham, North Carolina More articles by this author Expand All Advertisement PDF downloadLoading ...

  PublisherDOI

• Expert Consensus on Pediatric Urodynamics Reporting Using Modified Delphi Technique

  The Journal of Urology · 2024-05-03 · 7 citations

  article

  PURPOSE: Urodynamic testing (UDS) is an important tool in the management of pediatric lower urinary tract conditions. There have been notable efforts to standardize pediatric UDS nomenclature and technique, but no formal guidelines exist on essential elements to include in a clinical report. We sought to identify ideal structure and elements of a pediatric UDS assessment based on expert consensus. MATERIALS AND METHODS: Pediatric urologists regularly performing UDS were queried using a Delphi process. Participants were invited representing varied geographic, experience, and societal involvement. Participants underwent 3 rounds of questionnaires between November 2022 and August 2023 focusing on report organization, elements, definitions, and automated electronic health record clinical decision support. Professional billing requirements were also considered. Consensus was defined as 80% agreeing either in favor of or against a topic. Elements without consensus were discussed in subsequent rounds. RESULTS: A diverse sample of 30 providers, representing 27 institutions across 21 US states; Washington, District of Columbia; and Canada completed the study. Participants reported interpreting an average number of 5 UDS reports per week (range 1-22). The finalized consensus report identifies 93 elements that should be included in a pediatric UDS report based on applicable study conditions and findings. CONCLUSIONS: This consensus report details the key elements and structure agreed upon by an expert panel of pediatric urologists. Further standardization of documentation should aid collaboration and research for patients undergoing UDS. Based on this information, development of a standardized UDS report template using electronic health record implementation principles is underway, which will be openly available for pediatric urologists.

  PublisherDOI

Frequent coauthors

• Joseph E. Aldy

  14 shared

• Jessica Stern

  University of Rochester

  12 shared

• Richard B. Stewart

  Southern Cross University

  11 shared

• William A. Pizer

  6 shared

• John D. Graham

  6 shared

• Massimo Tavoni

  RFF-CMCC European Institute on Economics and the Environment

  6 shared

• Juan Moreno‐Cruz

  University of Waterloo

  6 shared

• Brendon Swedlow

  Northern Illinois University

  6 shared

Education

• AB, Zoology

  Duke University

  1984