BackTable Urology

Counseling patients with intermediate-risk non-muscle invasive bladder cancer can be complex, with a wide range of treatment options and care pathways. In this episode of BackTable Urology, urologic oncologists Dr. Ruchika Talwar and Dr. Kelly Bree explore how to approach this challenge with clarity and compassion. --- This podcast is supported by an educational grant from UroGen Pharma. --- SYNPOSIS They emphasize a shift toward patient-centered, less aggressive treatment strategies, highlighting the importance of quality of life in clinical decision-making. The discussion includes risk stratification, the use of intravesical gemcitabine, and ongoing clinical trials. Dr. Bree also offers actionable tips for optimizing patient preparation and recovery. This episode underscores the growing importance of listening to patient voices to shape future standards of care. --- TIMESTAMPS 00:00 - Introduction and Overview02:09 - Risk Stratification and Treatment Approaches06:12 - Intravesical Therapy Options08:47 - Quality of Life and Patient Counseling12:56 - Practical Tips for TURBT Recovery17:03 - In-Office Procedures and Patient Management21:23 - Resources and Support for Patients24:13 - Future Directions and Final Thoughts --- RESOURCES Society of Urologic Oncologyhttps://suonet.org/home.aspx

This week, we present an inspiring episode for anyone interested in the history, present, and future of prostate cancer care. In this Legends in Urology installment of the BackTable Urology Podcast, Dr. Gerald Andriole joins guest host Dr. Niraj Badhiwala to reflect on a career that has left a lasting impact on the field. --- SYNPOSIS Dr. Andriole shares personal stories from his upbringing in Northeastern Pennsylvania and his journey into medicine. He reflects on his expedited education through Penn State and Jefferson Medical College and his path to urology. He discusses his pivotal work in prostate cancer screening, including the influence of major trials like The Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial, and traces the evolution of surgical and diagnostic techniques. The conversation also touches on current innovations and the future of prostate cancer management, offering valuable advice for the next generation of urologists. --- TIMESTAMPS 00:00 - Introduction01:59 - From Childhood to Medical School06:48 - Discovering Urology16:52 - Pioneering Prostate Cancer Screening24:07 - The PLCO Study: Design and Challenges28:57 - Controversies and Criticisms in Prostate Cancer Screening33:29 - Evolving Practices in Prostate Cancer Management44:19 - Future of Prostate Cancer Treatment

How do the experts balance organ preservation, oncologic control, and emerging therapies in both localized and metastatic cases of penile cancer? This episode of BackTable Tumor Board focuses on penile cancer diagnosis and treatment, featuring urologic oncologist Dr. Charles Peyton (UAB), radiation oncologist Dr. Juanita Crook (UBC), and medical oncologist Dr. Andrea Apolo (NCI). --- This podcast is supported by:Ferring Pharmaceuticals --- SYNPOSIS This session covers case studies ranging from localized to advanced penile cancer, diagnostic practices, imaging preferences (MRI vs. CT), and treatment options, including surgery, brachytherapy, chemoradiation, and neoadjuvant chemotherapy. The multidisciplinary team highlights the complexities of treating this rare cancer, underscores the importance of physical exams, and stresses the necessity of personalized treatment plans. They also delve into the challenges of managing metastatic stages, potential salvage therapies, and the importance of clinical trials in enhancing treatment efficacy. The doctors also emphasize the potential of immunotherapy and chemotherapy combinations for metastatic disease. --- TIMESTAMPS 00:00 - Introduction02:23 - Imaging Preferences03:29 - Biopsy vs Immediate Surgery06:04 - Lymph Node Dissection vs Radiation13:48 - Brachytherapy Techniques and Case Study23:21 - Challenges in Advanced Penile Cancer27:03 - Chemotherapy and Chemoradiation30:15 - InPACT Trial37:12 - Salvage Therapies and Exploring New Treatment Frontiers44:25 - Support and Awareness for Penile Cancer51:29 - Final Thoughts --- RESOURCES Society of Urologic Oncologyhttps://suonet.org/home.aspx

Can we do more than prescribe pills to address men's sexual health complaints? In this episode of the BackTable Urology Podcast, men's health expert Dr. Mohit Khera from Baylor College of Medicine joins guest host Dr. Amy Pearlman for a deep dive into testosterone management and the full spectrum of erectile dysfunction therapies. --- SYNPOSIS The conversation covers daily tadalafil use, lifestyle optimization, and the nuanced role of off-label medications. Dr. Khera also highlights emerging technologies like the Tech Ring and radiofrequency treatments, alongside practical insights into semen analysis and hormonal health markers. Throughout, he emphasizes a holistic, patient-centered approach to sexual health—blending medical therapy with meaningful lifestyle change. This is a must-listen for general urologists, men's health specialists, and trainees looking to expand their toolkit in this evolving field. --- TIMESTAMPS 00:00 - Introduction02:13 - Erectile Dysfunction and Testosterone08:05 - Young Men's Health and Early Detection10:20 - Semen Analysis for Overall Health12:50 - Daily Tadalafil and Its Benefits16:40 - Proactive Sexual Health Management21:28 - Female Sexual Health25:16 - Treating Delayed Ejaculation28:53 - Psychogenic Erectile Dysfunction31:16 - Technology in Sexual Health35:54 - Lifestyle Modifications for Better Sexual Health41:55 - Resources and Referrals for Patients44:30 - Final Thoughts

With so many treatment modalities for upper tract urothelial carcinoma, how does new evidence inform optimal care? In this episode of BackTable Tumor Board, urologic oncologist Dr. Nirmish Singla (Johns Hopkins), medical oncologist Dr. Jeannie Hoffman-Censits (Johns Hopkins), and urologic oncologist Dr. Bogdana Schmidt discuss treatment and diagnosis of upper tract urothelial carcinoma (UTUC). --- This podcast is supported by: Ferring Pharmaceuticalshttps://ad.doubleclick.net/ddm/trackclk/N2165306.5658203BACKTABLE/B33008413.420220578;dc_trk_aid=612466359;dc_trk_cid=234162109;dc_lat=;dc_rdid=;tag_for_child_directed_treatment=;tfua=;gdpr=${GDPR};gdpr_consent=${GDPR_CONSENT_755};gpp=${GPP_STRING_755};gpp_sid=${GPP_SID};ltd=;dc_tdv=1 --- SYNPOSIS The discussion covers real-world UTUC cases, highlighting diagnostic challenges, treatment options, and evidence-based management strategies. They address scenarios ranging from localized to advanced UTUC, the role of systemic therapies, perioperative treatments, and the potential for novel approaches with immune checkpoint inhibitors. The episode underscores the evolving landscape of UTUC treatment and the importance of clinical trials and emerging biomarkers in improving patient outcomes. --- TIMESTAMPS 00:00 - Introduction 02:49 - Case Study 1: 66-Year-Old Male with UTUC11:19 - Case Study 2: 73-Year-Old Male with High-Grade Urothelial Carcinoma28:11 - Intravesical Chemotherapy Protocols30:44 - Case Study 3: 57-Year-Old Male with Recurrent Urothelial Cancer41:25 Clinical Trials and Emerging Treatments45:40 Case Study: 55-Year-Old Female with Bulky Lymphadenopathy 56:45 Concluding Remarks and Future Directions --- RESOURCES Society of Urologic Oncologyhttps://suonet.org/home.aspx

With fewer incisions and faster recovery, single port robotic surgery is changing the game—hear from the urologic surgeons leading the charge. This episode of BackTable Urology features an insightful discussion of the transformative impact of single port robotic surgery with Dr. Richard Link, Dr. Michael Stifelman and guest host Dr. Mihir Shah. --- SYNPOSIS This episode explores the benefits of single port (SP) robotic surgery, highlighting improved access, greater efficiency, and shorter patient recovery times. The doctors discuss the evolution of single port technology and the challenges that remain. They also share practical tips around case selection, building community support, and tracking outcomes to enhance efficacy. Whether you're new to SP or a seasoned surgeon, this episode offers valuable insights on how to refine your surgical practice. --- TIMESTAMPS 00:00 - Introduction04:18 - Early Adoption06:50 - Commitment and Learning Curve15:45 - Innovations and Best Practices19:10 - The Magic of Single Port Access29:29 - Practical Tips and Instrumentation32:14 - Instrument Spread and Force Bipolar34:25 - Benefits of Single-Port Surgery35:57 - Challenges and Cognitive Load in SP Surgery42:55 - Adoption and Resistance to SP Technology50:52 - Final Thoughts

What if the key to better cancer outcomes lies not just in surgery or chemotherapy, but also in mindfulness, movement, and diet? In this episode of the BackTable Tumor Board, host Dr. Aditya Bagrodia interviews urologic oncologist Dr. Viraj Master, Professor of Urology at Emory University, about his role in developing the integrative oncology and survivorship service line at Winship Cancer Institute. --- This podcast is supported by: Ferring Pharmaceuticals https://ad.doubleclick.net/ddm/trackclk/N2165306.5658203BACKTABLE/B33008413.420220578;dc_trk_aid=612466359;dc_trk_cid=234162109;dc_lat=;dc_rdid=;tag_for_child_directed_treatment=;tfua=;gdpr=${GDPR};gdpr_consent=${GDPR_CONSENT_755};gpp=${GPP_STRING_755};gpp_sid=${GPP_SID};ltd=;dc_tdv=1 --- SYNPOSIS They discuss the evidence-based use of complementary therapies alongside conventional cancer treatments, touching on various integrative methods including diet, exercise, mindfulness, acupuncture, yoga, and supplements. Dr. Master emphasizes the importance of physicians being open to these practices and understanding their potential benefits for improving patient outcomes and quality of life, even in highly acute cases like muscle-invasive bladder cancer. The conversation covers the importance of honesty and understanding across patient journeys–from initial diagnosis to survivorship–highlighting the value of holistic approaches in cancer care. ---TIMESTAMPS00:00 - Integrative Oncology: Definitions and Basics06:28 - Exercise and Its Impact on Cancer Treatment08:12 - Physician Perspectives on Complementary Medicine20:58 - Acupuncture and Acupressure in Cancer Care25:28 - Practical Implementation of Integrative Approaches31:30 - Supplements and Immuno Nutrition36:25 - Cannabis, CBD, and Ayurveda in Cancer Care44:39 - Conclusion and Final Thoughts --- RESOURCES Society of Urologic Oncologyhttps://suonet.org/home.aspx

Are you a resident considering a urology fellowship? How do you choose the right subspecialty, and how can effective mentorship help you make the right decision? In collaboration with the Society of Women in Urology (SWIU), this episode of BackTable Urology features practical fellowship advice from Dr. Sevann Helo of Mayo Clinic, Dr. Jay Simhan of Temple University, and guest host Dr. Helen Bernie of Indiana University. --- SYNPOSIS The three leaders in academic urology cover essential topics such as choosing the right fellowship program, finding strong mentorship, and balancing personal and professional life. This episode also offers transparency into the application process. The conversation also delves into the nebulous differences between ACGME and non-ACGME fellowships. This episode is an excellent starting point for practical advice for residents considering this pivotal step in their urology careers. --- TIMESTAMPS 00:00 - Introduction03:07 - Differences Between Residency and Fellowship07:02 - Building a Competitive Fellowship Application11:09 - Pros and Cons of Pursuing a Fellowship16:08 - Accredited vs. Non-Accredited Fellowships20:30 - Choosing the Right Fellowship Program27:31 - Importance of Fellowship Fit28:46 - Evaluating Candidates Beyond Portfolios30:03 - Letters of Recommendation34:56 - Handling Fellowship Challenges38:28 - Gender Diversity in Urology43:31 - Balancing Family and Fellowship50:09 - Concluding Thoughts --- RESOURCES Society of Women in Urologyhttps://swiu.org/home.aspx

Are metabolic and sexual health two sides of the same coin? In this episode of BackTable Urology, Dr. Amy Pearlman is joined by gastroenterologist (and twin sister) Dr. Michelle Pearlman to discuss their collaboration at the PRIME Institute. Join us as we explore how two medical specialists combine their expertise to pioneer a comprehensive approach to two of the most important elements of health and wellness. --- SYNPOSIS Together, they explore their unique, holistic approach to sexual medicine and metabolic health, combining hormone optimization, nutrition, and lifestyle modifications. They pay special attention to the difficult journey of perimenopause and its symptoms. The episode underscores the importance of thinking beyond conventional healthcare models and embracing comprehensive, personalized care. They also cover the successful integration of advanced technology and patient education. Finally, the conversation touches on self-care for healthcare providers to combat burnout and encourages medical professionals to develop a personal brand and diversify their professional activities. --- TIMESTAMPS 00:00 - Introduction07:10 - Addressing Hormonal Health in Men08:53 - Nutrition and Weight Management13:21 - Treating Perimenopause and Menopause23:38 - The Importance of Hormone Replacement Therapy30:45 - Weight Loss Beyond the Scale32:05 - Importance of Muscle Maintenance41:09 - Technology in Health Monitoring49:03 - Daily Routines for Optimal Health57:38 - Closing Thoughts on Holistic Health --- RESOURCES PRIME Institute:https://www.primeinstitute.us/amy-pearlman-md/

What does it take to break the glass ceiling, lead, and get buy-in from your peers within a traditionally male-dominated field? In collaboration with the Society of Women in Urology (SWIU), guest host Dr. Martha Terris interviews Dr. Linda Shortliffe about her experience as the first woman to chair a major urology program. --- SYNPOSIS The discussion touches on mentorship, work-life balance, gender bias, and the importance of peer support community in predominantly male specialties. The episode highlights the impact of effective mentorship and the invaluable role of compassion in effective leadership. --- TIMESTAMPS 00:00 - Introduction03:00 - Women in Leadership03:51 - The Importance of Mentors and Colleagues05:49 - Challenges in Urology07:57 - Balancing Career and Personal Life29:55 - Navigating Gender Bias and Salary Disparities36:43 - Final Reflections --- RESOURCES Society of Women in Urologyhttps://swiu.org/home.aspx

How can pediatric and adult urologists team up to tackle complex cancer cases? In this episode of the BackTable Urology, host Dr. Amanda Buchanan, Division Chief of Pediatric Urology at the University of Kentucky, is joined by her colleagues Dr. Patrick Hensley, an adult urologic oncologist, and Dave Rodeberg, Division Chief of Pediatric Surgery. Their discussion centers around the importance of professional collaboration in urologic oncology care in order to improve patient outcomes.---SYNPOSISThe urologists discuss topics such as the experiences and benefits of interdisciplinary collaboration in complex cases and the role of pediatric urologists in treating adolescent and young adult patients. They also provide insights into the Children's Oncology Group (COG) studies and their intersections with adult oncology research. The episode concludes with practical advice for other institutions aiming to improve collaborative efforts between pediatric and adult urology departments.---TIMESTAMPS00:00 - Introduction02:35 - Challenges and Lessons in Multidisciplinary Collaboration08:24 - Pediatric vs. Adult Urologic Oncology11:07- Clinical Trials and Research Collaborations12:49 - Navigating Oncology Groups for Children and Adults19:06 - Collaborative Models in Kidney Cancer Care22:18 - Benefits and Challenges of Collaboration35:24 - Final Thoughts and Recommendations---RESOURCESSociety of Urologic Oncology:https://suonet.org/home.aspxChildren's Oncology Grouphttps://www.childrensoncologygroup.org/

When is it time to refer a patient to pelvic floor physical therapy? In this episode of BackTable Urology, Dr. Amy Pearlman invites pelvic floor physical therapist Dr. Victoria Mallow onto the show to discuss the importance of pelvic floor physical therapy for various urological conditions. ---SYNPOSISFirst, Dr. Mallow explains how she evaluates and treats patients. She discusses specific techniques, such as biofeedback, manual therapy, and therapeutic exercises like squats and lunges. Then, the experts underscore the significance of collaboration between urologists and physical therapists to provide comprehensive care for patients with pelvic floor disorders, bladder issues, and even post-prostatectomy rehabilitation. Dr. Pearlman also shares her tips to help urologists understand and utilize pelvic physical therapy more effectively.---TIMESTAMPS00:00 - Introduction02:43 - Understanding Pelvic Floor Physical Therapy08:20 - Collaborative Approach to Treating Pelvic Health Issues18:01 - Patient Education and Exercises 22:32 - Effective Cues for Post-Prostatectomy Patients30:53 - Internal Exams and Patient Comfort39:39 - Recommended Products for Pelvic Health42:35 - Travel Tips for Pelvic Health---RESOURCESRestore Pelvic Health & Rehabhttps://restorepelvicrehab.com/

What does it mean to be a trailblazer in urology? In this episode of BackTable Urology, host Dr. Claire Yang interviews Dr. Carol Bennett, Professor of Urology at UCLA, who shares her inspiring journey from her early aspirations to becoming the first African American woman certified by the American Board of Urology.---SYNPOSISDr. Bennett discusses her impactful career and notable research in neuro-urology, including breakthroughs in electroejaculation for patients with spinal cord injury. Dr. Bennett also reflects on her experiences with mentorship from notable urologists, overcoming barriers, and the importance of perseverance. The discussion highlights her enduring dedication to the field and her role as an inspiration to trainees, colleagues, and patients.---TIMESTAMPS00:00 - Introduction04:27 - Choosing Urology06:02 - Pioneering Research in Neuro-Urology13:23 - Challenges and Mentorship18:40 - Changes and Trends in Urology23:01 - Work-Life Balance and Personal Insights26:29 - Conclusion and Final Thoughts---RESOURCESSociety of Women in Urologyhttps://swiu.org/home.aspx

Esta semana en BackTable Urology, el Dr. José Silva entrevista a la obstetra y ginecóloga Dra. Pamela Silén-Rivera sobre la terapia de reemplazo de estrógeno, específicamente disipando mitos y su experiencia en el avance de la salud de la mujer en Puerto Rico. --- SYNPOSIS La conversación aborda las complejidades y desafíos en el tratamiento de la menopausia y la salud sexual de la mujer, incluyendo el uso de hormonas bioidénticas, testosterona y tratamientos personalizados. La Dra. Silén-Rivera destaca la importancia de la educación tanto para los profesionales médicos como para las pacientes, y habla sobre la necesidad de productos específicos para mujeres aprobados por la FDA. Además, discuten temas como las alternativas al reemplazo hormonal. --- TIMESTAMPS 00:00 - Antecedentes y experiencia en salud sexual de la mujer 06:02 - Síntomas de la menopausia y enfoques de tratamiento 17:25 - Tratamiento personalizado y riesgos 29:23 - Terapia de reemplazo hormonal y anticonceptivos 33:00 - Terapia de testosterona en mujeres 43:45 - Educar a las futuras generaciones sobre la terapia hormonal 49:20 - La importancia del estrógeno vaginal --- RESOURCES Centro de Bienestar para la Mujer https://www.centrobienestarmujer.com/

This week we bring together urologists and radiologists to work towards a shared goal of innovating on kidney cancer care. Dr. Jason Abel, Professor of Urology and Radiology at the University of Wisconsin, and Dr. Louis Hinshaw, Section Chief of Abdominal Imaging Intervention at the University of Wisconsin, join our host Dr. Ruchika Talwar for a multidisciplinary conversation regarding the treatment of renal tumors. --- SYNPOSIS Their discussion covers the history and benefits of collaboration between urology and interventional radiology (IR), advances in image-guided procedural technologies, and the importance of teamwork in improving patient outcomes. The episode also considers the encouraging, but limited data in IR treatments such as microwave ablation and discusses the lasting role for surgery. Finally, Dr. Abel and Dr. Hinshaw share their experiences in establishing a successful interdisciplinary kidney cancer program. Ultimately, they conclude that the future of renal tumor treatment lies not in silos, but in collaboration. --- TIMESTAMPS 00:00 - Introduction 04:04 - Collaboration Between Urologists and Interventional Radiologists 05:58 - Advancements in Ablation 10:05 - Patient Selection 15:19 - Technical Considerations 26:57 - Post-Ablation Surveillance and Recurrence Management 33:19 - Conclusion

What does it take to deliver truly personalized, multidisciplinary care in testicular cancer? Get an inside look in this episode of BackTable Urology, where renowned testicular cancer experts Dr. Nabil Adra and Dr. Richard Matulewicz join host Dr. Aditya Bagrodia for a virtual tumor board session on the nuanced management of germ cell tumors. This episode was produced in collaboration with the Society of Urologic Oncology. --- SYNPOSIS The expert panel uses specific patient cases to review their decision-making processes on the use of surgery, chemotherapy, and radiation. They highlight the importance of a multidisciplinary approach, particularly for advanced disease and challenging surgical scenarios. The episode reviews patient-specific factors, standard treatment protocols, post-treatment surveillance, and the latest research. This episode also highlights the benefits of personalized cancer care. --- TIMESTAMPS 00:00 - Introduction 01:45 - Case Presentation: 23-Year-Old Male with Testicular Mass 02:14 - Initial Counseling and Management 04:03 - Orchiectomy and Post-Surgery 06:27 - Stage I Management 10:00 - Surveillance and Adjuvant Therapy 13:56 - Recurrence 23:13 - Case Study: 44-Year-Old with Non-Seminoma 28:14 - Case Study: 17-Year-Old with Developmental Delay and Cancer 29:42 - Chemotherapy Decisions 30:31 - Brain Imaging and Metastasis Predictions 33:54 - Chemotherapy Regimens 35:53 - Monitoring and Salvage Therapy 45:01 - Case Study: 21-Year-Old with Teratoma 55:21 - Concluding Thoughts --- RESOURCES Society of Urologic Oncology: https://suonet.org/home.aspx

Have you noticed that urologists tend to have an outsized presence and interest in healthcare leadership and administrative positions? In this episode of BackTable Urology, Dr. Marisa Clifton, an associate professor and Associate Chief Medical Officer at Johns Hopkins, discusses her experiences in executive leadership with host Dr. Michelle Van Kuiken. This episode was produced in collaboration with the Society of Women in Urology (SWIU). --- SYNPOSIS Dr. Clifton shares her journey evolving from surgery and clinical medicine to hospital administration, highlighting the importance of mentorship, skill-building, and strategic decision-making. She discusses her journey towards finding a balance between clinical practice and administrative roles. She also highlights the challenges and rewards of working in hospital leadership. This episode offers key guidance on obtaining mentorship, coaching, and executive presence. This candid conversation provides valuable insights for any physician interested in leadership roles. --- TIMESTAMPS 00:00 - Introduction 02:28 - Dr. Marisa Clifton's Career Journey 13:03 - Balancing Clinical and Administrative Roles 17:01 - Challenges and Growth in Leadership 25:31 - Balancing Clinical Medicine and Hospital Administration 28:08 - Improving Communication Between Clinicians and Administrators 32:20 - Leadership Development 38:02 - The Role of Coaching 43:13 - Final Thoughts and Future Directions --- RESOURCES Society of Women in Urology https://swiu.org/home.aspx

Can the gender of your surgeon influence your outcome after surgery? New research says yes. In this episode of BackTable Urology, Dr. Christopher J.D. Wallis, a prominent urologic oncologist and health services researcher in Toronto, joins guest host Dr. Casey Seideman for a pivotal conversation at the intersection of surgical outcomes, gender, and health equity. This episode was developed in collaboration with the Society of Women in Urology (SWIU). --- SYNPOSIS Drawing from extensive studies and meta-analyses, Dr. Wallace highlights a significant mortality benefit for patients treated by female surgeons. The episode explores how these findings have sparked discussions on surgeon practices, patient care, and gender equity in medicine. Dr. Wallace also shares personal experiences to underline the importance of diversity and inclusive practices in healthcare. Finally, the two urologists discuss challenges faced when supporting diversity efforts and opportunities for future progress. --- TIMESTAMPS 00:00 - Introduction 04:01 - Personal Experience with Gender Bias in Surgery 07:05 - Groundbreaking Data on Surgeon Sex and Patient Outcomes 12:23 - Long-Term Outcomes and Consistency in Data 14:14 - Hypotheses and Underlying Reasons for Better Outcomes with Female Surgeons 20:18 - Impact on Healthcare Costs and Productivity 26:14 - Challenges and Pushback in the Medical Community 35:05 - Conclusion --- RESOURCES Society of Women in Urology https://swiu.org/home.aspx

Urology was recently named the most burned out specialty in the medical field – a title that we're not particularly proud of. How can we better support ourselves and one another, and take real steps towards improving career satisfaction and mental health within our specialty? In this episode of the BackTable Urology Podcast, Dr. Nishant Patel, a urologist from San Diego bravely shares his personal struggles with depression, substance abuse, and suicidality with host Dr. Aditya Bagrodia; and how he overcame the lowest points in his career. --- SYNPOSIS Dr. Patel details his journey from growing up in a small town in Arizona to becoming a successful urologist. He discusses the internal battles, external pressures, and pivotal moments that shaped his life and career. He then highlights the importance of peer support and introduces his new initiative, SafeHavenMD, a platform designed to provide confidential, peer-to-peer support for physicians dealing with mental health and substance abuse issues. This episode is a must-listen as it offers a raw and emotional insight into the often unseen challenges faced by medical professionals. --- TIMESTAMPS 00:00 - Introduction 03:29 - Early Signs of Alcoholism 03:56 - Medical School and Escalating Alcohol Use 05:43 - Journey to Sobriety 08:26 - Creating SafeHavenMD 19:40 - Personal Experience and Resources 20:20 - Handling Complications and Peer Support 21:47 - SafeHavenMD: An Overview 23:05 - Monitoring Programs and Confidentiality 24:19 - Disclosing Issues and Seeking Help 34:11 - Closing Message to the Audience

Attention trainees and general urologists: this episode is for you! Learn the basics of pediatric urology and core principles for building a practice in transitional urology, directly from the experts. In this episode of BackTable Urology, pediatric urologists Nicco Passoni and Arthi Hannallah, join guest host Dr. Ryan Mauck to discuss the most common conditions they see. --- SYNPOSIS The discussion covers a broad spectrum of topics in the transition of pediatric urology patients to adult care. Key highlights include self-catheterization, testicular torsion, bladder augmentation, and patients with a history of pediatric surgeries or spina bifida. Dr. Mauck emphasizes a collaborative discussion on the importance of managing conditions independently versus seeking specialized help for these complex patient situations. --- TIMESTAMPS 00:00 - Introduction 03:41 - Testicular Torsion Emergencies 08:45 - Common Challenges in Pediatric Urology 16:34 - Bladder Augmentation and Rupture 27:24 - Self-Catheterization 30:25 - Reflux and Reimplantation 35:25 - Managing Pediatric Urology Patients in Adulthood 46:47 - Outpatient Management of Reconstructed Bladders 50:58 - Embracing a Multidisciplinary Approach 54:02 - Key Takeaways

Patients seeking penile girth enhancement often do so for both physical and psychological reasons. When treating this patient population, understanding your patient's goal is as critical as mastering the aesthetics. In this episode of BackTable Urology, Dr. Amy Pearlman, co-founder of PRIME Institute Miami, meets with our host Dr. Jose Silva to discuss practical tips for treating patients that seek penile girth enhancement. --- SYNPOSIS Dr. Pearlman shares her journey from academic urology to healthcare entrepreneurship, emphasizing the personalized, holistic care offered at her practice. The conversation covers the procedure's impact on patients' lives, the management of a concierge clinic, and the integration of sexual health with overall wellness. Dr. Pearlman elaborates on the specifics of the penile girth enhancement procedure using hyaluronic acid. She covers patient experiences, consultation practices, and safety protocols. The episode emphasizes the broader conversation around men's health and the importance of sexual well-being. --- TIMESTAMPS 00:00 - Introduction 10:09 - Injectable vs. Surgical Options 10:30 - Hyaluronic Acid Fillers 14:06 - Patient Experiences and Expectations 24:09 - Injection Techniques and Aftercare 32:55 - Understanding Penile Aesthetics 35:43 - Consultation Process 37:23 - Pain Management 39:01 - Patient Experiences and Feedback 46:53 - Telehealth Consultations 49:22 - Closing Advice for Providers

Sharpen your approach to high-risk renal cell carcinoma (RCC). In this episode of BackTable Urology, guest Dr. Sumanta (Monty) Pal from City of Hope joins host Dr. Aditya Bagrodia to discuss contemporary kidney cancer treatment and the complexities of perioperative therapy. --- This podcast is supported by: Photocure https://www.photocure.com/ --- SYNPOSIS The conversation covers the challenging side effects of perioperative treatments, the evolution of therapies from tyrosine kinase inhibitors to modern checkpoint inhibitors, and the introduction of adjuvant therapies. Dr. Pal and Dr. Bagrodia explore the impact of these treatments on patient outcomes, the challenges with current biomarkers, and the potential of emerging trials. The doctors also highlight the importance of personalized RCC management strategies, particularly for high-risk patients and non-clear cell histologies. They also emphasize the need for appropriate patient counseling in this emerging field. --- TIMESTAMPS 00:00 - Introduction 01:53 - Evolution of Kidney Cancer Treatments 03:30 - Tyrosine Kinase Inhibitors in the 2010s 10:42 - Checkpoint Inhibitor Trials 23:09 - Discussing Adjuvant Therapy with Patients 26:56 - Restaging and Biomarkers 31:58 - Challenges in Adjuvant Immunotherapy 39:57 - Non-Clear Cell RCC 41:42 - Future Directions --- RESOURCES Photocure: https://www.photocure.com/

Do you need a recap of the latest urologic oncology research presented at GU ASCO 2025? This episode of BackTable Urology features a multidisciplinary discussion among three leading voices in urology and medical oncology – Drs. Bogdana Schmidt, Shilpa Gupta, and Ben Maughan – covering the most notable results presented at this year's meeting. --- This podcast is supported by: Photocure https://www.photocure.com/ --- SYNPOSIS First, the doctors cover a wide range of topics including PARP inhibitors for prostate cancer, HER2-targeting antibody drug conjugates in bladder cancer, adjuvant chemotherapy for upper tract urothelial carcinoma, and biomarkers such as KIM-1 in kidney cancer. Highlighting the importance of multidisciplinary collaboration, the experts also critique the COSMIC-313 trial and discuss the nuances of applying new therapeutic combinations in real-world clinical practice. --- TIMESTAMPS 00:00 - Introduction 09:20 - TALAPRO-2 Trial Insights 19:29 - Bladder Cancer: Immuno-Oncology Combinations and HER2 27:42 - NIAGARA and iNDUCT Trials 33:32 - Future Directions in Upper Tract Treatment 37:38 - Biomarkers in Kidney Cancer: KIM-1 46:43 - COSMIC-313: Triplet Therapy in Renal Cell Carcinoma 52:39 - Concluding Thoughts and Future Directions --- RESOURCES Photocure: https://www.photocure.com/

Why is clinic experience important in urology residency training? In this edition of the BackTable Urology PGY Playlist, guests Dr. Alison Keenan and resident Dr. Nicholas Koch join host Dr. Gina Badalato to discuss the significance of clinic exposure as a trainee. --- This podcast is supported by: Photocure https://www.photocure.com/ --- SYNPOSIS Extended clinic exposure can facilitate better clinical decision-making, improve understanding of pathology, and help develop soft skills. Dr. Keenan shares her experience in implementing a longitudinal resident clinic (LRC) model at her institution, emphasizing its role in providing continuity and autonomy. As a senior resident, Dr. Koch reflects on his experiences from participating in the LRC, underlining its value in preparing for independent practice. --- TIMESTAMPS 00:00 - Introduction 02:37 - Outpatient Resident Education 08:13 - Effective Teaching in Clinic 19:42 - Innovative Longitudinal Resident Clinic (LRC) Model 27:59 - Advice and Final Thoughts --- RESOURCES Photocure: https://www.photocure.com/

How does the microbiome affect urologic health, and what role does it play in urinary tract infections (UTIs)? In this episode of BackTable Urology, Dr. Lennie Ackerman from UCLA joins host Dr. Suzette Sutherland to discuss the bladder microbiome and innovative methods for detecting UTIs. --- SYNPOSIS Dr. Ackerman and Dr. Sutherland talk through the challenges of diagnosing chronic UTI symptoms, the limitations of standard urine cultures, and the role of new, enhanced culture methods and molecular diagnostics. They emphasize the importance of clinical judgment, the potential misuse of antibiotics, and the need for a long-term approach to managing urinary symptoms while maintaining a healthy microbiome. --- TIMESTAMPS 00:00 - Introduction 01:58 - The Bladder Microbiome 05:44 - Challenges in Diagnosing UTIs 16:36 - Enhanced Quantitative Urine Culture 21:30 - Molecular Diagnostic Approaches 34:01 - Chronic UTIs and Long-Term Management 46:10 - Conclusion

With the abundance of interventional options for benign prostate hyperplasia (BPH), how do you decide on the best treatment for each individual patient? In this episode of BackTable Urology, Dr. Marawan El Tayeb, chief of urology at Baylor Scott and White-Temple, joins host Dr. Jose Silva to discuss the intricacies of decision-making in BPH treatment. --- SYNPOSIS The urologists discuss advantages and disadvantages of various BPH interventions, providing insight on when to use what. The conversation then goes deeper on holmium laser enucleation of the prostate (HoLEP), emphasizing the importance of appropriate patient counseling about retrograde ejaculation and transient urinary incontinence. Dr. El Tayeb shares his experiences in managing BPH both medically and surgically. He details his procedural approach, patient selection criteria, and postoperative care, along with special considerations for patients with prostate cancer on active surveillance. The episode concludes with a detailed look at alternative prostate treatments and insights into upcoming technological advancements in prostate care. --- TIMESTAMPS 00:00 - Introduction 02:44 - Evolution of BPH Treatments 09:40 - Weighing BPH Procedures 14:33 - HoLEP Insights 20:59 - Understanding HoLEP Equipment 21:06 - Techniques for Intravesical Lobes 24:10 - Post-Procedure Decisions 30:33 - Special Considerations for Cancer Patients 40:24 - Alternative Treatments and Final Thoughts

Are you a resident that's interested in getting involved in research, or a residency program leader looking to equip your trainees with practical research skills? In this episode of BackTable Urology, Dr. Kate Dwyer from Vanderbilt joins guest host Dr. Gina Badalato from Columbia to discuss training urology residents in effective peer review as a way to start contributing to clinical research and academic medicine. --- This podcast is supported by: Photocure https://www.photocure.com/ --- SYNPOSIS Dr. Dwyer shares her personal journey and residency experiences, focusing on the formalized research training that she received as a trainee. The conversation covers the benefits of conducting peer review for residents, how to get involved, and how peer review can enhance your clinical and academic career. They also discuss the potential of formalizing a trainee peer review system across institutions to ensure all residents have access to peer review opportunities. Finally, the doctors conclude by discussing the balance of clinical duties with academic endeavors and personal wellness during residency. --- TIMESTAMPS 00:00 - Introduction 03:28 - Getting Started with Peer Review 08:50 - Tips for Effective Peer Review 19:03 - Formalizing Peer Review Programs 24:39 - Advice for Residents --- RESOURCES Photocure https://www.photocure.com/

Are you married to a physician? How do you balance demanding work, busy home life, and conflicting career ambitions as a dual physician couple? In collaboration with the Society of Women in Urology (SWIU), this episode of the BackTable Urology Podcast provides unique perspectives on how physician couples can live an integrated work-life, featuring Dr. Katie Amin and Dr. Peter Bajic, hosted by Dr. Helen Bernie. --- This podcast is supported by: Boston Scientific UroAdvance http://bostonscientific.com/uroadvance --- SYNPOSIS The doctors discuss key pillars to success as a physician couple, including flexibility, effective communication, and building a village of support. The conversation offers personal insights and strategies into managing childcare, household chores, and ensuring career fulfillment for both partners. The episode also emphasizes the need for further advocacy in the workplace, including parental leave policies. --- TIMESTAMPS 00:00 - Introduction 02:09 - Life as a Dual Physician Couple 04:31 - Career Decisions and Relocation Challenges 06:34 - Financial Discussions 13:24 - Parental Leave and Childcare 19:59 - Early Morning Routine and Nannies 27:33 - Household Chores and Outsourcing 34:47 - Work-Life Balance and Integration 42:18 - Final Thoughts --- RESOURCES Boston Scientific https://www.bostonscientific.com/en-US/medical-specialties/urology/products.html Society of Women in Urology https://swiu.org/home.aspx

Are you interested in building an academic niche within global surgery? Dr. Catherine deVries, Professor of Urology and Global Surgery at the University of Utah and founder of International Volunteers in Urology (IVUMed), shares her journey and provides a blueprint for the aspiring academic surgeon. This episode is hosted by Dr. Suzette Sutherland in collaboration with the Society of Women in Urology. --- This podcast is supported by: Boston Scientific UroAdvance http://bostonscientific.com/uroadvance --- SYNPOSIS The episode focuses on Dr. deVries experiences as a groundbreaking woman in the historically male-dominated field of urology. Dr. deVries delves into her landmark contributions to global health, particularly through her work leading IVUMed. She shares her experiences developing sustainable surgical care programs and her academic journey. The conversation also touches on the importance of ethics and public health when conducting surgical missions. The discussion serves as an inspiration for future generations in the field of urology and global health. --- TIMESTAMPS 00:00 - Introduction 02:17 - Dr. DeVries' Academic and Professional Journey 04:08 - Experiences as a Woman in Urology 14:55 - Pediatric Urology and Global Health 21:54 - Founding IVUMed 40:34 - Future Directions 44:14 - Conclusion --- RESOURCES Boston Scientific https://www.bostonscientific.com/en-US/medical-specialties/urology/products.html Society of Women in Urology https://swiu.org/home.aspx

We are excited to introduce a new collaboration with the Society of Women in Urology (SWIU)! In this episode of BackTable Urology, guest host Dr. Casey Seideman discusses the impact of SWIU with society leadership Dr. Akanksha Mehta and Dr. Simone Thavaseelan. --- This podcast is supported by: Boston Scientific UroAdvance http://bostonscientific.com/uroadvance --- SYNPOSIS The doctors talk about SWIU's rapid growth, its role in networking and career development for women, and its proven impact across career stages. They highlight the importance of the annual Clinical Mentoring Conference, which provides a unique opportunity for networking and professional development. The conversation also underscores SWIU's inclusivity and efforts for gender-diverse individuals. Looking ahead, Dr. Mehta and Dr. Thavaseelan predict continued growth, innovation, and deeper integration in organized urology. --- TIMESTAMPS 00:00 - Introduction 02:42 - History of SWIU 03:29 - Personal Journeys with SWIU 07:08 - The Mentoring Conference 09:27 - Career Development 34:40 - Inclusivity and Male Allyship 39:14 - Conclusion --- RESOURCES Boston Scientific https://www.bostonscientific.com/en-US/medical-specialties/urology/products.html Society of Women in Urology https://swiu.org/home.aspx

What is the role of androgen deprivation therapy (ADT) in prostate cancer treatment? In this episode of the BackTable Urology Podcast, Dr. Rana McKay, a medical oncologist from UC San Diego, joins host Dr. Aditya Bagrodia to discuss the administration of ADT and other management strategies for prostate cancer. --- This podcast is supported by: Photocure https://www.photocure.com/ --- SYNPOSIS The doctors offer a historical perspective into the evolution of ADT over time and discuss the variety of different ADT treatment options available. They compare management strategies for localized and metastatic prostate cancer and discuss how to align therapy with patient goals, focusing on the side effects. The conversation also explores the impact of prostate-specific membrane antigen (PSMA) PET imaging on management and the future directions of hormonal therapies in urologic oncology. --- TIMESTAMPS 00:00 - Introduction 05:25 - ADT Options 10:36 - Choosing an Agent and Managing Side Effects 26:42 - Continuous Versus Intermittent Therapy 30:30 - Closing Remarks --- RESOURCES Photocure https://www.photocure.com/

Are you a private practice urologist looking to build your bladder cancer service lines? In this episode of the BackTable Urology Podcast, Dr. Tom Jayram, urologist from Nashville joins host Dr. Aditya Bagrodia to discuss the latest advancements in non-muscle invasive bladder cancer treatment. The conversation focuses on the unique experiences and practical considerations in managing this complex condition in the community setting. --- This podcast is supported by: Ferring Pharmaceuticals https://www.ferring.com/ --- SYNPOSIS The two urologic oncologists share their decision-making process for different therapies such as BCG, gemcitabine-doxorubicin, and Adstiladrin. The conversation also touches on the challenges of integrating new technologies into practice, managing the BCG shortage, and the role of multidisciplinary care. They discuss patient-centered care and the potential for personalized treatment plans. Finally, Dr. Jayram reflects on the lessons he has learned from his own practice, offering a unique insight into the differences between academic and community urology. --- TIMESTAMPS 00:00 - Introduction 04:47 - Community Practice and New Technologies 09:59 - Clinical Trials for Bladder Cancer Care 15:52 - Patient Referrals 29:27 - Exploring New Treatment Options 30:46 - Bladder Sparing Strategies 32:21 - BCG Treatment and Surveillance 47:04 - Implementation of New Therapies 54:27 - Future Directions --- RESOURCES Ferring Pharmaceuticals https://www.ferring.com/

If you manage a busy men's health practice, you may have considered the value of staffing Advanced Practice Providers (APPs). In this episode of BackTable Urology, Dr. Alex Tatem and Kristen Gumpf, PA-C join host Dr. Jose Silva to discuss the role of APPs in men's health. --- This podcast is supported by: Photocure https://www.photocure.com/ --- SYNPOSIS Their discussion highlights the rewarding experience in seeing patients throughout their treatment journey. Dr. Tatem, a men's health specialist with an extensive academic background, emphasizes the value of integrating APPs like Kristen into his practice. Kristen shares her journey, highlighting the importance of continuous learning. Both share their personal stories on the early days and evolution of their partnership. The conversation delves into the dynamics of their successful clinic model, the impact of their work on patient care, and their plans for expanding and educating within the field of men's health. --- TIMESTAMPS 00:00 - Introduction 05:10 - Kristen's Path to Specialization 17:42 - Redefining Roles and Responsibilities 28:00 - Work-Life Balance 31:12 - Office Procedures 34:35 - Expanding the Team 47:26 - Team Dynamics 54:18 - Concluding Thoughts --- RESOURCES Dr. Alex Tatem's practice website: https://www.alextatemmd.com/ APP Fellowship Program in Indianapolis, Indiana: https://menshealthin.com/training/ 2024 Prosthetic Urology Institute: Advanced Practice Provider Preceptor Program - Kristen Gumpf, PA-C: https://cvent.me/mNE3ly 2024 Prosthetic Urology Institute: Preceptor and Clinic Communications Program with Dr. Alex Tatem: https://cvent.me/1ZKdEq

How can urologists run clinical trials efficiently while improving enrollment and reducing costs? In this episode of the BackTable Urology Podcast, Dr. Behfar Ehdaie, a urologic oncologist at Memorial Sloan Kettering Cancer Center, joins host Dr. Aditya Bagrodia to discuss methods and practical implementation strategies for clinical trials in urology. --- This podcast is supported by: Photocure https://www.photocure.com/ --- SYNPOSIS First, Dr. Ehdaie shares personal experiences from starting pilot trials, engaging stakeholders, and integrating trial processes into clinical practice. He also discusses mechanisms to reduce cost and improve enrollment while explaining the concept of two-stage consent to minimize patient anxiety. This episode aims to provide valuable pearls for young investigators and experienced practitioners alike on conducting successful clinical trials. --- TIMESTAMPS 00:00 - Introduction 04:39 - Challenges in Clinical Trials 06:21 - Case Study: Focal Therapy Trial 16:45 - Case Study: Hernia Trial 20:17 - Innovation in Clinical Trials 26:25 - Two-Stage Consent 36:11 - Final Thoughts --- RESOURCES Photocure https://www.photocure.com/

Have you checked out the AUA/ASTRO/SUO's recently released guidelines for salvage therapy in prostate cancer biochemical recurrence? In this episode of the BackTable Urology Podcast, guest Dr. Todd Morgan from the University of Michigan and host Dr. Aditya Bagrodia continue with part two of our series on prostate cancer biochemical recurrence management. --- This podcast is supported by: Veracyte https://www.veracyte.com/decipher --- SYNPOSIS The doctors focus on the difficulty in declaring a patient 'cured' and the implications of biochemical recurrence after treatment. Dr. Morgan highlights the importance of PSA in the postoperative setting and explores the role of the Decipher Prostate Genomic Classifier in personalizing treatment. He talks through the latest AUA/ASTRO/SUO consensus on biochemical recurrence guidelines, including the significance of early salvage therapy and the integration of advanced imaging techniques like PSMA PET scans. Further, Dr. Morgan emphasizes the role for multidisciplinary evaluation, patient counseling, and future directions of research to refine treatment options. This discussion underscores the transition from adjuvant to early salvage radiation as a standard practice and considers emerging biomarker strategies to inform treatment decisions. --- TIMESTAMPS 00:00 - Introduction 03:41 - Consensus Biochemical Recurrence Guidelines 08:56 - Evolution of Post-Prostatectomy Biochemical Recurrence Management 13:24 - Patient Counseling and Risk of Recurrence 17:42 - PSMA PET Scans 20:44 - Postoperative PSA Monitoring 28:35 - The Role of Radiation 31:56 - Hormone Therapy 39:00 - Salvage Lymphadenectomy 46:30 - Future Directions and Concluding Thoughts --- RESOURCES Veracyte https://www.veracyte.com/ Salvage Therapy for Prostate Cancer: AUA/ASTRO/SUO Guideline (2024) https://www.auanet.org/guidelines-and-quality/guidelines/salvage-therapy-for-prostate-cancer

Stay up to date in your bladder cancer practice with this insightful episode of the BackTable Urology podcast, developed in collaboration with the Society of Urologic Oncology. Dr. Betsy Koehne (University of Wisconsin) and Dr. Amir Salmasi (UC San Diego) talk through the contemporary management of low and intermediate-risk non-muscle-invasive bladder cancer. --- SYNPOSIS The doctors explore the challenges and nuances of patient communication, intravesical therapy, and postoperative surveillance. They also cover emerging treatments and clinical trials that hold promise for improving patient outcomes and quality of life. Emphasis is placed on the distress experienced by patients and the need for personalized treatments. --- TIMESTAMPS 00:00 - Introduction 01:51 - Initial Consultation 08:01 - TURBT Procedure Insights 23:14 - Managing Low and Intermediate Risk Bladder Cancer 26:47 - Recurrence and Surveillance Strategies 27:48 - Prognostication Tools 30:10 - Intravesical Chemotherapy Options 33:24 - High Grade Tumors 42:33 - Clinical Trials and Emerging Therapies 49:19 - Concluding Thoughts

Recent research is changing how we manage low risk prostate cancer. In this BackTable Urology Podcast episode, Dr. Dan Lin, a urologist at the University of Washington, walks through contemporary diagnosis, surveillance, and management of Grade Group 2 prostate cancer with host Dr. Aditya Bagrodia. --- This podcast is supported by: Veracyte https://www.veracyte.com/decipher --- SYNPOSIS The doctors delve into real-world implementation of active surveillance, alongside the use of advanced diagnostics, biopsy methods, and personalized care plans. The conversation highlights the Canary Prostate Active Surveillance Study (PASS) and the prognostic role of biomarkers and genomic testing. Dr. Lin and Dr. Bagrodia also discuss how lifestyle factors such as diet impact cancer progression and how patients can be empowered to manage their disease. Strategies for transitioning patients off surveillance are highlighted. Finally, the two experts discuss insights from recent clinical trials like PIVOT, PROTECT, and SPCG and how they're impacting prostate cancer management. --- TIMESTAMPS 00:00 - Introduction 02:54 - Active Surveillance and Canary PASS Data 12:02 - Biopsy Considerations 19:44 - Active Surveillance Protocols 26:58 - Patient Concerns and Risk Reduction 30:52 - Transitioning Off Surveillance 33:39 - Grade Group 2: Treatment vs. Monitoring 46:24 - Surgical Considerations and Node Dissection 49:25 - Future Directions --- RESOURCES Veracyte https://www.veracyte.com/

Join us for part two of our post-chemotherapy RPLND discussion with Society of Urologic Oncologists (SUO) members Tim Masterson from Indiana University and Rob Hamilton from Princess Margaret Hospital, University of Toronto. --- This podcast was developed in collaboration with: Society of Urologic Oncology https://suonet.org/home.aspx --- SYNPOSIS The conversation covers critical aspects of RPLND, including surgical techniques, preoperative considerations, common complications like chyle leaks, and post-operative care. Both surgeons emphasize the importance of humility, constant learning, and interprofessional collaboration to enhance surgical outcomes. The experts provide valuable insights and detailed discussions meant to guide urologists. --- TIMESTAMPS 00:00 - Introduction 01:16 - General Steps for RPLND Surgery 07:23 - Finding the Ureters 11:53 - Vascular Control 23:26 - Mitigating Chyle Leak 32:32 - Conclusion --- RESOURCES Expert Approaches to Complex PC RPLND Cases Part 1: https://www.backtable.com/shows/urology/podcasts/201/expert-approaches-to-complex-pc-rplnd-cases-part-1 Society of Urologic Oncology: https://suonet.org/home.aspx

Retroperitoneal lymph node dissection (RPLND) for testicular cancer can be a challenging surgery, even for the most experienced urologic oncologists. In part one of this special two-part series, host Dr. Aditya Bagrodia invites Society of Urologic Oncologists (SUO) members Dr. Timothy Masterson (Indiana University) and Dr. Robert Hamilton (Princess Margaret Hospital/University of Toronto) to cover current approaches to post-chemotherapy RPLND. --- SYNPOSIS First, the urologists delve into the technical considerations and perioperative planning for post-chemotherapy retroperitoneal lymph node dissections (RPLND) in patients with germ cell tumors. They discuss the importance of patient preparation, imaging assessments, and surgical approaches. Additionally, they explain their own surgical techniques as well as tips for dealing with operative complications. To end, their discussion addresses the importance of a multidisciplinary team and practical tips for ensuring successful surgical outcomes. --- TIMESTAMPS 00:00 - Introduction 01:37 - Preparing for Post-Chemotherapy RPLND 08:10 - Intraoperative Considerations 11:02 - Handling Complications 20:11 - Vascular Anatomy and Preoperative Planning 27:13 - Anesthesia Considerations and Pain Management 29:22 - Essential Tools and Techniques for Surgery 38:24 - Incision Strategies and Post-Chemotherapy Considerations 46:32 - Extraperitoneal Approach and Future Research --- RESOURCES Society of Urologic Oncologists https://suonet.org/home.aspx

Biochemical recurrence of prostate cancer can be difficult to diagnose and treat. In this episode of BackTable Urology, where Dr. Aditya Bagrodia hosts Dr. Amar Kishan, a genitourinary radiation oncologist at UCLA, to discuss the complexities of biochemical recurrence and local failure after radiation therapy for prostate cancer. --- This podcast is supported by: Veracyte https://www.veracyte.com/decipher --- SYNPOSIS First, they evaluate alternatives to androgen deprivation therapy (ADT), the benefits and risks associated with ADT, and the role of genetic classifier tests. They also detail the goals of prostate-specific antigen (PSA) monitoring, PSA trends post-radiation, and advancements in PSMA PET scans. Then, the conversation highlights modern treatment options like targeted radiation, low dose rate brachytherapy, salvage radical prostatectomy, and focal therapy. Finally, the doctors emphasize personalized and multidisciplinary treatment plans as they hope to improve long-term outcomes for patients with prostate cancer. --- TIMESTAMPS 00:00 - Introduction 04:31 - PSA Levels Post-Radiation 13:21 - Local Recurrence and PSMA PET 21:29 - Explaining Radiation Effects to Patients 22:41 - Managing PSA Bounce 26:05 - Imaging and Biopsy Techniques 28:55 - Treatment Options for Local Recurrence 30:16 - Re-Irradiation and Focal Therapy 33:13 - Concluding Thoughts --- RESOURCES Veracyte https://www.veracyte.com/

How do you care for patients with penile cancer? As urologists, we're trained to think about diagnosis and treatment, but how can we help manage the psychological impacts of penile cancer? In this episode of BackTable Urology, host Dr. Ben Ayres, a urologic oncologist specializing in penile cancer, discusses the unique psychological challenges faced by penile cancer patients with bladder cancer survivor Dr. Rick Bangs and nurse Rob Cornes. --- This podcast is supported by: Photocure https://www.photocure.com/ --- SYNPOSIS This episode emphasizes the importance of awareness and peer support in reducing isolation and stigma associated with penile cancer. The conversation also explores the role of multidisciplinary care and the benefits of holistic approaches to patient decision-making. --- TIMESTAMPS 00:00 - Introduction 04:05 - Isolation in Penile Cancer 06:38 - The Role of Advocacy and Peer Support 15:29 - Shared Decision Making in Penile Cancer Care 23:22 - Value of Multidisciplinary Care --- RESOURCES Photocure https://www.photocure.com/ Global Society of Rare GU Tumors (GSRGT) https://www.gsrgt.com

En este episodio de BackTable Urology, Dr. José Silva da la bienvenida a su colega de residencia, el Dr. Omar Soto, para profundizar en el viaje y los desafíos del Dr. Soto al establecer una práctica de urología reconstructiva en Puerto Rico después de su extensa capacitación y práctica en Detroit. --- This podcast is supported by: Photocure https://www.photocure.com/ --- SYNPOSIS Los doctores exploran las complejidades de navegar la atención urológica, la importancia de cumplir con el estándar de atención a pesar de las limitaciones sistémicas y el panorama en evolución de la urología reconstructiva y protésica. El Dr. Soto comparte anécdotas personales, el impacto de la pandemia de COVID-19 en su práctica y el papel crucial de la colaboración comunitaria y profesional en el avance de los servicios urológicos en Puerto Rico. El episodio destaca la dedicación necesaria para mejorar la calidad de vida del paciente y adaptarse a las nuevas tecnologías médicas. --- TIMESTAMPS 00:00 - Viaje a la Urología Reconstructiva 08:32 - Decisión de Quedarse en Detroit 13:31 - Regresando al Puerto Rico 27:47 - Tratamientos Urológicos en América Latina 30:18 - Equilibrio entre la Práctica Privada y las Necesidades de la Comunidad 36:32 - Prácticas y Técnicas Quirúrgicas 41:25 - La Importancia del Aprendizaje Continuo 52:45 - Pensamientos Finales --- RESOURCES Photocure https://www.photocure.com/

Are you curious about the biotechnology startup world? Learn how our guest transitioned from trauma surgeon to entrepreneur in this episode of the BackTable Podcast. Dr. Chris Kinsella, CEO of Watershed Therapeutics and our host Dr. Bryan Hartley discuss the importance of using entrepreneurship to solve clinical needs. Watershed Therapeutics has created a novel bladder drug delivery platform to help women with recurrent urinary tract infections. --- SYNPOSIS The doctors systematically cover the process of identifying market needs, inventing solutions, bringing a product to the market, and managing risk. They also share examples of successful startup ventures and underscore the importance of perseverance, innovative thinking, and strategic market focus in forging a path to success. --- TIMESTAMPS 00:00 - Introduction 04:30 - The Birth of a Surgical Trainer 07:04 - Challenges and Innovations in Trauma Surgery 22:06 - Evaluating and Killing Ideas 28:27 - Challenging Assumptions 29:53 - Meeting a Co-Founder 33:07 - Developing the Solution 37:29 - Raising Funds 40:28 - Navigating Regulatory Challenges and Market Expansion --- RESOURCES Watershed Therapeutics: https://www.watershedtx.com/ Stanford Biodesign Innovation Fellowship: https://biodesign.stanford.edu/programs/fellowships/innovation-fellowships.html

Are you a 2025 Urology Match applicant or a residency program faculty member? In this week's episode of the BackTable Urology podcast, guests Dr. Mihir Shah, Dr. Gina Badalato, and Dr. Lindsay Hampson provide guidance on navigating urology residency interviews. Their discussion offers insights from a residency leadership, department faculty, and medical student's point of view with host Yash Shah. --- SYNPOSIS The episode covers tips for both virtual and in-person interviews, strategies for conversational engagement, and advice for how applicants should evaluate programs. They further detail aligning personal values with program culture, describing past challenges, and lowering interview anxiety through effective practice. The conversation offers applicants invaluable preparation tips to approach the interview process with confidence and a positive attitude. --- TIMESTAMPS 00:00 - Introduction 02:32 - Virtual vs. In-Person Interviews 07:02 - Preparing for Residency Interviews: Tips and Strategies 17:29 - The Role of Research 20:43 - Pivoting to Leadership and Advocacy 22:01 - Behavioral Questions: Tips and Examples 26:22 - Discussing Difficult Subjects 28:26 - Choosing the Right Residency Program 33:10 - Post-Interview Communication 36:24 - Final Advice

Intrarenal pressure monitoring during ureteroscopy is a complex but crucial component of performing safe procedures. In this episode of the BackTable Urology Podcast, urologist Dr. Julie M. Riley from the University of Arkansas for Medical Sciences shares expert insights on ureteroscopy, focusing on intrarenal pressure monitoring, procedural techniques, and new technologies aimed at improving patient safety. --- This podcast is supported by: Boston Scientific SpaceOAR Hydrogel https://www.bostonscientific.com/en-US/medical-specialties/urology/prostate-health/prostate-cancer/spaceoar-hydrogel.html?utm_source=podcast&utm_medium=paid&utm_campaign=uro-ph-us-spaceoar-hcp&utm_content=nf-aw-backtable_optimizing_radiation_therapy --- SYNPOSIS Dr. Riley discusses the benefits of access sheaths, the utility of new devices including LithoVue Elite, and strategies for minimizing infection. She highlights the benefits and intended use cases of this new technology, and further outlines potential complications and challenges in using this new tool. Dr. Riley also shares her own approaches to complex patients, and her predictions for the future of ureteroscopy. --- TIMESTAMPS 00:00 - Introduction 03:10 - Ureteroscopy and Patient Candidacy 04:12 - Complications 09:50 - Technological Advances 13:30 - Practical Tips 32:59 - Looking Ahead --- RESOURCES Boston Scientific https://www.bostonscientific.com/en-US/home.html

Catch up on the latest breakthroughs in bladder cancer management. In this episode of the BackTable Urology Podcast, Dr. Bogdana Schmidt (University of Utah) speaks with Dr. Andrea Apolo, a medical oncologist at the National Cancer Institute, about recent advancements in bladder cancer treatment presented at the 2024 European Society of Medical Oncology (ESMO) Congress. --- SYNPOSIS They review pivotal trials like the NIAGARA and AMBASSADOR studies, the TAR-200 drug delivery system, the use of bladder-sparing treatment, and the role of ctDNA as a biomarker. Further, they detail the effectiveness of systemic therapies such as gemcitabine and pembrolizumab, the implications of perioperative immunotherapy, and the future role of antibody-drug conjugates. The conversation highlights the trend towards less invasive approaches while improving survival rates from bladder cancer. --- TIMESTAMPS 00:00 - Introduction 03:49 - NIAGARA Trial 09:10 - Challenges in Bladder Cancer Treatment 18:56 - AMBASSADOR Trial 25:30 - Adjuvant Immunotherapy 29:30 - Exploring Biomarkers and ctDNA 36:34 - Surgery and Less Invasive Therapies 46:31 - Future Directions in Bladder Cancer Treatment --- RESOURCES ESMO https://www.esmo.org/