Podcasts about bladder

In this episode, consultant obstetrician and gynaecologist Dr Fadi joins Laura for an open, practical conversation about pelvic floor health, incontinence, prolapse and the realities of modern obstetrics.Dr Fadi explains how childbirth, ageing and menopause affect the pelvic floor, and why so many women end up living with stress incontinence, prolapse and faecal incontinence in silence. He walks through the full range of treatment options — from physiotherapy and pessaries to urethral bulking, Botox, sacral neuromodulation, robotic surgery, and the mesh procedures paused in Ireland since 2018.The conversation also takes in interstitial cystitis, vaginal oestrogen, the impact of long inductions on older mothers, and the trade-offs women now weigh up between a vaginal delivery and a caesarean section. Dr Fadi closes with a reflection on his time working with Syrian refugees, where he met 13-year-old mothers and a 26-year-old grandmother.

Urinary tract infections are one of the most common health issues women experience, yet there's still so much confusion about what they are, why they happen, and how they're different from yeast infections and other vaginal conditions. In this episode of Ask Dr. A, Dr. Aliabadi breaks down the anatomy behind UTIs, explains the difference between bladder infections and kidney infections, and shares the symptoms every woman should know.Dr. Aliabadi also dives into why some women seem to get recurrent UTIs while others never experience them, covering the roles of hydration, sex, genetics, hormones, menopause, and the vaginal microbiome. She explains how bacteria causes infection, why urine cultures are essential for an accurate diagnosis, and the common mistakes that can lead to repeated infections.Plus, you'll learn evidence-based prevention strategies, including the truth about cranberry supplements, D-mannose, vaginal estrogen, probiotics, and whether peeing after sex actually helps. If you've ever wondered why UTIs keep coming back, or how to lower your risk, this episode is packed with practical information every woman should know.Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.SponsorsMidi: Ready to feel your best and write your second act script? Visit JoinMidi.com today to book your personalized, insurance-covered virtual visit. Peloton: Let yourself run, lift, sculpt, push and GO. Explore the new Peloton Cross Training Tread+ at onepeloton.comMyriad: List GetMyRisk.com to learn more about hereditary cancer testing and how you can use Myriad's virtual care option for fast, at-home testing - no office visit required. Talkiatry: Head to Talkiatry.com/shemd and complete the short assessment to get matched with an in-network psychiatrist in just a few minutes.Transcendental Meditation: Curious about Transcendental Meditation? Find a certified teacher near you and begin your journey today. Go to TM.org/SheMDWhat You'll LearnThe difference between UTIs, bladder infections, kidney infections, and yeast infectionsHow bacteria enters the urinary tract and causes infectionCommon UTI symptoms and warning signs you shouldn't ignoreWhy some women are more prone to recurring infectionsThe role of hydration, sex, and vaginal health in UTI preventionHow menopause and declining estrogen affect urinary tract healthWhen a urine culture is necessary and why it mattersThe truth about cranberry supplements, D-mannose, and other prevention strategiesWhy recurrent UTIs may require a deeper investigationKey Timestamps00:00 Welcome to She MD Podcast00:46 UTI, Yeast infection, Bladder infection, and Kidney infection07:12 E.coli and how you get them in the urethra13:09 How is the test called?19:45 What can a woman do for these infections?29:13 What kind of treatment will help with the infection?37:15 Vaginal Estrogen Treatment 45:18 How do you address the bacteria?50:20 How much is too much?51:40 Let's address some myths 53:33 Final WordsKey TakeawaysUTIs and yeast infections are completely different conditions that affect different parts of the body.Most UTIs begin as bladder infections caused by bacteria entering the urethra.Early diagnosis and treatment can help prevent serious kidney infections.Hydration, urinating after sex, and avoiding prolonged urine retention can reduce risk.Vaginal microbiome health plays a major role in preventing recurrent UTIs.Menopause-related estrogen loss can increase susceptibility to urinary tract infections.A urine culture is the best way to confirm whether symptoms are truly caused by a UTI.Cranberry extract and D-mannose may help prevent recurrent infections but are not treatments for active UTIs.Recurrent infections should prompt an evaluation of underlying causes rather than repeated rounds of antibiotics.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Are we giving cats medications that don't actually help? Dr. Serge Chalhoub, a veterinary kidney and bladder specialist at the University of Calgary, joins the Purr Podcast to talk about the best ways to care for cats with urinary problems. He has a special interest in how cats' kidneys and bladders work, and in using bedside ultrasound -- think instant imaging right there in the exam room -- to get faster, clearer answers without putting cats through unnecessary procedures. Tune in to find out what really works -- and what might be nothing more than habit -- when your cat is having trouble in the litter box.

Millions of Americans are frustrated with their urinary problems. More specifically, the need to urinate multiple times a day and night and leaking urine is frustrating to many people over the age of 45. Fortunately, there have been successful advances in the herbal treatment of common urinary problems. We are excited to share these breakthroughs on the show today.Studies on UROX Tracey Seipel, ND, is CEO and founder of Australian-based Seipel Group. Dr. Seipel is a renowned naturopathic doctor, medical herbalist, and clinical nutritionist. Dr. Seipel is also a diabetes educator, researcher, and an award-winning natural products formulator with 35 years of experience in clinical practice.She pioneered the natural urological health category receiving a Nutrition Business Journal award in 2006 for innovation. During the 1990s, Seipel was a leader in establishing standards of education for Australian naturopathic colleges and as an advisor to government boards, including developing nutritional training for Australia Medical Schools. During her research as a product formulator for nutraceutical companies, she uncovered the significant prevalence and underreporting of urinary incontinence in women and then overactive bladder and incontinence in both men and women. Together, this led to her pioneering this natural health category. Understanding the significant health impacts and seeing no other companies willing to take on the challenge of improving bladder control, Seipel developed the initial formulation.Learn more about Emerald Labs Bladder Health which contains the branded ingredient UROX. Listeners can save 20% OFF at Emeraldlabs.com when using the code: Forever

Common But Not Normal: Treating Pelvic Organ Prolapse Maintaining an active lifestyle is vital for healthy aging, but conditions like pelvic organ prolapse can abruptly isolate individuals and disrupt daily life. This condition occurs when weakened pelvic floor muscles can no longer support surrounding organs, leading to symptoms like bladder leakage, bowel difficulties, and physical discomfort. Our experts debunk common misconceptions, offer treatment options, and emphasize the importance of pelvic health awareness. Guests: Dr. Savitha Krishnan, urogynecologist, El Camino Health Jane, prolapse patient   Astrology Pt.2: Is Your Health And Success Written In The Stars? Though astrology was removed from academia in the 17th century, the ancient practice has experienced a massive modern resurgence. Data shows that public belief in its scientific merit has remained steady since the 1980s. This segment explores the enduring cultural power of astrology, the varying definitions of what makes something "Scientific," and why millions of people still rely on the stars. Guests:  Neda Farr, celebrity astrologer, creator, Starcrossed App Steven Vanden Broecke, Ph.D., professor of history of science, Ghent University Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Common But Not Normal: Treating Pelvic Organ Prolapse Maintaining an active lifestyle is vital for healthy aging, but conditions like pelvic organ prolapse can abruptly isolate individuals and disrupt daily life. This condition occurs when weakened pelvic floor muscles can no longer support surrounding organs, leading to symptoms like bladder leakage, bowel difficulties, and physical discomfort. Our experts debunk common misconceptions, offer treatment options, and emphasize the importance of pelvic health awareness. Guests:  Dr. Savitha Krishnan, urogynecologist, El Camino Health Jane, prolapse patient Host and Producer: Kristen Farrah   Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

If you've ever leaked urine while sneezing, laughing, running, or jumping postpartum, this episode is for you. Brooke sits down with Lauren Barker from Uresta to discuss stress incontinence, why it happens after pregnancy and birth, and how women can find support without immediately jumping to surgery or invasive treatments. They break down how the Uresta device works, the clinical research behind it, and why pelvic floor therapy still plays an important role in long-term healing. This conversation is empowering, practical, and an important reminder that bladder leaks may be common in motherhood—but they are not something you simply have to live with forever. Click HERE to access the show notes for this episode and learn more about Lauren and where you can find all things Uresta. 

Adam Hills, the biggest comedian to come out of the home of the Sydney Tramway Museum joins Harry to talk about everything from surviving a five-hour bladder-testing royal ceremony to why AI comedy routines are getting a little *too* good for comfort.We also take a deep, chaotic dive into British history with archaeologist Dr. Erin Lloyd-Jones to uncover the truth about William Wallace. Did he actually wear a kilt? Did he paint his face blue like Mel Gibson? And what exactly is a "sticky end"? (Warning: it involves a lot of tar ). Plus, introducing yet ANOTHER new game, "What is the Velcro Singing?" and check in with Gary's Joke Corner. "Adam Hills" by Wikipedia contributors, used under CC BY-SA 4.0. Derived from the Wikipedia article on Adam Hills. / This work is licensed under CC BY-SA 4.0. Learn more about your ad choices. Visit podcastchoices.com/adchoices

To mark Bladder Cancer Awareness Month in May, The Bladder Cancer Advocacy Network hosts the Walk to End Bladder Cancer on May 31st in Manhattan’s Hudson River Park, Pier 25. More than 725,000 people in the United States are living with bladder cancer, yet its warning signs are often missed until everything changes—and outcomes are worse for women at every stage. Bladder cancer survivors Shannon van Heerden and Sandy Weicher, tell their stories and urge others to trust their instincts when something feels wrong. See omnystudio.com/listener for privacy information.

If vaginal dryness, recurrent UTIs, or pelvic floor changes have shown up in your perimenopause or menopause journey, this episode is for you. Today I'm talking with Heather Florio, CEO of Desert Harvest and and women's sexual health advocate.  Heather is the author of Dear Sexpert in Bella Magazine, named one of Authority Magazine's Top 50 Women in Wellness, and featured in Forbes as a top woman in business.  She has spent her career breaking the silence around the symptoms many of us are too embarrassed to bring up (even with our doctors). In this episode we cover: 3:15 How Heather ended up in this space 5:17 What do most women not understand about the effects menopause has on pelvic health 7:47 Ingredients to watch out for in vaginal moisturizers 11:10 What Heather would recommend for daily care in cases of interstitial cystitis 14:40 Being prescribed antibiotics over and over 16:25 Bladder pain syndrome 19:52 Oral or topical prevention 22:37 Non-hormonal options 31:22 Where to find out more about Heather's products 31:53 Take the Lead Women event 34:37 You are your own best advocate Everything in this episode is for informational purposes only. Please consult your healthcare provider before making changes to your health care. Desert Harvest: desertharvest.com — use code VEGANMENO for 10% off Heather on Instagram: @HMFlorio Desert Harvest on Instagram: @DesertHarvestAloeVera Take the Lead Women — August 26th Washington D.C.: taketheleadwomen.com Book recommendation from Heather: Grown Woman Talk by Dr. Sharon Malone Save up to 20% on Cozy Earth bamboo viscose sheet sets at https://cozyearth.com/ using the code: BLISSFUL Vegan Menopause Blog - https://www.blissfulmenopause.com/blog  

Εκεί στο Xbox ετοίμασαν δεκάλογο. Get in touch: Email | Twitter Ι Facebook Group Hosted by: Elias Pappas - Facebook | Twitter | Instagram Manos Vezos - The Vez | Facebook | Twitter | Instagram Ι Apple Music M&A Digital Bros. acquires Wuchang: Fallen Feathers IP for $4.6m Bulletstorm dev People Can Fly acquires Cooldown Games Atari acquires emulation studio Implicit Conversions Αυλαία Greedfall developer Spiders set to close PlayStation DRM Sony confirms that some digital PS4 and PS5 games require a one-time online license check “to confirm the game's license”, likely to combat refund scams PlayStation responds in case about online lock on offline games Αποτελέσματα Microsoft FY26 Q3 - Press Releases - Investor Relations - Microsoft Xbox hardware revenue drops 33% year-on-year during Q3 Microsoft reports sinking Xbox revenue as its cloud business climbs We are Xbox We Are Xbox 'The big things that we're thinking about' Microsoft Gaming reverts to Xbox branding as part of new mission statement Xbox boss warns "memory costs will impact pricing, will impact availability" when it comes to Project Helix Leak reveals new Xbox Game Pass ‘Starter Edition' that's part of Discord Nitro Microsoft CEO sees Xbox as "critical audience and category" that's "really important to the company's future" says Asha Sharma

Εκεί στο Xbox ετοίμασαν δεκάλογο.

In this episode of Life Without Leaks, we sit down with Dr. Mia Duncan, a dual board-certified urologist and urogynecologist, to explore the connection between bladder health and longevity. Dr. Duncan explains why incontinence is often just the “tip of the iceberg,” and how early bladder symptoms can signal broader health issues. From root-cause diagnosis and bladder diaries to sleep disruption, UTIs, and prevention strategies, this conversation offers practical insights to help listeners take control of their health, now and for the long term. To learn more about Dr. Duncan and Columbus Urogynecology, visit here. For more information about the National Association for Continence, click here, and be sure to follow us on Facebook, Instagram and Pinterest.Music:Rainbows Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 3.0 Licensehttp://creativecommons.org/licenses/by/3.0/Attn: Grace pads and liners are ultra-soft, highly absorbent and made without fragrances, dyes or bleaches, so nothing comes between you and your comfort. They keep you dry, control odor and are gentle on sensitive skin, so you can move through your day with confidence.Shop at attngrace.com and use code NAFC10 for $10 off your first order. Also available at select retailers nationwide.

In this episode of the ICS Podcast, we explore how botulinum toxin (BoNT‑A) injection techniques for overactive bladder (OAB) are evolving—and why injection location, depth, and template may matter more than ever.Hosted by Juan Peñafiel and Shannon Wallace, the discussion brings together two internationally recognised experts: Benoit Peyronnet (Urologist) and Michael Kennelly (Neurourologist). Together, they examine the growing evidence behind trigonal and trigone‑sparing injection strategies, challenging long‑held dogmas around reflux risk and urinary retention.Key topics include:Why and when to consider trigonal or predominantly trigonal injection templatesHow injection depth, volume, and number of sites influence outcomesStrategies to reduce the risk of urinary retention while maintaining efficacyDifferences in approach for idiopathic vs neurogenic OABPractical tips for training, technique, and tailoring treatment to individual patientsThe conversation also reflects on gaps in the current evidence base, what future trials are still needed, and how clinicians can safely adapt their practice today. ICS PodcastThrough its annual meeting and journal, the International Continence Society (ICS) has been advancing multidisciplinary continence research and education worldwide since 1971.Over 3,000 Urologists, Uro-gynaecologists, Physiotherapists, Nurses and Research Scientists make up ICS, a thriving society dedicated to incontinence and pelvic floor disorders. The Society is growing every day and welcomes you to join us. If you join today, you'll enjoy substantial discounts on ICS Annual Meeting registrations and free journal submissions.Joining ICS is like being welcomed into a big family. Get to know the members and become involved in a vibrant, supportive community of healthcare professionals, dedicated to making a real difference to the lives of people with incontinence.

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Michael, my dad, and me. Three generations arguing in one room. That's the format today. My dad watched Neil Armstrong walk on the moon live at twenty-two years old. He remembers the Iranian hostage crisis when it was happening, not when it was a movie. That perspective matters when we get into where we are now — the rhetoric coming out of the White House, the ceasefire that may or may not hold, a war nobody has explained the objective of. We talked about the leaders we don't seem to produce anymore. Kennedy to the moon in ten years. Hungary voting out a hard-right prime minister by historic margins. Why most good people won't touch politics now — they'll destroy your entire family before you ever reach the ballot. Then the stuff that piles up every week. California's rail to nowhere. AI versus actual brain tissue running video games. ICE changing tactics. Cancer research funding cut by thirty-one percent. Civil War monuments and what you do with history you don't want to celebrate. And yes, my dad tried to break into the neighbor's house. And pissed himself at the rodeo. We get to that too. Enjoy. Pick up a copy of Drownproof here: https://www.clearedhotpodcast.com/book   Today's Sponsors: Firecracker Farms: https://www.firecracker.farm use code CLEAREDHOT for 10% off your first order. AG1: For a limited time only, go to https://www.drinkag1.com/clearedhot to get a FREE AG1 Flavor Sampler and AGZ Sampler to try all the flavors, plus FREE Vitamin D3+K2 and AG1 Welcome Kit with your first AG1 subscription order!

Welcome back!In this episode of The Pelvic Power Podcast, I sit down with Marry Cotter, a chronic UTI and interstitial cystitis (IC) survivor turned nutritionist, for an open and honest conversation about bladder health.Mary shares her personal journey of being told her symptoms were “normal,” navigating confusing diagnoses, and eventually discovering a different path forward.Together, we talk about:the overlap between chronic UTIs and ICwhy so many people feel dismissed or misunderstoodthe role of the urinary and vaginal microbiomehow nutrition can support healing (instead of being something to fear)and what it looks like to take a more personalized approach to bladder symptomsThis episode is a mix of personal experience, education, and real conversation — for anyone who has ever felt confused or alone in their bladder health journey.Mary's InstagramMary's websiteFree training: The real season you keep getting UTIsThe Heal your Bladder programmeChronic UTIs: The Root Cause ResetBook discussed: Alan GordonPodcast episode mentioned: Making Your Tools Feels SupportiveLive with pelvic tension + pain? Come join us for weekly live classes! Inside the Pelvic Health Yoga Membership, you'll find pelvic floor yoga, breathwork, myofascial release, and a supportive community to help you move through pain with more ease.✨ Join here and start your 7-day free trialAny takeaways? Send them my way - @wellbeing.by.penny

https://pubmed.ncbi.nlm.nih.gov/40095724/

What if we're waiting too long to offer our OAB patients the treatments that actually work? In this episode of BackTable Urology, Dr. Jason Kim joins host Dr. Anjali Kapur to discuss updates in overactive bladder management and evolving guidelines, including a shift away from rigid stepwise care toward shared decision-making. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction03:06 - 2024 AUA/SUFU Idiopathic OAB Guideline07:32 - Patient Experience with OAB11:59 - Beta-3 Agonists vs Anticholinergics15:15 - Botox Counseling and Dosing18:11 - Tibial Nerve Stimulation25:47 - Sacral Neuromodulation32:09 - Cost Burden of OAB39:38 - Evolution of OAB Care41:39 - Future Research Directions --- More about this episode The conversation positions OAB as a clinical diagnosis, supported by focused initial evaluation and selective use of advanced testing, with attention to the emerging role of ambulatory urodynamics. Dr. Kim and Dr. Kapur review management across the care continuum, including behavioral strategies, pelvic floor physical therapy, and pharmacologic options, with consideration of beta-3 agonists in older patients. The discussion also focuses on earlier use of minimally invasive therapies such as intradetrusor Botox and neuromodulation, and how introducing these options sooner may improve follow-up, reduce delays, and help patients achieve symptom control more efficiently. --- Resources The AUA/SUFU Guideline on the Diagnosis and Treatment of Idiopathic Overactive Bladder (2024)https://www.auanet.org/guidelines-and-quality/guidelines/idiopathic-overactive-bladder Anticholinergic Drug Exposure and the Risk of Dementiahttps://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2736353 Randomized trial of percutaneous tibial nerve stimulation versus Sham efficacy in the treatment of overactive bladder syndrome: results from the SUmiT trial https://pubmed.ncbi.nlm.nih.gov/20171677/ Trends in Utilization of Sacral Neuromodulation for Overactive Bladder: Insight From the AUA AQUA Registryhttps://www.auajournals.org/doi/10.1097/UPJ.0000000000000916 A retrospective longitudinal evaluation of new overactive bladder patients in an FPMRS urologist practice: Are patients following up and utilizing third-line therapies?https://pubmed.ncbi.nlm.nih.gov/33197059/ --- BackTable OBGYN is the go-to podcast for gynecologists, gynecologic surgeons, and other healthcare professionals focused on women's health.Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

What if your prostate symptoms aren't actually being treated—just managed?In this episode, Dr. Geo sits down with Dr. Brian Helfand, Clinical Professor at the University of Chicago and a leading expert in prostate care, to break down aqua ablation, a water-powered, precision therapy that's changing how we treat BPH (benign prostate enlargement)—and potentially even prostate cancer.What You'll Learn1. Why Medications May Not Be the Best First StepMost prostate medications manage symptoms—but don't fix the problemLong-term use may come with side effects and limited improvementMany men stay on meds for years without real resolution2. The Shift Toward Personalized Prostate CareNot all urinary symptoms come from the prostateKey contributors include:DiabetesSleep apneaAnxietyTreating the whole patient, not just the prostate, leads to better outcomes3. What is Aqua Ablation?A minimally invasive procedure that uses a high-pressure water jet to remove excess prostate tissue.Key Features:Robotically controlled for precisionGuided by real-time ultrasound imagingNo heat (unlike lasers or steam)Customized treatment plan for each patient4. Why Aqua Ablation is a Game ChangerCompared to traditional procedures:✅ Lower risk of sexual side effects✅ Minimal risk of incontinence✅ Faster recovery✅ Highly durable resultsResults:Significant improvement in urinary symptoms (~15-point IPSS improvement)Very low retreatment rate (~0.4% per year)5. The “Money Shot” Conversation (Yes, It Matters)Preservation of ejaculation is a top priority for many menAqua ablation preserves it in 90%+ of casesMany other procedures result in permanent dry orgasm6. Who is a Candidate for Treatment?There is no single number or test.Dr. Helfand looks at the full picture (“gestalt”):Symptom severity (IPSS)Patient bother levelUrinary flow strengthPost-void residual (PVR)Overall health

Dr. Amanda discusses support for the bladder, joints and supplements for weight loss.See omnystudio.com/listener for privacy information.

Discover how High-Intensity Focused Electromagnetic Energy is transforming treatment for bladder leaks in postpartum and menopausal women. Learn what happens during sessions, the science behind 11,200 Kegel equivalents, and why results continue improving after treatment ends.For more information, visit https://corerestorecenters.com/ Core Restore City: Charleston Address: 675 Saint Andrews Boulevard Website: http://www.corerestorecenters.com

Send us an inquiry through a text message here!Welcome to another episode of The Veterinary Roundtable! In this episode the ladies discuss a CRAZY tale from the trench (that is so crazy they made it the title of this episode), go into detail on their thoughts of the new IDEXX Invue, and more!Do you have a question, story, or inquiry for The Veterinary Roundtable? Send us a text from the link above, ask us on any social media platform, or email theveterinaryroundtable@gmail.com!Episodes of The Veterinary Roundtable are on all podcast services along with video form on YouTube!Timestamps00:00 Intro02:02 Pits and Peaks10:36 Case Study: Abdominal Palpation18:17 Tales From The Trenches21:10 IDEXX InVue22:52 Thoughts on More States Passing the VPA Legislation30:16 Resources For Pet Owners Struggling Financially33:07 Outro

In this episode, I discuss with fellow physiotherapist Carina SiracusaExplanation of our body's bowel and bladder function At what level Parkinson's, Multiple Sclerosis and Stroke affect these systemsMedication considerations and side effectsHow is the pelvic floor related and how it is NOTHow we can help as physiotherapists How patients can advocate for themselvesDr. Carina Siracusa has been a practicing physical therapist since she graduated from Ohio University with her doctorate in physical therapy in 2005. She has practiced in the areas of pediatric, neurologic, oncologic, and pelvic floor physical therapy in her tenure as a physical therapist. She currently works in the neurologic rehab department at OhioHealth in Columbus, Ohio, seeing patients of all ages and abilities with pelvic floor dysfunction. She also serves as the oncology rehabilitation coordinator and the wheelchair clinic coordinator in this hospital system. She has been teaching for the Academy of Pelvic Health Physical Therapy since 2010 in the pelvic health series. She has also taught as adjunct clinical faculty at several universities. She has given multiple presentations all over the world on the topics of neurologic and pediatric pelvic health. She also teaches several two-day courses on the subjects of pediatric and neurologic pelvic health.Instagram: @carinadptMentoring available through Carina: @SynapsePTMentoringTHANK YOU TO THIS EPISODE SPONSORSRC Health:  Use the link below for a discount at checkout!https://srchealth.com/?ref=PELVICFLOORPROJECTThanks for joining me! Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/mel@pelvicfloorprojectspace.comSupport the show

Send us Fan MailFrom the vault this week, before I do a full episode on the state of postpartum care in the UK next week,In a 2 part episode I am discussing some of the supplements that you might have seen promoted online. Week after next I'll cover NMN, NAD, CBD etc but this week I'm focusing on supplements much more common in the health and fitness world;Protein, Creatine, Vitamins and some bladder supplements (like Jude).Are they safe, even pre and postpartum?Are they useful?Are the more expensive ones really better than cheaper version?Are there alternatives?IOW, should YOU be taking them or are you better off saving your money.As always; HPNB only has 5 billing cycles. So this means that you not only get 3 months FREE access, no obligation! BUT, if you decide you want to do the rest of the program, after only 5 months of paying $10/£8 a month you now get FREE LIFE TIME ACCESS! That's $50 max spend, in case you were wondering. Though I'm not terribly active on  Instagram and Facebook you can follow us there. I am however active on Threads so find me there! Visit healthypostnatalbody.com and get 3 months completely FREE access. No sales, no commitment, no BS. Email peter@healthypostnatalbody.com if you have any questions, comments or want to suggest a guest/topic      Playing us out; "Fallout" by CJ Oliver

What if we're waiting too long to offer our OAB patients the treatments that actually work? In this episode of BackTable Urology, Dr. Jason Kim joins host Dr. Anjali Kapur to discuss updates in overactive bladder management and evolving guidelines, including a shift away from rigid stepwise care toward shared decision-making. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction03:06 - 2024 AUA/SUFU Idiopathic OAB Guideline07:32 - Patient Experience with OAB11:59 - Beta-3 Agonists vs Anticholinergics15:15 - Botox Counseling and Dosing18:11 - Tibial Nerve Stimulation25:47 - Sacral Neuromodulation32:09 - Cost Burden of OAB39:38 - Evolution of OAB Care41:39 - Future Research Directions --- More about this episode The conversation positions OAB as a clinical diagnosis, supported by focused initial evaluation and selective use of advanced testing, with attention to the emerging role of ambulatory urodynamics. Dr. Kim and Dr. Kapur review management across the care continuum, including behavioral strategies, pelvic floor physical therapy, and pharmacologic options, with consideration of beta-3 agonists in older patients. The discussion also focuses on earlier use of minimally invasive therapies such as intradetrusor Botox and neuromodulation, and how introducing these options sooner may improve follow-up, reduce delays, and help patients achieve symptom control more efficiently. --- Resources The AUA/SUFU Guideline on the Diagnosis and Treatment of Idiopathic Overactive Bladder (2024)https://www.auanet.org/guidelines-and-quality/guidelines/idiopathic-overactive-bladder Anticholinergic Drug Exposure and the Risk of Dementiahttps://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2736353 Randomized trial of percutaneous tibial nerve stimulation versus Sham efficacy in the treatment of overactive bladder syndrome: results from the SUmiT trial https://pubmed.ncbi.nlm.nih.gov/20171677/ Trends in Utilization of Sacral Neuromodulation for Overactive Bladder: Insight From the AUA AQUA Registryhttps://www.auajournals.org/doi/10.1097/UPJ.0000000000000916 A retrospective longitudinal evaluation of new overactive bladder patients in an FPMRS urologist practice: Are patients following up and utilizing third-line therapies?https://pubmed.ncbi.nlm.nih.gov/33197059/

Learn how to JournalSpeak :⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/2ph33u2s I love doing Real Time Heals - they allow me to empty my mind and hone in on exactly what someone needs. Today was no exception! The only thing I will say here, is that  Camille is so tapped in, smart, and willing about this process that she sounds more like a success story than a RTH. Having said this, we get down to it. And come up with a rich conversation on shame, and all its implications. Such an important topic. Join us! XOXO n. ⁠⁠⁠⁠⁠⁠⁠1:1 COACHING WITH TRAINED COACHES SUPERVISED DIRECTLY BY NICOLE⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠PLEASE RATE AND REVIEW THE PODCAST HERE TO HELP OTHERS FIND IT!⁠⁠⁠⁠⁠⁠⁠⁠⁠ Producer: Lisa Eisenpresser ~~~~~ SUPPORT:  Struggling with chronic pain? Check out my Freedom From Chronic Pain course   GET THE FIRST LESSON FREE: ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/yuxczyba⁠⁠⁠⁠⁠⁠⁠⁠⁠  Anxiety controlling your life? Try my Freedom From an Anxious Life course  GET THE FIRST LESSON FREE: ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/2m9rcht8⁠⁠⁠⁠⁠⁠⁠⁠⁠  Learn more about the brain science and clinical experiences in my book   MIND YOUR BODY: ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/4fd6bvdc⁠⁠⁠⁠⁠⁠⁠⁠⁠  Receive support, guidance, connection, and direct access to Nicole with  MEMBERSHIP: ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/y7wadt8d⁠⁠⁠⁠⁠⁠⁠⁠⁠ ~~~~ THE CURE FOR CHRONIC PAIN JOIN THE CONVERSATION ON INSTAGRAM  ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/93pwbp8v ⁠⁠⁠⁠⁠⁠⁠⁠⁠ SUBSCRIBE TO THE PODCAST  ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/56vvbdcx ⁠⁠⁠⁠⁠⁠⁠⁠⁠ LEARN ABOUT ANNUAL OMEGA RETREAT ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/3vr5j3ux⁠⁠⁠⁠⁠⁠⁠⁠⁠  Podcast music by the beautiful and talented Danielle Furst: ⁠⁠⁠⁠⁠⁠⁠⁠⁠@musicfurst⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠ This episode originally aired on March 25, 2022. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Jude survived his surgery yesterday, and as a bonus Kathryn got to keep the bladder stones. Apparently they're not as gross as you'd imagine. You probably don't want any, regardless, so remember to keep your diet low in whatever causes them. Rocks, probably. Stop eating rocks.Topics:Jude's surgeryToo many Taylor Sheridan showsReal possum found in storeBaby animal storiesTrans fatsPhilip WiseLouie Anderson's birthdaySee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This episode is for you if you're experiencing bladder leakage. One in 3 women experience bladder leaks yet most are told to just accept it as part of aging. In fact, by menopause 50 percent of women experience bladder leaks during routine activities like sneezing, laughing or exercise. Lauren Barker is the CEO and co-founder of Uresta, the first FDA-cleared, self managed bladder support device. She leads a Facebook community of over 8,000 members creating space for honest conversations about how bladder leaks impact fitness routines, careers and daily life.We learn:One in three women experience bladder leaks, especially post-pregnancy and post-menopauseBladder leakage can significantly impact women's quality of life and fitness activitiesMany women feel embarrassed to discuss bladder leakage leading to stigmaTraditional treatments like pads are often uncomfortable and not effectivePelvic floor therapy can help, but many women are unaware of it as an optionUresta is a self-managed bladder support device that offers a non-invasive solutionUresta can be worn all day and does not need to be removed to urinatePractical tips like avoiding “just in case” urination and activating pelvic floor muscles during exerciseConnect with Lauren:https://uresta.com/⁠https://www.instagram.com/myurestahttps://www.tiktok.com/@myurestahttps://www.youtube.com/@urestahttps://www.facebook.com/Uresta/Pelvic Floor Health Expert Recommended in Episode:https://www.instagram.com/carolinepackarddpt/Other Functional Moms Podcast episode about PELVIC FLOOR HEALTH:https://youtu.be/8zXIvpwUq1g?si=85YHLhJr74dypFl4Shop Functional Moms Podcast Supplement Store, 25 PERCENT OFF top quality brands:https://us.fullscript.com/welcome/functional-moms⁠Thank you for listening, please FOLLOW Functional Moms Podcast on Apple Podcasts and Spotify. This will ensure we can bring more episodes your way! SUBSCRIBE to your YouTube channel:⁠https://www.youtube.com/@functionalmomspodcast/bladder leakageurinary incontinencebladder controlpelvic floor healthstop bladder leakshow to stop bladder leaksstress incontinence menopause bladder leakspostpartum bladder leakagewomen's pelvic floor healthhormone changes bladder controlwomen over 40 health issueslauren barkerurestafunctional moms podcastpelvic floor expert

Urinary incontinence affects more people than you'll ever know - but that doesn't mean it has to affect YOU. Learn why bladder leakage numbers are increasing, and what you can do if this condition is limiting your lifestyle. Core Restore City: Charleston Address: 675 Saint Andrews Boulevard Website: http://www.corerestorecenters.com Phone: +1 986 267 3737 Email: ann@corerestorecenters.com

Bladder leaks affect millions, yet most people suffer in silence for years. A Charleston expert unpacks the real reasons this happens and why it is far more treatable than anyone tells you.Learn more: http://www.corerestorecenters.com/ Core Restore City: Charleston Address: 675 Saint Andrews Boulevard Website: http://www.corerestorecenters.com Phone: +1 986 267 3737 Email: ann@corerestorecenters.com

Learn how to JournalSpeak :⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/2ph33u2s I met Hannah Matluck of The V Hive (formerly The Women's Pelvic Pain Podcast) somewhat randomly a couple years ago when she wanted me to speak as an expert on her podcast. Little did either of us know how much that one interview would change her life. Hannah transformed her entire message to a mindbody approach, healed after years of suffering, and is even going back to school for an MSW to become a clinician! I love how life is serendipitous like that. This interview has so much good healing in it, and such important guidance, no matter how your TMS is showing up in your life. Join us for a great convo. Lots of love to you, from me. XOOX n. ⁠⁠⁠⁠⁠⁠1:1 COACHING WITH TRAINED COACHES SUPERVISED DIRECTLY BY NICOLE⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠PLEASE RATE AND REVIEW THE PODCAST HERE TO HELP OTHERS FIND IT!⁠⁠⁠⁠⁠⁠⁠⁠ Producer: Lisa Eisenpresser ~~~~~ SUPPORT:  Struggling with chronic pain? Check out my Freedom From Chronic Pain course   GET THE FIRST LESSON FREE: ⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/yuxczyba⁠⁠⁠⁠⁠⁠⁠⁠  Anxiety controlling your life? Try my Freedom From an Anxious Life course  GET THE FIRST LESSON FREE: ⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/2m9rcht8⁠⁠⁠⁠⁠⁠⁠⁠  Learn more about the brain science and clinical experiences in my book   MIND YOUR BODY: ⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/4fd6bvdc⁠⁠⁠⁠⁠⁠⁠⁠  Receive support, guidance, connection, and direct access to Nicole with  MEMBERSHIP: ⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/y7wadt8d⁠⁠⁠⁠⁠⁠⁠⁠ ~~~~ THE CURE FOR CHRONIC PAIN JOIN THE CONVERSATION ON INSTAGRAM  ⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/93pwbp8v ⁠⁠⁠⁠⁠⁠⁠⁠ SUBSCRIBE TO THE PODCAST  ⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/56vvbdcx ⁠⁠⁠⁠⁠⁠⁠⁠ LEARN ABOUT ANNUAL OMEGA RETREAT ⁠⁠⁠⁠⁠⁠⁠⁠https://tinyurl.com/3vr5j3ux⁠⁠⁠⁠⁠⁠⁠⁠  Podcast music by the beautiful and talented Danielle Furst: ⁠⁠⁠⁠⁠⁠⁠⁠@musicfurst⁠ ⁠⁠⁠⁠⁠⁠⁠⁠ This episode originally aired on June 4, 2021. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode, we review the high-yield topic of⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Other Bladder Cancers⁠ ⁠from the Oncology section.Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets

Guest Dr. John Gore and host Dr. Davide Soldato discuss JCO article, "12-Month Results from the CISTO Study Comparing Radical Cystectomy Versus Bladder-Sparing Therapy for Recurrent Non-Muscle Invasive Bladder Cancer," which compares radical cystectomy and bladder sparing therapy for patients with recurrent high-grade non-muscle invasive bladder cancer. Dr. Gore and Dr. Soldato focus on the study's patient-centered approach, eligibility criteria, and quality of life after treatment. TRANSCRIPT The disclosures for guests on this podcast can be found in the show notes. Dr. Davide Soldato: Hello and welcome to JCO After Hours, the podcast where we sit down with authors from some of the latest articles published in the Journal of Clinical Oncology. I am your host, Dr. Davide Soldato, medical oncologist at Ospedale San Martino in Genoa, Italy. Today, we are joined by JCO author Dr. John Gore, urologist at Fred Hutch Cancer Center and professor of urology at University of Washington School of Medicine. Today, we will be discussing the article titled, "Twelve-Month Results From the CISTO Study Comparing Radical Cystectomy Versus Bladder-Sparing Therapy for Recurrent High-Grade Non-Muscle-Invasive Bladder Cancer." Thank you for speaking with us, Dr. Gore. Dr. John Gore: Thank you so much for having me. Dr. Davide Soldato: So, I just want to jump right in. We know that patients who are diagnosed with recurrent high-grade non-muscle-invasive bladder cancer can be treated with two different approaches. So, one is radical cystectomy, and the other is bladder-sparing therapy. I just wanted to understand: what was the gap that you were trying to fill with this study? In particular, one point that is very important is that this study is very centered on the preference of the patients. Why did you choose this endpoint instead of going for more solid oncology-based endpoints? Dr. John Gore: Yeah, so CISTO was a study that was derived really organically from patient engagement. I think as a clinical gap in care, making a decision about when to pursue radical cystectomy for patients with non-muscle-invasive bladder cancer is a tough decision for us as clinicians. We did some engagement work partnered with the Bladder Cancer Advocacy Network and my partner Angela Smith, and found that it is also a huge gap for patients. You know, they are very anxious about recurrences, and the decision about when to take out the bladder is a very difficult one. We did an evidence synthesis and found that evidence guiding this decision is fairly limited. The reason we chose more of a patient-reported endpoint is several-fold. One is that we, as part of our engagement work, also worked with our patient survey network to identify outcomes that were important to patients. Some of those are the same outcomes that we care about as clinicians - recurrence-free survival and metastasis-free survival - but several outcomes came out that were more patient-centered. These were patient-reported outcomes such as the burden on my finances, the burden on my caregiver or loved one, and the ability to return to physical activities that are important to them. Part of what is unique about CISTO is that this was a contract with PCORI where we knew we would only have about 12-month outcomes for the majority of our patients. That is too early to really derive a lot of the clinical outcomes, but we are able to answer that patient-centered question of, "Am I going to be able to return to physical activities that are important to me?" And that was the genesis of that as the primary endpoint. Dr. Davide Soldato: So, who were the patients that were eligible to participate in the CISTO trial? What were the key eligibility criteria? This is very particular to this study because this was actually an observational study. Why did you think that such a pragmatic approach still can inform us on what is the best treatment approach for these patients? Dr. John Gore: The intent of CISTO was not necessarily to focus on the tightly defined BCG-unresponsive patient population. That is a clearly important patient population, but every day we are all faced in our real-world practice with patients with challenging, high-grade recurrences that don't fit neatly into that BCG-unresponsive box. The reason we chose a broader inclusion was to help doctors and patients answer these same questions they have when it doesn't fit nicely into this BCG-unresponsive category. You know, maybe their BCG exposure was two years ago, but now they are having a recurrence after intravesical chemotherapy. That is no less challenging a clinical conundrum, and we wanted to be able to enroll those patients. Other key inclusions were that all of the patients in CISTO had to have BCG at some point, and they had to have recent exposure to some adjuvant instillational or intravenous therapy like pembrolizumab. We also had some exclusions that were important. They couldn't be participating in a phase 2 clinical trial, and they couldn't have had a prior upper tract urothelial cancer. The other point about the observational trial design is I think a really important one. Part of our engagement work also asked patients about their willingness to randomize. There is a ton of literature in our history of trials that failed to accrue well when they were comparing a large-scale surgical intervention with a more conservative management strategy. What we found is only about 10% of patients would be willing to randomize when the clinical comparison is between radical cystectomy and bladder-sparing therapy. So it was very clear that an observational study design was the only way we were going to get evidence to inform clinical care when one of the key comparators was radical cystectomy. And so that is why we utilized the observational trial design. Dr. Davide Soldato: Starting to go deeper into the results, you mentioned before that the endpoint you chose for this trial was really centered on what patients thought was more important to them. In particular, the primary endpoint of the study was physical function as measured by the EORTC QLQ-C30 questionnaire. I just wanted to understand: first, did you have a solid hypothesis regarding how physical function could be impacted by either radical cystectomy or bladder-sparing treatments? And second, what were the key results of the study? Dr. John Gore: We figured that at 12 months after enrollment, given the burden and morbidity of a radical cystectomy, that patients in the radical cystectomy arm would have worse self-reported physical functioning than patients in the bladder-sparing therapy arm. We did hypothesize that some of our secondary outcomes might potentially be better after radical cystectomy, such as recurrence-free survival and potentially some other cancer-specific outcomes, because it is a more definitive management strategy. For our primary endpoint, however, we hypothesized that it would be worse. What we found, and the key finding of our study, is that at 12 months after enrollment, physical functioning was not different between patients undergoing radical cystectomy and patients undergoing bladder-sparing therapy, which is just important in terms of clinical counseling because it just means that you can tell your patients, "Gosh, if we could fast-forward your life six to nine months after this procedure, your physical functioning would be similar to as if you had been able to keep your bladder." Dr. Davide Soldato: And you mentioned that there were some key secondary endpoints of the study, which included both other dimensions of quality of life and also hard clinical outcomes. We mentioned metastasis-free survival, for example. Going a little bit into the key secondary quality of life outcomes, we know that radical cystectomy can impact physical functioning, but we also know that bowel, sexual symptoms, and also genitourinary symptoms might potentially be impacted by this type of treatment. We also know that, especially in a system like the US, financial toxicity can be a significant burden for patients. Considering the two different approaches, was radical cystectomy better also in other key secondary quality of life outcomes, and was financial toxicity different between the two arms? Dr. John Gore: Thank you for highlighting some of the really important secondary outcomes that I think are really important to trying to figure out what's best for your patients. Some of the main ones were some of the bladder cancer-specific quality of life outcomes you highlight. Urinary quality of life was worse at enrollment in patients in the radical cystectomy arm but was no different 12 months after. What is unique about how we measure that is we used an instrument called the Bladder Cancer Index because we're comparing a population of patients who have lost their bladder with a population of patients who have retained their bladder, and there are different considerations by gender. And so that instrument is agnostic to urinary diversion status and gender. We found that bowel function and sexual function were worse in the radical cystectomy arm. It appeared that bowel functioning was getting better to the point of near equivalence at 12 months in the radical cystectomy arm but was still inferior to bladder-sparing therapy, and that probably relates to the fact that we use the bowel as part of the urinary diversion, and that causes some transient disruption in bowel function. Financial toxicity is an outcome we weren't initially planning on having as part of the CISTO study, but based on that patient feedback, we made that one of our key secondary outcomes. That actually demonstrated superiority in the radical cystectomy arm. I think it's important that we remember that when we do bladder-sparing therapy, those patients are predisposed to a number of visits to our office, whether they're for instillational therapies or cystoscopy surveillance visits. Sometimes that involves the patient themselves, and sometimes that involves a caregiver. We live in an area with a very large geographic catchment, so sometimes that involves overnight hotel stays and airfare. It can be a particular burden, as you made mention, especially in our healthcare system. Dr. Davide Soldato: Going back to the quality of life dimensions and especially considering the different treatments, 50% of the patients received radical cystectomy with robotic surgery. Did you look a little bit into whether the type of surgery that they received might potentially impact on these dimensions of quality of life? Dr. John Gore: These are some questions that a lot of urologists have asked us in the surgical arm, related to surgical approach, so robotic versus open, and urinary diversion type. We sometimes reconstruct the urinary tract with an incontinent diversion called an ileal conduit where the urine drains tonically into a bag, and we sometimes do a continent diversion where someone typically will have a neobladder, where you reconstruct a sphere reservoir out of intestines and sew it to the urethra. About 20% of patients in the radical cystectomy arm in CISTO had a neobladder. We have not yet looked at specific surgical factors and some of those outcomes. That is one of the secondary analyses that we have planned, but we have not drilled into how different surgical approach factors can affect some of our outcomes. Fortunately, we have about 200 patients in the radical cystectomy arm, so it's enough patients that hopefully we can look at some of those factors in the future. Dr. Davide Soldato: Going back to the clinical endpoints, you mentioned that several of these were measured. There was metastasis-free survival, cancer-specific survival, and progression-free survival. We now have the data at 12 months. I am just wondering if you can comment on those when comparing the radical cystectomy with the bladder-sparing techniques. Dr. John Gore: I think importantly, bladder cancer-specific survival was very high in both arms, over 95% at one year. So both patient populations do very well in terms of cancer-specific and overall survival at one year. You know, when you take out the bladder, you're taking out a big source of recurrences. Not surprisingly, there was a marked reduction in recurrences in the radical cystectomy arm, so they had better recurrence-free survival. There actually was worse progression-free survival in the radical cystectomy arm, but there is a big asterisk to that. As you noted, it is an observational study, and one of the areas of imbalance in the study is that we had higher cancer severity in the radical cystectomy arm. So there was about a 20% rate of progression at the time of radical cystectomy to muscle-invasive and node-positive disease. Of those progressions, the overwhelming majority of them were progressions at the time of radical cystectomy, which I think speaks to a couple of important factors. Number one is the challenge in staging these patients. Our staging of non-muscle-invasive bladder cancer is very reliant on our resection. And so there is this risk of understaging our patients. Number two is just the challenge of decision making, that we fear losing our window of cure in this patient population, which is why we try to steer some patients toward radical cystectomy, and that progression figure kind of speaks to that. Dr. Davide Soldato: Also, one of the factors that was most common in the patients who received radical cystectomy was the presence of other high-risk features. For example, non-urothelial histology, which I think is something that in clinical practice we tend to fear a little bit in terms of recurrence, and so it might potentially bias a little bit towards proposing more strongly radical cystectomy to the patient. Another thing that I wanted to have a comment on, so this is not really in the paper, but I think it speaks a little bit to how the data will evolve over time. Do you imagine these clinical outcomes changing over time, and do you think that with higher maturity of these endpoints, this study might be even more informative when counseling patients regarding what they are obtaining with a radical cystectomy versus the other type of treatments? Dr. John Gore: You know, I think in this cancer universe, 12-month outcomes are great, but I think we all want to see two-year and five-year outcomes. We're very fortunate to supplement the work that we've done in the initial CISTO study, we're very fortunate that we've gotten supplementary funding from the National Cancer Institute to get long-term outcomes in this patient population. So we are continuing to follow all of our CISTO study patients to get two-year and five-year outcomes. What we expect to find is the accrual of new events in the bladder-sparing therapy arm. About 7% of patients in the bladder-sparing therapy arm underwent cystectomy in the first year, but that number will probably go up either as they have recurrences or progression events. We definitely expect the recurrence-free survival to continue to have superiority in the cystectomy arm, but we probably will see the progression events equilibrate as more progression events accrue in the bladder-sparing therapy arm. Maybe by five years, we hypothesize that we'll see clinical superiority in the radical cystectomy arm. By then, we might also see mortality events that separate bladder cancer-specific survival and overall survival between the two arms potentially. But we don't know. Hypothetically, cystectomy has its own downstream risks. It is a major reconstruction with some metabolic sequelae and renal functional sequelae, and so there may be some general medical events that accrue in the cystectomy arm that are also impactful. Dr. Davide Soldato: One other thing that I think should be complimented on this study is that you also looked at several other endpoints that might be important for patients. For example, anxiety symptoms and depression symptoms. Dr. John Gore: Yeah, I think one of the other key secondary outcomes we looked at were mental health outcomes. We utilized the PROMIS domains of anxiety and depression. Not unexpectedly, our radical cystectomy arm patients exhibited higher anxiety symptoms and higher depression symptoms at enrollment. What we found is at 12 months, they actually had significantly lower anxiety and depression than patients in the bladder-sparing therapy arm. We hypothesized in this paper that that actually relates probably mostly to cancer-specific anxiety. You know, when you experience this cavalcade of recurrences, it just breeds an anxiety about adverse cancer-specific outcomes, and by taking out the bladder, you kind of eliminate this prevalent source of anxiety. We followed up the study with a qualitative piece where we interviewed 50 patients and 20 caregivers. Based on those interviews, and that's just a sample of the patient population, it did seem to be cancer-specific anxiety that was driving a lot of those responses. Dr. Davide Soldato: I would like to end with a methodological consideration on your part because we said that this was an observational study. Frequently we tend to think that observational studies come with a lot of bias, and so we tend to downgrade a little bit the results. But I think that a lot of the merit that goes in the CISTO study that was published in the JCO, and I think it also speaks to the fact that this is very high-quality data, comes with the fact that the methodology behind this study was really robust in terms of informing us. Even with this observational study that, as you said, was the only one that we could perform considering the patient population. So just a comment on your part also to speak to the solidity of the data that was published. Dr. John Gore: Importantly, you know, if you look at ClinicalTrials.gov or other sources, CISTO is the only trial that has radical cystectomy as a major comparator. In many ways, this study is our only source of evidence for radical cystectomy. So we'd rather have flawed observational evidence than no evidence at all. We all experience flaws of our RCTs as well. They tend to be these narrowly defined patient populations that may not match the patient in front of you. So I think there are unrecognized flaws on the other side as well. The way that we try to counterbalance that, and none of these techniques are perfect, but we used a strategy called 'targeted maximum likelihood estimation'. Like many methods, such as propensity scores or instrumental variable analysis, what we're trying to do theoretically is coax randomization from non-randomized data. And TMLE, which is the technique we use, tends to be pretty robust to that. So it's the best available way that we can try to counterbalance the bias based on age and clinical severity between the two patient arms. I also think what's important about this is that even when there are biases, I think we are able to infer those out and still extract meaningful details from the data. So even with the biased data, I think we all glean some really important clinical learnings from it. Dr. Davide Soldato: Absolutely, but I would also say that in terms of observational data, the work that you have done is really something that makes us quite confident about what you found in the CISTO study. So with this, I would like to thank you again for joining us today. Dr. John Gore: Thank you so much, and thank you for highlighting the CISTO study. We are very excited about the data. Dr. Davide Soldato: So Dr. Gore, we appreciate you sharing more on your JCO article titled, "Twelve-Month Results From the CISTO Study Comparing Radical Cystectomy Versus Bladder-Sparing Therapy for Recurrent High-Grade Non-Muscle-Invasive Bladder Cancer." If you enjoy our show, please leave us a rating and review and be sure to come back for another episode. You can find all ASCO shows at asco.org/podcasts. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Guest Disclosure Dr. Gore:Consulting or Advisory Role: Astellas Pharma  

When a male patient presents with lower urinary tract symptoms, should you blame the bladder or bust the prostate? In this SUFU-sponsored episode of BackTable Urology, Dr. Benjamin Brucker (NYU) and Dr. Craig Comiter (Stanford) join host Dr. Chris Tenggardjaja (Kaiser Permanente) for a discussion on evaluating and treating male LUTS using a bladder-and-outlet framework. --- This podcast was developed in collaboration with: Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU)https://sufuorg.com/home.aspx --- SYNPOSIS Through a case-based approach, they review initial evaluation strategies including symptom history, validated questionnaires, uroflowmetry, post-void residual measurement, and when tools like voiding diaries can help clarify the diagnosis. The conversation then moves to management, outlining a stepwise approach from behavioral interventions and medications to surgical options when symptoms persist. The doctors discuss how prostate anatomy, side effect profiles, and patient priorities guide treatment selection, when urodynamics may add diagnostic clarity, and why addressing outlet obstruction early may help prevent more difficult-to-treat bladder dysfunction over time. --- TIMESTAMPS 00:00 - Introduction06:31 - Workup for Frequency and Nocturia11:41 - When to Use a Voiding Diary19:18 - Behavioral Therapy26:40 - Post-Finasteride Syndrome30:03 - Surgical Options44:41 - Nocturia Counseling47:32 - Botox With Outlet Surgery49:47 - When to Order Urodynamics54:14 - Bladder or Prostate? --- RESOURCES Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU)https://sufuorg.com/home

Bladder infections, moon pie poop simulations, one hell of an impressive mouse, and a magical man too good for this world. Get fit in your best Depession Era Drip, don't get too close to the prison cells, and join us for a Midnight Ritual of The Green Mile(1999)! TNC: https://linktr.ee/thenightclub

In this episode of Bladder Buzz, Dr. David Ginsberg, Chief of Urology at Rancho Los Amigos National Rehabilitation Center, discusses bladder management options for individuals with Neurogenic Lower Urinary Tract Dysfunction (NLUTD) when oral medications are no longer sufficient. We explore how clinicians recognize when it's time to consider next steps and review options such as Botox, neuromodulation, catheter-based strategies, and surgical reconstruction. Dr. Ginsberg explains how treatment decisions are individualized, including important safety, lifestyle, and quality-of-life considerations. This episode offers reassurance that many effective options remain available, even when first-line treatments have not worked.

In this episode of the Smarter Not Harder Podcast, Dr. Linda Kiley joins Dr. Scott Sherr for a groundbreaking conversation on functional urogynecology — exploring the real causes of pelvic and bladder pain that most conventional models miss. Dr. Kiley shares how she uses muscle exams, peptide protocols, and root-cause diagnostics to treat conditions like interstitial cystitis, chronic UTIs, pelvic floor dysfunction, and endometriosis — often without surgery or long-term antibiotics. If you or someone you love has been told "there's nothing wrong" but still struggles with pelvic discomfort, bladder issues, or sexual pain, this episode is a must-listen. Join us as we explore: • The pelvic floor as a dynamic system — not just "tight or weak" • Biofilms, interstitial cystitis, and smart testing for chronic infections • How gut health and systemic inflammation drive pelvic pain • Natural, non-invasive approaches to bladder and pelvic restoration This episode is for you if: • You experience chronic UTIs, bladder discomfort, or pelvic pain • You've been dismissed or misdiagnosed by conventional providers • You're a clinician seeking better diagnostics for pelvic dysfunction • You want to understand how muscle tone, breathing, and biofilms intersect You can also find this episode on… YouTube: https://youtu.be/S0i5vKoLfEk Find more from Dr. Linda Kiley: Website: https://drlindakiley.com/ Instagram: https://www.instagram.com/drkileyurogyn/ YouTube: https://www.youtube.com/@theholisticurogynecologist3891 LinkedIn: https://www.linkedin.com/in/linda-kiley-5999462b/ More from Smarter Not Harder: Website: Smarter Not Harder podcast Instagram: https://instagram.com/troscriptions/ HOMeHOPe Virtual Symposium 2026: https://homehope.org/homehope-virtual-symposium-2026 Get 10% off your purchase of the Clinical Metabolomics module with code PODCAST10 at https://www.homehope.org/ Get 10% off your Troscriptions purchase with code POD10 at https://www.troscriptions.com/ Get daily content from the hosts of Smarter Not Harder by following @troscriptions on Instagram.

Dr. Nicole Rambo and Sarah explore bladder stones (uroliths) in horses, an uncommon condition usually made of calcium carbonate that forms around debris in the urinary tract. Signs can be subtle at first (mild colic, attitude or performance changes) but may progress to blood in the urine and painful or frequent urination, with geldings affected more severely than mares. Risk factors include high-alfalfa diets, dehydration, poor bladder emptying, and prior infections, especially in older horses. Management focuses on lowering dietary calcium and improving hydration, while popular remedies like apple cider vinegar currently lack supporting evidence. You can learn more about these topics by visiting our expertise page HERE If you have any questions or concerns about your own horse, please contact us HERE This podcast was brought to you by Tribute Superior Equine Nutrition 

Join the Buff Muff Community and stop letting your bladder run your life!  https://get.buffmuff.com/methodSupport your pelvic and whole body health with Rejeuve https://rejeuve.com/Rejuve is a line of pelvic health and whole body health supporting supplements that are helping women have a daily poogasm, eliminate leaks and prolapse symptoms, and keep their vulvovaginal tissues supple and resilient. Get your Rejeuve Supplements https://rejeuve.com/ and use code Podcast to save 10% off your first order.Thank you so much for listening! I use fitness and movement to help women prevent and overcome pelvic floor challenges like incontinence and organ prolapse. There is help for women in all life stages! Every Woman Needs A Vagina Coach! Please make sure to LEAVE A REVIEW and SUBSCRIBE to the show for the best fitness and wellness advice south of your belly button. *******************I recommend checking out my comprehensive pelvic health education and fitness programs on my Buff Muff AppYou can also join my next 28 Day Buff Muff Challenge https://www.vaginacoach.com/buffmuffIf you are feeling social you can connect with me… On Facebook https://www.facebook.com/VagCoachOn Instagram https://www.instagram.com/vaginacoach/On Twitter https://twitter.com/VaginaCoachOn The Web www.vaginacoach.comGet your Feel Amazing Vaginal Moisturizer Here

If you're waking up at night to pee, dealing with frequent UTIs, bladder leakage, painful sex, or chronic constipation during perimenopause or menopause — this episode is for you.In Episode 92 of Functional Moms Podcast, we talk with pelvic health physical therapist Elizabeth Stryker about how hormonal changes impact your pelvic floor — and what you can do to fix it naturally.Many women are told these symptoms are “just part of aging.” They are not.You'll learn how pelvic floor physical therapy can dramatically improve urinary health, reduce recurrent UTIs, relieve constipation, improve sexual health, and even help with jaw/TMJ symptoms.Elizabeth Stryker is a pelvic health physical therapist and founder of Pelvic Stability PT in New Jersey. She earned her Doctorate of Physical Therapy from Thomas Jefferson University and completed advanced training at the Cleveland Clinic Foundation specializing in pelvic floor dysfunction and neurological impairments.In this episode, we discuss:✔ Why pelvic floor dysfunction increases during perimenopause and menopause✔ Why you keep waking up at night to pee (nocturia explained)✔ How pelvic floor PT helps prevent recurrent urinary tract infections (UTIs)✔ The surprising connection between TMJ and the pelvic floor✔ Pelvic floor therapy for chronic constipation✔ What to expect during a pelvic floor physical therapy session✔ How to reduce bladder leakage naturallyIf you're searching for answers about:pelvic floor therapy, menopause, how to stop waking up at night to pee, frequent UTIs in menopause, bladder leaks after 40, pelvic pain menopause, constipation, pelvic floor, painful sex menopauseThis episode will give you actionable education and hope.Connect with Elizabeth StrykerWebsite: https://www.pelvicstabilitypt.com/Instagram: https://www.instagram.com/pelvicstabilitypt/

Adam creates a hypnosis session to help a client manage sensations in their bladder, that were not related to a health issue. Adam helps them reduce the anxiety and to change how they think about the sensations. To access a subscriber-only version with no intro, outro, explanation, or ad breaks with just the hypnosis and nothing else click subscribe. To access all hypnosis-only versions and exclusive subscriber sessions and have invitations to live hypnosis sessions over Zoom, tap 'Subscribe' nearby or click the following link.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://creators.spotify.com/pod/profile/adam-cox858/subscribe⁠⁠⁠

In this episode, urology expert Aleece Fosnight discusses the connection between gut health, the vaginal microbiome and bladder function. We explore the root causes of recurrent UTIs, interstitial cystitis and how hormonal changes during menopause affect urinary health. Learn practical strategies for pelvic floor recovery, bladder training and advanced testing for chronic infections for both men and women. Lindsey Parsons, your host, helps clients solve gut issues and reverse autoimmune disease naturally. Take her quiz to see which stool or functional medicine test will help you find out what's wrong. She's a Certified Health Coach at High Desert Health in Tucson, Arizona. She coaches clients locally and nationwide. You can also follow Lindsey on Facebook, Tiktok, Instagram, Pinterest, Mastodon or X, or reach her via email at lindsey@highdeserthealthcoaching.com to set up your free 30-minute Gut Healing Breakthrough Session.  Show Notes

Got started with that terrible train crash in Spain and a mall fire in Pakistan. Plus the WEF in Davos, Nigeria battles Boko Haram, India killer elephant, UK approves huge Chinese embassy, Minnesota church arrests, and a Japanese guy sticks an eyeliner pen up rectum; baseball-sized bladder stone grows around it. Music: Bossman Dlow/"Pressure"

Nocturia, or frequent nighttime urination, destroys sleep, which can create a cascade of health issues. Discover how to sleep better and resolve your nighttime urination problems for good by addressing the root cause. Just so you know, my full line of high-quality supplements is available on Amazon — search Dr. Berg Supplements.

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Broadcast from KSQD, Santa Cruz on 1-08-2026: Dr. Dawn concludes her 2025 medical advances recap, noting that while GLP-1 weight loss drugs showed unexpected benefits for addiction, schizophrenia, and dementia risk, Novo Nordisk recently reported semaglutide had no effect on cognition in people with existing dementia or mild cognitive impairment. She describes the first successful human bladder transplant performed on May 4th. The 41-year-old recipient received both kidney and bladder due to the bladder's complex blood vessel network. Surgeons practiced on cadavers with active circulation before achieving success, opening pathways for future bladder-only transplants for the 84,000 Americans diagnosed with bladder cancer annually. An emailer follows up about purslane for cognitive health. Dr. Dawn reviewed the referenced studies and found neither actually supported claims about purslane and cognition—one discussed the Lyon Heart Study's Mediterranean diet, the other described antioxidant properties. She cautions listeners that websites citing "scientifically proven" claims often reference articles that don't support their assertions. An emailer asks about statin alternatives after developing severe muscle pain on both atorvastatin and rosuvastatin. Dr. Dawn suggests he shouldn't be on statins given his classic adverse reaction. She recommends ezetimibe plus oat bran for cholesterol, metformin for his elevated triglycerides indicating insulin resistance, and checking LDL particle size and inflammation markers. She emphasizes that cholesterol is a risk factor, not a disease, and treating 50 low-risk people for 10 years prevents only one heart attack. A caller discusses plaque formation theory, comparing it to calluses. Dr. Dawn explains Linus Pauling's similar hypothesis that plaque forms at vessel bifurcations to protect against turbulent blood flow damage. She warns against driving total cholesterol below 130, as it disrupts steroid hormone production. The caller shares his mother's near-fatal rhabdomyolysis from statins—muscle breakdown releasing myoglobin that clogs kidneys—and criticizes data transfer failures between hospital systems. An emailer reports four UTIs in two months at age 79. Dr. Dawn questions whether all were true infections, since vaginal contamination causes false positives on dipstick tests. For confirmed UTIs, she recommends D-mannose and cranberry to prevent bacterial adhesion, post-void residual ultrasound to check for incomplete emptying, lactobacillus probiotics, and vaginal DHEA (Intrarosa) to restore mucosal thickness and disease resistance. Dr. Dawn describes Stanford's Phase III trial for dystrophic epidermolysis bullosa, where defective collagen-7 causes skin layers to separate at the slightest touch. Researchers take patient skin biopsies, use retroviruses to insert corrected genes, grow credit-card-sized skin grafts over 25 days, then suture them onto wounds. At 48 weeks, 65% of treated wounds fully healed versus 7% of controls. She reports a Stanford study showing premature babies who heard recordings of their mothers reading for 2 hours 40 minutes daily developed more mature white matter in language pathways. The left arcuate fasciculus showed greater development than controls, demonstrating how early auditory stimulation shapes brain circuitry even in NICU settings. Dr. Dawn concludes with tattoo safety concerns. Modern vivid inks contain compounds developed for car paint and printer toner, including azo dyes that break down into carcinogenic aromatic amines—especially during laser removal. Pigment particles migrate to lymph nodes and persist in macrophages, causing prolonged inflammation. She advises those with tattoos to avoid laser removal, wear sunscreen, practice lymphatic hygiene, and reconsider extensive new tattoos.

Did you know that 46% of women completely stop exercising because of pelvic floor problems and most wait nearly 7 years before seeking help? If you've been waking up multiple times every night to pee, crossing your legs when you sneeze, or planning your entire day around bathroom locations, this episode is about to change your life. And no, the answer isn't just "do more Kegels." In this conversation with Kim Vopni, also known as The Vagina Coach, to uncover the shocking truth about what's really happening to your pelvic floor in midlife and why everything your doctor told you might be wrong. Kim reveals why most women are doing Kegels completely incorrectly, making their problems worse instead of better. She explains the real reasons you're waking up at night (hint: it's probably not your bladder), and shares the one appointment every woman should schedule annually that most have never even heard of. You'll discover why bladder leaks aren't just an inconvenience but a cascade effect that's destroying your sleep, your exercise routine, your sex life, and your confidence. Kim breaks down the difference between normal aging and actual pelvic floor dysfunction, revealing that what you've accepted as "just part of getting older" is actually completely reversible in most cases. From the truth about vaginal estrogen and the black box warning that's medically inaccurate, to hypopressives and vaginal red light therapy, this conversation goes deep into solutions that actually work. Kim explains why surgery and medication should never be your first option, shares the retraining technique that stops night waking in as little as one night, and reveals the hidden connection between your nervous system and every single pelvic floor symptom. Whether you're dealing with stress incontinence, urgency, pelvic organ prolapse, or you're just exhausted from getting up six times a night, this episode gives you the roadmap to reclaim your pelvic health (and your life). Because hiding from photos, avoiding social events, and wearing black leggings every day isn't the solution.  Ready to stop planning your life around bathrooms?   Catch the full episode on YOUTUBE HERE: https://bit.ly/MidlifeConversationsYouTube    Learn More About Kim Vopni Instagram ➜ https://www.instagram.com/VaginaCoach  Website ➜   http://vaginacoach.com/   Thank you to our show sponsors! TIMELINE: Timeline is offering 20% off your order of Mitopure! Go to https://timeline.com/NATALIEJILL Free Gifts for being a listener of Midlife Conversations! Mastering the Midlife Midsection Guide: https://theflatbellyguide.com/ Age Optimizing and Supplement Guide: https://ageoptimizer.com   Connect with me on social media! Instagram: www.Instagram.com/Nataliejllfit Facebook: www.Facebook.com/Nataliejillfit   For advertising inquiries: https://www.category3.ca/  Disclaimer: Information provided in the Midlife Conversations podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before making any changes to your current regimen.  Information provided in this podcast and the use of any products or services related to this podcast does not create a client-patient relationship between you and the host of Midlife Conversations or you and any doctor or provider interviewed and featured on this show. Information and statements may have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease. Advertising Disclosure: Some episodes of Midlife Conversations may be sponsored by products or services discussed during the show. The host may receive compensation for such advertisements or if you purchase products through affiliate links. Opinions expressed about products or services are those of the host and/or guests and do not necessarily reflect the views of any sponsor. Sponsorship does not imply endorsement of any product or service by healthcare professionals featured on this podcast.

Thank you for joining us for our 2nd Cabral HouseCall of the weekend!   I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Svetlana: Hello, could you please talk about incomplete bladder emptying in females specifically? What is causing it and what can be done to fix it? Someone said that squatting over the toilet without sitting on it to urinate could cause it. Is that true? This is the need of having to urinate again within 15mins of going the first time with small amounts of volume and difficulty "pushing" it out. No infection symptoms.                                                                                                                          Eric: Hi Dr. C, thanks for all your efforts! I use melatonin (extended release) regularly to help w/ sleep. A recent large international study published on the News Medical Life Sciences website, and presented at the American Heart Association's 2025 Scientific Sessions, stated that long-term users of melatonin had a higher risk of heart failure, hospitalization, and even death compared to those who didn't take it. The study looked at more than 130,000 adults with chronic insomnia. This sounds crazy to me. Any thoughts about this? Thanks.                                                                                  Audrey: Hi Dr. Cabral, Is doing a coffee enema while breastfeeding safe? I know detoxes are not safe, but I wasn't sure if a coffee enema is different because the main reason is to increase glutathione                                                                                           Angie: Hi Dr. Cabral, My last job I worked, there were a lot of wireless devices and 5G networks. I noticed how easily drained I would feel and I didn't even work a full 8 hours. I have been dealing with chronic pain and fatigue off and on for years now, and recently have been more cautious of how often I use technology. I am now seeing the trend of products like grounding mats and functional silver infused garments. Can you talk about the connection between adrenal fatigue and EMF exposure? And the new EMF products that may potentially reduce exposure or make it bearable to work in a high-tech environment. Thank you so much for all your help and support that you and your team provides!!       Savannah: Is there any supplement/herb/product to help someone with gastroparesis? what about acid reflux too? i'm wondering what can help with natural stimulation of the stomach nerve/muscle contractions in order to have a bowel movement. i was told that i have slow gut motility & little to no peristalsis. the only thing that works for me is senna but it takes extreme higher dosages. i completed the cbo protocol and finisher and everything was better but now im chronically constipated & have been diagnosed with gastroparesis. i use to go everyday during the protocol but now i feel that ive lost the gut/brain communication too.. as i no longer go by myself as im laxative & enema dependent. any advice? thank you in advance.         Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3593 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!