Podcasts about urethral

  • 75PODCASTS
  • 110EPISODES
  • 35mAVG DURATION
  • 1MONTHLY NEW EPISODE
  • Jul 24, 2024LATEST
urethral

POPULARITY

20172018201920202021202220232024


Best podcasts about urethral

Latest podcast episodes about urethral

Ageless and Outrageous
Tears Run Down My Leg: Stress Urinary Incontinence

Ageless and Outrageous

Play Episode Listen Later Jul 24, 2024 21:32


Stress urinary incontinence, a condition characterized by urine leakage during activities such as coughing, sneezing, or physical exertion, can be both bothersome and embarrassing. Today's episode offers a comprehensive understanding of stress incontinence: What causes this type of urine leakage Activities that can make the leakage worse When is the best time to treat it Can I solve it with Kegels? More effective types of therapy Non-surgical treatment options Are mesh slings safe? What non-mesh surgeries are available While stress urinary incontinence may be common, especially as we age, it is not normal and you should not just learn to live with it. Listen today to learn all of the treatment options so you can find one that best fits your lifestyle. Key moments in this episode are: 00:52 Common does NOT mean normal 01:16 The cause of stress incontinence 02:30 Activities that worsen leakage 05:35 Can Kegels solve the problem? 06:37 Types of therapy to strengthen the muscle 08:59 Incontinece pessaries 11:52 Midurethral slings for SUI 13:08 Abdominal surgery for SUI 14:45 Are mesh slings safe? 16:58 Non-mesh sling options 18:06 Urethral bulking procedure 20:05 Types of bulking materials Learn more about stress incontinence here: https://www.augs.org/assets/2/6/SUI.pdf Find out about suburethral slings here: https://www.augs.org/assets/2/6/Mid-urethral_Sling.pdf See the Emsella chair in action here: https://www.foundationsfl.com/btl-emsella Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology Loved this episode? Share with a friend.

RTÉ - Liveline
Urethral Cancer - Ryanair Vouchers

RTÉ - Liveline

Play Episode Listen Later Jun 11, 2024 71:26


Peter tells the story of his rare form of cancer which led to the removal of his penis. Callers explain their struggles in using Ryanair vouchers.

True Healing with Robert Morse ND
Dr. Morse Q&A - Spirituality, Urethral Stricture, Herbal Formulas and More #716

True Healing with Robert Morse ND

Play Episode Listen Later May 22, 2024 26:16


To have your question featured in a future video, please email: questions@drmdc.health

While you wait...
Jane's Decision - The Urethral Bulking Procedure

While you wait...

Play Episode Play 49 sec Highlight Listen Later Apr 8, 2024 24:32 Transcription Available


Join us for an insightful conversation with Jane as she shares her personal journey with stress incontinence, a condition affecting many women of all ages. From childhood to adulthood, Jane struggled with symptoms that impacted her daily life. She discusses the challenges of dealing with stress incontinence at a young age and the stigma surrounding it. Jane's openness and honesty shed light on the importance of breaking taboos and seeking support for women's health issues. Learn about her decision to undergo the urethral bulking procedure and the life-changing results she experienced. Discover how Jane's journey toward healing has empowered her and inspired others to seek solutions for their own health challenges.Feeling inspired by Jane's journey? If you're experiencing similar challenges, don't hesitate to reach out for support and explore treatment options. Take the first step towards improving your health and reclaiming your confidence today! 0:27 - Introduction: Introducing Jane and discussing the topic of stress incontinence.1:12 - Symptoms and Early Experiences: Jane shares her early experiences with stress incontinence, which began in childhood and affected her daily activities.3:42 - Seeking Help and Support: Jane discusses the challenges of seeking help for her condition and the lack of awareness among peers.5:57 - Treatment Approaches: Jane explores her journey through various treatment options, including pelvic floor therapy, before deciding on the urethral bulking procedure.8:47 - Procedure Experience: Jane describes her experience undergoing the urethral bulking procedure, including preparation, anesthesia, and post-procedure discomfort.12:27 - Recovery and Results: Jane reflects on her recovery process and the significant improvement in her symptoms following the procedure.15:12- Impact on Daily Life: Jane discusses how the procedure has positively impacted her confidence, activity levels, and overall quality of life.17:57 - Follow-Up and Future Plans: Jane shares her plans for follow-up appointments and discusses the importance of ongoing care and maintenance.20:27 - Closing Thoughts: Emphasize the importance of raising awareness about women's health issues and encouraging others to seek support and treatment.

KMH Happy Ending
Urethral Necrosis

KMH Happy Ending

Play Episode Listen Later Feb 20, 2024 6:24 Transcription Available


Honey, why does the garage door keep opening and closing?

Australian Birth Stories
447 Postpartum | Jayne, three babies, homebirth, breech, planned caesarean, NICU, posterior urethral valves, organ donation

Australian Birth Stories

Play Episode Listen Later Jan 17, 2024 53:12


In today's episode, Jayne details the contrast between homebirth and caesarean, a slow postpartum and an NICU stay. Towards the end of her third pregnancy Jayne discovered that her breech baby had kidney issues so she travelled to Hobart from her home in rural Tasmania for a planned caesarean and a month-long NICU stay. She takes us through the emotional upheaval of learning that her baby was sick and the almighty changes his diagnosis has brought to their family life. Supported by a loving village of neighbours and friends, Jayne and her husband are savouring life with their three boys and navigating many health appointments, hospital stays and a possible kidney transplant in the future.  Whilst many people think that organ donation is dependent on the information on your driver's licence, you actually need to officially register as an organ donor. You can do that at donatelife.gov.au Follow us on Instagram at @australianbirthstories for helpful articles, behind the scenes, and future episodes. --------- Today's episode of the show is brought to you by my online childbirth education course, The Birth Class. What makes The Birth Class so unique? Well, instead of learning from one person with one perspective, we've gathered nine perinatal health specialists to take you through everything you need to know about labor and birth. Realistic information is key to thorough preparation. Learn more about The Birth Class here.See omnystudio.com/listener for privacy information.

VETgirl Veterinary Continuing Education Podcasts
Was there an increased risk of Feline Urethral Obstruction (FUO) during the COVID-19 Pandemic | VETgirl Veterinary Continuing Education Podcasts

VETgirl Veterinary Continuing Education Podcasts

Play Episode Listen Later Dec 25, 2023 20:46


In today's VETgirl podcast, we talk with Dr. Lisa Powell, DVM, DACVECC, Manager, Telehealth and ER Engagement at BluePearl Veterinary Partners and Dr. Jessica Kerley about their study entitled "Retrospective evaluation of the incidence of presumed feline urethral obstruction during a prepandemic year compared to a pandemic year." During the COVID-19 pandemic, pet owners were working from home... and we were swamped in the veterinary clinic and ER! Was there a true increased incidence of feline urethral obstruction (UO) in male cats during this time period? (Let's admit it - cats were likely stressed from having their human pet parents home 24-7!). Or was this just due to the increased number of overall emergency feline cases seen in the veterinary clinic? Tune in to learn more!

The Metabolism and Menopause Podcast
The Pelvic Floor and Menopause with Doula and Coach Brittany | MMP Ep.47

The Metabolism and Menopause Podcast

Play Episode Listen Later Dec 14, 2023 37:20


Today, I had the wonderful Coach Brittany (who is also a doula) on the podcast to chat about pelvic floor changes in perimenopause and menopause. We covered: -What the pelvic floor is -Pelvic floor changes and symptoms in menopause -Solutions -Exercises for the pelvic floor -Potential supplements to try To access our free pelvic floor strengthening guide (with exercises) head to: https://www.vitalityoet.com/pelvicfloorandmenopause-9702 To learn how to get access to ALL our free resources, watch this video: https://www.loom.com/share/3fe69b67790a4fbc9de22d64a486cb28?sid=6e14b006-7fbf-40b1-9ccf-5c9b5d7870fa Now, let's get into the episode! WATCH this episode on YouTube: https://youtu.be/wTjG8U3-5_I TIMESTAMPS: (00:00) — Introduction (01:06) — Today's topic: the pelvic floor and menopause (02:19) — What is the pelvic floor? (05:02) — Common pelvic floor issues during perimenopause & menopause (09:11) — 1) Incontinence (11:49) — 2) Constipation (13:41) — 3) Urethral irritation (15:21) — 4) Dyspareunia (18:24) — 5) Pelvic organ prolapse (21:04) — Things that can help improve pelvic floor health (24:54) — The connection between fight-or-flight & the pelvic floor (& what you can do about it) (28:52) — Exercises for your pelvic floor (34:15) — Helpful herbs & supplements (35:53) — Wrap-up PREVIOUS EPISODES MENTIONED: ‣ Hysterectomies, Surgical Menopause, & Pelvic Prolapse (feat. Coach Brittany) - https://podcasts.apple.com/ca/podcast/hysterectomies-surgical-menopause-pelvic-prolapse-feat/id1683220450?i=1000629043987 ‣ Insulin Resistance & Menopause - https://podcasts.apple.com/ca/podcast/insulin-resistance-menopause-mmp-ep-3/id1683220450?i=1000611282522 ‣ Menopause, Cortisol, & Adrenal Fatigue - https://podcasts.apple.com/ca/podcast/menopause-cortisol-adrenal-fatigue-mmp-ep-19/id1683220450?i=1000624361638 ‣ Alcohol, Fat Loss, and Menopause - https://podcasts.apple.com/ca/podcast/alcohol-fat-loss-and-menopause-mmp-ep-14/id1683220450?i=1000620473251 CONNECT WITH ME ONLINE: ‣ Check out our BRAND NEW workout subscription: https://www.trainerize.me/profile/vitalityoet/?planGUID=b020a7cf27f6453b9d29ca3dc9bbaf37&mode=checkout ‣ Join our community! Metabolism and Menopause by Vitality - Secrets for Fat Loss: https://m.facebook.com/groups/969761266958379 ‣ Schedule a FREE consultation call - https://calendly.com/d/2p8-mxx-dgf/free-consultation-call-zoom ‣ Apply for coaching with us! - https://calendly.com/d/386-k9q-4cg/coaching-application-call-zoom ‣ Learn more about DUTCH hormone testing with VitalityOET - https://www.loom.com/share/a567d01c12b44aaf855dcf3d9049d537 ‣ Menopause supplements (use code VITALITY10 for 10% off your order) - https://shop.nutritiondynamic.com/collections/all ‣ Instagram: https://www.instagram.com/vitalityoet.stephanie ‣ WATCH the podcast on YouTube: https://www.youtube.com/@metabolismandmenopausepodcast ‣ All other links: https://stan.store/vitalityoetstephanie ‣ Email: stephanie@vitalityoet.com ---- Post-Production by: David Margittai | In Post Media Website: https://www.inpostmedia.com Email: david@inpostmedia.com © 2023 Stephanie Fusnik & VitalityOET

VETgirl Veterinary Continuing Education Podcasts
Managing and Treating the Feline Urethral Obstruction Patient | VETgirl Veterinary Continuing Education Podcasts

VETgirl Veterinary Continuing Education Podcasts

Play Episode Listen Later Nov 27, 2023 30:27


In today's VETgirl online veterinary continuing education podcast, Dr. Justine Lee, DACVECC, DABT and Dr. Garret Pachtinger, DACVECC discuss how to manage and treat the feline urethral obstruction patient. From rapidly identifying the hyperkalemic feline patient to stabilizing them with IV fluids and pharmacological intervention to unblocking them, tune in to learn more about the blocked cat!

While you wait...
The Journey to Conquer Stress Urinary Incontinence

While you wait...

Play Episode Play 30 sec Highlight Listen Later Nov 6, 2023 15:51


Welcome to "While You Wait...". In this episode, we're embarking on an informative journey to uncover the myriad treatments for stress urinary incontinence (SUI).SUI is a common condition affecting around 50% of adult women. It can be frustrating when everyday activities like coughing, sneezing, or laughing trigger abdominal pressure, leading to unexpected urine leakage.Our systematic exploration of treatments begins with containment products, including specialized incontinence pads and eco-friendly options like Attention Grace.Specialized incontinence underwear designed for reuse also plays a role in this journey, effectively concealing mild to moderate leakage.Pelvic floor strengthening is a crucial avenue to explore. Pelvic floor physical therapy provides personalized exercises and valuable in-person or virtual guidance.Various tools like vaginal weights, muscle measurement devices, and specialized exercise wear are available for independent pelvic floor strengthening. Weight loss, backed by studies showing a 70% improvement in SUI after losing 8% of body weight, is a noteworthy consideration.Moving forward, we discover pessaries. Impressa, an over-the-counter option with multiple sizes, offers a disposable solution. Healthcare providers can also provide silicone or reusable pessaries, effectively improving SUI in 50-80% of women.Urethral bulking procedures represent the next stage of our journey, involving substance injections to reinforce the urethra, enhancing urine retention. Finally, we explore sling procedure quests that provide long-lasting relief from SUI. These surgeries can be transformative, whether using mesh slings or your body's tissue.The path to SUI victory is yours to create, reflecting your unique story and preferences.

The Peptide Podcast
Erectile Dysfunction and Emerging Peptide Therapies

The Peptide Podcast

Play Episode Listen Later Sep 28, 2023 8:37


Erectile dysfunction (ED) is a common and distressing condition that affects millions of men worldwide. It is characterized by the inability to achieve or maintain a firm erection sufficient for sexual intercourse. ED can be caused by various factors, including psychological issues, lifestyle choices, and underlying medical conditions.  You might have heard of ED, but you may not realize how common it is. Its prevalence tends to increase with age (if you're in your 40's, you have a 40% chance of experiencing ED, and this risk increases by about 10% with every decade of life).  Fortunately, there are several treatment options available to address ED, including pharmaceutical medications, lifestyle changes, and emerging therapies like peptide treatments.  In this podcast, we will explore the causes and traditional treatments of ED before delving into the exciting potential of peptide therapies in managing ED. What causes erectile dysfunction (ED)? Erectile dysfunction is a complex condition influenced by a variety of physical and psychological factors. To understand the potential benefits of peptide therapies, it's important to understand the underlying causes of ED. Psychological Factors: Psychological factors can significantly contribute to ED. Stress, anxiety, depression, and relationship problems can all lead to a temporary inability to achieve or maintain an erection. Counseling, therapy, and stress-reduction techniques are often effective in these cases. Lifestyle Choices: Unhealthy lifestyle choices, such as smoking, excessive alcohol consumption, a sedentary lifestyle, and a poor diet, can increase the risk of ED. Making healthier choices can lead to significant improvements in erectile function Underlying Medical Conditions: Numerous medical conditions are associated with ED, including: Cardiovascular disease: Conditions like atherosclerosis can restrict blood flow to the penis. While high blood pressure and high cholesterol can also cause ED. In fact, people with ED are often diagnosed with a heart condition less than 5 years later. Diabetes: High blood sugar levels can damage blood vessels and nerves, leading to ED. The longer you have diabetes, the more likely you are to experience ED. Neurological disorders: Conditions like multiple sclerosis and Parkinson's disease can affect nerve signals.  Mental health conditions: Depression, anxiety, high-stress levels can also play a role in your ability to maintain an erection.  Hormonal imbalances: Low testosterone levels can contribute to ED. About 40% of men older than 45 have low testosterone (low T). Obesity: Excess body fat can lead to hormonal imbalances (your body starts to turn testosterone into estrogen) and cardiovascular issues, both of which increase ED risk.  Medications: Certain medications, such as those used to treat pain, enlarged prostate, hypertension, depression, and acid reflux, may have ED as a side effect.  Aging: ED becomes more common as men age due to a natural decline in testosterone levels and changes in blood vessel function. What are traditional erectile dysfunction treatments? The treatment of ED typically begins with lifestyle modifications and, if necessary, progresses to medical interventions. Traditional treatment options include: Lifestyle Changes: Quitting smoking Reducing alcohol consumption Exercising regularly Adopting a healthy diet Managing stress through relaxation techniques or therapy Medications: Oral medications such as sildenafil (Viagra), tadalafil (Cialis), vardenafil, and avanafil (Stendra) are phosphodiesterase type 5 (PDE5) inhibitors. They work by increasing blood flow to the penis, helping men achieve and maintain erections. Intracavernosal injections: Medications like alprostadil can be injected directly into the penis to induce an erection. Urethral suppositories: Alprostadil can also be administered as a suppository inserted into the urethra. Vacuum Erection Devices: These are mechanical devices that create a vacuum around the penis, drawing blood into the area and causing an erection. A constriction band is used to maintain the erection. Penile Implants: In cases where other treatments are ineffective, surgically implanted devices can help men achieve and maintain an erection. There are inflatable and semi-rigid penile implants available. While these traditional treatments are effective for many men, they may not be suitable for everyone due to side effects, contraindications, or personal preferences. This has led to the exploration of novel therapies, including the use of peptides. Peptide therapies for erectile dysfunction In recent years, researchers have investigated the potential of peptides in addressing ED. These peptides work by targeting specific pathways and mechanisms involved in erectile function. Here are some promising peptide therapies for ED: Melanotan II (MT-II): Melanotan II is a synthetic peptide initially developed as a tanning agent. However, it has gained attention for its potential to improve sexual function. MT-II stimulates melanocortin receptors in the brain, which can lead to increased sexual desire and improved erectile function. PT-141 (Bremelanotide): PT-141 is another peptide that targets melanocortin receptors, specifically MC3R and MC4R. It has been shown to increase sexual arousal and improve erectile function in both men and women.  Kisspeptin: Kisspeptin is a peptide that plays a role in regulating reproductive hormones. Studies have shown that kisspeptin administration can increase testosterone levels and improve erectile function, making it a potential treatment option for ED. Thymosin Beta-4 (TB4): TB4 is a peptide that has shown promise in promoting tissue repair and regeneration. While not directly targeting erectile function, it may help improve erectile function by enhancing tissue health and blood flow to the penis. Vasoactive Intestinal Peptide (VIP): VIP is a peptide with vasodilatory properties, meaning it can relax blood vessels and increase blood flow. It has been investigated as a potential treatment for ED, particularly in cases where vascular issues contribute to the condition. While peptide therapies for ED show promise, there are several challenges and considerations: Limited Clinical Data: Many peptide therapies are still in the experimental stage, with limited clinical data available on their long-term safety and effectiveness. Individual Variability: The response to peptide therapies can vary among individuals, and not all men may experience the same level of improvement in erectile function. Cost: Peptide therapies may be more expensive than traditional medications, and insurance coverage may be limited. Regulatory Status: The regulatory status of peptide therapies for ED can vary by country, and some may not be approved for clinical use. It's important to recognize that peptide therapies for ED are still in the early stages of research and may not be suitable for everyone. Consulting with a healthcare provider is necessary to determine the most appropriate treatment approach, taking into consideration individual needs and circumstances. As research in this field continues to advance, we can look forward to more effective and tailored treatments for ED, ultimately improving the lives of those affected by this condition. Thanks again for listening to The Peptide Podcast, we love having you as part of our community. If you love this podcast, please share it with your friends and family on social media, and have a happy, healthy week! Pro Tips We're huge advocates of using daily greens in your routine to help with gut, skin, nail, bone, and joint health. We take AG1 (athletic greens) every day. Not only does it have vitamins, minerals, and a diverse range of whole-food sourced ingredients, but it also has probiotics to promote a healthy gut microbiome and adaptogens to help with focus and mood balance. It's vegan, paleo, and keto-friendly.

BackTable Urology
Ep. 122 Legends in Urology: Urethral Reconstruction and More with Dr. Sanjay Kulkarni

BackTable Urology

Play Episode Listen Later Sep 27, 2023 46:56


This week on BackTable Urology, Dr. Jill Buckley speaks with internationally-renowned urologic reconstructive surgeon, Dr. Sanjay Kulkarni, about his upbringing, training, and insights on urethroplasty. --- SHOW NOTES First, Dr. Kulkarni discusses his upbringing and the importance of education in his family. Then he outlines the challenges he faced in the 1980s when he began to introduce urethroplasty in his hometown in India. He established a small hospital with two operating theaters and 20 beds in 1995 that transformed into a 100-bed urology center in 2021. Additionally, he started the Kulkarni School of Urethral Surgery, which has since been an international training site for surgeons from around the world. Next, Dr. Kulkarni elaborates about the mentors and experiences that have shaped his career. He introduced the buccal mucosa technique in 1997, applied it to penile urethra in 2000, and innovated the one-side dissection technique in 2009. The doctors then discuss the potential advances in urethral surgery, including stem cells and tissue engineering, and Dr. Kulkarni's interest in robotics and reconstructive urology. Finally, Dr. Kulkarni shared his admiration for his various peers and mentors in the field. Finally, he shares his last surgical pearls and emphasizes the importance of attending workshops and observing in the theater to develop one's technique and passion for surgery. He ends the episode by highlighting the importance of out-of-the-box thinking and how it can lead to innovation.

Super Legit Podcast
079 - The Urethral Sponge of News (with Dave Stratton & Mary Venus)

Super Legit Podcast

Play Episode Listen Later Aug 16, 2023 66:48


Real-life couple Dave Stratton and Mary Venus join us to answer the question, “Is it more important to be loved or respected?” And just like you'd expect of the Super Legit Crew, we dig DEEP into what that question even means before we visit some highly democratic cannibals, question true loyalty, and uncover some missing books of The Bible that were probably better left forgotten! And just like you'd expect if you know Dave and Mary, we go from 0 to blue in the blink of an eye!  Cast: Sean Michael Boozer, Josh Spence, Jen Burton, Michael Heiman, Jarrett Lennon Kaufman, Chris Sanders  Special guest(s): Dave Stratton and Mary Venus  Ads: Polite-ical News (improvised by Dave Stratton and Mary Venus)  Original release date: 8/16/23  Download Talkin' Sex Live with Chet and Diane on all major podcast platforms and check out @throwdowncomedy on YouTube, twitch and Instagram. Intro and outro music credit to Matt Walker  Various sound effects and music from https://freesfx.co.uk/  Additional music and sound credits:  Hillbilly Swing by Kevin MacLeod  Link: https://incompetech.filmmusic.io/song/5705-hillbilly-swing  License: https://filmmusic.io/standard-license Teller of the Tales by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/4467-teller-of-the-tales  License: https://filmmusic.io/standard-license  Harp Heaven by X3nus  Link: https://freesound.org/people/X3nus/sounds/476782/  License: https://creativecommons.org/licenses/by/4.0/ 

The Pelvic Health Podcast
In The Clinic: Tips on palpating external urethral sphincter

The Pelvic Health Podcast

Play Episode Listen Later Jul 31, 2023 18:47


In The Clinic today with Jo: palpating and cueing EUS (external urethral sphincter). Don't forget about the upcoming Brisbane Endo conference in October - tickets selling faaaaaast: PB Endo conference!!!! And of course checking out The Pelvic Health Community!!!!: https://the-pelvic-health-community.mn.co/share/M6n01bTZgpvV9J1s?utm_source=manual   The paper Jo is discussing: https://pubmed.ncbi.nlm.nih.gov/30870081/ For extra knowledge in this area, you can learn from us here... Online: 2D Transperineal Ultrasound in Females: A tool for pelvic floor physios Face-to-face: 2D Transperineal Ultrasound Skills Workshop 2D Transperineal Ultrasound in Females: A tool for pelvic floor physios

The EMJ Podcast: Insights For Healthcare Professionals
Episode 151: Hush Hush: Controversies and ‘Embarrassing' Conditions in Urology

The EMJ Podcast: Insights For Healthcare Professionals

Play Episode Listen Later Jun 2, 2023 35:34


Arthur Burnett joins Jonathan Sackier on this episode of the EMJ podcast to discuss controversy in urology and individuals suffering in silence due to ‘embarrassing' medical conditions. Use the following timestamps to navigate the topics discussed in this episode: (00:00)-Introduction (02:21)-The American Urological Association Diversity and Inclusion Task Force (04:10)-Blueprint for justice, equity, diversity, and inclusion (05:12)-Erectile dysfunction: diagnosis, aetiology, and treatment (08:00)-How sickle cell disease affects males from a urologic perspective (11:31)-Radical prostatectomy in the treatment of prostate cancer (14:39)-Prostate-specific antigen testing (15:58)-Treating stress incontinence (18:05)-Treatment of rectocele (22:07)-The impact of HPV vaccination (25:00)-Peyronie's disease (28:28)-Urethral fistulas (31:55)-Burnett's book ‘The Manhood Rx: Every Man's Guide to Improving Sexual Health and Overall Wellness' (33:15)-Three wishes for healthcare

Veterinary Clinical Podcasts
138 Feline Urethral Obstruction

Veterinary Clinical Podcasts

Play Episode Listen Later Apr 28, 2023 54:10


Joining Brian and myself in our virtual studio we are delighted to speak to Professor Edward Cooper, Section Head of Small Animal Emergency and Critical Care at The Ohio State University. I thought we’d continue the theme of the last podcast on feline urethral obstruction and speak to an international authority on the subject, who has been trying to answer some fundamental questions about this topic. He kindly returned my email and spoke to us, despite technical issues he was incredibly patient. Prof Cooper is clearly passionate about this topic and it was great to talk, we hope that you enjoy. Link to Prof Cooper’s bio: https://vet.osu.edu/cooper-edward  Some references: https://pubmed.ncbi.nlm.nih.gov/21118011/ https://pubmed.ncbi.nlm.nih.gov/31250535/ https://pubmed.ncbi.nlm.nih.gov/31840942/ https://pubmed.ncbi.nlm.nih.gov/36779411/ https://pubmed.ncbi.nlm.nih.gov/33620246/ To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 138 Feline Urethral Obstruction with Edward Cooper. Published on April 28 2023 If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; or follow us on instagram @rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, podbean or Acast and kindly write us a review.

Veterinary Clinical Podcasts
137 Urethral obstruction management in primary care

Veterinary Clinical Podcasts

Play Episode Listen Later Apr 14, 2023 47:17


Joining Brian and myself in our virtual studio (had to dust off the microphone, apologies for that) we are delighted to have Dr Dave Beeston, one of our final year residents in Emergency and Critical Care, here at the RVC. Dave has many interests and enthusiasm for a variety of ECC topics and is no stranger to this podcast regarding his own career journey, though we thought we'd talk to him about one of his research papers, regarding the occurrence and clinical management of urethral obstruction in male cats, a vetcompass study looking at cats in primary care in the UK. We hope that you enjoy. The paper discussed: Beeston, D., Humm, K., Church, D.B., Brodbelt, D. and O'Neill, D.G., 2022. Occurrence and clinical management of urethral obstruction in male cats under primary veterinary care in the United Kingdom in 2016. Journal of Veterinary Internal Medicine, 36(2), pp.599-608. https://pubmed.ncbi.nlm.nih.gov/35199370/ To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 137Urethral obstruction management in primary care with David Beeston. Published on April 14 2023   If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast, podbean or Acast and kindly write us a review.

Urology Coding and Reimbursement Podcast
UCR 141: Optilume coding update; robotic prostatectomy questions: can bill with urethral suspension? If performing with 38571 (BPLND) should you bill the S2900?

Urology Coding and Reimbursement Podcast

Play Episode Listen Later Apr 14, 2023 20:27


April 14, 2023Mark, Ray, and Scott revisit coding for Optilume and provide an update, and also discuss two questions about robotic prostatectomy coding. Can you share your thoughts on billing 51990 & 55866?  I saw your post in 2018 however wanted to see if you have the same stance in regards to not billing 51990 when performed without incontinence. When coding a robotic radical prostatectomy with BPLND- 55866 states it includes use of robot so S2900 should not be billed but since 38571 is done as well does that support reporting the S2900?Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.Click Here to Start Your Free Trial of AUACodingToday.com 

Just the Tip America
Urethral Stricture Disease

Just the Tip America

Play Episode Listen Later Apr 6, 2023 4:35


Urethral Stricture Disease --- Send in a voice message: https://podcasters.spotify.com/pod/show/just-the-tip-america/message

EAU Podcasts
Dr. Campos-Juanatey shares the latest guidelines for urethral strictures

EAU Podcasts

Play Episode Listen Later Jan 29, 2023 21:02


Dr. Felix Campos-Juanatey (ES), a member of the EAU Guidelines Panel for Urethral Strictures, answers questions on the diagnosis of urethral strictures and follow-up after urethral surgery.  This podcast begins with details on what patient information is necessary to collect during an in-depth clinical interview and examination to make an accurate diagnosis. Dr. Campos-Juanatey shares the latest guidelines on when and how to conduct regular follow-up with patients after urethral strictures, in order to detect any complications or recurrences. This includes a useful timeline from 3-months up to 5-years (or longer) depending on low risk- and high-risk patients, and the use of flow rate analysis, questionnaires and anatomical assessment.Lastly, some information is included on how to evaluate if a urethral intervention has been successful or not, taking into account the practical and functional satisfaction of a patient. 

Distorted View Daily
Charred Urethral Walls

Distorted View Daily

Play Episode Listen Later Jan 23, 2023 48:07


On Today’s Show: Introduction 0:00.000 DV Merchandise Store Closing Up For The Year 2:17.368 God Is Back And He’s Hotter Than Ever 3:23.085 Reading Death Threats Out Loud At A School Board Meeting 5:19.982 Stop Teaching Children The Number 6! My Solution… 10:07.564 Woman Refuses To Understand How A Stop Sign Works 13:13.024 Incel Tries […] The post Charred Urethral Walls first appeared on Distorted View Daily.

Distorted View Daily
Charred Urethral Walls

Distorted View Daily

Play Episode Listen Later Jan 23, 2023 48:07


On Today’s Show: Introduction 0:00.000 DV Merchandise Store Closing Up For The Year 2:17.368 God Is Back And He’s Hotter Than Ever 3:23.085 Reading Death Threats Out Loud At A School Board Meeting 5:19.982 Stop Teaching Children The Number 6! My Solution… 10:07.564 Woman Refuses To Understand How A Stop Sign Works 13:13.024 Incel Tries […] The post Charred Urethral Walls first appeared on Distorted View Daily.

The Sooper Podcast!
Episode 2: #476: Classified Urethral Bone Jaw Snorts!!

The Sooper Podcast!

Play Episode Listen Later Jan 20, 2023 64:13


THIS WEEK on the second podcast of the 2023rd year since the year of our Lord, we have a Jessica and we talk about all sorts of stuff like the classified document scandal and God making us all hypocrites, also the lure of the Waffle House!! THEN we talk some snort scale and Netflix recommendations and the bone apple tea!! Then the plot thinnens someone smells my toots on the mastadon!! ALso some popcorn buttering protestant work ethic, the big regional hamburger debate, how Seinfeld ruined all sitcoms, and the purpose of makeup!! Wow!! You have to go listen while I go dry clean my mask and cape!!! 

VetPodcast with Jo!
PETS 101 Eps. 11 Anabul gabisa pipis?!

VetPodcast with Jo!

Play Episode Listen Later Nov 3, 2022 5:32


Henlo semua! Di episode kali ini, aku mau sharing sedikit tentang salah satu kasus yang cukup sering aku temuin selama magang-magang di klinik. Yaitu kasus dimana anabul tidak bisa/sulit urinasi. Kasus ini merupakan kasus yang kadang dianggap sepele oleh owner, namun sebenarnya merupakan kasus emergency yang harus segera ditangani. Jadi buat yang belum tau, yuk disimak sampai habis biar tau cara mencegahnya juga! Semoga episode ini bisa bermanfaat! . . Sumber: Palupi RSR. 2019. Pemeriksaan mikroskopis urin dan penanganan kasus feline urologic syndrome di praktik dokter hewan Setyo Widodo, dkk [skipsi]. Bogor (ID): Fakultas Kedokteran Hewan Institut Pertanian Bogor Webb G. 2018. Urethral obstruction in the male cat. The Veterinary Nurse. 9(7): 372-377. Zaenab S, Noviana D, Zulfanedi Y. 2008. Ultrasonographic findings in a cat with feline lower urinary tract disease. Proceedings of KIVNAS. Bogor (ID), 19 – 22 Agustus 2008

Precision: Perspectives on Children’s Surgery
Leading the Way in Treating and Managing Posterior Urethral Valves (PUV)

Precision: Perspectives on Children’s Surgery

Play Episode Listen Later Oct 26, 2022


Lurie Children's nationally ranked Division of Urology oversees one of the most experienced Multidisciplinary Valves Program (MVP) Clinic in the country. Their focus is treating children with a rare urological condition known as posterior urethral valves. Affecting only boys, PUV affects about 1 in 5,000 births and can lead to extreme damage to the kidney and bladder. Lurie Children's urologist Dr. Ed Gong and kidney specialist Dr. Kavita Hodgkins run the valves program and talk with us today about best practices in treating this rare and serious condition.

The Veterinary Roundtable
The Mystery Of Urethral Sphincter Mechanism Incontinence (USMI)

The Veterinary Roundtable

Play Episode Listen Later Oct 7, 2022 34:51


Welcome to another episode of The Veterinary Roundtable! In this episode, the ladies deliver their most recent best news, discuss a case of a GSP eating a porcupine, unravel the intricacies of USMI, and more!Do you have a question for The Veterinary Roundtable? Ask us on any social media platform or email harrison@all-starvet.com!Episodes of The Veterinary Roundtable are on all podcast services along with video form Facebook and YouTube!More About USMI: https://bit.ly/3efn8LeTIMESTAMPSBest News - 0:01:11Case Collections - 0:06:37Listener Question (@Hallie Worthington) - 0:23:52

AUAUniversity
Core Curriculum: Stress Urinary Incontinence Surgery (Female)

AUAUniversity

Play Episode Listen Later Oct 5, 2022 32:50


AUA Urology Core Curriculum: https://auau.auanet.org/core Host: Jay D. Raman, MD, FACS Co-Host: Priyanka Gupta, MD Outline: 1. Diagnosis and evaluation 2. Non-surgical treatments 3. Urethral bulking agents 4. Open repairs 5. Synthetic slings

UltraSounds
Pediatric and Adolescent Gynecology, Part 2 (Pediatric Gyn Emergencies)

UltraSounds

Play Episode Listen Later Oct 3, 2022 23:37


SURVEY LINK: https://bit.ly/feedback_UltraSounds SUMMARY: Theresa and Rachel discuss 3 clinical vignettes regarding pediatric gyn issues. TIMESTAMPS: 00:49 Dr. Rosen Biography 01:32 Case 1: 4 year old girl with vaginal bleeding 07:11 Case 2: 4 year old girl with foul smelling discharge 10:30 Case 3: 14 year old girl with pelvic pain and bulging hymen 14:23 Case 4: 14 year old girl with pelvic pain 19:49 Case 5: 3 year old girl with vaginal bleeding and belly pain 21:12 Wrap-up LINKS: Rosen, MW, Quint, EH. Managing Genital and Pelvic Pain in Young Adults. Contemp Ob/Gyn. 2022;67(6). Rosen, MW, Quint, EH. Have no fear! Premenarchal vaginal bleeding. Contemp Ob/Gyn. 2022;67(5). Lee KH et al. Imperforate hymen: a comprehensive systematic review. J Clin Med. 2019;8(1):56. Berenson AB, et al. Appearance of the hymen in prepubertal girls. Pediatrics. 1992;89(3):387-394. Strickland AL, Fadare O. Pediatric vulvar malignancies: rare but important to know. Semin Diagn Pathol. 2021;38(1):99-109. Pommert, BW. Pediatric gynecologic cancers. Curr Oncol Rep. 2017;19(7):44. Triarico S, et al. Gynecological cancer among adolescents and young adults (AYA). Ann Transl Med. 2020;8(6):397. Nayak S, Witchel SF, Sanfilippo JS. Vaginal foreign body: a delayed diagnosis. J Pediatr Adolesc Gynecol. 2014;27(6):e127-129. Shurtless, BT, Barone JG. Urethral Prolapse: Four Quadrant Excisional Technique. J Ped Adolesc Gyn. 2002;15(4):209-211. Fernandes ET, et al. Urethral prolapse in children. Urology. 1993;41(3):240-242. TRANSCRIPT: https://bit.ly/ultrasounds_PAGs DISCLOSURES/DISCLAIMERS: The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.

The Medbullets Step 2 & 3 Podcast
Renal | Urethral Injury

The Medbullets Step 2 & 3 Podcast

Play Episode Listen Later Sep 19, 2022 6:46


In this episode, we review the high-yield topic of Urethral Injury from the Renal section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets

EAU Podcasts
Prof. Tamsin Greenwell talks about female urethral stricture disease

EAU Podcasts

Play Episode Listen Later Jul 16, 2022 9:48


In this edition, we have Prof. Tamsin Greenwell (GB), a panel member on the EAU Guidelines Panel for Urethral Strictures, discussing the management of female urethral stricture disease. Prof. Greenwell begins with an overview on the causes of female urethral strictures and how a diagnosis should be made. Following this she answers questions on treatment options, including what type of urethroplasty to use (dorsal and ventral), and which tissue is best for substitution.  She reports on the outcomes of female urethroplasty, and concludes with a discussion on adverse effects from tissue harvest for use in substitution urethroplasty. For more EAU podcasts, please go to your favourite podcast app and subscribe to our podcast channel for regular updates.

slutcast
shoving things in your dick hole- urethral sounding

slutcast

Play Episode Listen Later Jul 14, 2022 19:25


Urethral sounding is not without its risks but some guys love it! precede with caution!!Slutcast is presented by Zoe Starr an independent escort working in the Central West of NSW. Slutcast is unsponsored at present but Zoe welcomes any offers to be made via DM on twitter @athleticmilf1. Slutcast contains explicit content of a sexual and at times graphic nature so if this offends please tune out now. join the conversation!DM me @ twitter@athleticmilf1questions suggestions comments and if you would like to sponsor also!

The Saturday Quiz
Inner Urethral Pinching with Alasdair Tremblay-Birchall and Andy Matthews

The Saturday Quiz

Play Episode Listen Later Apr 22, 2022 36:34


These two comedians have their own science based radio show, so the answer to the first question in this week's quiz comes straight out with no hesitation. And in fact, there's barely an answer that they don't come up with. Even the sport question!https://www.comedyfestival.com.au/2022/shows/my-client-is-innocenthttps://play.acast.com/s/two-in-the-think-tankSupport this show http://supporter.acast.com/the-saturday-quiz. Hosted on Acast. See acast.com/privacy for more information.

The Cone of Shame Veterinary Podcast
COS 132 Anesthesia Best Practices For The Urethral Obstruction Cat (HDYTT)

The Cone of Shame Veterinary Podcast

Play Episode Listen Later Apr 14, 2022 22:16


Tasha McNerney CTV VTS CVPP joins us to discuss the case of Hercules Mulligan. a 4 yo MN Domestic Shorthair who cannot urinate. That's right... This poor guy has a urethral obstruction and will need anesthesia and pain control STAT! What are the top tips and tricks for handling these cases? What mistakes do doctors and technicians want to make sure to avoid? Let's find out! LINKS: Sacrococcygeal Block Demo: https://www.youtube.com/watch?v=KhAN4SavVzg Think Anesthesia: https://www.thinkanesthesia.education/ Retain Your Team - Speak the Languages of Appreciation in Your Workplace: https://unchartedvet.com/product/appreciation-languages-101/ What's on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Tasha McNerney obtained her CVT in 2005 and has worked clinically in the areas of anesthesia and surgery ever since. Tasha obtained her CVPP (certified veterinary pain practitioner) designation in 2013 and became a veterinary technician specialist in anesthesia in 2015. Tasha has been a featured speaker on various anesthesia and pain management topics at several international veterinary conferences. Tasha is the author of many articles and blogs on anesthesia and pain management related topics. In 2013 Tasha created the Facebook group Veterinary Anesthesia Nerds, which has over 65,000 members taking part in education and exchange of ideas from all over the world! Tasha is crazy and bought a 1920's fixer upper and is now obsessed with home improvement tutorials on YouTube. She lives in Philadelphia with her husband, son, one perfect cat, and one jerk cat. Trust me that cat is a jerk.

Ridgeview Podcast: CME Series
Into the Weeds (Part 1): Pre and Post Acute Kidney Injury with Dr. Kim Thielen

Ridgeview Podcast: CME Series

Play Episode Listen Later Mar 11, 2022 45:52


In this podcast, we are joined by Dr. Kim Thielen, a nephrologist/kidney specialist with Minnesota Kidney Specialists. This episode is part one of a two part series dealing with acute kidney injuries. During this episode Dr. Thielen will discuss pre and post acute kidney injury etiologies. Included with the podcast is additional shownotes that Dr. Thielen references throughout the podcast.  Also check out the next podcast/episode on intrinsic kidney injuries. Enjoy the podcast! Objectives:   Upon completion of this podcast, participants should be able to: Describe how to work up a patient who presents with kidney injury. State the 3 types of kidney injury etiologies. Identify various causes of kidney injury. Choose treatment options for the specific types of kidney injury. CME credit is only offered to Ridgeview Providers & Allied Health Staff for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at  rmccredentialing@ridgeviewmedical.org. To receive continuing education credit for this activity - click the link below, to complete the activity's evaluation. CME Evaluation (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  DISCLOSURE ANNOUNCEMENT  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview Medical Center & Clinics.  Any re-reproduction of any of the materials presented would be infringement of copyright laws.  It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker's outside interest may reflect a possible bias, either the exposition or the conclusions presented. Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. Thank-you for listening to the podcast. SHOW NOTES: *See the attachment for additional show information.   Acute Kidney Injury- Abrupt decrease in kidney function - Suspected with oliguria, elevated creatinine, proteinuria, and hematuria Oliguria - Less than 500mls of urine in 24 hour period. PreRenal- Anything that decreases circulating volume or disruption of blood flow to the kidney, causing ischemic kidney - Causes:     - Total body salt and water depletion     - Dehydration     - Hemorrhage     - Decompensated right or left ventricular failure     - Renal arterial stenosis or renal vasospasm Signs and Symptoms - Orthostatic, hypotensive, tachycardiac - Most sensitive indicator of ischemic kidney: Urinary sodium concentration Urinary Sodium Concentration- Distinguishes between prerenal and instrinsic causes - Urine sodium less than 20 in oliguria is indicator of ischemic kidney Fractional Excretion of Sodium- Fractional excretion of less than 1% is indicative of ischemic kidney or a prerenal state - Fractional excretion of 2% is indicative of tubulules not working or ATN Fractional Excretion of Urea - For patients on diuretics - Urea not affected by water concentrating effect of kidney - Prerenal state: fractional excretion of urea less than 35 - Intrinsic: fractional excretion of urea greater than 35 Classic Presentation of Prerenal - BUN to Creatinine Ratio greater than 20.1 signifies dehydration       - Variables: GI bleed can increase BUN - Elevated bicarb Post Renal Etiologies - Anything that interfers with the drainage of the urine from the renal pelvis out to the urethra. - Causes:       - Intraluminal obstruction: stones or tumors       - Dysfunctional bladder: spinal injury, diabetes              - Dysfunction with bladder drainage       - Extrinsic compression on ureter                - Ruptured AAA: edema                - Retroperitoneal fibrosis                - Prostate                - Urethral strictures Post Renal Presentation - Can present with pain or not - Decreased urine output or outflow - Hypertensive - Volume overload Treatment - Foley distal obstructions of urethra - Imaging: ultrasound        - Horizontal view:               - Normal: (bright white) collecting system is collapsed due to normal drainage of pelvis               - Post renal obstruction                       - Dilated (dark pools) collecting system - Chronic obstruction        - Functional dilatation        - Further testing: functional lasix radiograph        - Kidney transplant: functional dilated picture               - Changed physiology of the ureter, and can get flow both ways and thus chronic dilation Thanks for listening.

Veterinary Journal Club & Discussions
Journal Club #12-Feline Urethral Obstruction

Veterinary Journal Club & Discussions

Play Episode Listen Later Feb 1, 2022 60:36


Drs. David Grant and Emily Gidcumb join Dr. Conner to discuss several articles about feline urethral obstruction. Host: Bobbi Conner Guests: David Grant and Emily Gidcumb Producers: Bobbi Conner and Topher Conlan

Surgery 101
365. Stress Incontinence and Urethral Sling Surgery

Surgery 101

Play Episode Listen Later Jan 19, 2022 22:49


By the end of this episode you will be able to: Understand the prevalence of stress urinary incontinence and its impacts on quality of life Recognize the clinical presentation of stress urinary incontinence including history and physical exam Describe the pathophysiology of stress urinary incontinence and its 2 sub-types Describe the different techniques of mid-urethral sling surgery

Urology Audio Guidelines
Ep 5: Male Urethral Stricture

Urology Audio Guidelines

Play Episode Listen Later Oct 27, 2021 7:02


We discuss the 2016 AUA Guidelines for male urethral stricture. https://www.auanet.org/guidelines/guidelines/urethral-stricture-guideline

EMPIRE Urology Podcast
#019 Posterior Urethral Valves

EMPIRE Urology Podcast

Play Episode Listen Later Sep 13, 2021 50:48


Dr Ellen Shapiro MD discusses Posterior urethral valves 4/27/20

EMPIRE Urology Podcast
#006 Urethral Obstruction in Women

EMPIRE Urology Podcast

Play Episode Listen Later Sep 9, 2021 45:31


Dr Jerry Blaivas MD discusses Urethral Obstruction in Women 4/16/2020

The Center for Men's and Women's Urology Podcast

"The Urethral Caruncle" with Dr. Melanie Crites-Bachert, DO, FACOS, FACS, of the 360 Pelvic Health Institute, a division of The Center for Men's and Women's Urology (360phi.com, 1uro.com) Copyright 2021 all rights reserved.

360 Pelvic Health with Dr. Crites-Bachert

"The Urethral Caruncle" with Dr. Melanie Crites-Bachert, DO, FACOS, FACS, of the 360 Pelvic Health Institute, a division of The Center for Men's and Women's Urology (360phi.com, 1uro.com) Copyright 2021 all rights reserved.

why urology podcast
Urinary Incontinence: Ten Questions about the Male Urethral Sphincter ep 112

why urology podcast

Play Episode Listen Later Aug 15, 2021 16:46


Here are my answers to the ten questions about the male urethral sling procedure. You can find more information at fixincontinence.com Connect with me at whyurologypodcast.com What is the diagnosis?             The diagnosis is urinary stress incontinence. A male urethral sling is placed for men with stress urinary incontinence, most often as a result of prostate removal for prostate cancer. Stress incontinence is leaking when a man coughs, sneezes, or lifts. Candidates for this type of surgery are generally men with mild to moderate leakage (1-4 pads daily). Ideally men considering a sling should also have good bladder function with a bladder capacity > 250 cc and no detrusor instability or overactive bladder. Cystoscopy is also performed prior to surgery to determine there is no bladder neck contracture or urethral strictures. Men must also be able to demonstrate urethral sphincter function either on urodynamics testing, starting and stopping midstream of micturition, or demonstration of urethral sphincter recruitment and closure on cystoscopy. Procedure description:  With a man in stirrups under spinal or general anesthesia, perineal incision is made below the scrotum and above the anus. The urethra is identified and mobilized to allow it to move when the sling is tensioned. Separate bilateral incisions in the inner thigh  are made and using a helical trocar the sling arms are brought from the perineal incision around the pelvic bones through the obturator fossa. The central portion of the mesh is fixed to the urethra and tensioning of the sling is done by pulling firmly on both arms of the sling. Cystoscopy is performed to confirm coaptation of the urethra. Once coaptation is confirmed, the wound is closed. Men spend one night in the hospital when I do the procedure with a catheter in place. The catheter is removed the next day and men are monitored to make sure they can urinat adequately after the procedure. Men must be able to pee the next day before discharge. Some men will need to go home with a catheter. What are the benefits of the procedure? The goal of the procedure is full continence or control of the urine. The male sling does not guarantee complete control. What are the drawbacks and risks of the procedure? As with any surgery there is a risk of infection, bleeding, anesthesia risk and of course the discomfort associated with surgery. These risks are relatively small for the urethral sling. I think the elephant in the room is that a man has a relatively high rate of leakage when compared with the artificial sphincter.  For men who do have continued leakage after a sling has been placed we can still place an artificial urinary sphincter at a later time. Obviously the goal is to get it right the first time, but it is important to know that it is not an either or proposition for men. Inability to urinate or urinary retention is also a risk if the sling ends up being too tight or causes too much restriction. Most often urine retention improves over time after the procedure but some men depend on intermittent catheterization after the procedure.             If the urethra is injured while placing the cuff, we need to stop the procedure and let that heal before attempting that again. That is rare but can occur. Also rare is a reaction to the mesh that would cause erosion or extrusion of the mesh.             Finally, over the long term, as our body tissues change some men will experience an increase in leaking years after the sling has been placed. Alternatives: Alternatives to the sling are continuing the use of the diapers or pads, using an external compression device on the penis such as a Cunningham clamp, biofeedback, and external catheterization such as a condom catheter. Several models from different manufacturers of the urethral sling exist. The artificial urinary sphincter is the alternative surgical approach. How common is this procedure? The male urethral sling is a common enough procedure. Most men who have had prostate removal do not need any surgery to help with urinary control or choose not to do any further treatment. But the number of surgeries done every year means there are enough men who have problems who need to have the sling placed. Why now or when should a man have the procedure? The timing of placing a male urethral sling is usually at least one year from the time of the prostatectomy. It takes time for some men to regain urinary control.  Most of you listening this far already know that you have continued problems with incontinence. You have tried Kegel exercises, biofeedback and possibly medication. You have also tried the external compression devices and the urinary pads, and you are looking for a definitive solution. As I have said before if you are a man considering this procedure take your time making this decision. Preparing for the procedure: Normal recommendations for prior to any surgery Do not eat or drink anything after midnight the night before the procedure.             You should take your usual medications as you normally would the morning of your procedure with a small sip of water or clear liquid only (avoid juice, milk, coffee). Starting 5 to 10 days prior to your procedure (ask your doctor for a specific time), it is important to stop taking medications that might increase your risk of bleeding. For a list of blood-thinning medications that should be avoided. Preparing your skin by washing with antibacterial soap or Hibiclens for a week prior to surgery will help decrease ethe bacterial count on your skin to help with infection.         Have a driver and know the route the hospital, how you will get home, and bow will take care of you when you do get home. After the procedure: You will stay the night in the hospital. Pain is controlled, you will eat a normal diet and begin to walk around after surgery right away. We leave a catheter in overnight and remove the next day. One of the critical steps when removing the catheter is making sure a man can void after the procedure. There is some risk of retention. If you need a catheter when you go home we will decide when to remove it at that time. You will go home on antibiotics. Take the complete course of antibiotics prescribed unless you have a reaction to the medicine. I usually will have an appt with you 2 weeks after the operation. Here is the critical, critical thing. Plan to do only light duty and limited activity for at least six weeks after surgery. The sling can move in position with too much lifting, bending, straining. It heals into place and the body fixes it in position but it takes a while to do. One of the big advantages of this surgery is the small incision we make, but this means that we aren't sewing the sling to bone or other structures to fix it in place. Your body must do that. That takes time. Insurance coverage: Yes, there is usually good insurance coverage for this procedure. There is a prior authorization process, and our business office will help guide you. Know that you have coverage for this procedure before you get to the hospital on the day of surgery. You don't want to have to sort through the billing issues after the procedure

Sex, Drugs, & Spirituality

Urethral sounding, penis plugging, or stuffing, it's all shoving things up the ol' pee hole. Sidney discusses what it is, why people do it, and how you can safely slip something up your own slideroni!

Evidence Based Podcasts in Paediatric Surgery
Posterior Urethral Valves with Mr. Massimo Garriboli

Evidence Based Podcasts in Paediatric Surgery

Play Episode Listen Later Apr 5, 2021 28:33


This is our first Paediatric Urology podcast on PUV's. We have the pleasure of discussing the antenatal and post-natal management of this condition with Mr. Massimo Garriboli. Music: www.purple-planet.com

Circumsessions
Episode 4 Complex Urethral Reconstruction inc. Transgender Considerations with Prof. Piet Hoebeke

Circumsessions

Play Episode Listen Later Feb 21, 2021 25:11


We're back for our fourth episode already! Thanks for joining us!! Some of the initial sound quality at the start was a little challenging as we tried to do this across several sites remotely with bandwidth being used up by every online during lockdown. It does however get better and better throughout the episode... Host: Fardod O'Kelly (@fardodokelly) Co-Host: Anne-Francoise Spinoit (@afspinoit) Guest: Prof. Piet Hoebeke (University Hospital, Ghent, Belgium) (@hoebekepiet) Design Team: Stephen Griffin, Christopher Bayne, Diana Cardona-Grau Production Editor: Tony Caldamone Citations: - C Sinatti, D Wolff, M Buncamper, W Verla, K Claes, N Lumen, M Waterloos, S Monstrey, Piet Hoebeke, AF Spinoit (2020) Phalloplasty in biological men with penile insufficiency. J Pediatr Urol. 16(3): 404-405. doi: 10.1016/j.jpurol.2020.04.015. PMID: 32507564 - AF Spinoit, F Poelaert, C Van Praet, L-A Groen, E Van Laecke, P Hoebeke (2015) Grade of hypospadias is the only factor predicting for re-intervention after primary hypospadias repair: a multivariate analysis from a cohort of 474 patients. J Pediatr Urol 11(2): 70.e1-6. doi: 10.1016/j.jpurol.2014.11.014 Book: Members Club - A user's guide to the penis. Piet Hoebeke (Green Tree Publishing)

The Zero to Finals Medical Revision Podcast

This episode covers posterior urethral valve.Written notes can be found at https://zerotofinals.com/paediatrics/renal/puv/ or in the renal and urology section in the Zero to Finals paediatrics book.The audio in the episode was expertly edited by Harry Watchman.

VetCrit
Cats hate our social distancing: urethral obstructions and FIC

VetCrit

Play Episode Listen Later Mar 25, 2020 96:30


Background information on risk factors, prognosis and treatment in FLUTD cats in segment 1. Lit review in segment 2

Veterinary Clinical Podcasts
26 Tomcat urethral obstruction ('Blocked cats') - Part 2

Veterinary Clinical Podcasts

Play Episode Listen Later Oct 18, 2014 47:02


This is the second part of my discussion on blocked cats with Dr Rosanne Jepson, Lecturer in Small Animal Internal Medicine and Dominic Barfield, Lecturer in Emergency and Critical Care; and in absentia with Nicola Kulendra, Lecturer in Small Animal Surgery. And of course like in the first episode I can't help but chip in as well! As nentioned in the last post, there is a lot to talk about so we have not been able to plunge into the deepest depths in any one area but this is a very useful overview of the topic. As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

Veterinary Clinical Podcasts
25 Tomcat urethral obstruction ('Blocked cats') - Part 1

Veterinary Clinical Podcasts

Play Episode Listen Later Sep 27, 2014 38:19


Tomcats with urethral obstruction are sadly a common small animal emergency population; this problem is one of the 'classics' no doubt, and with the potential to be fatal. Survival rates in the short-term can be extremely high with the right approach to stabilisation and management, medium-to-long term the prognosis can be more guarded. In a slightly roundtable fashion I am joined to discuss this topic by Dr Rosanne Jepson, Lecturer in Small Animal Internal Medicine; by Dominic Barfield, Lecturer in Emergency and Critical Care; and in absentia by Nicola Kulendra, Lecturer in Small Animal Surgery. And of course I can't help but chip in as well! In this two-part podcast series we discuss a whole host of questions surrounding this disorder including what FLUTD is, approach to the blocked cat, and recommendations following successful intervention. There is a lot to talk about so we have not been able to plunge into the deepest depths in any one area but this is a very useful overview of the topic. As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

Veterinary Clinical Podcasts
05 Feline ureteric obstruction

Veterinary Clinical Podcasts

Play Episode Listen Later Jul 12, 2013 30:16


Urethral obstruction ('blocked cats') is a well recognised emergency problem in cats. However obstruction of one or both ureters is also increasingly recognised. In this podcast Nicola Kulendra (nee Bound) of the QMHA Soft Tissue Surgery service explains more about this condition, what the consequences are, how the diagnosis is made and treatment options available. This is a condition that may be easy to miss so be sure to listen to this podcast! Find out more about CPD from the RVC featuring Nicola here and here If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.