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In this episode, Amber Walsh, Partner at McGuireWoods LLP, shares insights on the evolving physician practice management sector with a focus on urology.
Residency teaches you how to save lives, but does it teach you how to save money? In this episode of BackTable Urology, Dr. Sammy Elsamra joins host Dr. Gina Badalato to unpack the essentials of financial planning during and after urology residency. From budgeting and managing loans to covering living expenses, Dr. Elsamra emphasizes the importance of building an emergency fund, addressing high-interest debt, and following the 50-30-20 rule to maintain stability.---SYNPOSISThe conversation also dives into long-term strategies like Roth IRAs, tax-advantaged accounts, and the role of disability and life insurance in protecting your future. With recommendations such as The White Coat Investor and foundational financial books, Dr. Elsamra equips trainees with the knowledge and resources they need to set themselves up for lasting success. This episode is a must-listen for residents aiming to take control of both their careers and their financial futures.---TIMESTAMPS00:00 - Introduction01:56 - Post-Residency Financial Realities04:43 - Budgeting During Residency07:23 - The 50-30-20 Rule08:06 - Investing During Residency15:29 - Financial Planning for Attending Physicians24:42 - Understanding Insurance: Life and Disability33:11 - Resources and Advice for Financial Success---RESOURCESThe White Coat Investor (podcast and books):https://www.whitecoatinvestor.com/The Millionaire Next Door (book):https://themillionairenextdoor.com/
August 22, 2025 In this special episode, Scott, Mark, and Ray welcome Dr. Marc Rose, a practicing urologist in Vero Beach, Florida, to share his journey of transitioning to a hybrid urology practice that combines traditional insurance with concierge medicine. Dr. Rose walks us through the burnout that led him to make a change, how he structured his new model, and the lessons he's learned since making the leap. He explains how the practice operates day-to-day, how patients respond to concierge options, and the role his nurse practitioner and support team play. Whether you're a urologist exploring alternative practice models or just curious about the benefits and challenges of concierge care, this episode offers valuable firsthand insight.Contact Dr. Marc Roseconcierge@marcroseurology.com PRS Coding and Reimbursement HubAccess the HubFree Kidney Stone Coding CalculatorDownload NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and AdminsPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner. https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/
Interviewees: Josh Schammel, MD; Brian Inouye, MD; and Becky Stetzer, MD Interviewer: Justin Bullock, MD, MPH Description: In this episode, Dr. Justin Bullock talks with Dr. Josh Schammel (chief urology resident at Albany Medical Center), Dr. Brian Inouye (associate program director of urology at Albany Med), and Dr. Becky Stetzer (assistant dean of competency development, Albany Med) about navigating remediation, cognitive disability support, and institutional change in residency training. Together, they trace Josh's experience entering urology residency off-cycle, the social and educational challenges that followed, and the turning point that came with honest conversations about expectations and support. They explore how leadership reframed remediation from punitive to restorative, how program culture embraced accommodations even without a formal diagnosis, and how outside expertise in competency development reshaped both Josh's trajectory and the program's systems. Listeners will hear candid reflections on the fear of dismissal, the relief of being given a “do-over” year, and the powerful role of trust and transparency in rebuilding confidence. The team highlights the importance of creating a culture where struggling is not synonymous with failure, but with an opportunity for growth. This episode accompanies the open-access article A Master Adaptive Learner Approach to Cognitive Disability Support in a U.S. Urology Residency (Stetzer et al., Teaching and Learning in Medicine). Part of the ACGME/DWDI Disability Resource Hub, supported by the Josiah Macy Jr. Foundation Catalyst Award, it's a practical and deeply human guide for residents, faculty, and program leaders working to build equitable clinical learning environments. Transcript: https://docs.google.com/document/d/1u-qRRgjrB-lOJnQytGy7C7ByxYppdfju/edit?usp=sharing&ouid=104315301750264632478&rtpof=true&sd=true Key words: Medical education, cognitive disability, residency, accommodations, program director, GME, GME Policy, Disability, Training, PTSD. Bios: Resources: Disability Resource Hub: https://dl.acgme.org/pages/disability-resource-hub Case Studies in Disability Resource Hub: https://dl.acgme.org/pages/disability-resource-hub#case_studies UME to GME Toolkit: https://dl.acgme.org/pages/disability-resource-hub-transitions-toolkit-introduction Policy Toolkit: https://dl.acgme.org/pages/disability-resource-hub-policy-toolkit Disability in Graduate Medical Education Program: https://www.docswithdisabilities.org/digme Link to Case Study: A Master Adaptive Learner Approach to Cognitive Disability Support in a U.S. Urology Residency https://www.tandfonline.com/doi/10.1080/10401334.2025.2502670?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
In this episode of Balls Deep, Dr. Joe Pazona shares his raw and inspiring journey from humble beginnings in New York to becoming a board-certified urologist and CEO of Pazona MD. Discover how he overcame the challenges of a broken healthcare system, faced career setbacks, and built a thriving medical practice that prioritizes patient care and innovation. This is a story of perseverance, entrepreneurship, and the drive to make a difference in the lives of others. Dr. Pazona opens up about: Why he left traditional healthcare to create a patient-first practiceThe struggles and triumphs of building a business with no prior experienceHow he's redefining healthcare experiences in the bedroom, bathroom, and boardroom His mission to provide accessible, high-quality urological care Actionable advice for aspiring medical professionals and entrepreneurs If you're looking for inspiration, insights into healthcare reform, or just a candid story of resilience, this episode is for you. Dr. Pazona's story is a testament to the power of a clear vision and the courage to challenge the status quo. Whether you're a patient seeking better care, a medical professional feeling disillusioned, or an entrepreneur looking for motivation, this episode will provide you with valuable insights and a renewed sense of purpose. Subscribe for more episodes that optimize your performance in every aspect of life! Learn more about Pazona MD: https://PazonaMD.com
AUA2025: Ramon Guiteras Lecture: The Future of Healthcare: How Will Urology be Impacted? Presenter: Vin Gupta, MD, MPA
In medicine, the hardest critic you'll face is often yourself. In this episode of BackTable Urology, Dr. Michelle Van Kuiken joins host Dr. Lindsay Hampson to unpack the realities of imposter syndrome in urology practice and discuss its impact on trainees and professionals --- This podcast is supported by: Ferring Pharmaceuticals --- SYNPOSIS Dr. Van Kuiken and Dr. Hampson explain the basics of imposter syndrome, its prevalence, and the many ways it can show up in medical training and practice. They also share candid personal experiences and practical strategies for overcoming self-doubt, from reframing negative thoughts to embracing feedback as a tool for growth. The doctors highlight the value of mentorship, peer support, and celebrating achievements, as well as the importance of creating a culture where vulnerability and open conversations are encouraged. --- TIMESTAMPS 00:00 - Introduction02:29 - Defining Imposter Syndrome04:24 - Personal Experiences with Imposter Syndrome08:44 - Impact of Imposter Syndrome in Medicine10:39 - Strategies to Overcome Imposter Syndrome13:59 - The Role of Mentorship16:28 - Gender and Mentorship in Medicine27:24 - Peer Support and Building Community32:13 - Final Thoughts and Takeaways --- RESOURCES Medical Trainees and the Dunning–Kruger Effect: When They Don't Know What They Don't Know:https://doi.org/10.4300/JGME-D-20-00134.1 Imposter Syndrome in Surgical Trainees: Clance Imposter Phenomenon Scale Assessment in General Surgery Residents:https://doi.org/10.1016/j.jamcollsurg.2021.07.681 Defining the Incidence of the Impostor Phenomenon in Academic Plastic Surgery: A Multi-Institutional Survey Study:https://doi.org/10.1097/prs.0000000000010821 Academic Urology Endowments and Leadership Roles are Disproportionately Held by Male Urologists:https://doi.org/10.1016/j.urology.2025.04.038 Implementation of a “Best Self” Exercise to Decrease Imposter Phenomenon in Residents:https://doi.org/10.4300/JGME-D-23-00873.1 Keep-Stop-Start Framework:https://meded.ucsf.edu/sites/meded.ucsf.edu/files/2024-06/TipSheet-Feedback.pdf Lean In: https://leanin.org/ W. Brad Johnson, PhD: https://www.wbradjohnson.com/
Thinking about a vasectomy but held back by fears of pain, a ruined sex life, or a lengthy recovery time? You're not alone. In this episode of Balls Deep, board-certified urologist Dr. Joe Pazona, who has performed over 4,000 vasectomies, shatters the top 5 myths surrounding this simple and effective procedure. Get ready to replace fear with facts about everything from the no-scalpel technique to what you can realistically expect during your vasectomy recovery. Considering a vasectomy? Don't let misinformation make your decision. Dr. Pazona addresses the most common questions and concerns, including: "Does a vasectomy affect sex drive?" and "How long does it take to recover from a vasectomy?". We'll cover the minimal downtime for a vasectomy and what the healing period truly looks like.
Developed by the Society of Academic Urologists in partnership with the American Urological Association, the SAU/AUA Urology Match Insider series provides medical students interested in the field of urology an inside look into the Urology Residency Match process. In part 2 of this episode, medical student, Vivian Wang continues her conversation with Dr. Gina Badalato and Dr. Erica Traxel as they discuss the importance of preference signaling and how the Match is an ever-evolving process. The Urology Residency Match (Urology Match or SAU Match) is governed by the Society of Academic Urologists. For more than 40 years, the AUA has administered the Urology Residency Match on behalf of the SAU.
Brought to you by the AUA Young Urologists Committee, “Parenting In Urology” explores the challenges and triumphs of balancing parenthood with a career in urology. Tune in as host Carmen Tong, DO, joins guests Christina Carpenter, MD and Chloe Peters, MD, to share essential insights on leave policies, mental well-being, and strategies to navigate the unique demands of being both a physician and a parent.
Male infertility contributes to nearly half of all infertility cases. Peter Kolettis, M.D., a urologist, explains how detailed evaluations such as semen analysis and hormone testing help identify treatable causes. He discusses the latest procedures for sperm retrieval and vasectomy reversal, and how lifestyle choices can impact fertility.
Physical performance, recovery, longevity–are these outcomes part of your urology practice? In this episode of BackTable Urology, Dr. Vonda Wright, a renowned orthopedic surgeon and expert in aging and longevity, joins Dr. Amy Pearlman to discuss the intersection of surgical practice, longevity medicine, and patient-centered healthcare in urology. --- SYNPOSIS The discussion covers the significance of whole-person care in surgery and the critical role of empathy in surgical practice. Dr. Wright shares her experiences from her extensive career and research, including her innovative work in hip arthroscopy and advocacy for performance-based care for middle-aged patients. The surgeons also explore the impact of hormonal health on physical performance and quality of life, the value of tailored exercise and nutrition plans, and practical strategies for optimizing long-term vitality in both men and women. Dr. Wright emphasizes the need for healthcare professionals to lead by example in prioritizing their own well-being while staying informed on emerging science that supports longevity and quality of life. --- TIMESTAMPS 00:00 - Introduction13:50 - Urology Applications in Orthopedics24:18 - Optimizing Longevity and Lifestyle29:08 - Musculoskeletal Syndrome of Menopause42:12 - Approach to Protein Intake and Supplements50:48 - Practicing Longevity Medicine53:26 - Final Thoughts --- RESOURCES Unbreakable: A Woman's Guide to Aging with Power by Dr. Vonda Wright:https://www.drvondawright.com/resources/books/unbreakable
In today's episode of The Root Cause Medicine Podcast, Dr. Kate Kresge dives into men's health, neurology, and fertility with Dr. Eric Yarnell. You'll hear us discuss: 1. Testosterone and its impact on the male body 2. The dangers of relying on Internet medical information 3. Addressing male factors in infertility treatment 4. The role of herbal medicine in optimizing testosterone production 5. High testosterone and prostate conditions 6. How diet and gut health influence prostate health Dr. Eric Yarnell is the President of Northwest Naturopathic Urology, focusing on men's health, urology, and nephrology. He is also a Professor at Bastyr University in the Department of Botanical Medicine, alongside running two businesses in botanical medicine and publishing. He is the author of numerous texts and articles, including Natural Approach to Gastroenterology, Natural Approach to Urology, Natural Approach to Prostate Conditions, and Naturopathic Nephrology. Order tests through Rupa Health, the BEST place to order functional medicine lab tests from 30+ labs - https://www.rupahealth.com/reference-guide
Developed by the Medical Student Membership Workgroup, the Urology Spotlight Series educates medical students about a particular subspecialty within urology, including common cases and procedures. In this episode, Irene Choi, medical student at St. George's University, is joined by Dr. Kristin Ebert, Assistant Professor of Urology at the University of Washington, and Dr. Casey Seideman, Associate Professor of Urology at the Oregon Health & Science University, for a discussion on the field of Pediatric Urology.
Postpartum incontinence is one of the most common—and least talked about—realities of new motherhood. In this episode, we sit down with a board-certified physician assistant and Medical Advisor at Aeroflow Urology, who specializes in women's health, urology, and sexual medicine. She breaks down what postpartum incontinence really is, why it happens, and how moms can take proactive steps toward healing.✨ In This Episode, We Cover:What is postpartum incontinence? The science behind why bladder leaks are common after childbirthWho's at risk? How common this is and which moms may be more likely to experience itBusting myths: The biggest misconceptions about postpartum incontinence (Hint: it's not something you have to live with)What you can do: Practical steps new moms can take to manage or improve symptomsWhen to seek help: How to know it's time to talk to a professional and the treatments available todayConnect with Aeroflow Urology:Aeroflow Urologypostpartum incontinence, bladder leaks after birth, pelvic floor health postpartum, incontinence after childbirth, new mom bladder control, postpartum pelvic floor recovery, women's urology health, when to see a doctor for postpartum incontinence, postpartum pelvic health tips, treatment for postpartum urinary incontinence, pelvic floor physical therapist, pelvic floor pt, www.NewMomTalk.comBuy Me A CoffeeIG: @NewMomTalk.PodcastYouTube: @NewMomTalkMariela@NewMomTalk.comInterested in being a guest? Shoot us an email!- best parenting podcast- best new mom podcast- best podcasts for new moms- best pregnancy podcast- best podcast for expecting moms- best podcast for moms- best podcast for postpartum- best prenatal podcast- best postnatal podcast- best podcast for postnatal moms- best podcast for pregnancy moms- new mom - expecting mom- first time mom
Live Greater | A University of Maryland Medical System Podcast
Before the whistle blows, make sure your athlete is truly game-ready. In this episode, Dr. Scott Burger, CMO of UM Urgent Care, breaks down what happens at a sports physical, when to get one and how it helps kids stay safe and strong.For more information about University of Maryland Urgent Care or to find a location, visit umurgentcare.com. Read more about preventing sports injuries on our blog at https://umms.com/Sports-Blog.
Live Greater | A University of Maryland Medical System Podcast
Is your young athlete ready for the season? In this episode, we cover how to avoid injuries in youth sports, the importance of pre-season physicals, safe training tips and how to spot when your athlete needs medical attention. Must-know advice from Dr. Scott Burger, Chief Medical Officer at University of Maryland Urgent Care.For more information about University of Maryland Urgent Care or to find a location, visit umurgentcare.com. Read more about preventing sports injuries on our blog at https://umms.com/Sports-Blog.
EAU Educational Platform UROLUTS associate editor Dr. Manuela Tutolo talks to guidelines panel chair Prof. Gernot Bonkat on updates on EAU Guidelines for urological infections. This discussion took place during EAU25 in Madrid, Spain. For more updates on functional urology, please visit our educational platform UROLUTS.For more EAU podcasts, please go to your favourite podcast app and subscribe to our podcast channel for regular updates: Apple Podcasts, Spotify, EAU YouTube channel.
Send us a textWhere did the semen go? In this week's episode of Taco Bout Fertility Tuesday, Dr. Mark Amols unpacks one of the lesser-discussed causes of male infertility—low semen volume and retrograde ejaculation.From the science of what makes up semen (spoiler: sperm is only about 3% of it!) to the coordinated dance between the sympathetic and parasympathetic nervous systems, you'll learn how the body decides when to open and close the right channels during urination and ejaculation.We break down:What qualifies as “low volume”How retrograde ejaculation happens—and how to spot itConditions like diabetes, surgeries, and medications that can cause itDiagnostic tools including post-ejaculatory urinalysisTreatment options including Sudafed, sperm retrieval, and IVF/ICSIOther causes of low volume like ejaculatory duct obstruction and congenital absence of the vas deferensWhether you're a patient, partner, or just curious about how sperm can get lost in transit, this episode is full of insight, clarity, and of course—compassion and tacos.Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform. Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com. Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com. Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.
Often misunderstood as end-of-life care, palliative care is actually about improving quality of life at any stage of serious illness. In this episode of BackTable Urology, Dr. Ashwin Kotwal, a geriatrician and palliative care physician at UCSF, and Dr. Pauline Filippou, a urologic oncologist at Kaiser Permanente in Northern California join hosts Dr. Gina Badalato and Dr. Lindsay Hampson to discuss the importance of palliative care in the field of urology. --- SYNPOSIS The episode covers how palliative care can improve quality of life for patients with serious illnesses, the challenges and opportunities of integrating palliative care into urology practice, and specific training resources and frameworks for effective communication and symptom management. From addressing common misconceptions to providing practical advice on implementing palliative care, this episode is an essential guide for trainees and urology professionals looking to deepen their understanding of palliative care and enhance their practice. --- TIMESTAMPS 00:00 - Introduction03:04 - Understanding Palliative Care04:43 - Misconceptions and Communication Strategies07:45 - Integrating Palliative Care in Urology10:26 - Collaborative Approaches and Multidisciplinary Teams15:48 - Training and Education for Trainees20:25 - Effective Communication Techniques28:18 - Impact of Palliative Care34:33 - Final Thoughts and Takeaways --- RESOURCES Center to Advance Palliative Care website:https://www.capc.org/ AUA White Paper: https://www.auanet.org/documents/guidelines/white%20papers/postoperative.pdf VitalTalk:https://www.vitaltalk.org/ Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters: https://link.springer.com/article/10.1007/s11606-018-4540-5 Family Meetings on Behalf of Patients with Serious Illness: https://www.nejm.org/doi/full/10.1056/NEJMvcm1913056
In this episode of the Dr. Geo Prostate Podcast, Dr. Geo welcomes Dr. Mohit Khera, a globally recognized leader in men's health, Professor of Urology and Director of the Executive Health Program at Baylor College of Medicine. With over 160 peer-reviewed publications and decades of clinical experience in testosterone therapy, male infertility, and prostate health, Dr. Khera shares cutting-edge insights on testosterone replacement therapy (TRT), including the rise of oral testosterone like Kyzatrex, and the evolving understanding of testosterone's relationship to prostate cancer.Whether you're considering TRT, recovering from prostate cancer, or supporting a loved one's health journey, this conversation brings clarity to one of men's most pressing health topics.What You'll Learn:The 4 C's framework to determine the best TRT option:Cost, Compliance, Convenience, ConcentrationWhy oral testosterone (Kyzatrex, Tlando, Jatenzo) is gaining traction—and what makes them differentHow Kyzatrex may help preserve fertility by reducing gonadotropin suppressionWhat the TRAVERSE trial revealed about TRT and cardiovascular safetyWhy low testosterone may be linked to more aggressive prostate cancerWhat the latest science says about BAT (Bipolar Androgen Therapy) for advanced prostate cancerThe truth about testosterone's impact on BPH and urinary symptomsWhy total testosterone isn't enough—labs like SHBG, DHT, estradiol, and free testosterone matterKey Insights:TRT doesn't cause prostate cancer — and may even have protective effects in some men.Testosterone is the best barometer of male health—predicting cardiovascular risk, mood, bone density, and more.BAT (Bipolar Androgen Therapy) is showing promise in treating advanced prostate cancer in specific scenarios.Avoid unnecessary aromatase inhibitors and DHT blockers unless clinically indicated.
Send us a textPerinatal Urinary Tract Dilation: Recommendations on Pre-/Postnatal Imaging, Prophylactic Antibiotics, and Follow-up: Clinical Report.Anthony Herndon CD, Otero HJ, Hains D, Sweeney RM, Lockwood GM; Section on Urology; Section on Nephrology; Section on Radiology; Section on Hospital Medicine.Pediatrics. 2025 Jul 1;156(1):e2025071814. doi: 10.1542/peds.2025-071814.PMID: 40518141 Review.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Dr Michael Eisenberg is a professor of Urology at Stanford, a urologic surgeon, and a leading expert in male fertility and reproductive medicine. It's no secret that global population decline is accelerating, but what's driving it? Male fertility might be a major piece of the puzzle. So why are so many men struggling with infertility and low testosterone, and what can be done to reverse it? Expect to learn why global sperm counts have declined by over 50% in the last 40 years, what the biggest determining factors that influence a man's sperm quality is, what men should do if they want to improve their sperm quality, what the relationship between age and fertility is for men and when fertility starts to drop off, if there is a relationship between sperm quality and there a relationship between alcohol, marijuana, smoking & vaping, what men can do to improve their testosterone, and much more… Sponsors: See me on tour in America: https://chriswilliamson.live See discounts for all the products I use and recommend: https://chriswillx.com/deals Get the brand new Whoop 5.0 at https://join.whoop.com/modernwisdom Sign up for a one-dollar-per-month trial period from Shopify at https://shopify.com/modernwisdom Get a Free Sample Pack of LMNT's most popular Flavours with your first purchase at https://drinklmnt.com/modernwisdom Extra Stuff: Get my free reading list of 100 books to read before you die: https://chriswillx.com/books Try my productivity energy drink Neutonic: https://neutonic.com/modernwisdom Episodes You Might Enjoy: #577 - David Goggins - This Is How To Master Your Life: https://tinyurl.com/43hv6y59 #712 - Dr Jordan Peterson - How To Destroy Your Negative Beliefs: https://tinyurl.com/2rtz7avf #700 - Dr Andrew Huberman - The Secret Tools To Hack Your Brain: https://tinyurl.com/3ccn5vkp - Get In Touch: Instagram: https://www.instagram.com/chriswillx Twitter: https://www.twitter.com/chriswillx YouTube: https://www.youtube.com/modernwisdompodcast Email: https://chriswillx.com/contact - Learn more about your ad choices. Visit megaphone.fm/adchoices
EAU edu platform UROLUTS associate editor Dr. Manuela Tutolo talks to guidelines panel members Prof. Chris Harding and Prof. Salvador Arlandis on the 2025 updates on EAU Guidelines for female LUTS. This expert discussion took place during EAU25 in Madrid, Spain.For more updates on functional urology, please visit our educational platform UROLUTS.For more EAU podcasts, please go to your favourite podcast app and subscribe to our podcast channel for regular updates: Apple Podcasts, Spotify, EAU YouTube channel.
In this candid conversation, Dr. Fenwa Milhouse board-certified urologist and fellowship-trained specialist in female pelvic medicine joins me to talk about conditions that affect so many of our patients but are often dismissed or misunderstood. She also happens to be my urologist, so I know firsthand the impact of her work.We discuss her journey into urology, the importance of representation in medicine, and her focus on female pelvic health from prolapse and incontinence to the surgical and non-surgical treatments that can dramatically improve quality of life.From mid urethral slings to bulking agents like Bulkamid, Dr. Milhouse breaks down the options for restoring bladder control and day to day comfort. We also explore how pelvic floor dysfunction can affect self-image and sexual wellbeing and why informed consent must include conversations about pleasure, not just pathology.Highlights:Representation in Urology: Dr. Milhouse shares how meeting a Black woman urologist shaped her path into a field traditionally dominated by older white men and how that representation continues to matter.Prolapse Realities: From “it felt like I had a scrotum” to “an egg between my legs,” Dr. Milhouse describes how patients experience pelvic organ prolapse and what options exist to restore both anatomy and confidence.Incontinence Treatments Explained: A breakdown of surgical and non-surgical options—like mid urethral slings and Bulkamid and how patient goals and downtime factor into decision making.Preserving Sexual Function: Why asking about cervical orgasms matters, and how uterine sparing procedures can protect sexual wellbeing during prolapse repair.Medical Bias and Advocacy: A frank discussion about racism, bias, and the emotional toll that clinicians of color face—both from patients and within the healthcare system.If you found this episode helpful, please subscribe, rate, and leave a comment. Your support helps us reach more people who deserve real, respectful conversations about their health.Connect with Dr. MilhouseWebsiteInstagramYoutubeConnect with Dr. Rahman:Website Instagram Youtube
Developed by the Society of Academic Urologists in partnership with the American Urological Association, the SAU/AUA Urology Match Insider series provides medical students interested in the field of urology an inside look into the Urology Residency Match process. In this episode, medical student Avani Desai, sits down with Dr. Kathleen Kieran and Dr. Costas Lallas to discuss putting together your match application, including crafting your personal statement, securing letters of recommendation and how to make yourself stand out.
Is your patient's sexual dysfunction an early indicator of serious cardiovascular disease? In this episode of BackTable Urology, Dr. Amy Pearlman teams up with preventative cardiologist Dr. Dapo Iluyomade to discuss the relationship between erectile dysfunction (ED) and cardiovascular disease, and the holistic approach needed to prevent both of these chronic conditions from worsening. --- SYNPOSIS Dr. Iluyomade shares his preventive cardiology workup, the significance of lipid panels, and advanced diagnostics. They also explore the effects of common cardiovascular medications like beta blockers on sexual health and address common concerns related to testosterone and hormone therapies in both men and women. The conversation underscores the importance of interdisciplinary collaboration between urology and cardiology for optimal outcomes in patients with sexual dysfunction. --- TIMESTAMPS 00:00 - Introduction01:52 - The Intersection of Cardiology and Urology03:43 - Understanding Preventive Cardiology07:56 - Patient Risk Stratification and Workup16:35 - Cardiovascular Health in Women20:07 - Testosterone Therapy and Cardiovascular Risk26:39 - Hormone Replacement Therapy in Men and Women36:09 - Beta Blockers and Sexual Dysfunction42:36 - Diuretics and Sexual Health48:57 - A Message to Urologists from a Cardiologist --- RESOURCESTRAVERSE Trial Results: https://www.nejm.org/doi/full/10.1056/NEJMoa2215025
Approximately 40% of men older than 50 have urinary frequency or urgency that affects their quality of life. Author John T. Wei, MD, MS, of the University of Michigan Department of Urology and JAMA Deputy Editor Mary M. McDermott, MD, discuss diagnosis and management of these symptoms in older men. Related Content: Lower Urinary Tract Symptoms in Men
In this episode on "Identifying high-risk stone formers: How can we improve early diagnosis and referral?" Prof. Bhaskar Somani (GB) is joined by Prof. Pietro Manuel Ferraro (IT) and Prof. Esteban Emiliani (ES) to discuss timely and effective strategies for recognising patients with increased risk of kidney stone recurrence and complications.The episode opens with the speakers sharing their clinical backgrounds - Prof. Ferraro as a nephrologist and Prof. Emiliani as an endourologist - laying the foundation for a multidisciplinary exchange. They reflect on challenges currently faced in clinical practice, including the delayed identification of patients who are predisposed to rapid stone formation, complex surgical pathways, or long-term renal complications.Prof. Somani introduces the concept of the SMART Stone MDT and its potential to streamline patient care by enabling earlier recognition and appropriate referral. The discussion highlights the benefits of a structured, team-based model that incorporates both surgical and nephrology perspectives, aiming to reduce complications and improve outcomes.Practical examples and real-world insights are shared throughout the episode, illustrating how MDTs can be integrated into everyday workflows. The conversation underlines the importance of collaboration, early intervention, and tailored patient pathways for high-risk stone formers, including those with primary hyperoxaluria or a solitary kidney.This episode offers valuable takeaways for clinicians seeking to improve kidney stone care through early diagnosis and coordinated referral pathways.AcknowledgmentMedical writing support was provided by Health Unlimited with unrestricted funding from Novo Nordisk, with no involvement in the programme or speaker selection.For more EAU podcasts, please go to your favourite podcast app and subscribe to our podcast channel for regular updates: Apple Podcasts, Spotify, EAU YouTube channel.
July 11, 2025 In this special episode, Dr. Peter Bretan—president of the AACU—joins Scott, Mark, and Ray to share his journey from transplant surgeon to national urology advocate. He highlights the power of grassroots advocacy, the importance of local engagement, and AACU's evolving mission to support all urology professionals.PRS Coding and Reimbursement HubAccess the Hub Free Kidney Stone Coding CalculatorDownload NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and AdminsPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/
Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, the docs welcome special guest Dr. Sam Ohlander, a reproductive urologist and the Head of Urology at the Fertility Centers of Illinois, University of Illinois at Chicago. Together, they take a deep dive into one of the most common and foundational tests in male fertility: the semen analysis.Dr. Ohlander explains why timing is everything—specifically, the importance of an abstinence period of 2 to 5 days before testing. More is not better here; longer abstinence can negatively affect sperm motility. The team unpacks the meaning of sperm motility, including the distinction between progressive and non-progressive motility and how this can influence the total motile sperm count. They also discuss agglutination (clumping of sperm) and why it may not be as clinically relevant as once thought. Finally, they tackle the often misunderstood topic of morphology. Even when sperm shape is abnormal, this doesn't necessarily indicate issues with DNA integrity or a poor overall count. You won't want to miss this episode sponsored by ReceptivaDx.
Dr. Fenwa Milhouse is a board-certified, fellowship-trained urologist and specialist in Female Pelvic Medicine and Reconstructive Surgery (also known as Urogynecology). Originally born in Nigeria, her family immigrated to the US when she was a young child. She grew up in Texas and ended up at the University of Texas at Houston for medical school. It was there she discovered Urology for the first time and found her niche. She trained at the University of Chicago for Urology residency. Thereafter, she completed her fellowship in female pelvic medicine and reconstructive surgery.Dr. Milhouse is a distinguished recipient of the 2023 Healthcare Impact Award by Top Docs. Additionally, she was named Top Urologist in Chicago in 2023 by Women in Medicine. She currently works in Chicagoland as a pelvic floor surgeon and sexual medicine specialist. She was recently appointed to the board of the Chicago Urological Society. She is a wife and motherof 3. She is passionate about introducing the public to the world of urology. She uses social media to destigmatize pelvic floor & sexual conditions, as well as demonstrate the importance of representation in Urology. How can I cope with sexual pain? How to cope with hormonal fluctuations? What does testosterone and estrogen do to your health? What are the tools to cope with daily sexual health issues? How can challenge sexual taboos? How to have better sex? Best ways to get treatment for sexual health issues. How to Cope with High Functioning Depression.Follow Dr. Fenwa Milhouse MD Dr. Milhouse Instagram https://yourfavoriteurologist.com/ Dr. Milhouse Website https://www.instagram.com/drmilhouse/?hl=en Dr. Milhouse Youtube https://www.youtube.com/channel/UCWEyLre9xoD6Ltxaw-97p-A Follow Dr. Judith:Instagram: https://instagram.com/drjudithjoseph TikTok: https://www.tiktok.com/@drjudithjoseph Facebook: https://www.facebook.com/drjudithjoseph Website: https://www.drjudithjoseph.com/Sign up for my newsletter here: https://www.drjudithjoseph.com/newsletter-sign-upDisclaimer: You may want to consider your individual mental health needs with a licensed medical professional. This page is not medical advice.
What is the true price of glory? For 13 seasons, 2x NFL All-Pro Brad Hopkins lived a life most men only dream of. But what happens when you're moving 100mph towards the inevitable "career cliff"? What comes after the cheering stops and your identity vanishes overnight? In this powerful and revealing episode of Balls Deep, host and urologist Dr. Joe Pazona sits down with Brad Hopkins for a raw conversation about the subject most high-achieving men are terrified to face: the death of your career identity and the fight to reinvent yourself from the ground up. This isn't just a football story; it's a playbook for any man navigating a major life transition. Brad shares his incredible journey from a 340-pound offensive lineman to a lean, thriving entrepreneur, detailing the physical and mental battles he had to win off the field. He provides a masterclass in resilience, health optimization, and building a new life when the game is over. ▶️ IN THIS EPISODE, YOU WILL LEARN: The "Career Cliff": The brutal reality of transitioning from the NFL and overcoming the "identity death" that follows. The Health Transformation: How Brad strategically dropped over 60 pounds to reclaim his long-term health and escape the physical toll of pro sports. Mental Health Playbook: Actionable strategies for building resilience, finding a new purpose, and battling the mental demons that come with change. Building a New Empire: The power of humility, networking, and the mindset required to succeed as an entrepreneur after a high-profile career. The 3 B's of Male Performance: Frank advice for optimizing your health and performance in the Bedroom, Bathroom, and Boardroom. This conversation is packed with humor, vulnerability, and practical wisdom. If you've ever felt stuck, faced a career change, or want to optimize your own health for the long haul, this episode is a must-watch. #BradHopkins #LifeAfterNFL #CareerChange #IdentityCrisis #TennesseeTitans #NFLStories
Developed by the Medical Student Membership Workgroup, the Urology Spotlight Series educates medical students about a particular subspecialty within urology, including common cases and procedures. In this episode, Nana Frimpong, medical student at Drexel University College of Medicine, is joined by Dr. Jessica Mandeville, Assistant Professor of Urology at Tufts University and Director of Endourology at Lahey Hospital Medical Center, for a discussion on the field of Endourology.
Carbon Emissions in Medicine In this series, the host Catherine Glass welcomes Stacy Loeb, a renowned urologist and lifestyle medicine advocate, to explore the growing impact of environmental factors on men's health. From the risks of microplastics and the benefits of plant-based diets to the carbon cost of prostate procedures, these conversations challenge conventional clinical perspectives and offer practical, planet-conscious solutions for modern urology. Timestamps: 0:30 – The carbon footprint of patient travel 2:05 – How climate change affects urological health 5:46 – Practical advice for urologists 7:53 – MRI-targeted prostate biopsies 10:40 – Emissions associated with MRI procedures
Plant-Based Diets In this series, the host Catherine Glass welcomes Stacy Loeb, a renowned urologist and lifestyle medicine advocate, to explore the growing impact of environmental factors on men's health. From the risks of microplastics and the benefits of plant-based diets to the carbon cost of prostate procedures, these conversations challenge conventional clinical perspectives and offer practical, planet-conscious solutions for modern urology. 0:19 – The connection between diet and health 4:05 – Organic versus non-organic: does it matter? 4:56 – Plant-based diets and improved erectile function 7:19 – Stigma and undertreatment in men's health 9:14 – Research from the Prostate Cancer Foundation 11:57 – The growing role of lifestyle medicine 14:49 – Glucagon-like peptide-1 (GLP-1) agonists in urological health
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Kgomotso converses with Dr Kabo Ijane, Africa's First Black Robotic Surgeon at The Urology Hospital, Pretoria, about Urology Hospital’s Prostate Cancer Awareness Month by offering free PSA (Prostate Specific Antigen) tests to encourage early detection and raise awareness about prostate cancer among men. The Aubrey Masango Show is presented by late night radio broadcaster Aubrey Masango. Aubrey hosts in-depth interviews on controversial political issues and chats to experts offering life advice and guidance in areas of psychology, personal finance and more. All Aubrey’s interviews are podcasted for you to catch-up and listen. Thank you for listening to this podcast from The Aubrey Masango Show. Listen live on weekdays between 20:00 and 24:00 (SA Time) to The Aubrey Masango Show broadcast on 702 https://buff.ly/gk3y0Kj and on CapeTalk between 20:00 and 21:00 (SA Time) https://buff.ly/NnFM3Nk Find out more about the show here https://buff.ly/lzyKCv0 and get all the catch-up podcasts https://buff.ly/rT6znsn Subscribe to the 702 and CapeTalk Daily and Weekly Newsletters https://buff.ly/v5mfet Follow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567See omnystudio.com/listener for privacy information.
In this series, the host Catherine Glass welcomes Stacy Loeb, a renowned urologist and lifestyle medicine advocate, to explore the growing impact of environmental factors on men's health. From the risks of microplastics and the benefits of plant-based diets to the carbon cost of prostate procedures, these conversations challenge conventional clinical perspectives and offer practical, planet-conscious solutions for modern urology.
Microplastics In this series, the host Catherine Glass welcomes Stacy Loeb, a renowned urologist and lifestyle medicine advocate, to explore the growing impact of environmental factors on men's health. From the risks of microplastics and the benefits of plant-based diets to the carbon cost of prostate procedures, these conversations challenge conventional clinical perspectives and offer practical, planet-conscious solutions for modern urology. Timestamps: 1:01 – Getting into urology 1:52 – Pioneering environmental health in urology 2:28 – Patient perspectives on plastic exposure 4:25 – Microplastics in testicular tissue 7:06 – Plastics are everywhere 9:30 – Immune response to microplastics 10:20 – Microplastics in female genitalia and sanitary product
Global medical missions bring unique challenges and powerful rewards—something Dr. Spencer Hiller and Dr. Kenneth Peters know firsthand. In this episode of BackTable Urology, they join host Dr. Jose Silva to reflect on their work in global health, focusing on their surgical missions to Zambia to treat complex urologic conditions, including vesicovaginal fistula, and a variety of general urologic cases. --- SYNPOSIS The discussion covers the origins and evolution of their missions, the preparation required for high-volume surgical trips, and the clinical impact on both patients and participating healthcare providers. Dr. Peters and Dr. Hiller detail the logistical and financial hurdles involved, the emphasis on sustainable care models, and their strategies for fundraising. They also emphasize the value of cultural immersion and the long-term goal of establishing educational and medical infrastructure within the communities they serve. --- TIMESTAMPS 00:00 - Introduction 01:23 - The Mission to Africa: How It All Began02:32 - Challenges and Logistics of Medical Missions06:02 - Resident Involvement and Impact09:10 - Preparation and Experiences in Africa11:38 - Overcoming Obstacles: Supplies and Customs19:18 - Types of Procedures and Medical Work in Africa21:45 - Upgrading Equipment and Training Local Staff28:28 - Daily Operations and Patient Management31:00 - Post-Trip Activities and Community Engagement34:26 - Funding and Sustainability Efforts40:31 - Personal Reflections and Future Plans
In this episode of AUA Inside Tract, join fellow Dr. Andrew Lai and newly minted attending Dr. Rabun Jones as they reflect on life after residency, tackling imposter syndrome and the challenges of stepping into new roles. They also share personal perspectives on LGBTQ+ representation and the evolving culture of acceptance in medicine.
Developed by the Society of Academic Urologists in partnership with the American Urological Association, the SAU/AUA Urology Match Insider series provides medical students interested in the field of urology an inside look into the Urology Residency Match process. In part 1 of this episode, medical student, Vivian Wang, sits down with Dr. Gina Badalato and Dr. Erica Traxel to discuss what students need to know about the Match, including timeline, dos and don'ts for applicants and what to expect during the process.
Joining us on Well Said is Dr. Adam Cole, board certified urologist, Assistant Professor of Urology, and the Associate Residency Program Director at the Zucker School of Medicine to talk about the hidden reasons why you might be rushing to the bathroom more often, feeling like you still have to go, even after you’ve just […]
Non-muscle invasive bladder cancer is common, recurrent, and often misunderstood. Urologist Jed Ferguson, M.D., and urologic oncologist Chaz Peyton, M.D., explain how it differs from muscle invasive disease, why recurrence increases the risk of progression, and the complex factors that determine treatment sequencing. Learn about UAB's clinical trials and emerging therapies that aim to preserve the bladder without compromising care.
This week, we present an inspiring episode for anyone interested in the history, present, and future of prostate cancer care. In this Legends in Urology installment of the BackTable Urology Podcast, Dr. Gerald Andriole joins guest host Dr. Niraj Badhiwala to reflect on a career that has left a lasting impact on the field. --- SYNPOSIS Dr. Andriole shares personal stories from his upbringing in Northeastern Pennsylvania and his journey into medicine. He reflects on his expedited education through Penn State and Jefferson Medical College and his path to urology. He discusses his pivotal work in prostate cancer screening, including the influence of major trials like The Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial, and traces the evolution of surgical and diagnostic techniques. The conversation also touches on current innovations and the future of prostate cancer management, offering valuable advice for the next generation of urologists. --- TIMESTAMPS 00:00 - Introduction01:59 - From Childhood to Medical School06:48 - Discovering Urology16:52 - Pioneering Prostate Cancer Screening24:07 - The PLCO Study: Design and Challenges28:57 - Controversies and Criticisms in Prostate Cancer Screening33:29 - Evolving Practices in Prostate Cancer Management44:19 - Future of Prostate Cancer Treatment
Dr. Diana Londoño is a bilingual, board-certified urologist based in Los Angeles, specializing in comprehensive urologic care for men and women. She is one of the few Latinx female urologists in the United States—representing just 0.5% of the field—and is a passionate advocate for diversity in medicine and health equity. Dr. Londoño earned her medical degree from the David Geffen School of Medicine at UCLA and completed her urology residency at Kaiser Permanente Los Angeles after earning dual degrees in Spanish and Biology at Claremont McKenna College.Her clinical expertise includes prostate health, urinary incontinence, recurrent UTIs, erectile dysfunction, menopause-related urologic issues, and kidney stone prevention. She takes a holistic, patient-centered approach, empowering individuals through clear communication, education, and shared decision-making. Fluent in Spanish, she provides culturally sensitive care to a diverse patient population in Southern California.A recognized leader in physician wellness and mentoring, Dr. Londoño received the 2022 Physician Leadership Award for her work supporting physician mental health and work-life balance. She continues to mentor aspiring Latinx and female doctors while delivering expert care across the full spectrum of urinary and reproductive health.
What if prostate cancer could be treated without surgery or full-gland radiation?In this episode of the Dr. Geo Prostate Podcast, Dr. Geo is joined by Dr. Aaron Katz, Chairman of Urology at NYU Long Island, a pioneer in prostate cryotherapy and integrative urology.With over 130 peer-reviewed publications and two books on prostate health, Dr. Katz has helped redefine prostate cancer treatment through focal cryotherapy—a minimally invasive technique that targets only the tumor, preserving sexual and urinary function.Together, they explore:The difference between whole-gland and focal cryotherapyHow imaging (like MRI and fusion biopsy) guides precision treatmentWho is an ideal candidate—and who is notWhy cryotherapy is gaining attention as a frontline optionWhat men should know after President Biden's prostate cancer diagnosisA holistic, patient-centered view of long-term prostate healthWhether you're newly diagnosed or exploring treatment alternatives, this episode will give you clarity, confidence, and options._________________________ Thank you to our June 2025 Sponsor LynxDx.Discover MyProstateScore 2.0 (MPS2), the next-generation urine test that helps you understand your prostate cancer risk. MPS2 analyzes a powerful panel of 18 biomarkers to deliver a personalized risk score, helping you and your doctor decide if further testing or a biopsy is right for you. MPS2 brings clarity and convenience to your prostate cancer screening journey with easy at-home or in-office collection. Visit lynxdx.com to learn more
Hey girl,In this episode, I sit down with Dr. Fenwa Milhouse for an open and honest discussion about women's health — covering everything from vaginas and vulvas to the realities of menopause. We break down common myths, talk about how these natural stages impact relationships and intimacy, and share empowering insights for women navigating these transitions with confidence and self-love.BIODr. Fenwa Milhouse is a board-certified urologist and fellowship-trained sub-specialist in female pelvic medicine and reconstructive surgery. She previously worked for the largest private practice in the state of Illinois as the leading pelvic floor surgeon. She is currently the co-founder and co-owner of Down There Urology in Chicago - a specialized urology clinic focused on sexual dysfunction, pelvic floor conditions, hormone therapy, and cosmetic genital enhancement in men and women.Dr. Milhouse enjoys using social media to destigmatize pelvic floor & sexual conditions, as well as demonstrate the importance of representation in Urology. Known by the world as "Your Favorite Urologist”, she has been featured on several media outlets including Yahoo, Forbes Health, GQ, HuffPost, Essence Magazine, CNN, and Insider to name a few. In 2023, Dr. Milhouse became the star of TLC network's Dr. Down Below!Resources Mentioned in This Episode:IG: @drmilhouseYouTube @downthereurologyFacebook: @drmilhouse Subscribe & Review: If you enjoyed this episode, please subscribe and leave us a review. Your feedback helps us continue to bring you the best dating advice and resources.Follow Us:Whenever You Are ReadyHere are 3 ways I can help you:Book A Call With Me - I've been getting A LOT of DM and email requests for to chat with me and answer specific questions about love, dating, relationships, and men so I'm opening back up my limited calendar for a few calls. So book a time with me here!Join the Get Your Guy Club- Wanna have Dating Support for a year to help you get your guy but at your own pace. You can get access to my 2 weekly group calls, my private Facebook group, Monthly 1on1 calls, and my online course with 40+ hours of content for just monthly payments of $300…Check Out the Get Your Guy Coaching Podcast- With more than 100 episodes, you can binge and learn so much with my podcast. The latest episode is all about the safety is an illusion, check it out here.Sincerely,Coach AnwarBook a Consult to Work with MeJoin my Get Your Guy ClubBuy My Dating Strategy CourseCheck out My Latest Podcast EpisodeSend us a textThank You: A big thank you to all our amazing listeners for tuning in! We appreciate your support and can't wait to have you join us for the next episode!
The United States and the UK have reached a trade deal that gives the American agriculture industry far greater access to the UK markets. President Trump called the new agreement "historic," pledging it will reduce the non-tariff barriers that unfairly discriminate against American products by ensuring American farmers and ranchers can sell their goods to global markets. First, Agriculture Department Secretary Brooke Rollins joins the Rundown to discuss the expansion of U.S. farm products into the UK and what the President teased as "billions of dollars of export opportunities produced by America's great farmers." Later, farmer and author of "Land Rich, Cash Poor," Brian Reisinger, joins to discuss how the deal delivers relief to U.S. farmers after the squeeze of tariffs. Over the weekend, news broke that former President Joe Biden has been diagnosed with stage 4 prostate cancer. Prostate cancer is the most common cancer among adult men in the United States and is the second leading cause of cancer-related deaths. Dr. Randall Lee, Assistant Professor in the Department of Urology at the FOX Chase Cancer Center at Temple Health, joins to discuss the former President's diagnosis and offers insights on how to detect and treat prostate cancer. Plus, commentary from FOX News Digital columnist David Marcus. Photo Credit: Matt Griggs Learn more about your ad choices. Visit podcastchoices.com/adchoices