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If Part 1 was about the field of sexual medicine, Part 2 is about the marriage at the center of it. Dr. Jenni Skyler and Daniel Lebowitz return to their conversation with Dr. Irwin and Sue Goldstein, and this time, the questions get more personal. How do you stay married for fifty years? What does great sex actually look like across the decades? And what happens when a woman who has spent her career in sexual medicine starts experiencing low desire herself? Sue Goldstein opens up about her own journey through peri-menopause and the slow erosion of her libido- what she calls "duty sex", and the medications that brought not just her sex drive back, but a playfulness in her marriage she hadn't realized had gone missing. She walks listeners through her menopause toolbox of five treatments, explains why she's "76 and feels like she's in her 50s", and dismantles the lingering fears from the Women's Health Initiative that have kept generations of women in what she calls hormone prison. Dr. Irwin shares his own daily protocols for sexual health, why he believes most older men are leaving capacity on the table, and the surprising data from their own clinic- that more than half the Vyleesi prescriptions they write are off-label for men. They explore why dopamine is dopamine, regardless of gender. The reality of persistent genital arousal disorder. And a remarkable story of a teenage horseback rider whose chronic arousal turned out to be a herniated disc. This episode is full of practical wisdom, clinical innovation, and one of the most real conversations about long-term love you'll hear all year. The Goldsteins' secret to fifty years of marriage? Best friends, good sex, and the willingness to keep trying new things — including a chocolate sauce on the day before you change the sheets. Irwin Goldstein, MD, IF (he/him/his). Director, San Diego Sexual Medicine 5555 Reservoir Drive, Suite 300, San Diego, CA 92120, Director, Sexual Medicine, UC San Diego Health East Campus, San Diego, CA. Clinical Professor of Urology, University of California at San Diego. Voluntary Clinical Professor of Obstetrics, Gynecology and Reproductive Services Past President, International Society for the Study of Women’s Sexual Health. Past President, Sexual Medicine Society of North America. Editor Emeritus, Sexual Medicine Reviews, The Journal of Sexual Medicine, International Journal of Impotence Research. Phone: 619 265-8865 - Mobile: 619 987-7432. Email: dr.irwingoldstein@gmail.com. http://www.sandiegosexualmedicine.com. Like us on Facebook: https://www.facebook.com/SDSexMed. X: http://twitter.com/SDSexualMedSee omnystudio.com/listener for privacy information.
The Ultimate Quest by Dr. Antonio Mataban is an epic historical fiction that spans five generations, beginning at the tail end of the Spanish colonial era in the Philippines. Dr. Mataban's narrative sweeps through time, immersing readers in the lives of characters whose personal journeys intertwine with the shifting tides of history, offering a rich tapestry of culture, struggle, and triumph.Set against the backdrop of a nation in transition, the novel masterfully captures the intricacies of Filipino identity, societal change, and the impact of historical events. From the waning days of Spanish rule to the complex, post-colonial era, Dr. Mataban deftly explores the personal and political conflicts that shaped the Philippines' evolution. His portrayal of the era is vivid, grounding the characters' experiences in real historical events, yet the author also crafts a compelling fictional narrative that keeps readers invested in the human side of history.The book's structure, spanning five generations, provides a panoramic view of the impact of time on individuals and families. Each character is deeply developed, their lives shaped not only by their personal desires but also by the political and social forces at play. This generational scope allows Dr. Mataban to explore the long-term effects of colonialism, revolution, and independence, showing how history is passed down through families and how the scars of the past continue to influence the future.One of the standout aspects of The Ultimate Quest is Dr. Mataban's ability to blend historical facts with compelling storytelling. The attention to historical detail is impressive, and the author's research shines through, adding depth to the plot without overwhelming the reader with unnecessary exposition. The book doesn't just recount events; it brings them to life, placing readers right in the middle of the action, whether it's a struggle for independence or a personal confrontation with the legacy of colonialism.While the historical context is rich and vital, the real strength of The Ultimate Quest lies in its characters. The author's skillful development of multi-generational storylines offers a nuanced understanding of how deeply the past shapes the future. Dr. Antonio AB Mataban, was Philippine born and had witnessed the events of World War II as he grew up in the farming area. After graduating from the University of Santo Tomas in Manila, he briefly practiced in the Island before migrating to the United States for further training in Urology. He soon practiced his art in Long Island, New York and after four years joined the Air Force from which he retired after 21 years, a colonel, as Urologist and Flight Surgeon. He further served our veterans for another 14 years before retiring with his family in California with his wife, Lourdes-Patria, of 63 years. Their three boys were all veterans and have independent professional responsibilities. One grand child is a pianist and is serving as a Musical Director in the suburbs of Long Island New York.AMAZONhttps://inkstartmedia.com/http://www.bluefunkbroadcasting.com/root/twia/51426abmis.mp3
Dr. Irwin Goldstein didn't set out to become a pioneer of sexual medicine. He was a biomedical engineer turned urology resident who, as he tells it, asked one stupid question during a 1976 surgery: "Could you explain the physiology of erection to me?" The surgeon shrugged. Irwin spent the next decade figuring it out. Along the way, he co-discovered that nitric oxide, the elephant of our air, is what makes erections possible. He published the first paper on it in 1991. Seven years later, he became the first author on the New England Journal of Medicine paper that introduced Viagra to the world. But that's only half the story. The other half is Sue Goldstein, Irwin's college sweetheart turned partner in life, parenting, and eventually the practice itself. Sue spent decades raising their family while quietly absorbing the science her husband brought home. She is now an AASECT-certified educator, a published researcher, and one of the most outspoken patient advocates in the field. Together, they run San Diego Sexual Medicine, a clinic where every patient gets a three-hour visit, full education, and an entire team practicing what they call true bio-psycho social care. In this first half of our two-part conversation, Dr. Jenni Skyler and Daniel Lebowitz sit with the Goldsteins and explore how a field gets built, and how it still leaves so many patients behind. They cover prostate cancer and the silent erectile crisis that follows it. The buccal grafting innovation that's helping women with severe vestibular pain finally get answers. Why women, on average, see ten or twelve doctors before they get a real diagnosis. And Sue's pet peeve, medical gaslighting and what to do when a doctor says "there's nothing that can be done." This is a conversation for anyone who has ever felt unheard by a clinician, dismissed by their own body, or convinced they were the problem. The Goldsteins want you to know — you're not. You just haven't been to the right office yet. Irwin Goldstein, MD, IF (he/him/his)Director, San Diego Sexual Medicine5555 Reservoir Drive, Suite 300, San Diego, CA 92120Director, Sexual Medicine, UC San Diego Health East Campus, San Diego, CAClinical Professor of Urology, University of California at San DiegoVoluntary Clinical Professor of Obstetrics, Gynecology and Reproductive ServicesPast President, International Society for the Study of Women’s Sexual HealthPast President, Sexual Medicine Society of North AmericaEditor Emeritus, Sexual Medicine Reviews, The Journal of Sexual Medicine, International Journal of Impotence Researchphone: 619 265-8865fax: 619 265-7696mobile: 619 987-7432dr.irwingoldstein@gmail.comhttp://www.sandiegosexualmedicine.comLike us on Facebook: https://www.facebook.com/SDSexMedtwitter.com/SDSexualMedSee omnystudio.com/listener for privacy information.
In this episode, Stephen B. Williams, MD, MBA, MS, FACS, FACHE, Associate Chief Medical Officer, UTMB Clear Lake, Medical Director for High Value Care, UTMB Health System, Chief, Division of Urology, Professor (Tenured), Urology and Radiology, The Robert Earl Cone Professorship, Director of Urologic Oncology, The University of Texas Medical Branch,discusses physician leadership, operational transformation, and the growing impact of artificial intelligence in healthcare.
Our guests this week are two accomplished sexuality professionals – Ms. Sue Goldstein and Dr. Irwin Goldstein. Ms. Sue Goldstein, a graduate of Brown University, is Sexuality Educator and Clinical Research Manager at San Diego Sexual Medicine (SDSM), responsible for sexual medicine educational programming and clinical research. She works with the SDSM team to develop clinical research projects, write protocols and oversee clinical trials. Ms. Goldstein co-authored When Sex Isn't Good to provide education and empowerment to women with sexual dysfunction. She is an associate editor of Textbook of Female Sexual Function and Dysfunction, and Female Sexual Pain Disorders, and author of multiple peer reviewed papers. Ms. Goldstein is past president of the International Society for the Study of Women's Sexual Health (ISSWSH). She served on committees in the International Society for Sexual Medicine (ISSM) and Sexual Medicine Society of North America (SMSNA). She is also a member of the American Association of Sex Educators, Counselors and Therapists (AASECT), the Association of Clinical Research Professionals (ACRP) and the International Society for Medical Shockwave Therapy. Ms. Goldstein, an ISSWSH Fellow, received the Distinguished Service Award from ISSWSH in 2017 as well as from SMSNA in 2017, and along with her husband, the Transformatory Team Award from ISSM in 2024. Dr. Irwin Goldstein has been involved with sexual dysfunction research since the late 1970s. He has authored more than 380 publications as well as multiple book chapters and edited 7 textbooks in the field. His interests include surgery for dyspareunia, sexual health management post cancer treatment, persistent genital arousal disorder/genital dysesthesia, physiologic investigation of sexual function, and diagnosis and treatment of sexual dysfunction in all genders. Dr. Goldstein is Director of Sexual Medicine at University of California San Diego East Campus, and sees patients in his private practice, San Diego Sexual Medicine. He is a Clinical Professor of Urology and Voluntary Clinical Professor of Obstetrics, Gynecology, & Reproductive Sciences at University of California San Diego. He is past Editor-in-Chief of the International Journal of Impotence Research, The Journal of Sexual Medicine, and Sexual Medicine Reviews. He is Past President of the International Society for the Study of Women's Sexual Health (ISSWSH) and the Sexual Medicine Society of North America (SMSNA). He holds a degree in engineering from Brown University and received his medical degree from McGill University. The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field, in 2012 he received the ISSWSH Award for Distinguished Service in Women's Sexual Health, in 2013 he received the Lifetime Achievement Award from the SMSNA, and in 2014 he received the Lifetime Achievement Award from the International Society for Sexual Medicine (ISSM). He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren. Sue and Irwin Goldstein have been titans in the field of sexology for some time now; they were there on May 14, 1998 when the first article on sildenafil (Viagra) was published with Irwin Goldstein as the first author. Listeners, if you would like to reach out to Ms. Sue Goldstein and/or Dr. Irwin Goldstein, check out the San Diego Sexual Medicine website! If you want to catch up on other shows, just visit our website and please subscribe! We love our listeners and welcome your feedback, so if you love Our Better Half, please give us a 5-star rating and follow us on Facebook and Instagram. It really helps support our show! As always, thanks for listening!
Send us Fan MailIn this episode of Causes or Cures, Dr. Eeks speaks with Dr. Judson Brandeis, a board-certified urologist, sexual medicine specialist, surgeon, author, and founder of BrandeisMD, about erectile dysfunction, sexual wellness, aging, intimacy, and the rapidly growing men's penile enhancement industry.Dr. Brandeis discusses his recent clinical research exploring whether nitric oxide boosting supplements may work synergistically with medications like Viagra to improve erectile function, as well as broader issues surrounding circulation, lifestyle, vascular health, mental health and sexual performance.He also describes 10 things men can do right now to improve their sexual health.The conversation explores:What causes erectile dysfunction (ED) and why it becomes more common with agingThe role blood flow and nitric oxide play in erectionsHow ED can sometimes signal broader cardiovascular, metabolic or psychological issuesThe difference between prescription ED drugs and supplementsSide effects and limitations of Viagra and CialisShockwave therapy and other emerging approaches in sexual medicine “Sexspan” and maintaining sexual health later in life Relationship dynamics, intimacy, and communication Men understanding women's bodies and sexuality after menopause The psychology and emotional impact of erectile dysfunction Concerns surrounding the supplement industry and “male enhancement” products The difference between FDA approved medications and dietary supplementsDr. Brandeis also discusses his “P-Long” protocol, which he describes as a safe and effective way to increase the length, girth and function of a healthy man's penis.Dr. Judson Brandeis is a board-certified urologist, surgeon, medical researcher, author, and physician educator with more than 25 years of experience in urology and men's sexual health. Over his career, he has performed thousands of surgeries, helped pioneer surgical robotics, and served as Chief of Urology at John Muir Hospital and Hill Physicians for over a decade. Dr. Brandeis attended Brown University, earned his MD from Vanderbilt University, received a Howard Hughes research award at Harvard Medical School, and completed his surgery and urology residency at UCLA. In recent years, his work has focused on men's wellness, sexual medicine, erectile function, intimacy, and “sexspan,” with an emphasis on helping men improve quality of life, physical intimacy, and overall health as they age.You can learn more about Dr. Brandeis and his work at:BrandeisMDWork with me? Perhaps we are a good match. Keep Causes or Cures Ad-Free with Listener SupportYou can contact Dr. Eeks at bloomingwellness.com.Follow Eeks on Instagram here.Follow Public Health is WeirdOr Facebook here.On Youtube.Or TikTok.SUBSCRIBE to her Newsletter here! (the bits not posted on socia media)Support the show
What if I told you that after focal therapy, a normal PSA and a clean MRI can still mean prostate cancer is hiding in plain sight?That's the moment in this conversation that makes you stop—and rethink everything you've been told about “success” after focal therapy.In this episode, we're joined by Abhinav Sidana, MD, MPH, Associate Professor of Urology and Director of Prostate Cancer at University of Chicago Medicine, a nationally recognized urologic oncologist, clinical trial leader, and one of the architects shaping the future of focal therapy. Dr. Sidana has trained at AIIMS, Johns Hopkins, NIH, and now leads one of the most rigorous focal therapy programs in the country—backed by over 100 peer-reviewed publications and multiple active clinical trials.This is not a sales pitch for focal therapy. It's a clear-eyed look at what works, what doesn't, and what we still get wrong.In this episode, you'll learn:✅ Why MRI made focal therapy possible—and why it can still miss clinically significant disease✅ How biopsy strategy—fusion, mapping, or transperineal—directly affects recurrence risk✅ Why PSA is an unreliable signal after focal therapy—and what actually predicts failure✅ How short-term ADT may expand focal therapy to larger or higher-risk tumorsIf you're a patient, clinician, or researcher navigating prostate cancer decisions, this episode will fundamentally sharpen how you think about focal therapy—and its limits.00:00 Can MRI and PSA Miss Significant Cancer After Focal Therapy?04:00 Who Is a Good Candidate for Focal Therapy?06:30 Mapping Biopsies vs MRI Fusion Biopsies09:30 Transperineal vs Transrectal Biopsies11:00 What Is IRE (NanoKnife)?14:30 Who Is NOT a Candidate for Focal Therapy?18:00 Vapor Therapy & TULSA Pro23:00 Should Doctors Use Multiple Focal Therapy Technologies?25:30 Can Higher-Risk Prostate Cancer Be Treated with Focal Therapy?34:00 Does the Type of Energy Matter?37:00 Combining ADT with Focal Therapy40:30 How Tumor Size Impacts Eligibility45:30 Why MRI and PSA Are Imperfect After Treatment49:30 What Is PSA Recurrence After Focal Therapy?53:30 The Future of MRI, AI, and Surveillance57:30 Do Patients Need Repeat Biopsies Forever?___________________________________
In Episode 4, “Large language models in urology” of the series “AI in urology: From principles to practice”, Assoc. Prof. Giovanni Cacciamani (US) and Dr. Pieter De Backer (BE) discuss the current and future role of large language models in urology.The conversation explores how large language models tools can assist with clinical documentation, education, research and communication with patients. The speakers discuss the advantages of these systems, including improved efficiency and easier access to information. They also address important limitations, such as the risk of incorrect outputs, bias and the need for human oversight.In addition, the episode highlights the importance of using these tools responsibly and understanding their capabilities and boundaries. Overall, the discussion provides a practical overview of how large language models may influence urological practice in the future.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.
Join Dr. Andrew Harris, chair of AUA's Quality Improvement and Patient Safety Committee, and Dr. Eugene Rhee, AUA's president-elect, as they discuss the importance of joy in work in urology and Dr. Rhee's vision for promoting joy through a new initiative he's calling the Joy in Urology Strategic Framework.
The Ultimate Quest by Dr. Antonio Mataban is an epic historical fiction that spans five generations, beginning at the tail end of the Spanish colonial era in the Philippines. Dr. Mataban's narrative sweeps through time, immersing readers in the lives of characters whose personal journeys intertwine with the shifting tides of history, offering a rich tapestry of culture, struggle, and triumph.Set against the backdrop of a nation in transition, the novel masterfully captures the intricacies of Filipino identity, societal change, and the impact of historical events. From the waning days of Spanish rule to the complex, post-colonial era, Dr. Mataban deftly explores the personal and political conflicts that shaped the Philippines' evolution. His portrayal of the era is vivid, grounding the characters' experiences in real historical events, yet the author also crafts a compelling fictional narrative that keeps readers invested in the human side of history.The book's structure, spanning five generations, provides a panoramic view of the impact of time on individuals and families. Each character is deeply developed, their lives shaped not only by their personal desires but also by the political and social forces at play. This generational scope allows Dr. Mataban to explore the long-term effects of colonialism, revolution, and independence, showing how history is passed down through families and how the scars of the past continue to influence the future.One of the standout aspects of The Ultimate Quest is Dr. Mataban's ability to blend historical facts with compelling storytelling. The attention to historical detail is impressive, and the author's research shines through, adding depth to the plot without overwhelming the reader with unnecessary exposition. The book doesn't just recount events; it brings them to life, placing readers right in the middle of the action, whether it's a struggle for independence or a personal confrontation with the legacy of colonialism.While the historical context is rich and vital, the real strength of The Ultimate Quest lies in its characters. The author's skillful development of multi-generational storylines offers a nuanced understanding of how deeply the past shapes the future. Each generation faces its own unique challenges, but the echoes of the past resonate, highlighting the enduring pursuit of identity, justice, and belonging.Dr. Antonio AB Mataban, was Philippine born and had witnessed the events of World War II as he grew up in the farming area. After graduating from the University of Santo Tomas in Manila, he briefly practiced in the Island before migrating to the United States for further training in Urology. He soon practiced his art in Long Island, New York and after four years joined the Air Force from which he retired after 21 years, a colonel, as Urologist and Flight Surgeon. He further served our veterans for another 14 years before retiring with his family in California with his wife, Lourdes-Patria, of 63 years. Their three boys were all veterans and have independent professional responsibilities. One grand child is a pianist and is serving as a Musical Director in the suburbs of Long Island New York.AMAZONhttps://inkstartmedia.com/http://www.bluefunkbroadcasting.com/root/twia/51426abmis.mp3
What if the most common diagnostic tool in men's health for the last 30 years was actually failing millions of patients?” For decades, the "blind" prostate biopsy was the gold standard a primitive 'hit or miss' approach that often missed aggressive tumors while over-treating harmless ones. But then came the PRECISION trial, a research earthquake that proved we've been doing it wrong.In this episode, we are joined by the architect of that revolution: Professor Veeru Kasivisvanathan. A Professor of Urology at University College London and a consultant at Cleveland Clinic London, Prof. Veeru is the elite surgeon-scientist who convinced a global medical community to stop stabbing in the dark. He led the landmark trials that made MRI the mandatory gatekeeper for prostate cancer, saving countless men from unnecessary invasive procedures. If you've ever wondered why your doctor is ordering an MRI before a needle, or why "contrast dye" might be a thing of the past, this conversation is your roadmap.In this episode, you'll learn:The Precision Paradigm: Why a third of men can safely avoid a biopsy altogether if their MRI is clear.The Prime Trial Breakthrough: Why high-quality "biparametric" scans mean you can likely skip the Gadolinium contrast without losing accuracy.The Focal Therapy Landscape: How "male lumpectomies" using HIFU and Cryotherapy are preserving potency and continence.The Future of "Robotic Nerve-Sparing": How pre-operative mapping is allowing surgeons to operate with a level of visibility once thought impossible.Timestamps:00:00 – Introduction: Is the "Blind" Biopsy Failing Men?01:30 – Meet Prof. Veeru Kasivisvanathan: The Surgeon-Scientist.04:15 – What Inspired the PRECISION Trial?08:45 – The Problem with the 30-Year "Standard of Care."12:20 – MRI as the Gatekeeper: Avoiding Unnecessary Biopsies.15:45 – The UK vs. US Healthcare Systems: Why Cost and Ethics Matter.21:00 – The PRIME Trial: Biparametric vs. Multiparametric MRI.28:30 – Is Gadolinium Contrast "Toxic"? Understanding the Risks.34:15 – MRI Quality Control: Why the Radiologist Matters More Than the Machine.40:30 – Genomic Biomarkers vs. Imaging: Do We Need Both?44:45 – Treatment Paradigms: Focal Therapy (HIFU/Cryo) explained.49:15 – When to Choose a Robotic Prostatectomy Over Focal Therapy.53:00 – How to Find Prof. Veeru and Closing Thoughts.Key Resources Mentioned:Prof. Veeru's Profile: University College London (UCL) & Cleveland Clinic London.The PRECISION Trial: Published in the New England Journal of Medicine.The BURST Research Collaborative: A global network of 30,000+ patients.___________________________________
In Episode 3, “AI policy in urology” of the series “AI in urology: From principles to practice”, Sarah Collen (BE) and Dr. Karl Kowalewski (DE) discuss the critical role of policy and regulation in the development and use of artificial intelligence in urology.The conversation highlights why governance frameworks are essential to ensure patient safety, transparency and accountability. The speakers explore current regulatory challenges and the need for clear guidelines to support the responsible integration of AI into clinical practice. They also address ethical considerations, including data use, bias and trust in AI-driven decision-making.In addition, the discussion considers how policy can both enable innovation and provide necessary safeguards. Overall, the episode offers a clear and practical overview of why policy matters in shaping the future of AI in urology.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.
May 8, 2026In this episode, Scott, Mark, and Dr. Ray Painter discuss the growing wave of innovation in urology and why reimbursement strategy must be part of the conversation from day one. Ahead of the AUA Innovation Nexus meeting in Washington, D.C., the team explores how new technologies move from concept to clinical adoption—and the reimbursement hurdles that can slow that process down. The discussion covers coding, coverage, payer adoption, workflow planning, AI-driven practice tools, and the importance of building a realistic business plan before introducing new technology into a practice. The key takeaway: exciting technology alone is not enough—successful adoption requires clinical value, operational readiness, and a clear reimbursement strategy. PRS Coding and Reimbursement HubAccess the HubBotox LCD AlertDownload the AlertFree In-Office Prostate Biopsy Calculator (Suppoted by UC-Care)Download NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and Admins 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/
Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Petros Grivas, MD, PhD Could emerging biomarkers redefine how we assess response and recurrence risk in muscle-invasive bladder cancer? To find out, Dr. Charles Turck speaks with Dr. Petros Grivas about the key findings from the phase 3 NIAGARA trial. Together, they explore how perioperative durvalumab impacts circulating tumor DNA (ctDNA) clearance and clinical outcomes, including event-free and overall survival. Their conversation also highlights the prognostic value of ctDNA and the potential for urinary tumor DNA to more closely correlate with pathologic complete response. Dr. Grivas is a Professor in the Division of Hematology and Oncology at the University of Washington School of Medicine, as well as the Clinical Research Division at the Fred Hutchinson Cancer Center, where he's also the Medical Director of the International Program and of local and regional outreach.
Investors, what if one of Asia’s biggest ageing-investment opportunities is a healthcare problem few people even talk about? Asia’s ageing population is quietly fueling a surge in demand for urology care - and investors may be underestimating the scale of the opportunity In Money and Me we meet the largest medical device company in Southeast Asia Michelle Martin speaks with Wong Yau Chung, CEO of Temasek-backed Advanced MedTech Holdings, about a possible listing, how the Singapore-grown MedTech is using acquisitions and its strategy to compete globally and a key question. Could urology become one of the next major long-term investment themes tied to ageing demographics?See omnystudio.com/listener for privacy information.
May 5, 2026 ~ Dr. Craig Rogers, Chair, Department of Urology, Henry Ford Health and Stan Finsilver, Prostate cancer survivor discusses Henry Ford Health's “Stand up for Mens Health” event at Mark Ridley's Comedy Castle to raise awareness for prostate cancer. For more info visit https://www.henryford.com/calendar/managing-health/stand-up-for-mens-health Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Dr. Justin Houman is a nationally recognized urologist and Assistant Professor of Urology at Cedars-Sinai Medical Center, specializing in Men's Health, Male Fertility, and Sexual Medicine. As a fellowship-trained expert, he is committed to optimizing men's well-being through state-of-the-art, evidence-based treatments for erectile dysfunction, testosterone optimization, Peyronie's disease, and reproductive health. His patient-first approach integrates cutting-edge medical advancements with holistic lifestyle strategies, ensuring personalized, comprehensive care tailored to each individual. Dr. Houman completed his medical training at Cedars-Sinai Medical Center in Los Angeles before advancing his expertise at UCLA, home to one of the nation's top programs in Male Reproductive Medicine and Surgery. There, he mastered microsurgical and minimally invasive techniques for male infertility, hormone management, and complex urologic conditions. A recognized leader in men's health research, he frequently lectures and publishes on andrology, sexual medicine, and male reproductive health. We discuss topics including: What leads men to see a urologist? How Dr. Houman is proactive with medicine and men's health 40% of men after the age of 40 will have some time of erectile dysfunction Malnutrition and erectile dysfunction Pornography induced erectile dysfunction Dopamine hits and rush from porn SHOW NOTES: www.justinhoumanmd.com www.towerurology.com instagram.com/justin.houman.md ___________________________________ If you have any questions regarding the topics discussed on this podcast, please reach out to Robyn directly via email: rlgrd@askaboutfood.com You can also connect with Robyn on social media by following her on Facebook, Instagram, Twitter, and LinkedIn. If you enjoyed this podcast, please leave a review on iTunes and subscribe. Visit Robyn's private practice website where you can subscribe to her free monthly insight newsletter, and receive your FREE GUIDE "Maximizing Your Time with Those Struggling with an Eating Disorder". Your Recovery Resource, Robyn's new online course for navigating your loved one's eating disorder, is available now! For more information on Robyn's book "The Eating Disorder Trap", please visit the Official "The Eating Disorder Trap" Website. "The Eating Disorder Trap" is also available for purchase on Amazon.
AUA2026: Society of Women in Urology Meeting Host: Mark L. Gonzalgo, MD, PhD, MBA Guest: Amy N. Luckenbaugh, MD, FACS To register for AUA2026, please visit auanet.org/AUA2026/register!
Better Edge : A Northwestern Medicine podcast for physicians
In this episode of Better Edge, Robert Brannigan, MD, president of the American Society for Reproductive Medicine (ASRM), discusses key updates from ASRM's 2026 committee opinion on fertility preservation. Dr. Brannigan outlines what urologists should know about early identification, rapid referral, preservation options across adult and pediatric populations, documentation requirements and barriers to access. The conversation focuses on practical workflow considerations and how urologists can better support patients facing fertility threatening therapies.
In Episode 2, “AI in urology education” of the series “AI in urology: From principles to practice”, Prof. Bhaskar Somani (UK) and Dr. Pieter De Backer (BE) discuss the growing role of artificial intelligence in urological training and education.The conversation focuses on how AI can support busy clinicians by improving efficiency, saving time, and enhancing access to educational resources. The speakers highlight practical applications of AI in daily learning, including content preparation and knowledge acquisition. They also address the importance of understanding AI tools to use them effectively and responsibly in clinical practice.In addition, the discussion touches on the need for adapting training programmes to ensure future urologists are equipped with the necessary AI-related skills. Overall, the episode provides a balanced perspective on the opportunities and challenges of integrating AI into urology education.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.
UK Investor Magazine sits down with Adam Binns, CEO, and Derek Bickerstaff, Chairman, of AIM-listed One Health Group, the independent provider riding the NHS Patient Choice tailwind with 140 consultants across 40 locations.FY26 delivered a 9% revenue beat at £32m, with EBITDA also ahead of consensus. Adam and Derek unpack where the upside came from, why consultations grew 20% while procedures grew 15%, and revenue 13%, and what that case-mix divergence means for the business going forward.We dig into the demand backdrop as NHS waiting lists remain stubbornly high, the early contribution from the Urology specialism launched at the end of FY25, and what's next on the speciality roadmap. Adam and Derek also walk us through the new Scunthorpe hub and whether this signals a wider rollout of the hub model.We also look at why two of One Health's largest commissioners have just shifted from one-year to five-year contracts and what that says about the visibility of future earnings.The podcast ends with what One Health Group investors should be watching over the months ahead. Hosted on Acast. See acast.com/privacy for more information.
Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Guru P. Sonpavde, MD What if molecular relapse in muscle-invasive bladder cancer (MIBC) could be detected early enough to better inform treatment decisions? To find out, Dr. Charles Turck speaks with Dr. Guru Sonpavde to explore new IMvigor011 findings presented at the 2026 ASCO Genitourinary Cancers Symposium. Their discussion highlights how ctDNA monitoring identifies early recurrence risk, captures real-time immunotherapy activity, and positions ctDNA clearance as a powerful prognostic marker. Dr. Sonpavde is the Medical Director of Genitourinary Oncology and the Phase I Clinical Research Unit, and the Christopher K. Glanz Chair for Bladder Cancer Research at the AdventHealth Cancer Institute in Orlando.
In Episode 1, “Explainable AI in urology” of the series “AI in urology: From principles to practice”, Dr. Titus Brinker (DE) and Dr. Karl Kowalewski (DE) discuss the importance of transparency and trust in the use of artificial intelligence in healthcare.The conversation focuses on explainable AI and why it is important for clinicians to understand how algorithms arrive at their recommendations. The speakers explore how AI systems can support clinical decision-making, but also why users need to understand their strengths and limitations. They discuss the importance of being able to interpret AI outputs and communicate them clearly to both clinicians and patients.In addition, the episode highlights how explainability can help improve confidence in AI-supported healthcare. Overall, the discussion provides a practical introduction to one of the key challenges in AI implementation.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.
Dr. Steven Kaplan, founder and director of AUA Innovation Nexus, sits down with Brian Hogan and Britton Garrett to discuss how the AUA Innovation Nexus is driving rapid growth in urologic innovation. From at-home diagnostics to AI and data-driven care, they explore what's transforming the field, what investors value, and key lessons for startup success.
Now this is an interesting one, a new PSMA tracer which appears to greatly outperform 68Ga-PSMA-11 for biochemical recurrence. We discuss 64Cu-SAR-bisPSMA with Professor Louise Emmett (Nuclear Medicine Physician, Sydney), and Dr Matt Roberts (Urologist, Brisbane), which they compared head to head with trusty old 68Ga-PSMA-11 in the Co-PSMA trial, just published in European Urology. With usual hosts Declan Murphy and Renu Eapen. This Themed Podcast is supported by our new Bronze Partners, Clarity Pharmaceuticals Even better on our YouTube channelLinks:Co-PSMA trial in European Urology Clarity Pharmaceuticals website
Dr. Jeanine Cook-Garard learns about Irritable Male Syndrome, where mood swings, low energy, and even a short fuse can be linked to hormonal changes like declining testosterone. We will find out exactly what it is, why it happens, and what you can do about it! My guest today is Dr Justin Houman, Assistant Professor in the Department of Urology at Cedars-Sinai Medical Center in Los Angeles, California.
Find an anchor, like a favorite Bible verse to help you live through your hardships. -------- Thank you for listening! Your support of Joni and Friends helps make this show possible. Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org Find more encouragement on Instagram, TikTok, Facebook, and YouTube.
Dr. Sheryl Kingsberg is the chief of the division of behavioral medicine at MacDonald Women's Hospital/University Hospitals Cleveland Medical Center and Professor in Reproductive Biology, Urology and Psychiatry at Case Western Reserve University. Her areas of clinical specialization include female sexual disorders, menopause, pregnancy and postpartum mood disorders, and psychological aspects of infertility. Dr. Kingsberg's primary research interests are in treatments for female sexual disorders, genitourinary syndrome of menopause (GSM) and reproductive mental health. She is an Associate Editor for Sexual Medicine Reviews and sits on the editorial boards of the journals Menopause and Climacteric. She has over 100 peer-reviewed publications and numerous book chapters and has co-edited a multidisciplinary textbook on treating female sexual disorders. Dr. Kingsberg is a past president of The Menopause Society and The International Society for the Study of Women's Sexual Health. She currently serves as the Advocacy Committee Chair for The Menopause Society. And for full disclosure, Dr. Kingsberg was the principal investigator on the research for Milli, one of our sponsors. If you want to catch up on other shows, just visit our website and please subscribe! We love our listeners and welcome your feedback, so if you love Our Better Half, please give us a 5-star rating and follow us on Facebook and Instagram. It really helps support our show! As always, thanks for listening!
Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Pooja Ghatalia, MD Emerging evidence is redefining bladder preservation strategies in muscle-invasive bladder cancer, with circulating tumor DNA (ctDNA) offering a novel approach to response-adapted care. Joining Dr. Charles Turck to review findings from the phase II RETAIN trials, which highlight how ctDNA clearance correlates with improved metastasis-free survival and informs risk stratification, is Dr. Pooja Ghatalia. She also examines the strengths and limitations of ctDNA, including its prognostic value for systemic recurrence and its inability to reliably detect localized disease. Dr. Ghatalia is an Associate Professor in the Department of Hematology and Oncology at Fox Chase Cancer Center at Temple University Hospital in Philadelphia, and she presented this research at the 2026 ASCO Genitourinary Cancers Symposium.
Send us Fan MailDr. Tom Richardson, urologist with Physicians' Clinic of Iowa Urology, joins Dr. Arnold to discuss the latest advancements in urology and the exclusive partnership between St. Luke's Hospital and PCI Urology.To learn more visit unitypoint.org.If you have a topic you'd like Dr. Arnold to discuss with a guest on the podcast, shoot us an email at stlukescr@unitypoint.org.
Democracy in action! This month's GU Cast Journal Club papers were chosen by an audience vote at our GU Cast Live Event at EAU in London. Therefore today we focus on first, the landmark proPSMA paper which established the superior accuracy of PSMA PET/CT for staging unfavourable intermediate and high-risk prostate cancer (Lancet 2020). Then for something completely different, we dig out a paper called "Penile fractures - the merry price of Christmas", published in BJUI 2020. Thanks very much to our live audience for this one!We are delighted to welcome back our GU Cast Journal Club Editors, Dr Carlos Delgado and Dr Elena Berg who joins us in studio for the first time. Elena has just moved to Melbourne to join Carlos doing a Fellowship with GU Cast hosts, Renu Eapen and Declan Murphy. Links to papers below:1. Prostate-specific membrane antigen PET-CT in patients with high-risk prostate cancer before curative-intent surgery or radiotherapy (proPSMA): a prospective, randomised, multicentre study. Lancet 20202. Penile fractures: the price of a Merry Christmas BJUI 2023GU Cast Journal Club is supported by our Partner, MSD, through an unrestricted educational grant.Even better on our YouTube channelAbout GU Cast Journal Club:Each month, two papers are discussed, each of which are of importance to the GU Oncology community. These may be recent papers, or occasionally we will chose a classic landmark paper in GU Oncology. The objective is to draw attention to important papers in GU Oncology, and critique these in a robust manner. The key target audience is trainees working in Urology, Medical Oncology, Radiation Oncology, Nuclear Medicine, and diagnostic specialties such as Radiology and Pathology. But any of our regular audience are likely to enjoy this Journal Club series.
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, medical student Brandon Noorvash is joined by Dr. Sepehr Nowfar, a general urologist and Medical Director of the Cancer Center of Excellence at Unio Specialty Care - Los Alamitos, for a discussion on the field of general urology.
In this Journal Club edition of the EAU Podcast, moderator Prof. Thomas Tailly (BE) leads an in-depth conversation with guideline panel members Prof. Andreas Skolarikos (GR), Ass. Prof. Christopher Netsch (DE) and Prof. Otas Durutovic (RS), exploring how the EAU Guidelines on Urolithiasis are actually created, reviewed, and updated each year.The speakers walk listeners through the methodology and workflow behind the guideline development process. They outline how the panel evaluates new evidence, conducts structured literature reviews, grades recommendations, and balances scientific rigour with clinical applicability. The discussion also highlights the timing and workload surrounding annual updates, the collaboration between full and associate panel members, and the importance of transparency when translating evolving evidence into practical recommendations.Drawing on their personal experiences, the panel reflects on the challenges of harmonising diverse viewpoints, maintaining consistency across chapters, and adapting to rapidly expanding scientific data in stone disease. They also comment on how the guideline process has matured over time, emphasising quality control, internal peer review, and collective decision-making.With clear explanations and candid insights “from inside the panel room”, this episode provides a rare behind-the-scenes look at how one of the most widely used urological guidelines is developed - and what it takes to keep it current, balanced, and clinically meaningful.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 episode of the Medical Sales Podcast, host Samuel Adeyinka sits down with Naz Momtaz, a Medical Sales Career Builder graduate who broke into medical device sales after transitioning from teaching and family business sales, then quickly earned a promotion to Territory Manager for Endo Urology at Becton Dickinson. Naz shares what it is really like to work in elective urology medical device sales, from covering cases in the OR and introducing new products to surgeons, to navigating value analysis, purchasing, and hospital contracts. She also opens up about the challenges of breaking into the industry, how networking and mentorship helped her land her first role, and what it takes to succeed in a space where relationship building, persistence, and problem solving make all the difference. This is a must listen for anyone who wants an honest look at how to enter medical sales, grow fast, and thrive in a competitive hospital based environment. Connect with Naz Momtaz: LinkedIn Connect with Me: LinkedIn Love the show? Subscribe, rate, review, and share! Here's How »
In this episode of You Are Not Broken, I sit down with urologist Dr. Una Lee to talk about what women actually need in midlife care — and why the system still makes it so hard to get. We dive into the importance of patient-centered research — studying what truly matters to women: quality of life, sexual health, urinary symptoms, and comfort. If we don't measure those things, we miss the point. We also discuss the removal of the boxed warning language on vaginal estrogen and how correcting misinformation has already improved prescribing and access. Fear limited care for years. Data changes that. We cover: Why education on vaginal estrogen and GSM is essential The research gap in testosterone therapy for women The importance of pelvic floor physical therapy as first-line care Informed consent and nuance in surgical conversations Ongoing barriers to hormonal access The big theme? Women are living longer — and our healthcare system needs to evolve with them. Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of AUANews Inside Tract, Dr. Stacy Tanaka, editor of AUANews, speaks with third-year medical student Allison Meling about their experience participating in the FUTURE in Urology program at the AUA Advocacy Summit. Together, they reflect on the importance of programs that support medical students, build community within the specialty, and empower the next generation of urologists to advocate for patients and the future of the field.
Recorded live at EAU26 in London, this special episode features a live recording of GU Cast, bringing a dynamic and interactive format to the congress stage.Hosted by Prof. Declan Murphy (AU) and Prof. Renu Eapen (AU), the session brings together expert guests to discuss updates in prostate cancer guidelines, recent evidence, and key developments in urology. With contributions from the audience and a lively journal club segment, the episode offers a broad overview of current topics shaping clinical practice. Expect an engaging mix of expert insight, discussion and real-time interaction.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.
This week, Ivy Slater, host of Her Success Story, chats with her guest, Dr. Suelyn Hall. The two talk about breaking barriers as a woman in the male-dominated field of urology, the importance of preventive and functional medicine, and how Dr. Hall's company, Quantum Health and Wellness Center, is redefining patient care with a holistic, personalized approach. In this episode, we discuss: How Quantum Health and Wellness Center integrates hormone balancing, nutrition, psychology, massage, personal training, float therapy, and stress reduction to address cortisol, thyroid, sex hormones, and overall mental and physical health. What fueled her decision to become a urologist despite being told as a Black woman that urology was a "white male–dominated field" with almost no women, and how that resistance only strengthened her determination. When losing three friends to colon cancer before age 45 made her realize traditional, reactive medicine wasn't enough and inspired her pivot into functional medicine, prevention, anti-aging, and truly listening to patients. Why hormones matter long before menopause (and for men in andropause too), from fatigue and poor sleep to libido, bone strength, heart health, cognition, and even how we communicate and connect in relationships. How moving from hospital systems to entrepreneurship forced Suelyn to manage business stress, staffing, and operations, yet also gave her the freedom to spend 45–60 minutes per patient instead of the standard 10–15, and why being truly heard is at the heart of good medicine. Suelyn Hall, M.D. Urologist, Founder of Quantum Health and Wellness Center, Author of How To Get A-HEAD Dr. Suelyn Hall, M.D., is a trailblazing urologist, author, and advocate for holistic wellness. Born and raised in Jamaica, Dr. Hall grew up in a family that instilled in her the values of perseverance, ambition, and self-expression. Her early academic achievements included graduating salutatorian from Miami Southridge High School, securing a full scholarship to the University of Miami, and later earning her medical degree from New York Medical College. As one of the first 50 female urologists in the United States, Dr. Hall has spent decades excelling in a male-dominated field, where she became known for her medical and surgical expertise, compassionate patient care, and dedication to pushing boundaries. Her residency at one of the top Urology programs in the country allowed her to form lifelong connections and hone her skills, which would lead to a successful career in private practice. Driven by a desire to offer more to her patients, Dr. Hall expanded her knowledge into Integrative, Functional, and Nutritional Medicine, specializing in Anti-Aging therapies. Her passion for helping others extends beyond medicine—Dr. Hall is also a mentor, speaker, and active member of the Athena Sisterhood, an empowering community for women. With a life philosophy rooted in authenticity, positivity, and growth, Dr. Hall's personal journey has been as transformative as her professional one. Whether training for the Senior Olympics or advocating for female empowerment, she continues to inspire those around her. Her work, including her upcoming book, reflects her belief in the power of connection, creativity, and the importance of embracing one's true self. Website: https://quantumhealthmhk.com/ Social Media Links: https://www.facebook.com/quantumhealthmhk/
March 13, 2026 In this episode, Scott, Mark, and Dr. Ray Painter tackle three emerging reimbursement challenges affecting urology practices: widespread denials for testosterone pellet (Testopel®) therapy, the growing trend of secondary payers requiring prior authorization for high-cost drugs, and whether urology questionnaires qualify as billable health risk assessments. PRS Coding and Reimbursement HubAccess the HubBotox LCD AlertDownload the AlertFree In-Office Prostate Biopsy Calculator (Suppoted by UC-Care)Download NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and Admins 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/
Testosterone levels in 40-year-old men are 30 percent lower than their fathers, and most doctors still have no idea what to do about it. -Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey sits down with Dr. Justin Houman, a nationally recognized urologist and Assistant Professor of Urology at Cedars-Sinai Medical Center. Fellowship-trained and specializing in men's health, male fertility, and sexual medicine, Dr. Houman combines cutting-edge medical advancements with holistic lifestyle strategies to help men optimize testosterone, sexual health, and reproductive performance at every age. Together, Dave and Dr. Houman tear through the myths, the bad science, and the outdated medical dogma around testosterone, erectile function, fertility, and male sexual health. They cover everything from why testosterone levels have collapsed in a single generation, to the real story behind the FDA black box warning, to practical protocols for men who want to optimize without sacrificing fertility. This is the masterclass on men's health that no one else is having on record. This is essential listening for anyone serious about biohacking, longevity, human performance, hormone optimization, brain optimization, anti-aging, functional medicine, mitochondria, and Smarter Not Harder approaches to male health. You'll Learn: Why testosterone levels in 40-year-old men are 30 percent lower than their fathers and what is driving the collapse How low testosterone connects to anxiety, depression, high cholesterol, blood sugar dysregulation, and all-cause mortality risk The truth about the original testosterone and heart attack study and why it still has not been retracted How to preserve fertility while on TRT using Clomid, enclomiphene, and HCG Why daily low-dose Cialis is one of the cheapest and most effective longevity drugs available What shockwave therapy, PRP, exosomes, and Botox injections actually do for erectile function How red light therapy at 660 and 850 nanometers supports testosterone production and nocturnal erections The supplement stack including ashwagandha, tongkat ali, fadogia agrestis, and creatine that supports healthy hormone levels Why porn-induced ED is epidemic in young men and how to reverse it How PT-141 and peptides fit into a complete male optimization protocol Thank you to our sponsors! Pre-order Arthur Brook's new book today at themeaningofyourlife.com. You can also see Arthur speak live at the 2026 Beyond Biohacking Conference fatty15 | Go to https://fatty15.com/dave and save an extra $15 when you subscribe with code DAVE.Establish a powerful foundation for sustained wellness with Pique. Unlock 20% off: piquelife.com/DAVE BrainTap | Go to http://braintap.com/dave to get $100 off the BrainTap Power Bundle. Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights in health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: testosterone, low testosterone, TRT, testosterone replacement therapy, male fertility, erectile dysfunction, ED, men's health, sexual health, hormone optimization, Dave Asprey, biohacking, longevity, anti-aging, human performance, Dr. Justin Houman, Cedars-Sinai, urologist, shockwave therapy, PRP, exosomes, Botox penis, red light therapy, nitric oxide, Cialis, tadalafil, Viagra, sildenafil, PT-141, Melanotan, peptides, ashwagandha, tongkat ali, fadogia agrestis, creatine, Danger Coffee, Smarter Not Harder, Kyzatrex, clomid, enclomiphene, HCG, prolactin, cabergoline, porn-induced ED, refractory period, fertility, sperm health, spermatogenesis, FSH, LH, estrogen, aromatization, functional medicine, supplements, mitochondria, circadian rhythm, sleep optimization, cortisol, microplastics, inflammation, cardiovascular health, dementia, all-cause mortality, nocturnal erections, penile health, male optimization Resources: • Learn More About Dr. Houman's Work At: https://houmanmd.com/ • Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: 00:00 – Introduction 01:15 – Low Testosterone Epidemic 04:23 – Ejaculation & Testosterone 07:30 – Refractory Period & Aging 09:58 – Porn-Induced ED 11:09 – Cabergoline & Prolactin Management 12:42 – Oral Testosterone 13:24 – Testosterone Target Levels 16:46 – Supplements for Testosterone 18:46 – Anxiety-Based ED 26:23 – Penis Enhancement Options 27:37 – Shockwave Therapy 28:57 – Cialis for Longevity 29:56 – Fat & Filler Injections 34:50 – Pre-Sex Optimization 40:13 – Red Light Therapy 42:18 – Heat & Cold for Testosterone 43:35 – Underwear & Microplastics 44:58 – Testosterone & Fertility 49:15 – HCG & Preserving Fertility 52:00 – Testosterone Dosing Timing 53:22 – Creatine & Mitochondrial Health 55:20 – Overtraining Effects 56:24 – Peptides (PT-141) 59:08 – Optimal Diet for Fertility See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
A doctor in London has successfully removed the prostate from a patient 2,400km away in Gibraltar using a robot.Joining Seán to discuss is Prokar Dasgupta, a Professor of Urology who heads The London Clinic's Robotic Centre of Excellence…
Mohit KheraBaylor College of Medicine, United States of AmericaDr. Khera earned his undergraduate degree at Vanderbilt University. He subsequently earned his MBA and his MPH from Boston University. He received his Medical Degree from The University of Texas Medical School and completed his Urology residency training in the Scott Department of Urology at Baylor College of Medicine. He went on to complete a one-year fellowship in Male Reproductive Medicine and Surgery at Baylor. Currently he is a Professor of Urology at Baylor College of Medicine, and he holds the F. Brantley Scott Chair in Urology. Dr. Khera also serves as the Director of the Laboratory for Andrology Research, the Medical Director of the Scott Department of Urology, and the Associate ProgramDirector of the Baylor Infertility and Sexual Medicine Fellowship Program. He is also the past President of the Sexual Medicine Society of North America.Dr. Mohit Khera's website: https://drmohitkhera.com/Support the show
Prostate cancer rarely announces itself. For many men, especially gay men over 40, the first sign comes too late. PSA testing can catch prostate cancer early, yet most men avoid the conversation or assume no symptoms means no problem. World renowned urologist Dr. Arthur L. Burnett II breaks down what every man needs to know about prostate and urological health, PSA testing, and why waiting for symptoms is a dangerous mistake. The conversation tackles cultural shame, medical avoidance, and how masculinity myths keep men from advocating for their health. This episode is a wake up call for gay men who want more years, better sex, and control over their bodies as they age. Key Takeaways from the Podcast: Why prostate cancer often shows no symptoms until it is advancedWhen gay men over 40 should ask for PSA testing and why it mattersHow health literacy and early action change long term outcomes About Dr. Bennett Arthur L. “Bud” Burnett II, M.D., MBA, FACS, is a trail-blazing and globally recognized urologist, educator, and researcher at Johns Hopkins University, where he has worked for more than 40 years. He serves as the Patrick C. Walsh Professor of Urology, Director of the Male Consultation Clinic. As a barrier-breaking leader, he is recognized as the first Black person to have achieved milestones in the urology profession as professor of urology at Johns Hopkins University, President of the Sexual Medicine Society of North America (SMSNA), and Board Member of the American Urological Association. Dr. Burnett has devoted his professional life to advancing patient care, performing thousands of prostate and urologic surgeries and pioneering minimally invasive, nerve-sparing techniques that help patients recover faster and maintain quality of life. His groundbreaking research on erectile function helped make oral therapies like Viagra possible, and he continues to innovate treatments that improve outcomes for men and women alike. Connect With Dr. Burnett Website Facebook Instagram LinkedIn Hey Guys, Don't Forget! Join the 40 Plus: Gay Men Gay Talk, monthly chats. - Learn More! Also, join our Facebook Community - 40 Plus: Gay Men, Gay Talk Community
In this episode of SHE MD, Mary Alice Haney and Dr. Thaïs Aliabadi welcome back Dr. Kelly Casperson to discuss perimenopause, menopause, and hormone therapy with clarity and science instead of fear.Dr. Casperson explains why perimenopause is a clinical diagnosis, not simply a lab result, and why so many women are dismissed as “too young” or “too old” when their symptoms are real. She addresses the biggest myth about hormone replacement therapy and reframes the conversation around individualized, science-backed risk-benefit decisions.The discussion dives into testosterone for women, including its impact on libido, motivation, muscle mass, and mood, along with the risks of high-dose hormone pellets. They explore progesterone for sleep, the hysterectomy myth, and why vaginal estrogen is one of the safest and most effective treatments for dryness, painful sex, bladder urgency, and recurrent UTIs.The episode also tackles the midlife brain, brain fog, and how estrogen influences glucose metabolism. From restoring desire in long-term relationships to navigating alcohol, supplements, and exercise, this conversation reinforces one powerful truth: women are not broken. With the right knowledge and support, midlife can be a season of clarity, strength, and transformation.Subscribe to SHE MD Podcast for expert tips on PCOS, Endometriosis, fertility, and hormonal balance. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.Sponsors: Premier Protein: Find your favorite flavor at PremierProtein.com or at Amazon, Walmart, and other major retailers.Prolon: Ready for your own reset? For a limited time, Prolon is offering SHE MD listeners15% off site wide plus a $40 bonus gift when you subscribe to their 5-Day Program! Just visit ProlonLife.com/SHEMD to claim your 15% discount and your bonus gift.Mill: Try Mill risk-free for 90 days and get $75 off at mill.com/SHEMD and use code SHEMD at checkout.Peloton - Let yourself run, lift, sculpt, push, and go. Explore the new Peloton Cross Training Tread+ at onepeloton.com Talkiatry: Head to Talkiatry.com/shemd and complete the short assessment to get matched with an in‑network psychiatrist in just a few minutes.Warby Parker: Warby Parker gives you quality & better-looking prescription eyewear at a fraction of the going price. Our listeners get 15% + Free Shipping when they buy 2 or more pairs of prescription glasses at WarbyParker.com/SHEMD. What You'll Learn:What perimenopause actually is and why labs are not required for diagnosisThe biggest myth about hormone therapy and how fear shaped menopause careHow testosterone supports libido, motivation, and muscle strength in womenWhy vaginal estrogen is safe and essential for preventing dryness and UTIsWhat happens to the brain in midlife and why brain fog occursKey Timestamps:(01:30) Introduction and why Dr. Casperson wrote The Menopause Moment(04:10) The biggest myth about hormone therapy and why fear still shapes menopause care(09:25) Meet the hormones: testosterone, estrogen, and progesterone in midlife(11:50) Testosterone for women: libido, motivation, muscle, and dosing concerns(14:45) Hormone pellets explained: side effects, hair loss, and why removal is difficult(17:15) Progesterone for sleep and the hysterectomy myth clarified(24:25) Symptoms of too much estrogen(26:00) “Senile Vagina” - the “use it or lose it” myth(33:05) Vaginal atrophy, bladder symptoms, UTIs, and why vaginal estrogen matters(34:00) How to properly apply vaginal estrogen and why cream can be more effective(41:20) Great sex in midlife: lube and honest communication(50:30) Responsive vs spontaneous desire and bringing novelty back to long-term relationships(56:15) The midlife brain: estrogen, glucose metabolism, and brain fog(01:02:50) Alcohol, supplements, exercise, and non-hormonal tools for cognitive health(01:05:00) Final advice for women entering midlife and why you are not brokenKey Takeaways:Hormone therapy decisions should be individualized and based on science, not fearPerimenopause is common, real, and often underdiagnosedTestosterone plays a significant role in women's well-being beyond libidoVaginal estrogen is one of the safest and most effective preventive treatments in menopauseMidlife can be a powerful reset when women prioritize their health and mindsetGuest Bio:Dr. Kelly Casperson is a urologist, educator, and top international podcaster whose mission is empowering women to live their best love lives. In her podcast, You Are Not Broken, she combines science, humor, and candor to dismantle the myths women have learned about sex, intimacy, midlife, and hormones.Dr. Casperson earned her medical degree from the University of Minnesota and completed her surgical training and residency at the University of Colorado. She is a proud member of the American Urological Association, International Society for the Study of Women's Sexual Health, and the Society of Women in Urology.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this episode of Bladder Buzz, Dr. David Ginsberg, Chief of Urology at Rancho Los Amigos National Rehabilitation Center, discusses bladder management options for individuals with Neurogenic Lower Urinary Tract Dysfunction (NLUTD) when oral medications are no longer sufficient. We explore how clinicians recognize when it's time to consider next steps and review options such as Botox, neuromodulation, catheter-based strategies, and surgical reconstruction. Dr. Ginsberg explains how treatment decisions are individualized, including important safety, lifestyle, and quality-of-life considerations. This episode offers reassurance that many effective options remain available, even when first-line treatments have not worked.
UCLA's Dr Jesse Mills joined us to talk Men's Health–The Male Room Podcast with Dr Jesse Mills…serious medicine serious funHis books is entitled -A Field Guide to Men's Health —eat right, stay fit, sleep well and have great sex forever. He is the Professor of Urology at UCLA Medical School -Why weight training is so important-4 weight training exercises-Supersets -How much protein for men daily and women daily "30-60 grams of supplemental protein if you're eating sorta of your average protein diet ... if you're trying to supplement. For guys, maybe a little bit higher"-Difference bt protein and creatine -Intermittent fasting -Sauna / cold plunge-Is caffeine good or bad-Alcohol and weed (gummies) To subscribe to The Pete McMurray Show Podcast just click here
When is active surveillance the right choice for intermediate-risk prostate cancer patients? In this episode of BackTable Urology, Dr. Claire de la Calle, Assistant Professor of Urology at the University of Washington, joins Dr. Ruchika Talwar to unpack how active surveillance has evolved beyond low-risk disease and why select Grade Group 2 patients may be appropriate candidates now with thoughtful patient selection. --- SYNPOSIS The conversation explores emerging tools that can refine surveillance decisions, including PSA density, MRI findings, genomic classifiers, and the growing role of AI-assisted pathology. Dr. de la Calle emphasizes the importance of nuanced patient counseling, acknowledging anxiety and long-term risk while reinforcing that time on active surveillance can be a meaningful win when oncologic outcomes remain comparable to upfront treatment. --- TIMESTAMPS 00:00 - Introduction02:58 - Current Evidence05:03 - Patient Selection Criteria12:11 - Importance of PSA Density and Monitoring Protocols18:12 - Pathology and Genomic Testing32:18 - Future Directions and Research36:33 - Key Takeaways --- RESOURCES ProtecT Trial: Fifteen-Year Outcomes after Monitoring, Surgery, or Radiotherapy for Prostate Cancerhttps://www.nejm.org/doi/full/10.1056/NEJMoa2214122 Canary PASS Studyhttps://canarypass.org/ Genomic Classifier Performance in Intermediate-Risk Prostate Cancer: Results From NRG Oncology/RTOG 0126 Randomized Phase 3 Trialhttps://pubmed.ncbi.nlm.nih.gov/37137444
In reconstructive urology, preventing infection often means prolonged antibiotic exposure, raising important questions about stewardship and long-term harm. In this episode of BackTable Urology, Joshua Sterling of Yale University joins host George Koch to examine how antibiotic stewardship and emerging insights into the urinary microbiome are reshaping infection management in reconstructive practice. --- SYNPOSIS The discussion centers on real-world clinical challenges, particularly in high-risk populations such as patients with neurogenic bladder, chronic catheterization, or prior reconstruction - groups in whom antibiotics are frequently used prophylactically or indefinitely. Drs. Sterling and Koch explore how well-intentioned prescribing patterns can contribute to resistance, dysbiosis, and recurrent infection, while often failing to address the underlying drivers of disease. Rather than framing infection control solely around eradication, the conversation considers a shift toward modulation of the urinary microbiome, drawing on lessons from gastroenterology, infectious disease, and transplant medicine. The episode concludes by outlining how a more nuanced, multidisciplinary approach may better serve reconstructive urology patients in the long term. --- TIMESTAMPS 00:00 - Introduction02:22 - Antibiotic Stewardship in Urology06:34 - Current Landscape of Antibiotic Use13:44 - Protocols and Practices in Reconstruction18:24 - Antibiotic Overuse and Misuse21:02 - Shifting the Microbiome25:12 - Chlorhexidine Irrigations32:38 - Future Directions38:27 - Implementing Antibiotic Protocols40:48 - Conclusions --- RESOURCES STOP-IT Trialhttps://www.nejm.org/doi/full/10.1056/NEJMoa1411162
Behind the Knife ABSITE 2026 – Up-to-date and high yield learning to help you DOMINATE the exam.Don't forget to check out our ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheetBe sure to check out our free study aid, which includes all 32 review episodes, brief written summaries, high yield images, and flash cards. Simply create an account on our iOS or Android app or on our website and you will find the entire course in your Library. Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Google Play App Store: https://play.google.com/store/apps/details?id=com.btk.appBehind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2026 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn't be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/en-us/index.htmlIf you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. Check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewBehind the Knife in Español - repaso para el examen de certificación en cirugía general: https://app.behindtheknife.org/premium/repaso-para-el-examen-de-certificaci-n-en-cirug-a-general
Our ‘Family Planning Division' has been busy! a few weeks ago it was Anne from Georgia playing ambulance driver with her post-vasectomy-reversal hubby moaning in the back seat. This time, Kara is pregnant with twins as a result of a botched vasectomy. Urology is a tougher racket than we thought. Boy have we got questions on this episode of the Best of Car Talk.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy