By BackTable
The podcast currently has 73 episodes available.
Thoracic endometriosis occurs in about 12% of patients with advanced endometriosis. Due in part to its lower incidence and inherent diagnostic challenges, many providers are not well-versed in the workup and management of this advanced disease. In this episode of The BackTable OBGYN Podcast, host Dr. Mark Hoffman interviews Dr. Shanti Mohling, a gynecologic surgeon at Northwest Endometriosis and Pelvic Surgery, regarding her approach to thoracic endometriosis.
---
CHECK OUT OUR SPONSOR
PearsonRavitz
https://pearsonravitz.com/backtable
---
SYNPOSIS
The physicians discuss the embryological and congenital theories of endometriosis etiology, the impacts of retrograde menstruation, and epigenetic factors. Dr. Mohling shares insights into her advanced surgical techniques for treating endometriosis, including diaphragmatic and thoracic disease, and the importance of a comprehensive history, exam, and diagnostic imaging. Her practice patterns, patient care strategies, and interdisciplinary collaborations for optimal outcomes are also highlighted.
---
TIMESTAMPS
00:00 - Introduction
06:40 - Pelvic Pain Workup
08:09 - Thoracic Endometriosis
14:12 - Medical Management Post-Surgery
18:48 - In-Office Ultrasound Techniques
23:33 - Collaboration in Surgery
24:59 - Preparing for Thoracic Endometriosis Surgery
36:44 - Managing Postoperative Care
41:13 - Theories on Endometriosis Etiology
46:31 - Concluding Thoughts
Can cranberry juice prevent UTIs? In this BackTable OBGYN Brief, Dr. Suzette Sutherland and Dr. Anne Cameron discuss various strategies for preventing recurrent UTIs, including which supplements are effective. They cover the efficacy of cranberry supplements, emphasizing the importance of quality and proper compound concentration in products like Ellura. The discussion also addresses the limitations of cranberry juice and the resurgence of methenamine hippurate as a non-antibiotic preventive measure, supported by recent studies. Additionally, they outline comprehensive approaches, including lifestyle modifications, hydration, vaginal estrogen, and hygiene practices, while aiming to destigmatize the condition.
TIMESTAMPS
00:00 - Introduction
00:28 - Cranberry Supplements for UTI Prevention
01:22 - Choosing the Right Cranberry Product
03:05 - Effectiveness and Dosage
05:27 - Cranberry Juice vs. Supplements
06:45 - Exploring Hiprex and Vitamin C
07:08 - Methenamine Hippurate: An Old Medication Revisited
08:59 - Overall Strategy for Managing Recurrent UTIs
11:09 - Vaginal Estrogen
11:48 - Final Thoughts
CHECK OUT THE FULL EPISODE
BackTable OBGYN Ep. 42 - Recurrent UTIs: Controlling Those Nasty Little Bladder Infections
https://www.backtable.com/shows/obgyn/podcasts/42/recurrent-utis-controlling-those-nasty-little-bladder-infections
Vulvovaginal disorders can be very complex to manage, and many OBGYNs struggle with diagnosis and treatment, especially if topical steroids don’t improve symptoms. In this episode of the BackTable OBGYN Podcast, guest host Dr. Jessica Ritch welcomes Dr. Hope Haefner, a leading expert in women’s health, to discuss diagnosis and management of several vulvovaginal diseases.
---
CHECK OUT OUR SPONSOR
PearsonRavitz
https://pearsonravitz.com/backtable
---
SYNPOSIS
The discussion covers the importance of accurate diagnosis through physical exams and intake surveys, approaches to pain and symptom management, the significance of vestibulectomy, and the implementation of different treatments for conditions such as vulvodynia, lichen sclerosus, and hidradenitis suppurativa. Dr. Haefner emphasizes the importance of early treatment, the multidisciplinary approach in their clinic, the use of different types of steroids for lichen sclerosus, and innovative treatments and diagnostics. She discusses next-step treatments if common treatments aren’t working, such as the “lichen sclerosus cocktail.” Finally, the episode highlights the need for ongoing professional education and provides resources for further learning.
---
TIMESTAMPS
00:00 - Introduction
04:21 - Common Symptoms and Initial Diagnosis
07:19 - Examination and Workup
13:44 - Treatment Approaches for Vulvodynia
20:27 - Managing Lichen Sclerosus
32:27 - Products to Avoid
36:29 - Anoscopy for HPV
40:34 - Addressing Hidradenitis Suppurativa
44:39 - Final Thoughts and Resources
---
RESOURCES
Resources for Everything Vulvovaginal Disorder (by Dr. Haefner):
https://www.dropbox.com/sh/r8nhr1j8c19tn9n/AACRLvxGGSgEtZCi6Zzh-yBQa?e=2&dl=0
OBGYN Brief - Definition and Diagnosis of a Clinical UTI
Cultures are key when it comes to managing UTIs. In this brief, Dr. Anne Cameron discusses the definitions, symptoms, prevalence, and management of urinary tract infections (UTIs). They delve into the differences between bladder infections and kidney infections, the importance of symptomatology along with bacterial evidence for proper diagnosis, and the higher susceptibility of women to UTIs compared to men. The brief emphasizes the complexities of recurrent UTIs, including the challenges in treatment due to improper antibiotic use, persistence of infection, and anatomical or physiological risk factors. Dr. Cameron also explains the necessity of urine cultures in ensuring effective treatment and the various factors that contribute to recurrent UTIs.
TIMESTAMPS
00:00 - Introduction
00:15 - Definitions and Symptoms of UTIs
01:49 - Prevalence of UTIs in Women and Men
02:44 - Recurrent UTIs: Definitions and Challenges
04:48 - Investigating and Treating Persistent UTIs
CHECK OUT THE FULL EPISODE
BackTable OBGYN Ep. 42 - Recurrent UTIs: Controlling Those Nasty Little Bladder Infections
https://www.backtable.com/shows/obgyn/podcasts/42/recurrent-utis-controlling-those-nasty-little-bladder-infections
Women’s health has a history of being underfunded in the United States, leading many women to receive suboptimal care. In this episode of the BackTable OBGYN podcast, hosts Dr. Mark Hoffman and Dr. Amy Park engage in a detailed discussion with Dr. Louise P. King, a minimally invasive gynecologic surgeon, and Christopher Robertson, a law professor at Boston University, regarding the inequitable reimbursement structures that persist within the field of OBGYN.
---
SYNPOSIS
The guests emphasize the systemic discrepancies between gynecologic and other surgical disciplines. The conversation delves into the origins of these disparities, the complexities of revising current codes and creating new codes, and potential legislative and legal remedies to address gender-based inequities. The guests also stress the importance of patient care outcomes and the role of proper reimbursement in enhancing healthcare delivery.
---
TIMESTAMPS
00:00 - Introduction
06:28 - Background on RVUs and Disparities in OBGYN
12:39 - Gender Disparities in Medical Billing
18:00 - Efforts to Address Inequities
31:22 - RUC Structure and Surgical Specialties
32:42 - Billing and Reimbursement Inequities
35:15 - Diagnosis Related Groups
36:42 - Turnover Times and Gender Disparities
40:21 - Advocacy and Legislative Solutions
48:23 - Legal Approaches for Change
52:44 - Conclusion
---
RESOURCES
Watson KL, King LP. Double Discrimination, the Pay Gap in Gynecologic Surgery, and Its Association With Quality of Care. Obstet Gynecol. 2021 Apr 1;137(4):657-661. doi: 10.1097/AOG.0000000000004309. PMID: 33706362.
Robertson, Christopher T. and Kupke, Annabel and King, Louise P., Structural Sex Discrimination: Why Gynecology Patients Suffer Avoidable Injuries and What the Law Can Do About It (May 9, 2024). Emory Law Journal, Forthcoming, Boston Univ. School of Law Research Paper Forthcoming, Available at SSRN: https://ssrn.com/abstract=4800783 or http://dx.doi.org/10.2139/ssrn.4800783
With contemporary treatment options, your female patients don’t have to live with urinary incontinence! In this crossover episode of BackTable Urology and OBGYN, host Dr. Suzette Sutherland from University of Washington interviews Dr. Sarah Boyles, a urogynecologist at The Oregon Clinic, regarding female urinary incontinence, its diagnostic criteria, and various treatment options to help improve quality of life in the incontinence patient.
---
CHECK OUT OUR SPONSOR
PearsonRavitz
https://pearsonravitz.com/backtable
---
SYNPOSIS
First, Dr. Boyles explains the importance of patient history and physical examination, along with the need for certain diagnostic tests for proper characterization of the type of urinary incontinence in a patient. She also explores behavioral treatments, pelvic floor physical therapy, vaginal pessaries, and advanced interventions such as urethral bulking and surgery for stress incontinence. The doctors further discuss innovative pharmaceutical and neuromodulation options for urge incontinence.
Dr. Boyles concludes with a mention of patient education resources that are available on her platform, thewomensbladderdoctor.com.
---
TIMESTAMPS
00:00 - Introduction
02:35 - The Women’s Bladder Doctor Initiative
07:03 - Types of Urinary Incontinence
11:49 - Diagnostic Approaches to Urinary Incontinence
28:39 - Treatment Algorithms for Urinary Incontinence
31:12 - Bladder Retraining and Pelvic Floor Therapy
40:00 - Urethral Seals and Vaginal Pessaries
50:47 - Treatment for Urgency
57:51 - Future Directions
---
RESOURCES
Pearson Ravitz
https://pearsonravitz.com/
The Women’s Bladder Doctor
https://thewomensbladderdoctor.com/
Often the first practical thing we’re taught in medical school is the importance of taking a thorough patient history. In this BackTable OBGYN Brief, Dr. Mark Hoffman and Dr. Ted Lee bring us back to the basics and emphasize the importance of conducting a quality patient interview to elucidate symptoms of endometriosis.
The physicians first explore the limitations and practicalities of patient surveys, and move on to discuss the importance of thorough history taking along with specific symptoms to look for. The conversation also delves into the diagnostic challenges and delay of diagnosis in endometriosis patients. They explain the role of surgical diagnosis in endometriosis, emphasizing the necessity of listening to and believing patients’ experiences with chronic pelvic pain.
TIMESTAMPS:
00:00 - Introduction
00:14 - Initial Patient Workup: Surveys and History
01:19 - Key Patient History Indicators
04:24 - Endometriosis Symptoms
07:49 - Treatment Approaches and Surgical Considerations
09:32 - Barriers to Diagnosis
CHECK OUT THE FULL EPISODE
BackTable OBGYN Ep. 30: Ambulatory Workup of Endometriosis Patients
https://www.backtable.com/shows/obgyn/podcasts/30/ambulatory-workup-of-endometriosis-patients
In the modern era of rapid technological progress and AI, the medical community is abuzz with discussions on how medicine will change and how practice will adapt. In this episode of the BackTable OBGYN podcast, hosts Dr. Mark Hoffman and Dr. Amy Park welcome Dr. Arnold Advincula, a leading figure in minimally invasive and robotic surgery, to discuss the evolution and impact of robotic surgery in the field of gynecology.
---
SYNPOSIS
Dr. Advincula shares his journey from training to pioneering robotic-assisted procedures, emphasizing the benefits and challenges faced along the way. The conversation delves into the future of robotics, including the potential of AI in surgery and the integration of digital tools to enhance surgical outcomes. Listeners gain insights into the importance of ergonomic surgery, the advancements in robotic technology, the future of minimally invasive gynecologic surgery, and the collaborative efforts required to elevate patient care in gynecology.
---
TIMESTAMPS
00:00 - Introduction
06:05 - Pioneering Robotic Surgery
12:50 - Challenges and Innovations
24:43 - Allure of Robotic Surgery
28:05 - Challenges in Rural Healthcare
35:00 - Future of Minimally Invasive Surgery
42:00 - Advancements in Surgical Training
43:35 - Ergonomics
49:28 - The Future of Gynecologic Surgery
53:06 - Closing Thoughts
---
RESOURCES
BackTable OBGYN Ep. 2: Surgeon Ergonomics
https://www.backtable.com/shows/obgyn/podcasts/2/surgeon-ergonomics
In this BackTable OBGYN Brief, Dr. Mark Hoffman and Dr. Ted Lee discuss the clinical approach to diagnosing endometriosis through physical exam and imaging, and the collaborative surgical approach to treating it.
Dr. Lee explains the importance of detailed patient history and various examination techniques, including palpation and rectovaginal exams, to identify potential signs of endometriosis. He emphasizes the specificity of these exams in differentiating endometriosis pain from other causes. The discussion also covers the role of imaging, such as MRI, particularly in advanced cases, and the collaborative approach with colorectal surgeons for bowel-related complications. Dr. Lee shares insights on the use of physical therapy and managing musculoskeletal pain related to endometriosis, highlighting the importance of multi-disciplinary care for optimal patient outcomes.
TIMESTAMPS
00:00 - Introduction
00:15 - Initial Patient Assessment for Endometriosis
01:00 - Detailed Physical Exam Techniques
07:00 - Imaging and Further Diagnostic Steps
10:55 - Collaborative Surgical Approach
CHECK OUT THE FULL EPISODE
BackTable OBGYN Ep. 30: Ambulatory Workup of Endometriosis Patients
https://www.backtable.com/shows/obgyn/podcasts/30/ambulatory-workup-of-endometriosis-patients
The podcast currently has 73 episodes available.