Esta semana en BackTable Urology, el Dr. José Silva entrevista a la obstetra y ginecóloga Dra. Pamela Silén-Rivera sobre la terapia de reemplazo de estrógeno, específicamente disipando mitos y su experiencia en el avance de la salud de la mujer en Puerto Rico.

---

SYNPOSIS

La conversación aborda las complejidades y desafíos en el tratamiento de la menopausia y la salud sexual de la mujer, incluyendo el uso de hormonas bioidénticas, testosterona y tratamientos personalizados. La Dra. Silén-Rivera destaca la importancia de la educación tanto para los profesionales médicos como para las pacientes, y habla sobre la necesidad de productos específicos para mujeres aprobados por la FDA. Además, discuten temas como las alternativas al reemplazo hormonal.

---

TIMESTAMPS

00:00 - Antecedentes y experiencia en salud sexual de la mujer

06:02 - Síntomas de la menopausia y enfoques de tratamiento

17:25 - Tratamiento personalizado y riesgos

29:23 - Terapia de reemplazo hormonal y anticonceptivos

33:00 - Terapia de testosterona en mujeres

43:45 - Educar a las futuras generaciones sobre la terapia hormonal

49:20 - La importancia del estrógeno vaginal

---

RESOURCES

Centro de Bienestar para la Mujer

https://www.centrobienestarmujer.com/

This week we bring together urologists and radiologists to work towards a shared goal of innovating on kidney cancer care. Dr. Jason Abel, Professor of Urology and Radiology at the University of Wisconsin, and Dr. Louis Hinshaw, Section Chief of Abdominal Imaging Intervention at the University of Wisconsin, join our host Dr. Ruchika Talwar for a multidisciplinary conversation regarding the treatment of renal tumors.

---

SYNPOSIS

Their discussion covers the history and benefits of collaboration between urology and interventional radiology (IR), advances in image-guided procedural technologies, and the importance of teamwork in improving patient outcomes. The episode also considers the encouraging, but limited data in IR treatments such as microwave ablation and discusses the lasting role for surgery. Finally, Dr. Abel and Dr. Hinshaw share their experiences in establishing a successful interdisciplinary kidney cancer program. Ultimately, they conclude that the future of renal tumor treatment lies not in silos, but in collaboration.

---

TIMESTAMPS

00:00 - Introduction

04:04 - Collaboration Between Urologists and Interventional Radiologists

05:58 - Advancements in Ablation

10:05 - Patient Selection

15:19 - Technical Considerations

26:57 - Post-Ablation Surveillance and Recurrence Management

33:19 - Conclusion

What does it take to deliver truly personalized, multidisciplinary care in testicular cancer? Get an inside look in this episode of BackTable Urology, where renowned testicular cancer experts Dr. Nabil Adra and Dr. Richard Matulewicz join host Dr. Aditya Bagrodia for a virtual tumor board session on the nuanced management of germ cell tumors. This episode was produced in collaboration with the Society of Urologic Oncology.

---

SYNPOSIS

The expert panel uses specific patient cases to review their decision-making processes on the use of surgery, chemotherapy, and radiation. They highlight the importance of a multidisciplinary approach, particularly for advanced disease and challenging surgical scenarios. The episode reviews patient-specific factors, standard treatment protocols, post-treatment surveillance, and the latest research. This episode also highlights the benefits of personalized cancer care.

---

TIMESTAMPS

00:00 - Introduction

01:45 - Case Presentation: 23-Year-Old Male with Testicular Mass

02:14 - Initial Counseling and Management

04:03 - Orchiectomy and Post-Surgery

06:27 - Stage I Management

10:00 - Surveillance and Adjuvant Therapy

13:56 - Recurrence

23:13 - Case Study: 44-Year-Old with Non-Seminoma

28:14 - Case Study: 17-Year-Old with Developmental Delay and Cancer

29:42 - Chemotherapy Decisions

30:31 - Brain Imaging and Metastasis Predictions

33:54 - Chemotherapy Regimens

35:53 - Monitoring and Salvage Therapy

45:01 - Case Study: 21-Year-Old with Teratoma

55:21 - Concluding Thoughts

---

RESOURCES

Society of Urologic Oncology:

https://suonet.org/home.aspx

Have you noticed that urologists tend to have an outsized presence and interest in healthcare leadership and administrative positions? In this episode of BackTable Urology, Dr. Marisa Clifton, an associate professor and Associate Chief Medical Officer at Johns Hopkins, discusses her experiences in executive leadership with host Dr. Michelle Van Kuiken. This episode was produced in collaboration with the Society of Women in Urology (SWIU).

---

SYNPOSIS

Dr. Clifton shares her journey evolving from surgery and clinical medicine to hospital administration, highlighting the importance of mentorship, skill-building, and strategic decision-making. She discusses her journey towards finding a balance between clinical practice and administrative roles. She also highlights the challenges and rewards of working in hospital leadership. This episode offers key guidance on obtaining mentorship, coaching, and executive presence. This candid conversation provides valuable insights for any physician interested in leadership roles.

---

TIMESTAMPS

00:00 - Introduction

02:28 - Dr. Marisa Clifton's Career Journey

13:03 - Balancing Clinical and Administrative Roles

17:01 - Challenges and Growth in Leadership

25:31 - Balancing Clinical Medicine and Hospital Administration

28:08 - Improving Communication Between Clinicians and Administrators

32:20 - Leadership Development

38:02 - The Role of Coaching

43:13 - Final Thoughts and Future Directions

---

RESOURCES

Society of Women in Urology

https://swiu.org/home.aspx

Can the gender of your surgeon influence your outcome after surgery? New research says yes. In this episode of BackTable Urology, Dr. Christopher J.D. Wallis, a prominent urologic oncologist and health services researcher in Toronto, joins guest host Dr. Casey Seideman for a pivotal conversation at the intersection of surgical outcomes, gender, and health equity. This episode was developed in collaboration with the Society of Women in Urology (SWIU).

---

SYNPOSIS

Drawing from extensive studies and meta-analyses, Dr. Wallace highlights a significant mortality benefit for patients treated by female surgeons. The episode explores how these findings have sparked discussions on surgeon practices, patient care, and gender equity in medicine. Dr. Wallace also shares personal experiences to underline the importance of diversity and inclusive practices in healthcare. Finally, the two urologists discuss challenges faced when supporting diversity efforts and opportunities for future progress.

---

TIMESTAMPS

00:00 - Introduction

04:01 - Personal Experience with Gender Bias in Surgery

07:05 - Groundbreaking Data on Surgeon Sex and Patient Outcomes

12:23 - Long-Term Outcomes and Consistency in Data

14:14 - Hypotheses and Underlying Reasons for Better Outcomes with Female Surgeons

20:18 - Impact on Healthcare Costs and Productivity

26:14 - Challenges and Pushback in the Medical Community

35:05 - Conclusion

---

RESOURCES

Society of Women in Urology

https://swiu.org/home.aspx

Urology was recently named the most burned out specialty in the medical field – a title that we’re not particularly proud of. How can we better support ourselves and one another, and take real steps towards improving career satisfaction and mental health within our specialty? In this episode of the BackTable Urology Podcast, Dr. Nishant Patel, a urologist from San Diego bravely shares his personal struggles with depression, substance abuse, and suicidality with host Dr. Aditya Bagrodia; and how he overcame the lowest points in his career.

---

SYNPOSIS

Dr. Patel details his journey from growing up in a small town in Arizona to becoming a successful urologist. He discusses the internal battles, external pressures, and pivotal moments that shaped his life and career. He then highlights the importance of peer support and introduces his new initiative, SafeHavenMD, a platform designed to provide confidential, peer-to-peer support for physicians dealing with mental health and substance abuse issues. This episode is a must-listen as it offers a raw and emotional insight into the often unseen challenges faced by medical professionals.

---

TIMESTAMPS

00:00 - Introduction

03:29 - Early Signs of Alcoholism

03:56 - Medical School and Escalating Alcohol Use

05:43 - Journey to Sobriety

08:26 - Creating SafeHavenMD

19:40 - Personal Experience and Resources

20:20 - Handling Complications and Peer Support

21:47 - SafeHavenMD: An Overview

23:05 - Monitoring Programs and Confidentiality

24:19 - Disclosing Issues and Seeking Help

34:11 - Closing Message to the Audience

Attention trainees and general urologists: this episode is for you! Learn the basics of pediatric urology and core principles for building a practice in transitional urology, directly from the experts. In this episode of BackTable Urology, pediatric urologists Nicco Passoni and Arthi Hannallah, join guest host Dr. Ryan Mauck to discuss the most common conditions they see.

---

SYNPOSIS

The discussion covers a broad spectrum of topics in the transition of pediatric urology patients to adult care. Key highlights include self-catheterization, testicular torsion, bladder augmentation, and patients with a history of pediatric surgeries or spina bifida. Dr. Mauck emphasizes a collaborative discussion on the importance of managing conditions independently versus seeking specialized help for these complex patient situations.

---

TIMESTAMPS

00:00 - Introduction

03:41 - Testicular Torsion Emergencies

08:45 - Common Challenges in Pediatric Urology

16:34 - Bladder Augmentation and Rupture

27:24 - Self-Catheterization

30:25 - Reflux and Reimplantation

35:25 - Managing Pediatric Urology Patients in Adulthood

46:47 - Outpatient Management of Reconstructed Bladders

50:58 - Embracing a Multidisciplinary Approach

54:02 - Key Takeaways

Patients seeking penile girth enhancement often do so for both physical and psychological reasons. When treating this patient population, understanding your patient’s goal is as critical as mastering the aesthetics. In this episode of BackTable Urology, Dr. Amy Pearlman, co-founder of PRIME Institute Miami, meets with our host Dr. Jose Silva to discuss practical tips for treating patients that seek penile girth enhancement.

---

SYNPOSIS

Dr. Pearlman shares her journey from academic urology to healthcare entrepreneurship, emphasizing the personalized, holistic care offered at her practice. The conversation covers the procedure's impact on patients' lives, the management of a concierge clinic, and the integration of sexual health with overall wellness. Dr. Pearlman elaborates on the specifics of the penile girth enhancement procedure using hyaluronic acid. She covers patient experiences, consultation practices, and safety protocols. The episode emphasizes the broader conversation around men’s health and the importance of sexual well-being.

---

TIMESTAMPS

00:00 - Introduction

10:09 - Injectable vs. Surgical Options

10:30 - Hyaluronic Acid Fillers

14:06 - Patient Experiences and Expectations

24:09 - Injection Techniques and Aftercare

32:55 - Understanding Penile Aesthetics

35:43 - Consultation Process

37:23 - Pain Management

39:01 - Patient Experiences and Feedback

46:53 - Telehealth Consultations

49:22 - Closing Advice for Providers

Sharpen your approach to high-risk renal cell carcinoma (RCC). In this episode of BackTable Urology, guest Dr. Sumanta (Monty) Pal from City of Hope joins host Dr. Aditya Bagrodia to discuss contemporary kidney cancer treatment and the complexities of perioperative therapy.

---

This podcast is supported by:

Photocure

https://www.photocure.com/

---

SYNPOSIS

The conversation covers the challenging side effects of perioperative treatments, the evolution of therapies from tyrosine kinase inhibitors to modern checkpoint inhibitors, and the introduction of adjuvant therapies. Dr. Pal and Dr. Bagrodia explore the impact of these treatments on patient outcomes, the challenges with current biomarkers, and the potential of emerging trials. The doctors also highlight the importance of personalized RCC management strategies, particularly for high-risk patients and non-clear cell histologies. They also emphasize the need for appropriate patient counseling in this emerging field.

---

TIMESTAMPS

00:00 - Introduction

01:53 - Evolution of Kidney Cancer Treatments

03:30 - Tyrosine Kinase Inhibitors in the 2010s

10:42 - Checkpoint Inhibitor Trials

23:09 - Discussing Adjuvant Therapy with Patients

26:56 - Restaging and Biomarkers

31:58 - Challenges in Adjuvant Immunotherapy

39:57 - Non-Clear Cell RCC

41:42 - Future Directions

---

RESOURCES

Photocure:

https://www.photocure.com/