BackTable Urology

This week, we present an inspiring episode for anyone interested in the history, present, and future of prostate cancer care. In this Legends in Urology installment of the BackTable Urology Podcast, Dr. Gerald Andriole joins guest host Dr. Niraj Badhiwala to reflect on a career that has left a lasting impact on the field.

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SYNPOSIS

Dr. Andriole shares personal stories from his upbringing in Northeastern Pennsylvania and his journey into medicine. He reflects on his expedited education through Penn State and Jefferson Medical College and his path to urology. He discusses his pivotal work in prostate cancer screening, including the influence of major trials like The Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial, and traces the evolution of surgical and diagnostic techniques. The conversation also touches on current innovations and the future of prostate cancer management, offering valuable advice for the next generation of urologists.

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TIMESTAMPS

00:00 - Introduction
01:59 - From Childhood to Medical School
06:48 - Discovering Urology
16:52 - Pioneering Prostate Cancer Screening
24:07 - The PLCO Study: Design and Challenges
28:57 - Controversies and Criticisms in Prostate Cancer Screening
33:29 - Evolving Practices in Prostate Cancer Management
44:19 - Future of Prostate Cancer Treatment

How do the experts balance organ preservation, oncologic control, and emerging therapies in both localized and metastatic cases of penile cancer? This episode of BackTable Tumor Board focuses on penile cancer diagnosis and treatment, featuring urologic oncologist Dr. Charles Peyton (UAB), radiation oncologist Dr. Juanita Crook (UBC), and medical oncologist Dr. Andrea Apolo (NCI).

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This podcast is supported by:
Ferring Pharmaceuticals

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SYNPOSIS

This session covers case studies ranging from localized to advanced penile cancer, diagnostic practices, imaging preferences (MRI vs. CT), and treatment options, including surgery, brachytherapy, chemoradiation, and neoadjuvant chemotherapy. The multidisciplinary team highlights the complexities of treating this rare cancer, underscores the importance of physical exams, and stresses the necessity of personalized treatment plans. They also delve into the challenges of managing metastatic stages, potential salvage therapies, and the importance of clinical trials in enhancing treatment efficacy. The doctors also emphasize the potential of immunotherapy and chemotherapy combinations for metastatic disease.

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TIMESTAMPS

00:00 - Introduction
02:23 - Imaging Preferences
03:29 - Biopsy vs Immediate Surgery
06:04 - Lymph Node Dissection vs Radiation
13:48 - Brachytherapy Techniques and Case Study
23:21 - Challenges in Advanced Penile Cancer
27:03 - Chemotherapy and Chemoradiation
30:15 - InPACT Trial
37:12 - Salvage Therapies and Exploring New Treatment Frontiers
44:25 - Support and Awareness for Penile Cancer
51:29 - Final Thoughts

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RESOURCES

Society of Urologic Oncology
https://suonet.org/home.aspx

Can we do more than prescribe pills to address men’s sexual health complaints? In this episode of the BackTable Urology Podcast, men’s health expert Dr. Mohit Khera from Baylor College of Medicine joins guest host Dr. Amy Pearlman for a deep dive into testosterone management and the full spectrum of erectile dysfunction therapies.

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SYNPOSIS

The conversation covers daily tadalafil use, lifestyle optimization, and the nuanced role of off-label medications. Dr. Khera also highlights emerging technologies like the Tech Ring and radiofrequency treatments, alongside practical insights into semen analysis and hormonal health markers. Throughout, he emphasizes a holistic, patient-centered approach to sexual health—blending medical therapy with meaningful lifestyle change. This is a must-listen for general urologists, men’s health specialists, and trainees looking to expand their toolkit in this evolving field.

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TIMESTAMPS

00:00 - Introduction
02:13 - Erectile Dysfunction and Testosterone
08:05 - Young Men's Health and Early Detection
10:20 - Semen Analysis for Overall Health
12:50 - Daily Tadalafil and Its Benefits
16:40 - Proactive Sexual Health Management
21:28 - Female Sexual Health
25:16 - Treating Delayed Ejaculation
28:53 - Psychogenic Erectile Dysfunction
31:16 - Technology in Sexual Health
35:54 - Lifestyle Modifications for Better Sexual Health
41:55 - Resources and Referrals for Patients
44:30 - Final Thoughts

With so many treatment modalities for upper tract urothelial carcinoma, how does new evidence inform optimal care? In this episode of BackTable Tumor Board, urologic oncologist Dr. Nirmish Singla (Johns Hopkins), medical oncologist Dr. Jeannie Hoffman-Censits (Johns Hopkins), and urologic oncologist Dr. Bogdana Schmidt discuss treatment and diagnosis of upper tract urothelial carcinoma (UTUC).

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This podcast is supported by:
Ferring Pharmaceuticals

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SYNPOSIS

The discussion covers real-world UTUC cases, highlighting diagnostic challenges, treatment options, and evidence-based management strategies. They address scenarios ranging from localized to advanced UTUC, the role of systemic therapies, perioperative treatments, and the potential for novel approaches with immune checkpoint inhibitors. The episode underscores the evolving landscape of UTUC treatment and the importance of clinical trials and emerging biomarkers in improving patient outcomes.

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TIMESTAMPS

00:00 - Introduction
02:49 - Case Study 1: 66-Year-Old Male with UTUC
11:19 - Case Study 2: 73-Year-Old Male with High-Grade Urothelial Carcinoma
28:11 - Intravesical Chemotherapy Protocols
30:44 - Case Study 3: 57-Year-Old Male with Recurrent Urothelial Cancer
41:25 Clinical Trials and Emerging Treatments
45:40 Case Study: 55-Year-Old Female with Bulky Lymphadenopathy
56:45 Concluding Remarks and Future Directions

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RESOURCES

Society of Urologic Oncology
https://suonet.org/home.aspx

With fewer incisions and faster recovery, single port robotic surgery is changing the game—hear from the urologic surgeons leading the charge. This episode of BackTable Urology features an insightful discussion of the transformative impact of single port robotic surgery with Dr. Richard Link, Dr. Michael Stifelman and guest host Dr. Mihir Shah.

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SYNPOSIS

This episode explores the benefits of single port (SP) robotic surgery, highlighting improved access, greater efficiency, and shorter patient recovery times. The doctors discuss the evolution of single port technology and the challenges that remain. They also share practical tips around case selection, building community support, and tracking outcomes to enhance efficacy. Whether you're new to SP or a seasoned surgeon, this episode offers valuable insights on how to refine your surgical practice.

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TIMESTAMPS

00:00 - Introduction
04:18 - Early Adoption
06:50 - Commitment and Learning Curve
15:45 - Innovations and Best Practices
19:10 - The Magic of Single Port Access
29:29 - Practical Tips and Instrumentation
32:14 - Instrument Spread and Force Bipolar
34:25 - Benefits of Single-Port Surgery
35:57 - Challenges and Cognitive Load in SP Surgery
42:55 - Adoption and Resistance to SP Technology
50:52 - Final Thoughts

What if the key to better cancer outcomes lies not just in surgery or chemotherapy, but also in mindfulness, movement, and diet? In this episode of the BackTable Tumor Board, host Dr. Aditya Bagrodia interviews urologic oncologist Dr. Viraj Master, Professor of Urology at Emory University, about his role in developing the integrative oncology and survivorship service line at Winship Cancer Institute.

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This podcast is supported by:
Ferring Pharmaceuticals

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SYNPOSIS

They discuss the evidence-based use of complementary therapies alongside conventional cancer treatments, touching on various integrative methods including diet, exercise, mindfulness, acupuncture, yoga, and supplements. Dr. Master emphasizes the importance of physicians being open to these practices and understanding their potential benefits for improving patient outcomes and quality of life, even in highly acute cases like muscle-invasive bladder cancer. The conversation covers the importance of honesty and understanding across patient journeys–from initial diagnosis to survivorship–highlighting the value of holistic approaches in cancer care.

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TIMESTAMPS
00:00 - Integrative Oncology: Definitions and Basics
06:28 - Exercise and Its Impact on Cancer Treatment
08:12 - Physician Perspectives on Complementary Medicine
20:58 - Acupuncture and Acupressure in Cancer Care
25:28 - Practical Implementation of Integrative Approaches
31:30 - Supplements and Immuno Nutrition
36:25 - Cannabis, CBD, and Ayurveda in Cancer Care
44:39 - Conclusion and Final Thoughts

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RESOURCES

Society of Urologic Oncology
https://suonet.org/home.aspx

Are you a resident considering a urology fellowship? How do you choose the right subspecialty, and how can effective mentorship help you make the right decision? In collaboration with the Society of Women in Urology (SWIU), this episode of BackTable Urology features practical fellowship advice from Dr. Sevann Helo of Mayo Clinic, Dr. Jay Simhan of Temple University, and guest host Dr. Helen Bernie of Indiana University.

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SYNPOSIS

The three leaders in academic urology cover essential topics such as choosing the right fellowship program, finding strong mentorship, and balancing personal and professional life. This episode also offers transparency into the application process. The conversation also delves into the nebulous differences between ACGME and non-ACGME fellowships. This episode is an excellent starting point for practical advice for residents considering this pivotal step in their urology careers.

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TIMESTAMPS

00:00 - Introduction
03:07 - Differences Between Residency and Fellowship
07:02 - Building a Competitive Fellowship Application
11:09 - Pros and Cons of Pursuing a Fellowship
16:08 - Accredited vs. Non-Accredited Fellowships
20:30 - Choosing the Right Fellowship Program
27:31 - Importance of Fellowship Fit
28:46 - Evaluating Candidates Beyond Portfolios
30:03 - Letters of Recommendation
34:56 - Handling Fellowship Challenges
38:28 - Gender Diversity in Urology
43:31 - Balancing Family and Fellowship
50:09 - Concluding Thoughts

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RESOURCES

Society of Women in Urology
https://swiu.org/home.aspx

Are metabolic and sexual health two sides of the same coin? In this episode of BackTable Urology, Dr. Amy Pearlman is joined by gastroenterologist (and twin sister) Dr. Michelle Pearlman to discuss their collaboration at the PRIME Institute. Join us as we explore how two medical specialists combine their expertise to pioneer a comprehensive approach to two of the most important elements of health and wellness.

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SYNPOSIS

Together, they explore their unique, holistic approach to sexual medicine and metabolic health, combining hormone optimization, nutrition, and lifestyle modifications. They pay special attention to the difficult journey of perimenopause and its symptoms. The episode underscores the importance of thinking beyond conventional healthcare models and embracing comprehensive, personalized care. They also cover the successful integration of advanced technology and patient education. Finally, the conversation touches on self-care for healthcare providers to combat burnout and encourages medical professionals to develop a personal brand and diversify their professional activities.

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TIMESTAMPS

00:00 - Introduction
07:10 - Addressing Hormonal Health in Men
08:53 - Nutrition and Weight Management
13:21 - Treating Perimenopause and Menopause
23:38 - The Importance of Hormone Replacement Therapy
30:45 - Weight Loss Beyond the Scale
32:05 - Importance of Muscle Maintenance
41:09 - Technology in Health Monitoring
49:03 - Daily Routines for Optimal Health
57:38 - Closing Thoughts on Holistic Health

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RESOURCES

PRIME Institute:
https://www.primeinstitute.us/amy-pearlman-md/

What does it take to break the glass ceiling, lead, and get buy-in from your peers within a traditionally male-dominated field? In collaboration with the Society of Women in Urology (SWIU), guest host Dr. Martha Terris interviews Dr. Linda Shortliffe about her experience as the first woman to chair a major urology program.

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SYNPOSIS

The discussion touches on mentorship, work-life balance, gender bias, and the importance of peer support community in predominantly male specialties. The episode highlights the impact of effective mentorship and the invaluable role of compassion in effective leadership.

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TIMESTAMPS

00:00 - Introduction
03:00 - Women in Leadership
03:51 - The Importance of Mentors and Colleagues
05:49 - Challenges in Urology
07:57 - Balancing Career and Personal Life
29:55 - Navigating Gender Bias and Salary Disparities
36:43 - Final Reflections

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RESOURCES

Society of Women in Urology
https://swiu.org/home.aspx

How can pediatric and adult urologists team up to tackle complex cancer cases? In this episode of the BackTable Urology, host Dr. Amanda Buchanan, Division Chief of Pediatric Urology at the University of Kentucky, is joined by her colleagues Dr. Patrick Hensley, an adult urologic oncologist, and Dave Rodeberg, Division Chief of Pediatric Surgery. Their discussion centers around the importance of professional collaboration in urologic oncology care in order to improve patient outcomes.

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This podcast is supported by:

Ferring Pharmaceuticals

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SYNPOSIS

The urologists discuss topics such as the experiences and benefits of interdisciplinary collaboration in complex cases and the role of pediatric urologists in treating adolescent and young adult patients. They also provide insights into the Children's Oncology Group (COG) studies and their intersections with adult oncology research. The episode concludes with practical advice for other institutions aiming to improve collaborative efforts between pediatric and adult urology departments.

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TIMESTAMPS

00:00 - Introduction
02:35 - Challenges and Lessons in Multidisciplinary Collaboration
08:24 - Pediatric vs. Adult Urologic Oncology
11:07- Clinical Trials and Research Collaborations
12:49 - Navigating Oncology Groups for Children and Adults
19:06 - Collaborative Models in Kidney Cancer Care
22:18 - Benefits and Challenges of Collaboration
35:24 - Final Thoughts and Recommendations

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RESOURCES

Society of Urologic Oncology:
https://suonet.org/home.aspx

Children’s Oncology Group
https://www.childrensoncologygroup.org/