BackTable Urology

When is it time to refer a patient to pelvic floor physical therapy? In this episode of BackTable Urology, Dr. Amy Pearlman invites pelvic floor physical therapist Dr. Victoria Mallow onto the show to discuss the importance of pelvic floor physical therapy for various urological conditions.

---

SYNPOSIS

First, Dr. Mallow explains how she evaluates and treats patients. She discusses specific techniques, such as biofeedback, manual therapy, and therapeutic exercises like squats and lunges. Then, the experts underscore the significance of collaboration between urologists and physical therapists to provide comprehensive care for patients with pelvic floor disorders, bladder issues, and even post-prostatectomy rehabilitation. Dr. Pearlman also shares her tips to help urologists understand and utilize pelvic physical therapy more effectively.

---

TIMESTAMPS

00:00 - Introduction
02:43 - Understanding Pelvic Floor Physical Therapy
08:20 - Collaborative Approach to Treating Pelvic Health Issues
18:01 - Patient Education and Exercises
22:32 - Effective Cues for Post-Prostatectomy Patients
30:53 - Internal Exams and Patient Comfort
39:39 - Recommended Products for Pelvic Health
42:35 - Travel Tips for Pelvic Health

---

RESOURCES

Restore Pelvic Health & Rehab
https://restorepelvicrehab.com/

What does it mean to be a trailblazer in urology? In this episode of BackTable Urology, host Dr. Claire Yang interviews Dr. Carol Bennett, Professor of Urology at UCLA, who shares her inspiring journey from her early aspirations to becoming the first African American woman certified by the American Board of Urology.

---

SYNPOSIS

Dr. Bennett discusses her impactful career and notable research in neuro-urology, including breakthroughs in electroejaculation for patients with spinal cord injury. Dr. Bennett also reflects on her experiences with mentorship from notable urologists, overcoming barriers, and the importance of perseverance. The discussion highlights her enduring dedication to the field and her role as an inspiration to trainees, colleagues, and patients.

---

TIMESTAMPS

00:00 - Introduction
04:27 - Choosing Urology
06:02 - Pioneering Research in Neuro-Urology
13:23 - Challenges and Mentorship
18:40 - Changes and Trends in Urology
23:01 - Work-Life Balance and Personal Insights
26:29 - Conclusion and Final Thoughts

---

RESOURCES

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

Can a basic understanding of gastroenterology make you a better urologist? In this episode of BackTable Urology, Dr. Amy Pearlman is joined by gastroenterologist (and twin sister) Dr. Michelle Pearlman to discuss nutrition, exercise, and the interplay of common gastrointestinal and urinary conditions.

---

SYNPOSIS

The discussion begins with an emphasis on the significance of dietary fiber and protein in promoting digestive health, highlighting their role in preventing common gastrointestinal issues. Dr. Michelle then covers GLP-1 agonist medications like Ozempic and Wegovy, delving into their effects on weight management and outlining potential side effects that are relevant across both gastroenterology and urology.

Throughout the conversation, the sisters examine the interrelated nature of gastrointestinal and urinary conditions, emphasizing how thoughtful nutritional choices and regular exercise can support overall patient health. They also advocate for proactive management of constipation, especially after surgery. The episode concludes with practical resources that physicians can integrate into their practice to enhance patient care.

---

TIMESTAMPS

00:00 - Introduction
05:14 - GLP-1 Agonist Overview
10:55 - Muscle Mass and Sarcopenia
14:14 - Preventing Frailty: Hormones, Nutrition, and Exercise
21:23 - High-Quality Protein Options
24:42 - Inflammation, Gut Health, and Cancer Risk
34:34 - Post-Surgery Nutrition and Recovery
42:25 - Final Thoughts

---

RESOURCES

Prime Institute Miami:
https://www.primeinstitute.us/

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.
---
This podcast is supported by:
NeuWave Microwave Ablation Systems
https://www.jnjmedtech.com/en-US/product-family/neuwave-microwave-ablation-systems
---
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.

---

This podcast is supported by:

⁠⁠Ferring Pharmaceuticals⁠⁠

---

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