BackTable Urology

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.

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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.

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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.

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This podcast is supported by:

Photocure

https://www.photocure.com/

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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.

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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

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RESOURCES

Photocure:

https://www.photocure.com/

Do you need a recap of the latest urologic oncology research presented at GU ASCO 2025? This episode of BackTable Urology features a multidisciplinary discussion among three leading voices in urology and medical oncology – Drs. Bogdana Schmidt, Shilpa Gupta, and Ben Maughan – covering the most notable results presented at this year’s meeting.

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This podcast is supported by:

Photocure

https://www.photocure.com/

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SYNPOSIS

First, the doctors cover a wide range of topics including PARP inhibitors for prostate cancer, HER2-targeting antibody drug conjugates in bladder cancer, adjuvant chemotherapy for upper tract urothelial carcinoma, and biomarkers such as KIM-1 in kidney cancer. Highlighting the importance of multidisciplinary collaboration, the experts also critique the COSMIC-313 trial and discuss the nuances of applying new therapeutic combinations in real-world clinical practice.

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TIMESTAMPS

00:00 - Introduction

09:20 - TALAPRO-2 Trial Insights

19:29 - Bladder Cancer: Immuno-Oncology Combinations and HER2

27:42 - NIAGARA and iNDUCT Trials

33:32 - Future Directions in Upper Tract Treatment

37:38 - Biomarkers in Kidney Cancer: KIM-1

46:43 - COSMIC-313: Triplet Therapy in Renal Cell Carcinoma

52:39 - Concluding Thoughts and Future Directions

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RESOURCES

Photocure:

https://www.photocure.com/

Why is clinic experience important in urology residency training? In this edition of the BackTable Urology PGY Playlist, guests Dr. Alison Keenan and resident Dr. Nicholas Koch join host Dr. Gina Badalato to discuss the significance of clinic exposure as a trainee.

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This podcast is supported by:

Photocure

https://www.photocure.com/

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SYNPOSIS

Extended clinic exposure can facilitate better clinical decision-making, improve understanding of pathology, and help develop soft skills. Dr. Keenan shares her experience in implementing a longitudinal resident clinic (LRC) model at her institution, emphasizing its role in providing continuity and autonomy. As a senior resident, Dr. Koch reflects on his experiences from participating in the LRC, underlining its value in preparing for independent practice.

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TIMESTAMPS

00:00 - Introduction

02:37 - Outpatient Resident Education

08:13 - Effective Teaching in Clinic

19:42 - Innovative Longitudinal Resident Clinic (LRC) Model

27:59 - Advice and Final Thoughts

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RESOURCES

Photocure:

https://www.photocure.com/

How does the microbiome affect urologic health, and what role does it play in urinary tract infections (UTIs)? In this episode of BackTable Urology, Dr. Lennie Ackerman from UCLA joins host Dr. Suzette Sutherland to discuss the bladder microbiome and innovative methods for detecting UTIs.

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SYNPOSIS

Dr. Ackerman and Dr. Sutherland talk through the challenges of diagnosing chronic UTI symptoms, the limitations of standard urine cultures, and the role of new, enhanced culture methods and molecular diagnostics. They emphasize the importance of clinical judgment, the potential misuse of antibiotics, and the need for a long-term approach to managing urinary symptoms while maintaining a healthy microbiome.

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TIMESTAMPS

00:00 - Introduction

01:58 - The Bladder Microbiome

05:44 - Challenges in Diagnosing UTIs

16:36 - Enhanced Quantitative Urine Culture

21:30 - Molecular Diagnostic Approaches

34:01 - Chronic UTIs and Long-Term Management

46:10 - Conclusion

With the abundance of interventional options for benign prostate hyperplasia (BPH), how do you decide on the best treatment for each individual patient? In this episode of BackTable Urology, Dr. Marawan El Tayeb, chief of urology at Baylor Scott and White-Temple, joins host Dr. Jose Silva to discuss the intricacies of decision-making in BPH treatment.

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SYNPOSIS

The urologists discuss advantages and disadvantages of various BPH interventions, providing insight on when to use what. The conversation then goes deeper on holmium laser enucleation of the prostate (HoLEP), emphasizing the importance of appropriate patient counseling about retrograde ejaculation and transient urinary incontinence. Dr. El Tayeb shares his experiences in managing BPH both medically and surgically. He details his procedural approach, patient selection criteria, and postoperative care, along with special considerations for patients with prostate cancer on active surveillance. The episode concludes with a detailed look at alternative prostate treatments and insights into upcoming technological advancements in prostate care.

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TIMESTAMPS

00:00 - Introduction

02:44 - Evolution of BPH Treatments

09:40 - Weighing BPH Procedures

14:33 - HoLEP Insights

20:59 - Understanding HoLEP Equipment

21:06 - Techniques for Intravesical Lobes

24:10 - Post-Procedure Decisions

30:33 - Special Considerations for Cancer Patients

40:24 - Alternative Treatments and Final Thoughts

Are you a resident that’s interested in getting involved in research, or a residency program leader looking to equip your trainees with practical research skills? In this episode of BackTable Urology, Dr. Kate Dwyer from Vanderbilt joins guest host Dr. Gina Badalato from Columbia to discuss training urology residents in effective peer review as a way to start contributing to clinical research and academic medicine.

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This podcast is supported by:

Photocure

https://www.photocure.com/

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SYNPOSIS

Dr. Dwyer shares her personal journey and residency experiences, focusing on the formalized research training that she received as a trainee. The conversation covers the benefits of conducting peer review for residents, how to get involved, and how peer review can enhance your clinical and academic career. They also discuss the potential of formalizing a trainee peer review system across institutions to ensure all residents have access to peer review opportunities. Finally, the doctors conclude by discussing the balance of clinical duties with academic endeavors and personal wellness during residency.

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TIMESTAMPS

00:00 - Introduction

03:28 - Getting Started with Peer Review

08:50 - Tips for Effective Peer Review

19:03 - Formalizing Peer Review Programs

24:39 - Advice for Residents

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RESOURCES

Photocure

https://www.photocure.com/

Are you married to a physician? How do you balance demanding work, busy home life, and conflicting career ambitions as a dual physician couple? In collaboration with the Society of Women in Urology (SWIU), this episode of the BackTable Urology Podcast provides unique perspectives on how physician couples can live an integrated work-life, featuring Dr. Katie Amin and Dr. Peter Bajic, hosted by Dr. Helen Bernie.

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This podcast is supported by:

Boston Scientific UroAdvance

http://bostonscientific.com/uroadvance

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SYNPOSIS

The doctors discuss key pillars to success as a physician couple, including flexibility, effective communication, and building a village of support. The conversation offers personal insights and strategies into managing childcare, household chores, and ensuring career fulfillment for both partners. The episode also emphasizes the need for further advocacy in the workplace, including parental leave policies.

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TIMESTAMPS

00:00 - Introduction

02:09 - Life as a Dual Physician Couple

04:31 - Career Decisions and Relocation Challenges

06:34 - Financial Discussions

13:24 - Parental Leave and Childcare

19:59 - Early Morning Routine and Nannies

27:33 - Household Chores and Outsourcing

34:47 - Work-Life Balance and Integration

42:18 - Final Thoughts

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RESOURCES

Boston Scientific

https://www.bostonscientific.com/en-US/medical-specialties/urology/products.html

Society of Women in Urology

https://swiu.org/home.aspx