BackTable Urology

Join us for part two of our post-chemotherapy RPLND discussion with Society of Urologic Oncologists (SUO) members Tim Masterson from Indiana University and Rob Hamilton from Princess Margaret Hospital, University of Toronto.

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This podcast was developed in collaboration with:

Society of Urologic Oncology

https://suonet.org/home.aspx

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SYNPOSIS

The conversation covers critical aspects of RPLND, including surgical techniques, preoperative considerations, common complications like chyle leaks, and post-operative care. Both surgeons emphasize the importance of humility, constant learning, and interprofessional collaboration to enhance surgical outcomes. The experts provide valuable insights and detailed discussions meant to guide urologists.

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TIMESTAMPS

00:00 - Introduction

01:16 - General Steps for RPLND Surgery

07:23 - Finding the Ureters

11:53 - Vascular Control

23:26 - Mitigating Chyle Leak

32:32 - Conclusion

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RESOURCES

Expert Approaches to Complex PC RPLND Cases Part 1:

https://www.backtable.com/shows/urology/podcasts/201/expert-approaches-to-complex-pc-rplnd-cases-part-1

Society of Urologic Oncology:

https://suonet.org/home.aspx

Retroperitoneal lymph node dissection (RPLND) for testicular cancer can be a challenging surgery, even for the most experienced urologic oncologists. In part one of this special two-part series, host Dr. Aditya Bagrodia invites Society of Urologic Oncologists (SUO) members Dr. Timothy Masterson (Indiana University) and Dr. Robert Hamilton (Princess Margaret Hospital/University of Toronto) to cover current approaches to post-chemotherapy RPLND.

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SYNPOSIS

First, the urologists delve into the technical considerations and perioperative planning for post-chemotherapy retroperitoneal lymph node dissections (RPLND) in patients with germ cell tumors. They discuss the importance of patient preparation, imaging assessments, and surgical approaches. Additionally, they explain their own surgical techniques as well as tips for dealing with operative complications. To end, their discussion addresses the importance of a multidisciplinary team and practical tips for ensuring successful surgical outcomes.

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TIMESTAMPS

00:00 - Introduction

01:37 - Preparing for Post-Chemotherapy RPLND

08:10 - Intraoperative Considerations

11:02 - Handling Complications

20:11 - Vascular Anatomy and Preoperative Planning

27:13 - Anesthesia Considerations and Pain Management

29:22 - Essential Tools and Techniques for Surgery

38:24 - Incision Strategies and Post-Chemotherapy Considerations

46:32 - Extraperitoneal Approach and Future Research

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RESOURCES

Society of Urologic Oncologists

https://suonet.org/home.aspx

Biochemical recurrence of prostate cancer can be difficult to diagnose and treat. In this episode of BackTable Urology, where Dr. Aditya Bagrodia hosts Dr. Amar Kishan, a genitourinary radiation oncologist at UCLA, to discuss the complexities of biochemical recurrence and local failure after radiation therapy for prostate cancer.

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This podcast is supported by:

Veracyte

https://www.veracyte.com/decipher

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SYNPOSIS

First, they evaluate alternatives to androgen deprivation therapy (ADT), the benefits and risks associated with ADT, and the role of genetic classifier tests. They also detail the goals of prostate-specific antigen (PSA) monitoring, PSA trends post-radiation, and advancements in PSMA PET scans. Then, the conversation highlights modern treatment options like targeted radiation, low dose rate brachytherapy, salvage radical prostatectomy, and focal therapy. Finally, the doctors emphasize personalized and multidisciplinary treatment plans as they hope to improve long-term outcomes for patients with prostate cancer.

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TIMESTAMPS

00:00 - Introduction

04:31 - PSA Levels Post-Radiation

13:21 - Local Recurrence and PSMA PET

21:29 - Explaining Radiation Effects to Patients

22:41 - Managing PSA Bounce

26:05 - Imaging and Biopsy Techniques

28:55 - Treatment Options for Local Recurrence

30:16 - Re-Irradiation and Focal Therapy

33:13 - Concluding Thoughts

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RESOURCES

Veracyte

https://www.veracyte.com/

How do you care for patients with penile cancer? As urologists, we’re trained to think about diagnosis and treatment, but how can we help manage the psychological impacts of penile cancer? In this episode of BackTable Urology, host Dr. Ben Ayres, a urologic oncologist specializing in penile cancer, discusses the unique psychological challenges faced by penile cancer patients with bladder cancer survivor Dr. Rick Bangs and nurse Rob Cornes.

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This podcast is supported by:

Photocure

https://www.photocure.com/

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SYNPOSIS

This episode emphasizes the importance of awareness and peer support in reducing isolation and stigma associated with penile cancer. The conversation also explores the role of multidisciplinary care and the benefits of holistic approaches to patient decision-making.

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TIMESTAMPS

00:00 - Introduction

04:05 - Isolation in Penile Cancer

06:38 - The Role of Advocacy and Peer Support

15:29 - Shared Decision Making in Penile Cancer Care

23:22 - Value of Multidisciplinary Care

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RESOURCES

Photocure

https://www.photocure.com/

Global Society of Rare GU Tumors (GSRGT)

https://www.gsrgt.com

En este episodio de BackTable Urology, Dr. José Silva da la bienvenida a su colega de residencia, el Dr. Omar Soto, para profundizar en el viaje y los desafíos del Dr. Soto al establecer una práctica de urología reconstructiva en Puerto Rico después de su extensa capacitación y práctica en Detroit.

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This podcast is supported by:

Photocure

https://www.photocure.com/

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SYNPOSIS

Los doctores exploran las complejidades de navegar la atención urológica, la importancia de cumplir con el estándar de atención a pesar de las limitaciones sistémicas y el panorama en evolución de la urología reconstructiva y protésica. El Dr. Soto comparte anécdotas personales, el impacto de la pandemia de COVID-19 en su práctica y el papel crucial de la colaboración comunitaria y profesional en el avance de los servicios urológicos en Puerto Rico. El episodio destaca la dedicación necesaria para mejorar la calidad de vida del paciente y adaptarse a las nuevas tecnologías médicas.

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TIMESTAMPS

00:00 - Viaje a la Urología Reconstructiva

08:32 - Decisión de Quedarse en Detroit

13:31 - Regresando al Puerto Rico

27:47 - Tratamientos Urológicos en América Latina

30:18 - Equilibrio entre la Práctica Privada y las Necesidades de la Comunidad

36:32 - Prácticas y Técnicas Quirúrgicas

41:25 - La Importancia del Aprendizaje Continuo

52:45 - Pensamientos Finales

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RESOURCES

Photocure

https://www.photocure.com/

Frustrated with stone retrieval after a long lithotripsy case? In this episode of the BackTable Urology Podcast, host Aditya Bagrodia, MD, and guest Roger Sur, MD, director of the Comprehensive Kidney Stone Center at UC San Diego Health, delve into the latest technological advancements in the treatment of kidney stones. The episode focuses on the CVAC (continuous vacuum aspiration and irrigation) device as a suction platform for endourologists.

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This podcast is supported by:

Photocure

https://www.photocure.com/

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SYNPOSIS

Their conversation offers interesting historical detail on the evolution of kidney stone treatment, from open surgery to modern techniques including percutaneous nephrolithotomy, shockwave lithotripsy, and ureteroscopy. As one of the original visionaries behind CVAC, Dr. Sur highlights the development journey from lab experiments to FDA approval. The episode covers data on CVAC’s superiority in patient outcomes and stone-free rates compared to other technologies. Key insights from recent studies, such as the ASPIRE trial, underscore the benefits of CVAC in reducing postoperative events and stone regrowth. The conversation also explores practical aspects of integrating suction platforms into practices and looks ahead towards the potential for machine learning to refine these technologies.

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TIMESTAMPS

00:00 - Introduction

04:29 - The Rise of Ureteroscopy

10:38 - Development of Suction Devices

12:22 - The CVAC Device: History and Functionality

21:05 - Comparing Suction Device Systems

31:34 - Looking Into the Data

37:42 - Considerations for Real-World Practice

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RESOURCES

Photocure

https://www.photocure.com/

Are you curious about the biotechnology startup world? Learn how our guest transitioned from trauma surgeon to entrepreneur in this episode of the BackTable Podcast. Dr. Chris Kinsella, CEO of Watershed Therapeutics and our host Dr. Bryan Hartley discuss the importance of using entrepreneurship to solve clinical needs. Watershed Therapeutics has created a novel bladder drug delivery platform to help women with recurrent urinary tract infections.

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SYNPOSIS

The doctors systematically cover the process of identifying market needs, inventing solutions, bringing a product to the market, and managing risk. They also share examples of successful startup ventures and underscore the importance of perseverance, innovative thinking, and strategic market focus in forging a path to success.

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TIMESTAMPS

00:00 - Introduction

04:30 - The Birth of a Surgical Trainer

07:04 - Challenges and Innovations in Trauma Surgery

22:06 - Evaluating and Killing Ideas

28:27 - Challenging Assumptions

29:53 - Meeting a Co-Founder

33:07 - Developing the Solution

37:29 - Raising Funds

40:28 - Navigating Regulatory Challenges and Market Expansion

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RESOURCES

Watershed Therapeutics:

https://www.watershedtx.com/

Stanford Biodesign Innovation Fellowship:

https://biodesign.stanford.edu/programs/fellowships/innovation-fellowships.html

Are you a 2025 Urology Match applicant or a residency program faculty member? In this week’s episode of the BackTable Urology podcast, guests Dr. Mihir Shah, Dr. Gina Badalato, and Dr. Lindsay Hampson provide guidance on navigating urology residency interviews. Their discussion offers insights from a residency leadership, department faculty, and medical student’s point of view with host Yash Shah.

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SYNPOSIS

The episode covers tips for both virtual and in-person interviews, strategies for conversational engagement, and advice for how applicants should evaluate programs. They further detail aligning personal values with program culture, describing past challenges, and lowering interview anxiety through effective practice. The conversation offers applicants invaluable preparation tips to approach the interview process with confidence and a positive attitude.

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TIMESTAMPS

00:00 - Introduction

02:32 - Virtual vs. In-Person Interviews

07:02 - Preparing for Residency Interviews: Tips and Strategies

17:29 - The Role of Research

20:43 - Pivoting to Leadership and Advocacy

22:01 - Behavioral Questions: Tips and Examples

26:22 - Discussing Difficult Subjects

28:26 - Choosing the Right Residency Program

33:10 - Post-Interview Communication

36:24 - Final Advice

Intrarenal pressure monitoring during ureteroscopy is a complex but crucial component of performing safe procedures. In this episode of the BackTable Urology Podcast, urologist Dr. Julie M. Riley from the University of Arkansas for Medical Sciences shares expert insights on ureteroscopy, focusing on intrarenal pressure monitoring, procedural techniques, and new technologies aimed at improving patient safety.

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This podcast is supported by:

Boston Scientific Urology

https://www.bostonscientific.com/en-US/about-us/core-businesses/urology-pelvic-health.html

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SYNPOSIS

Dr. Riley discusses the benefits of access sheaths, the utility of new devices including LithoVue Elite, and strategies for minimizing infection. She highlights the benefits and intended use cases of this new technology, and further outlines potential complications and challenges in using this new tool. Dr. Riley also shares her own approaches to complex patients, and her predictions for the future of ureteroscopy.

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TIMESTAMPS

00:00 - Introduction

03:10 - Ureteroscopy and Patient Candidacy

04:12 - Complications

09:50 - Technological Advances

13:30 - Practical Tips

32:59 - Looking Ahead

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RESOURCES

Boston Scientific

https://www.bostonscientific.com/en-US/home.html

Catch up on the latest breakthroughs in bladder cancer management. In this episode of the BackTable Urology Podcast, Dr. Bogdana Schmidt (University of Utah) speaks with Dr. Andrea Apolo, a medical oncologist at the National Cancer Institute, about recent advancements in bladder cancer treatment presented at the 2024 European Society of Medical Oncology (ESMO) Congress.

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SYNPOSIS

They review pivotal trials like the NIAGARA and AMBASSADOR studies, the TAR-200 drug delivery system, the use of bladder-sparing treatment, and the role of ctDNA as a biomarker. Further, they detail the effectiveness of systemic therapies such as gemcitabine and pembrolizumab, the implications of perioperative immunotherapy, and the future role of antibody-drug conjugates. The conversation highlights the trend towards less invasive approaches while improving survival rates from bladder cancer.

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TIMESTAMPS

00:00 - Introduction

03:49 - NIAGARA Trial

09:10 - Challenges in Bladder Cancer Treatment

18:56 - AMBASSADOR Trial

25:30 - Adjuvant Immunotherapy

29:30 - Exploring Biomarkers and ctDNA

36:34 - Surgery and Less Invasive Therapies

46:31 - Future Directions in Bladder Cancer Treatment

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RESOURCES

ESMO

https://www.esmo.org/