BackTable Urology

Inequality persists in pay and career advancement between male and female urologists. In this episode of the BackTable Urology Podcast, Dr. Suzette Sutherland hosts Dr. Yahir Santiago-Lastra from the University of California San Diego. They discuss the gender wage gap in medicine, particularly amongst urologists.

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This podcast is supported by:

Photocure

https://www.photocure.com/

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SYNPOSIS

Dr. Santiago, a Latina from Puerto Rico and a first-generation physician, highlights the latest data on pay, research funding, and professional advancement for women physicians. They debunk common myths, discuss the importance of transparency, and emphasize the need for inclusive work environments. The conversation also covers the economic phenomena underlying current discrepancies and the benefits of fostering diversity. This episode offers valuable insights for leaders on retaining and nurturing talent within their organizations.

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TIMESTAMPS

00:00 - Introduction

06:28 - Impact of Menopause and Women’s Health

10:33 - Gender Gaps in Urology

31:52 - The Meritocracy Myth

35:56 - The Abrasiveness Trap and Gender Schema

40:04 - Navigating Work Personalities

47:54 - Leadership and Inclusivity in Organizations

51:30 - Tokenism vs. True Inclusion

56:58 - The Benefits of a Diverse Workforce

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RESOURCES

Photocure

https://www.photocure.com/

What does recent research say about the role of perirectal spacers in prostate cancer treatment? In this episode of the BackTable Urology Podcast, host Dr. Jose Silva discusses the use of perirectal spacers for prostate radiotherapy with guests Dr. Eric Chenven, Chief of Urology at Broward Health Medical Center, and Dr. Nadim Nasr, a radiation oncologist at Arlington Radiation Oncology.

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This podcast is supported by:

Boston Scientific SpaceOAR Hydrogel

https://www.spaceoar.com/about-spaceoar-hydrogel/how-spaceoar-hydrogel-works/?utm_source=google&utm_medium=cpc&utm_campaign=uro-ph-us-spaceoar-dtp&utm_content=nf-cs-prostatecancer_search_en_us_brand_conversion_dtp_uro-spaceoar-651995397243-res&gad_source=1&gclid=CjwKCAjw9eO3BhBNEiwAoc0-jTE63KEHSnZ1soXre9ovVRqweY2QctIuZ_iN2QUjk6Px4k6fK1757BoCVNgQAvD_BwE

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SYNPOSIS

Their conversation delves into the use of Boston Scientific’s SpaceOAR hydrogel to reduce radiation exposure to the rectum. The experts elaborate on the techniques and logistical challenges of placing spacers, as well as their effects on patient outcomes. They also discuss insurance hurdles, use of sedation, fiducial marker placement, and the impact of large prostate size on treatment efficacy. Finally, they touch on Barrigel, the newest spacer option. This episode emphasizes the need for collaboration between urologists and radiation oncologists to improve patient care.

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TIMESTAMPS

00:00 - Introduction

06:33 - Importance of Perirectal Spacing

11:17 - Techniques and Protocols

13:00 - Barrigel: The New Option

14:58 - Challenges and Practical Considerations

24:55 - Future Directions

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RESOURCES

Boston Scientific SpaceOAR

https://www.bostonscientific.com/en-US/products/hydrogel-spacers/spaceoar-hydrogel.html

URO108 - Minimizing Radiation Therapy Side Effects

https://www.backtable.com/shows/urology/podcasts/108/minimizing-radiation-therapy-side-effects

URO123 - Perfecting Rectal Spacer Placement for Optimal Care

https://www.backtable.com/shows/urology/podcasts/123/perfecting-rectal-spacer-placement-for-optimal-care

Learn how Advanced Practice Providers (APPs) can boost workflow efficiency and improve patient experience in your urology practice. In this episode of the BackTable Urology podcast, host Dr. Jose Silva speaks with Dr. Arpeet Shah and advanced practice nurse (APN) Nicole Hollander, about the role of APPs in benign prostate hyperplasia (BPH) patient care.

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CHECK OUT OUR SPONSOR

Boston Scientific Rezum Water Vapor Therapy

https://www.bostonscientific.com/rezum

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SYNPOSIS

Hollander and Shah discuss the importance of effective APP training and onboarding. Dr. Shah shares his wisdom on structuring an APP program to ensure that new practitioners are educated, compliant, and satisfied; all while helping to address the current urologist shortage. The discussion also covers BPH workflows, effective follow-up, and staying up to date on evolving medical knowledge in the context of innovations such as GreenLight Laser and UroCuff.

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TIMESTAMPS

00:00 - Introduction

06:58 - Nicole’s APP Journey

07:42 - Training APPs

12:22 - BPH Workflow

21:04 - Deciding on Procedures for BPH

26:40 - Rezum

33:40 - Ensuring APP Clinical Excellence and Compliance

36:34 - APP Career Development and Retention

40:31 - Looking Ahead

Did you know that robotic prostatectomy has its roots in both the immigrant experience and the renowned manufacturing legacy of Detroit? In this episode of BackTable Urology, Dr. Mani Menon, a pioneer in robotic surgery, joins Dr. Aditya Bagrodia to discuss the development of robotic prostatectomy technology.

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CHECK OUT OUR SPONSORS

Siemens Healthineers Theranostics

https://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics

Photocure

https://www.photocure.com/

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SYNPOSIS

Dr. Menon reflects on how robotic prostatectomy techniques have evolved over his career. He shares his journey from India to the United States, highlighting his trailblazing work at the Vattikuti Urology Institute at Henry Ford Hospital. He also talks about the challenges of working with robotic technology, recent advancements in the field, and what the future may hold for robotic surgery.

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TIMESTAMPS

00:00 - Introduction

03:05 - Dr. Menon’s Early Life

06:51 - Experiences of an International Medical Graduate

19:51 - The Move to Henry Ford

36:44 - Transitioning to Robotic Surgery

41:36 - Patient Outcomes and Reflections

47:50 - Technological Advancements in Surgery

55:52 - Looking Ahead

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RESOURCES

Photocure

https://www.photocure.com/

Siemens Healthineers

https://www.siemens-healthineers.com/en-us/urology-equipment

What is the role of testosterone therapy in prostate cancer? Urologist Dr. Abraham Morgentaler of Beth Israel Deaconess Medical Center and Harvard Medical School joins host Dr. Jose Silva to discuss the evolution of testosterone therapies, modern testosterone treatments, and how to integrate testosterone replacement therapy into your practice.

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CHECK OUT OUR SPONSOR

KYZATREX™

https://www.kyzatrex.com

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SYNPOSIS

Dr. Morgenhaler starts by sharing his pioneering journey with testosterone replacement therapy starting in the 1980s, challenging long-held beliefs that it increases prostate cancer risk. He highlights key studies to debunk myths about testosterone’s dangers and emphasizes the ability to improve patients’ quality of life. Further, he discusses modern treatment options and provides practical advice for safely initiating testosterone replacement therapy. Finally, he discusses its use in patients with a history of prostate cancer and emphasizes the importance of individualized treatment plans.

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TIMESTAMPS

00:00 - Introduction

03:04 - Historical Perspectives on Testosterone and Prostate Cancer

21:31 - Evolution of Testosterone Treatments

31:16 - Testosterone and Prostate Cancer: A Controversial History

35:42 - Treating Prostate Cancer Patients with Testosterone

37:12 - A Case Study

43:05 - Shifting Perspectives

57:15 - Final Thoughts

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RESOURCES

T4L Education

https://t4leducation.com/

Marius Pharmaceuticals

https://mariuspharma.com/

Testosterone Replacement in Prostate Cancer Survivors URO98

https://www.backtable.com/shows/urology/podcasts/98/testosterone-replacement-in-prostate-cancer-survivors

Men's Health & Testosterone Replacement Therapy URO114

https://www.backtable.com/shows/urology/podcasts/114/mens-health-testosterone-replacement-therapy

Testosterone & Hypogonadism: A Clinical Perspective URO124

https://www.backtable.com/shows/urology/podcasts/124/testosterone-hypogonadism-a-clinical-perspective

Testosterone: Navigating Options & Implementation in Clinical Practice URO 125

https://www.backtable.com/shows/urology/podcasts/125/testosterone-navigating-options-implementation-in-clinical-practice

Hot off the press! The results of the 2023 American Urological Association Census findings will likely surprise listeners. In this episode of the BackTable Urology Podcast, host Dr. Suzette Sutherland is joined by Dr. Amanda North (The Children’s Hospital at Montefiore) and Dr. Matt Nielsen (University of North Carolina) to dive deep into the census data and offer a call to action for all urologists.

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CHECK OUT OUR SPONSOR

PearsonRavitz

https://pearsonravitz.com/backtable

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SYNPOSIS

The conversation covers noteworthy statistics on burnout, accessibility to mental health care, and practice patterns within the urologic community. The doctors also discuss the evolution in demographics amongst practicing urologists, improvement in diversity, equity, and inclusion initiatives, and the growing concern of workforce shortages. Finally, the episode explores the importance of this census data in informing AUA advocacy efforts to shape future government policies.

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TIMESTAMPS

00:00 - Introduction

06:04 - The AUA Census

11:20 - Demographics of Urologists in the U.S.

22:48 - Trends in Private Practice and Employment

38:00 - Burden of Prior Authorizations

43:17 - Addressing Burnout

45:29 - Diversity, Equity, and Inclusion

52:43 - Conclusion

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RESOURCES

Pearson Ravitz

https://pearsonravitz.com/

Photocure

https://www.photocure.com/

What is the role of blue light cystoscopy in bladder cancer? In this episode, Dr. Suzette Sutherland interviews Dr. Suzanne Merrill from Colorado Urology about the benefits of this technology in the diagnosis and treatment of bladder cancer, and how to implement it into your practice.

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CHECK OUT OUR SPONSOR

Photocure

https://www.photocure.com/

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SYNPOSIS

The doctors start by discussing the advantages of using blue light cystoscopy, including better detection rates of Ta and T1 lesions and the reduction of cancer recurrence by as much as 11%. They highlight the importance of complete transurethral resection of bladder tumor (TURBT) and patient compliance. Dr. Merrill emphasizes the necessity of accurate risk stratification and the logistics of real-life incorporation. Finally, she also comments on new bladder cancer technologies, such as narrow band imaging.

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TIMESTAMPS

00:00 - Introduction

03:45 - Epidemiology and Risk of Bladder Cancer

05:48 - AUA Guidelines for Bladder Cancer

08:01 - Mechanism and Benefits of Blue Light Cystoscopy

10:33 - Practical Applications

34:48 - Conclusion

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RESOURCES

Photocure

https://www.photocure.com/

Empathy, social awareness, and servant leadership are important qualities for all physicians to possess. This week on the BackTable Urology Podcast, Houston Methodist urologists Dr. Raj Satkunasivam and Dr. Rose Khavari sit down with Dr. Timothy Boone to discuss developing humanistic skills in medicine.

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SYNPOSIS

Dr. Boone reflects on his personal journey into urology and his experiences in education and administration. The urologists emphasize the significance and joys of patient relationships and effective mentorship for other doctors. Furthermore, they offer advice for young urologists on self-reflection, time management, and the art of doctoring.

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TIMESTAMPS

00:00 - Introduction

05:00 - Early Influences and Career Path

24:28 - Challenges in Maintaining Empathy

29:19 - The Importance of Self-Reflection

33:24 - Recruitment and Retention in Leadership

36:12 - Balancing Personal Life

42:03 - Innovative Medical Education

48:54 - Final Thoughts

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RESOURCES

Pearson Ravitz

https://pearsonravitz.com/

BackTable URO24 - Operate with Zen

https://www.backtable.com/shows/urology/podcasts/24/operate-with-zen

Beyond patient morbidity, complications can have a significant impact on surgeon health and relationships outside of medicine. In this episode of the PGY Pearls Series of BackTable Urology, hosts Dr. Lindsay Hampson (UCSF) and Dr. Gina Badalato (Columbia University) discuss the “second victim phenomenon” with special guest Dr. Chloe Peters, a fifth-year urology resident at the University of Washington.

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SYNPOSIS

The “second victim phenomenon” refers to the negative emotional response a healthcare worker endures after a traumatic patient care event. The conversation explores the psychological impacts of surgical complications as Dr. Peters describes the phases of coping. She emphasizes the need to distinguish between personal failure and professional setbacks and highlights the importance of peer and institutional support. The discussion also delves into recent cultural shifts in medicine, especially in the wake of COVID-19. The experts conclude by discussing steps for progress and improvement within the surgical work environment.

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TIMESTAMPS

00:00 - Introduction

02:00 - Second Victim Phenomenon

06:52 - Challenges for Trainees

09:43 - Managing Complications

17:04 - Phases of Emotions

20:31 - Peer Support and Institutional Resources

35:04 - Building a Supportive Training Environment

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RESOURCES

Pearson Ravitz

https://pearsonravitz.com/

BackTable URO24- Operate with Zen

https://www.backtable.com/shows/urology/podcasts/24/operate-with-zen

BackTable URO39- The Anatomy of a Complication https://www.backtable.com/shows/urology/podcasts/39/the-anatomy-of-a-complication-surgeon-health

BackTable URO42- Mental Constructs to Avoid Complications https://www.backtable.com/shows/urology/podcasts/42/mental-constructs-to-avoid-complications