BackTable Urology

With contemporary treatment options, your female patients don’t have to live with urinary incontinence! In this crossover episode of BackTable Urology and OBGYN, host Dr. Suzette Sutherland from University of Washington interviews Dr. Sarah Boyles, a urogynecologist at The Oregon Clinic, regarding female urinary incontinence, its diagnostic criteria, and various treatment options to help improve quality of life in the incontinence patient.

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PearsonRavitz

https://pearsonravitz.com/backtable

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SYNPOSIS

First, Dr. Boyles explains the importance of patient history and physical examination, along with the need for certain diagnostic tests for proper characterization of the type of urinary incontinence in a patient. She also explores behavioral treatments, pelvic floor physical therapy, vaginal pessaries, and advanced interventions such as urethral bulking and surgery for stress incontinence. The doctors further discuss innovative pharmaceutical and neuromodulation options for urge incontinence.

Dr. Boyles concludes with a mention of patient education resources that are available on her platform, thewomensbladderdoctor.com.

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TIMESTAMPS

00:00 - Introduction

02:35 - The Women’s Bladder Doctor Initiative

07:03 - Types of Urinary Incontinence

11:49 - Diagnostic Approaches to Urinary Incontinence

28:39 - Treatment Algorithms for Urinary Incontinence

31:12 - Bladder Retraining and Pelvic Floor Therapy

40:00 - Urethral Seals and Vaginal Pessaries

50:47 - Treatment for Urgency

57:51 - Future Directions

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RESOURCES

Pearson Ravitz

https://pearsonravitz.com/

The Women’s Bladder Doctor

https://thewomensbladderdoctor.com/

It can be tough to avoid burnout, stay motivated, and retain your passion for patient care when facing the day-to-day challenges of medical practice. In this episode of the BackTable Urology Podcast, Dr. Alexander Kutikov from Fox Chase Cancer Center discusses keys to developing a sustainable and fulfilling career within urology.

Attention residents and fellows! In this episode of the BackTable Urology podcast, Dr. Jay Shah hosts Dr. Eugene Shkolyar, a recent SUO fellowship graduate and new faculty member at Stanford, to discuss the process of securing a first job out of training.

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Fellow

https://www.meetfellow.com/

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SYNPOSIS

The conversation covers the importance of introspection, geography, and mentorship. Dr. Shkoliar also delves into practical aspects of networking, job offer negotiation, and the balance between professional aspirations and personal life. Dr. Shkoliar shares personal experiences from this career milestone.

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TIMESTAMPS

00:00 - Introduction

02:17 - The Job Search

09:13 - Balancing Personal and Professional Goals

16:43 - Exploring Different Career Paths

22:26 - Understanding Healthcare Structures

26:14 - Practical Steps

30:07 - Mentorship and Networking

37:39 - Negotiation Tactics

49:48 - Final Reflections

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RESOURCES

Fellow

https://www.meetfellow.com/

How can residents maximize their surgical skills development and personal growth during the grueling years of urology residency? In the second edition of the BackTable Urology podcast’s PGY Playlist series, host Dr. Gina Badalato interviews Dr. George Moran, a chief resident from Columbia University, about his recommended strategies.

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SYNPOSIS

Dr. Moran shares his approach to studying medical guidelines, using the spaced repetition app, Anki, and preparing for the annual in-service exam. The doctors also discuss GAMERS, a surgical simulation competition started by Dr. Moran intended to improve robotic skills. Finally, Dr. Moran speaks to the importance of adaptability, personalization, and mentorship in effective learning during residency.

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TIMESTAMPS

00:00 - Introduction

02:38 - Strategies for Learning Medical Knowledge

09:08 - Preparing for Exams

16:14 - Robotic Simulation

21:46 - Final Wisdom

Stay up-to-date on the latest advancements and treatment strategies in the field of genitourinary oncology. In this episode of BackTable Urology, guest host Dr. Bogdana Schmidt, a urologic oncologist from the University of Utah, discusses takeaways from ASCO 2024 with Dr. Petros Grivas from Fred Hutchinson Cancer Center and Dr. Sumanta (Monty) Pal from City of Hope.

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Siemens Healthineers Theranostics

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

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SYNPOSIS

The conversation initially focuses on advanced urothelial carcinoma and the EV302 trial, discussing detailed insights from the quality-of-life results presented at ASCO. The experts offer relevant clinical perspectives for modern metastatic urothelial carcinoma management, focusing on pembrolizumab plus enfortumab vedotin. Further, they delve into breaking biomarker research at ASCO, including KIM-1 in adjuvant renal cell carcinoma (RCC) therapy and the HIF-2 inhibitor DFF332 for chromophobe RCC.

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TIMESTAMPS

00:00 - Introduction

03:42 - Pembrolizumab and Enfortumab Vedotin Trial Insights

07:43 - Future Trials and Treatment Strategies

21:27 - Javelin Bladder 100 Trial Discussion

32:05 - Growth Factor Use

36:21 - Future Directions of Biomarkers

38:55 - Kidney Cancer Biomarker Trials

53:40 - Concluding Thoughts

In this episode of the BackTable Urology Podcast, Dr. Ashish Kamat discusses contemporary management of high-risk, non-muscle-invasive bladder cancer (NMIBC) and his thoughts into the future of this arena.

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CHECK OUT OUR SPONSOR

Siemens Healthineers Theranostics

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

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SYNPOSIS

Dr. Kamat explores the evolving role of BCG and potential alternative therapies such as gemcitabine and docetaxel. He also covers effective clinical management, emerging clinical trials, and nuanced decision-making principles for radical cystectomy. Finally, the conversation touches on Dr. Kamat’s expert insights regarding the future of NMIBC management, including predictive biomarkers and personalized medicine.

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TIMESTAMPS

00:00 - Introduction

03:56 - Initial Diagnosis and Workup

12:22 - High-Grade Bladder Cancer

22:37 - BCG and Alternative Treatments

31:30 - BCG Unresponsive Disease

36:56 - Novel Intravesical and Systemic Therapies

46:45 - Future Directions

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RESOURCES

Related BackTable episodes:

https://www.backtable.com/shows/urology/podcasts/64/management-of-bcg-refractory-nmibc

https://www.backtable.com/shows/urology/podcasts/157/the-bladder-cancer-matters-podcast

https://www.backtable.com/shows/urology/podcasts/103/adjuvant-therapy-for-high-risk-bladder-cancer

Dr. Charla Holdren, a resident at the University of Michigan-West, and Dr. Christine Van Horn, an endourology fellow at Loyola, explore the high rates of infertility and pregnancy complications among female urologists.

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Fellow

https://www.meetfellow.com/

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SYNPOSIS

First, the two experts discuss personal experiences in family planning and challenges faced regularly in the hospital environment. They outline the complexities of assisted reproductive technology and offer insights for a better path forward, including cultural shifts, new policies, and supportive resources to better accommodate the needs of female surgeons.

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TIMESTAMPS

00:00 - Introduction

04:05 - Dr. Holdren and Dr. Van Horn’s Journeys

06:57 - Challenges in Family Planning

17:51 - Parental Leave Policies

26:56 - Advanced Reproductive Technology

33:46 - Looking Towards the Future

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RESOURCES

Fellow

https://www.meetfellow.com/

As part of our recurring resident-focused series "PGY Playlist", guest hosts Dr. Lindsay Hampson (UCSF) and Dr. Gina Badalato (Columbia) speak with Onyi Ibeziako, a third-year resident at UT Southwestern, about effectively handling challenges during the early years of urology residency.

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SYNPOSIS

Dr. Ibeziako offers practical advice on managing competing responsibilities, building relationships with hospital staff, and developing early surgical skills. She offers valuable personal insights on self-directed study, triage of tasks, and making the most of these valuable years to set up for a successful career ahead.

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TIMESTAMPS

00:00 - Introduction

05:43 - Early Residency Challenges

10:51 - Relationships with Nursing

14:23 - Multitasking

24:06 - Developing Surgical Skills as an Intern

33:09 - Continuous Learning and Final Pearls of Wisdom

In this episode of the BackTable Urology Podcast, Dr. Jose Silva and Dr. Spencer Hiller discuss holmium laser enucleation of the prostate (HoLEP), including preoperative and postoperative care, and the technical nuances of the procedure.

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CHECK OUT OUR SPONSOR

Siemens Healthineers Theranostics

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

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SYNPOSIS

Dr. Hiller emphasizes the importance of patient education, bladder retraining, and the holistic management of incontinence. The conversation also touches on the science of lasers, effective morcellation, and practical challenges in achieving successful outcomes.

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TIMESTAMPS

00:00 - Introduction

07:58 - HoLEP Patient Counseling

21:29 - HoLEP Surgical Techniques

33:54 - Morcellation: Challenges and Best Practices

37:16 - Post-Operative Care

47:21 - Postoperative Urinary Symptoms

Dr. Aditya Bagrodia sits down with Elie Toubiana, founder and CEO of ScribeMD.ai, to discuss the transformative potential of artificial intelligence (AI) in medical documentation.

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SYNPOSIS

Their conversation covers the capabilities and benefits of using an AI-driven medical scribe that ensures HIPAA compliance, reduces physician burnout, and enhances patient interactions. Elie also shares his insights about the technology’s adaptability across various medical fields. Finally, Dr. Bagrodia and Elie discuss ethical considerations surrounding applications of AI in other aspects of healthcare, such as medical workup and diagnosis.

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TIMESTAMPS

00:00 - Introduction

06:00 - How ScribeMD AI Works

14:14 - Integration with EMR

20:31 - Legal Considerations with AI Technology

26:34 - Cost Implications of AI Scribes

38:46 - Future of AI in Medical Diagnosis

41:45 - Conclusion and Final Thoughts

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RESOURCES

ScribeMD.ai

https://www.scribemd.ai/