Circumsessions

Welcome to another episode of Circumsessions where we have the privilege to be able to chat to Mr. Pat Malone on his pathway into paediatric urology and his collaborations between urology and paediatric general surgery which eventually led to the development of the (M)ACE procedure. This outstanding modification led to a revolution in the management of neurogenic bowels over the last number of decades and continues to be performed today. Mr. (not professor as he pointed out) has changed the lives of so many patients and colleagues over the years. Its a fascinating discussion. 

Co-Host: Prof. Tony Caldamone (@aac_pedsuro)

Welcome to a special episode of Circumsessions where we have the pleasure to be able to platform the David Frank Medal Lecture for 2022 delivered by Tony Macedo.

This lecture has culminated from 25 years of work on patients with myelomeningocoele patients comprising of clinics, knowledge, surgery and patient reported functional outcomes.

The lecture was recorded in Jesus College, Cambridge University in November 2022.

It was a privilege speaking with Prof. Diamond whom I managed to interview just before the COVID-19 pandemic (I think we all have an idea of the effect that had on all of us). 

Prof. Diamond is a Pediatric Urologist with particular interests in Disorders of Sexual Differentiation, Transgender Surgery and Medical Ethics. He attended Princeton University and received his medical degree from the University of Rochester School of Medicine and Dentistry, and undertook his surgical residency at the University of Vermont and his urology residency at the Johns Hopkins Hospital. He then travelled to the UK for pediatric urology fellowships at the Alder Hey Children’s Hospital in Liverpool,  Great Ormond Street Hospital and Institute of Urology in London.

Dr. David Canes is a board-certified fellowship trained Urologist who specializes in cancers of the prostate, kidney, and bladder. He also repairs complex urinary tract injuries and blockages. He is among the most experienced robotic surgeons in the Greater Boston area, having trained other surgeons in the technique both regionally and internationally. He is the Medical Director of Lahey’s New Hampshire satellite clinic at Parkland Medical Center.

We had a chat with David regarding his new venture WellPrept, a new centralised educational hub for patients and families containing videos, patient information tools, to help with the pre- and post-consultative process. Check it out on: https://wellprept.com

We're back. Season 2. Unlike most movie sequels, this promises to build on what we did last year. Prof. Johnson explains the importance and unique role of qualitative research in paediatric urology. This is in many ways an arduous and labour-intensive form of research, but the results can be incredible. Thanks for joining us!!

Host: Fardod O'Kelly (@fardodokelly)

Guest: Prof. Emilie K Johnson (Assoc Prof of Urology at Northwestern, Feinberg School of Medicine and an attending pediatric urologist at Lurie Children’s Hospital of Chicago, and a subspecialty editor in population and health services for the JPUrol). Twitter: @eekayjay

Design Team: Stephen Griffin, Christopher Bayne, Diana Cardona-Grau

Production Editor: Tony Caldamone & Tony Herndon

Citations:

- J Pediatr Urol. 2017 Dec;13(6):608.e1-608.e8. doi: 10.1016/j.jpurol.2017.03.035. Attitudes towards "disorders of sex development" nomenclature among affected individuals. Emilie K Johnson, Ilina Rosoklija, Courtney Finlayson, Diane Chen, Elizabeth B Yerkes, Mary Beth Madonna, Jane L Holl, Arlene B Baratz, Georgiann Davis, Earl Y Cheng

- J Pediatr Urol. 2017 Aug;13(4):402-413. doi: 10.1016/j.jpurol.2017.06.002. Future fertility for individuals with differences of sex development: Parent attitudes and perspectives about decision-making. Emilie K Johnson, Ilina Rosoklija, Angela Shurba, Anthony D'Oro, Elisa J Gordon, Diane Chen, Courtney Finlayson, Jane L Holl

- J Adolesc Health. 2018 Jul;63(1):62-68. doi: 10.1016/j.jadohealth.2017.11.306. Attitudes Toward Fertility and Reproductive Health Among Transgender and Gender-Nonconforming Adolescents. Diane Chen, Margaret Matson, Kathryn Macapagal, Emilie K Johnson, Ilina Rosoklija, Courtney Finlayson, Celia B Fisher, Brian Mustanski

- LGBT Health. 2019 Apr;6(3):107-115. doi: 10.1089/lgbt.2018.0250. Factors Affecting Fertility Decision-Making Among Transgender Adolescents and Young Adults. Diane Chen, Moira A Kyweluk, Afiya Sajwani, Elisa J Gordon, Emilie K Johnson, Courtney A Finlayson, Teresa K Woodruff

- J Adolesc Health. 2021 Mar;68(3):619-622. doi: 10.1016/j.jadohealth.2020.06.044. Timing and Delivery of Fertility Preservation Information to Transgender Adolescents, Young Adults, and Their Parents. Kit M Quain, Moira A Kyweluk, Afiya Sajwani , Siobhan Gruschow , Courtney Finlayson, Elisa J Gordon, Emilie K Johnson, Rebecca Persky , Nadia Dowshen , Diane Chen

- BMC Urol. 2021 Oct 27;21(1):148. doi: 10.1186/s12894-021-00911-7. Neonatal circumcision availability in the United States: a physician survey. Ushasi Naha, Hans C Arora, Ryan F Walton, Ilina Rosoklija, Lindsay M, Skibley, Emilie K Johnson

This was a key episode with Prof Terry, and it was a privilege to be joined again by Prof Marty Koyle as we tried to figure out what mentorship is, what it isn't, and why it's so important in this day and age. Thanks for joining us!! 

Host: Fardod O'Kelly (@fardodokelly)

Guest: Prof. Tim Terry (Associate Professor Health Sciences University Leicester; Emeritus Professor Nottingham Trent University) (@timterry3); www.mentoringmedics.co.uk 

Design Team: Stephen Griffin, Christopher Bayne, Diana Cardona-Grau

Production Editor: Tony Caldamone

Citations:

- Sugarman ID, Malone PS, Terry TR, Koyle MA. Transversely tubularized ileal segments for the Mitrofanoff or Malone antegrade colonic enema procedures: the Monti principle. Br J Urol. 1998 Feb;81(2):253-6. doi: 10.1046/j.1464-410x.1998.00540.x. PMID: 9488068.

- Marchalik D, C Goldman C, F L Carvalho F, Talso M, H Lynch J, Esperto F, Pradere B, Van Besien J, E Krasnow R. Resident burnout in USA and European urology residents: an international concern. BJU Int. 2019 Aug;124(2):349-356. doi: 10.1111/bju.14774. Epub 2019 May 8. PMID: 30993851.

- Marchalik D, Brems J, Rodriguez A, Lynch JH, Padmore J, Stamatakis L, Krasnow R. The Impact of Institutional Factors on Physician Burnout: A National Study of Urology Trainees. Urology. 2019 Sep;131:27-35. doi: 10.1016/j.urology.2019.04.042. Epub 2019 Jun 11. PMID: 31199967.

- Birkmeyer JD, Finks JF, O'Reilly A, Oerline M, Carlin AM, Nunn AR, Dimick J, Banerjee M, Birkmeyer NJ; Michigan Bariatric Surgery Collaborative. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013 Oct 10;369(15):1434-42. doi: 10.1056/NEJMsa1300625. PMID: 24106936.

- Koyle, M. A., Chua, M. E., Kherani, T., Pereira, N., & Heiss, K. (2021). The second victim requires more than Medice Cura Te Ipsum. Canadian Urological Association Journal, 15(6S1), S40-2. https://doi.org/10.5489/cuaj.7229

- Szymanski KM, Fuchs M, Mcleod D, Rosoklija I, Strine AC, VanderBrink B, Whittam B, Yerkes E, Gargollo PC; Pediatric Urology Midwest Alliance (PUMA). Probability of Bladder Augmentation, Diversion and Clean Intermittent Catheterization in Classic Bladder Exstrophy: A 36-Year, Multi-Institutional, Retrospective Cohort Study. J Urol. 2019 Dec;202(6):1256-1262. doi: 10.1097/JU.0000000000000552. Epub 2019 Sep 17. PMID: 31526259.

 Books:

Emotional Agility, by Susan David 

Coaching as a Leadership Style, by Robert F Hicks

What a few weeks it's been between exams, and deadlines! However, we're back and ready to get back in the swing of things with episodes due to be published more frequently. Thanks for joining us!! Marie Klaire was a joy to interview. So talented, in every respect. 

Host: Fardod O'Kelly (@fardodokelly)

Guest: Prof. Marie Klaire (Chelsea and Westminster Hospitals; Imperial College London, UK) (@ChelseaDrMK)

Design Team: Stephen Griffin, Christopher Bayne, Diana Cardona-Grau

Production Editor: Tony Caldamone

Citations:

Farrugia MK. Fetal bladder outlet obstruction: Embryopathology, in utero intervention and outcome. J Pediatr Urol. 2016 Oct;12(5):296-303. doi: 10.1016/j.jpurol.2016.05.047. Epub 2016 Aug 6. PMID: 27570093

· Farrugia MK, Braun MC, Peters CA, Ruano R, Herndon CD. Report on The Society for Fetal Urology panel discussion on the selection criteria and intervention for fetal bladder outlet obstruction. J Pediatr Urol. 2017 Aug;13(4):345-351. doi: 10.1016/j.jpurol.2017.02.021. Epub 2017 Mar 24. PMID: 28476482.

· Farrugia MK, Kilby MD. Therapeutic intervention for fetal lower urinary tract obstruction: Current evidence and future strategies. J Pediatr Urol. 2021 Apr;17(2):193-199. doi: 10.1016/j.jpurol.2021.01.034. Epub 2021 Jan 31. PMID: 33583743.

· Espinoza AF, Sun RC, Krispin E, Nassr A, Shamshirsaz AA. Fetal Lower Urinary Tract Obstruction Complicated by Bladder Perforation. Neoreviews. 2021 Apr;22(4):e279-e283. doi: 10.1542/neo.22-4-e279. PMID: 33795406

· Mazzone L, Hölscher AC, Moehrlen U, Gobet R, Meuli M, Horst M. Urological Outcome after Fetal Spina Bifida Repair: Data from the Zurich Cohort. Fetal Diagn Ther. 2020;47(12):882-888. doi: 10.1159/000509392. Epub 2020 Sep 7. PMID: 32894833; PMCID: PMC7845448.

With the extra hour in the day, and St. Patrick's week upon us, we got up early for this interview with coffee in hand! Thanks for joining us!! It was hard to edit all the chat out of this one. Lots of fun with these two guys! They both epitomise mentorship. Doug is a natural broadcaster. 

Host: Fardod O'Kelly (@fardodokelly)

Co-Host: Doug Storm (@storm_doug)

Guest: Prof. C. Tony Herndon (Children's hospital of Richmond @VCU in Virginia) (@TonyHerndon3/@ClaudeHerndon)

Design Team: Stephen Griffin, Christopher Bayne, Diana Cardona-Grau

Production Editor: Tony Caldamone

Citations:

Zee RS, Herndon CDA, Cooper CS, Kim C, McKenna PH, Khoury A, Herbst KW. Time to resolution: A prospective evaluation from the Society for Fetal Urology hydronephrosis registry. J Pediatr Urol. 2017 Jun;13(3):316.e1-316.e5.

Zee RS, Herbst KW, Kim C, McKenna PH, Bentley T, Cooper CS, Herndon CD. Urinary tract infections in children with prenatal hydronephrosis: A risk assessment from the Society for Fetal Urology Hydronephrosis Registry. J Pediatr Urol. 2016 Aug;12(4):261.e1-7.

Gray MC, Zillioux JM, Varda B, Herndon CDA, Kurtz MP, Chow JS, Kern NG. Assessment of urinary tract dilation grading amongst paediatric urologists. J Pediatr Urol. 2020 Aug;16(4):457.e1-457.e6.

Wang LC, Mittal AG, Puttmann K, Janzen N, Palmer LS, Yerkes EB, Ryan SL, Gonzales ET, Roth DR, Koh CJ. The changing gender landscape of paediatric urology fellowship: results from a survey of fellows and recent graduates. J Pediatr Urol. 2019 Feb;15(1):51-57.

Whitley JA, Holt SK, Nelson D, Kieran K. Gender Differences in Authorship in Urology: a Five-year Review of Publications in Five High-impact Journals. Urology. 2020 Sep 20:S0090-4295(20)31148-1.

We combined North America, South America, and Europe for this one! Thanks for joining us!! This was a great chat, and we could have gone on for hours. many thanks to Chris Long for his superb broadcasting skills. We're definitely teaming up again for a later episode. 

Host: Fardod O'Kelly (@fardodokelly) 

Co-Host: Chris Long (@CLongURO) 

Guest: Prof. Antonio Macedo Jr. (Federal University, Sao Paulo, Brazil) (@AntonioMacedoJ1) 

Design Team: Stephen Griffin, Christopher Bayne, Diana Cardona-Grau 

Production Editor: Tony Caldamone 

Citations: 

1. Macedo A Jr, Leal M, Rondon A, Ortiz V, Moron AF, Cavalheiro S. Urological evaluation of patients that had undergone in utero myelomeningocele closure: A prospective assessment at first presentation and early follow-up. Do their bladder benefit from it? Neurourol Urodyn. 2015 Jun;34(5):461-4. PMID: 24729268.

2. Anselmo CB, do Amaral RD, Oliveira DE, da Cruz ML, Liguori R, Garrone G, Leslie B, Ottoni SL, Ortiz V, Macedo A Jr. Left-colon antegrade enema (LACE): Long-term experience with the Macedo-Malone approach. Neurourol Urodyn. 2017 Jan;36(1):111-115. PMID: 26417710.

3. Macedo A Jr, Ottoni SL, Garrone G, Liguori R, Cavalheiro S, Moron A, Leal Da Cruz M. In utero myelomeningocoele repair and urological outcomes: the first 100 cases of a prospective analysis. Is there an improvement in bladder function? BJU Int. 2019 Apr;123(4):676-681. PMID: 30548158.

4. Macedo A Jr, Di Migueli RDD, Cavalheiro S, Moron A, da Cruz ML. In utero myelomeningocele repair: The natural history of patients with incontinent pattern (sphincteric deficiency: leakage below 40 CMH20). Neurourol Urodyn. 2020 Nov;39(8):2373-2378. PMID: 32918741.

5. Macedo A Jr, Ottoni SL, Leal da Cruz M. The GUD technique: Glandular urethral disassembly for distal hypospadias repair. J Pediatr Urol. 2020 Jun;16(3):401-403. PMID: 32371052

Tony Macedo's YouTube Channel: https://www.youtube.com/channel/UC-73YC_8TywQPtP9v0i3H2g