In episode Fifty-five, Role of Ultra Mini PCNL in Urinary Stone Disease, Dr. Desai discusses the Ultra miniPCNL - a procedure he helped originate over a decade ago. He offers much insight to this alternative to flexible URS.

Podcast summary: This episode takes a deep dive into ureteric stents with discussions on indications for insertion of stents, dwell time of stents, treating stent related symptoms and discussion around properties for the ideal ureteric stent.

In episode Fifty-four, Decision Making and Options in Treatment for BPH Medical Failures, There are a number of options for treating symptoms from an enlarged prostate. Dr. Somani gives a refreshing review of these options and how to work these patients up to maximize outcomes.

In episode Fifty-three, Everything Cystinuria, Drs. Thomas and Bultitude have established one of the world’s largest and most comprehensive stone centers specifically cystine stones. This episode is dedicated to this frustrating disease and how we might best treat the patients.

In episode Fifty-two, The Evolution of PCNL Techniques and Assorted Tips in Treating Stone Disease, Dr. Baldwin discusses his move away from radiation exposure in PCNL and return to using some fluoroscopy with increased experience. He will also discuss laser lithotripsy during PCNL and radiation safety techniques.

In episode Fifty-One, Prostate Focal Therapy, Drs. Schwartz and Polascik will discuss the current status of prostate focal therapy and where it lies in the treatment options of prostate cancer treatments.

Michelle Moore is the CEO of Groundswell and was President Obama’s Federal Chief Sustainability Officer. On this episode of the Sustainability Speaker Series, Michelle discusses her new book Rural Renaissance, Revitalizing America’s Hometowns through Clean Power.

Meinhard Doelle is a professor of Law and Sara Seck is an associate professor of Law; both are affiliated with the Schulich School of Law at Dalhousie University, Nova Scotia, Canada. They join the Sustainability Speaker Series to discuss their recent book, Research Handbook on Climate Change Law and Loss & Damage.

In episode Fifty, How Do We Image and Measure Renal Stones?, Drs. Schwartz and Large discuss how Imaging and measurement of stone disease is crucial when deciding on appropriate treatment modalities. While the AUA and EAU Guidelines are available to everyone, technology sometimes moves faster than updates to these guidelines. Dr. Large reviews some of his advances in stone treatments while adhering to the Guidelines but perhaps “pushing the envelope” in caring for his patients

The podcast entitled “The Importance of Fever Prevention in Clinical Practice” with Dr. Shahed Toossi, Assistant Professor of Neurology and Neurological Surgery, Cedars Sinai Medical Center and Dr. Rainer Lenhardt, Professor and Vice Chair for Clinical Affairs, Department of Anesthesiology and Perioperative Medicine, University of Louisville covered several important topics. The occurrence of fever in clinical practice and mechanisms underlying postinjury temperature elevations were discussed. Also, whether or not the clinical literature had convincingly demonstrated whether preventing fever actually improved clinical outcomes was also debated. Issues regarding specific patient populations where prophylactic fever avoidance might be most effective and the significance of the recent TTM2 trial for cardiac arrest where targeted normothermia (37.8oC) was directly compared to targeted hypothermia (33oC) was mentioned. There are multiple strategies for preventing and treating periods of fever and the advantages of these approaches were discussed. The issue of patient heterogeneity in clinical trials was emphasized and the goals of the ICECAP trial where optimal durations of hypothermia treatment are being evaluated was discussed. This rich discussion generated several unanswered questions again emphasizing the continued interest in this experimental treatment strategy and the need for additional research.