BackTable Urology

This week, we present an inspiring episode for anyone interested in the history, present, and future of prostate cancer care. In this Legends in Urology installment of the BackTable Urology Podcast, Dr. Gerald Andriole joins guest host Dr. Niraj Badhiwala to reflect on a career that has left a lasting impact on the field. --- SYNPOSIS Dr. Andriole shares personal stories from his upbringing in Northeastern Pennsylvania and his journey into medicine. He reflects on his expedited education through Penn State and Jefferson Medical College and his path to urology. He discusses his pivotal work in prostate cancer screening, including the influence of major trials like The Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial, and traces the evolution of surgical and diagnostic techniques. The conversation also touches on current innovations and the future of prostate cancer management, offering valuable advice for the next generation of urologists. --- TIMESTAMPS 00:00 - Introduction01:59 - From Childhood to Medical School06:48 - Discovering Urology16:52 - Pioneering Prostate Cancer Screening24:07 - The PLCO Study: Design and Challenges28:57 - Controversies and Criticisms in Prostate Cancer Screening33:29 - Evolving Practices in Prostate Cancer Management44:19 - Future of Prostate Cancer Treatment

How do the experts balance organ preservation, oncologic control, and emerging therapies in both localized and metastatic cases of penile cancer? This episode of BackTable Tumor Board focuses on penile cancer diagnosis and treatment, featuring urologic oncologist Dr. Charles Peyton (UAB), radiation oncologist Dr. Juanita Crook (UBC), and medical oncologist Dr. Andrea Apolo (NCI). --- This podcast is supported by:Ferring Pharmaceuticals --- SYNPOSIS This session covers case studies ranging from localized to advanced penile cancer, diagnostic practices, imaging preferences (MRI vs. CT), and treatment options, including surgery, brachytherapy, chemoradiation, and neoadjuvant chemotherapy. The multidisciplinary team highlights the complexities of treating this rare cancer, underscores the importance of physical exams, and stresses the necessity of personalized treatment plans. They also delve into the challenges of managing metastatic stages, potential salvage therapies, and the importance of clinical trials in enhancing treatment efficacy. The doctors also emphasize the potential of immunotherapy and chemotherapy combinations for metastatic disease. --- TIMESTAMPS 00:00 - Introduction02:23 - Imaging Preferences03:29 - Biopsy vs Immediate Surgery06:04 - Lymph Node Dissection vs Radiation13:48 - Brachytherapy Techniques and Case Study23:21 - Challenges in Advanced Penile Cancer27:03 - Chemotherapy and Chemoradiation30:15 - InPACT Trial37:12 - Salvage Therapies and Exploring New Treatment Frontiers44:25 - Support and Awareness for Penile Cancer51:29 - Final Thoughts --- RESOURCES Society of Urologic Oncologyhttps://suonet.org/home.aspx

Can we do more than prescribe pills to address men’s sexual health complaints? In this episode of the BackTable Urology Podcast, men’s health expert Dr. Mohit Khera from Baylor College of Medicine joins guest host Dr. Amy Pearlman for a deep dive into testosterone management and the full spectrum of erectile dysfunction therapies. --- SYNPOSIS The conversation covers daily tadalafil use, lifestyle optimization, and the nuanced role of off-label medications. Dr. Khera also highlights emerging technologies like the Tech Ring and radiofrequency treatments, alongside practical insights into semen analysis and hormonal health markers. Throughout, he emphasizes a holistic, patient-centered approach to sexual health—blending medical therapy with meaningful lifestyle change. This is a must-listen for general urologists, men’s health specialists, and trainees looking to expand their toolkit in this evolving field. --- TIMESTAMPS 00:00 - Introduction02:13 - Erectile Dysfunction and Testosterone08:05 - Young Men's Health and Early Detection10:20 - Semen Analysis for Overall Health12:50 - Daily Tadalafil and Its Benefits16:40 - Proactive Sexual Health Management21:28 - Female Sexual Health25:16 - Treating Delayed Ejaculation28:53 - Psychogenic Erectile Dysfunction31:16 - Technology in Sexual Health35:54 - Lifestyle Modifications for Better Sexual Health41:55 - Resources and Referrals for Patients44:30 - Final Thoughts

With so many treatment modalities for upper tract urothelial carcinoma, how does new evidence inform optimal care? In this episode of BackTable Tumor Board, urologic oncologist Dr. Nirmish Singla (Johns Hopkins), medical oncologist Dr. Jeannie Hoffman-Censits (Johns Hopkins), and urologic oncologist Dr. Bogdana Schmidt discuss treatment and diagnosis of upper tract urothelial carcinoma (UTUC). --- This podcast is supported by:Ferring Pharmaceuticals --- SYNPOSIS The discussion covers real-world UTUC cases, highlighting diagnostic challenges, treatment options, and evidence-based management strategies. They address scenarios ranging from localized to advanced UTUC, the role of systemic therapies, perioperative treatments, and the potential for novel approaches with immune checkpoint inhibitors. The episode underscores the evolving landscape of UTUC treatment and the importance of clinical trials and emerging biomarkers in improving patient outcomes. --- TIMESTAMPS 00:00 - Introduction 02:49 - Case Study 1: 66-Year-Old Male with UTUC11:19 - Case Study 2: 73-Year-Old Male with High-Grade Urothelial Carcinoma28:11 - Intravesical Chemotherapy Protocols30:44 - Case Study 3: 57-Year-Old Male with Recurrent Urothelial Cancer41:25 Clinical Trials and Emerging Treatments45:40 Case Study: 55-Year-Old Female with Bulky Lymphadenopathy 56:45 Concluding Remarks and Future Directions --- RESOURCES Society of Urologic Oncologyhttps://suonet.org/home.aspx

With fewer incisions and faster recovery, single port robotic surgery is changing the game—hear from the urologic surgeons leading the charge. This episode of BackTable Urology features an insightful discussion of the transformative impact of single port robotic surgery with Dr. Richard Link, Dr. Michael Stifelman and guest host Dr. Mihir Shah. --- SYNPOSIS This episode explores the benefits of single port (SP) robotic surgery, highlighting improved access, greater efficiency, and shorter patient recovery times. The doctors discuss the evolution of single port technology and the challenges that remain. They also share practical tips around case selection, building community support, and tracking outcomes to enhance efficacy. Whether you're new to SP or a seasoned surgeon, this episode offers valuable insights on how to refine your surgical practice. --- TIMESTAMPS 00:00 - Introduction04:18 - Early Adoption06:50 - Commitment and Learning Curve15:45 - Innovations and Best Practices19:10 - The Magic of Single Port Access29:29 - Practical Tips and Instrumentation32:14 - Instrument Spread and Force Bipolar34:25 - Benefits of Single-Port Surgery35:57 - Challenges and Cognitive Load in SP Surgery42:55 - Adoption and Resistance to SP Technology50:52 - Final Thoughts

What if the key to better cancer outcomes lies not just in surgery or chemotherapy, but also in mindfulness, movement, and diet? In this episode of the BackTable Tumor Board, host Dr. Aditya Bagrodia interviews urologic oncologist Dr. Viraj Master, Professor of Urology at Emory University, about his role in developing the integrative oncology and survivorship service line at Winship Cancer Institute. --- This podcast is supported by:Ferring Pharmaceuticals --- SYNPOSIS They discuss the evidence-based use of complementary therapies alongside conventional cancer treatments, touching on various integrative methods including diet, exercise, mindfulness, acupuncture, yoga, and supplements. Dr. Master emphasizes the importance of physicians being open to these practices and understanding their potential benefits for improving patient outcomes and quality of life, even in highly acute cases like muscle-invasive bladder cancer. The conversation covers the importance of honesty and understanding across patient journeys–from initial diagnosis to survivorship–highlighting the value of holistic approaches in cancer care. ---TIMESTAMPS00:00 - Integrative Oncology: Definitions and Basics06:28 - Exercise and Its Impact on Cancer Treatment08:12 - Physician Perspectives on Complementary Medicine20:58 - Acupuncture and Acupressure in Cancer Care25:28 - Practical Implementation of Integrative Approaches31:30 - Supplements and Immuno Nutrition36:25 - Cannabis, CBD, and Ayurveda in Cancer Care44:39 - Conclusion and Final Thoughts --- RESOURCES Society of Urologic Oncologyhttps://suonet.org/home.aspx

Are you a resident considering a urology fellowship? How do you choose the right subspecialty, and how can effective mentorship help you make the right decision? In collaboration with the Society of Women in Urology (SWIU), this episode of BackTable Urology features practical fellowship advice from Dr. Sevann Helo of Mayo Clinic, Dr. Jay Simhan of Temple University, and guest host Dr. Helen Bernie of Indiana University. --- SYNPOSIS The three leaders in academic urology cover essential topics such as choosing the right fellowship program, finding strong mentorship, and balancing personal and professional life. This episode also offers transparency into the application process. The conversation also delves into the nebulous differences between ACGME and non-ACGME fellowships. This episode is an excellent starting point for practical advice for residents considering this pivotal step in their urology careers. --- TIMESTAMPS 00:00 - Introduction03:07 - Differences Between Residency and Fellowship07:02 - Building a Competitive Fellowship Application11:09 - Pros and Cons of Pursuing a Fellowship16:08 - Accredited vs. Non-Accredited Fellowships20:30 - Choosing the Right Fellowship Program27:31 - Importance of Fellowship Fit28:46 - Evaluating Candidates Beyond Portfolios30:03 - Letters of Recommendation34:56 - Handling Fellowship Challenges38:28 - Gender Diversity in Urology43:31 - Balancing Family and Fellowship50:09 - Concluding Thoughts --- RESOURCES Society of Women in Urologyhttps://swiu.org/home.aspx

Are metabolic and sexual health two sides of the same coin? In this episode of BackTable Urology, Dr. Amy Pearlman is joined by gastroenterologist (and twin sister) Dr. Michelle Pearlman to discuss their collaboration at the PRIME Institute. Join us as we explore how two medical specialists combine their expertise to pioneer a comprehensive approach to two of the most important elements of health and wellness. --- SYNPOSIS Together, they explore their unique, holistic approach to sexual medicine and metabolic health, combining hormone optimization, nutrition, and lifestyle modifications. They pay special attention to the difficult journey of perimenopause and its symptoms. The episode underscores the importance of thinking beyond conventional healthcare models and embracing comprehensive, personalized care. They also cover the successful integration of advanced technology and patient education. Finally, the conversation touches on self-care for healthcare providers to combat burnout and encourages medical professionals to develop a personal brand and diversify their professional activities. --- TIMESTAMPS 00:00 - Introduction07:10 - Addressing Hormonal Health in Men08:53 - Nutrition and Weight Management13:21 - Treating Perimenopause and Menopause23:38 - The Importance of Hormone Replacement Therapy30:45 - Weight Loss Beyond the Scale32:05 - Importance of Muscle Maintenance41:09 - Technology in Health Monitoring49:03 - Daily Routines for Optimal Health57:38 - Closing Thoughts on Holistic Health --- RESOURCES PRIME Institute:https://www.primeinstitute.us/amy-pearlman-md/

What does it take to break the glass ceiling, lead, and get buy-in from your peers within a traditionally male-dominated field? In collaboration with the Society of Women in Urology (SWIU), guest host Dr. Martha Terris interviews Dr. Linda Shortliffe about her experience as the first woman to chair a major urology program. --- SYNPOSIS The discussion touches on mentorship, work-life balance, gender bias, and the importance of peer support community in predominantly male specialties. The episode highlights the impact of effective mentorship and the invaluable role of compassion in effective leadership. --- TIMESTAMPS 00:00 - Introduction03:00 - Women in Leadership03:51 - The Importance of Mentors and Colleagues05:49 - Challenges in Urology07:57 - Balancing Career and Personal Life29:55 - Navigating Gender Bias and Salary Disparities36:43 - Final Reflections --- RESOURCES Society of Women in Urologyhttps://swiu.org/home.aspx

How can pediatric and adult urologists team up to tackle complex cancer cases? In this episode of the BackTable Urology, host Dr. Amanda Buchanan, Division Chief of Pediatric Urology at the University of Kentucky, is joined by her colleagues Dr. Patrick Hensley, an adult urologic oncologist, and Dave Rodeberg, Division Chief of Pediatric Surgery. Their discussion centers around the importance of professional collaboration in urologic oncology care in order to improve patient outcomes. --- This podcast is supported by: Ferring Pharmaceuticals --- SYNPOSIS The urologists discuss topics such as the experiences and benefits of interdisciplinary collaboration in complex cases and the role of pediatric urologists in treating adolescent and young adult patients. They also provide insights into the Children's Oncology Group (COG) studies and their intersections with adult oncology research. The episode concludes with practical advice for other institutions aiming to improve collaborative efforts between pediatric and adult urology departments. --- TIMESTAMPS 00:00 - Introduction02:35 - Challenges and Lessons in Multidisciplinary Collaboration08:24 - Pediatric vs. Adult Urologic Oncology11:07- Clinical Trials and Research Collaborations12:49 - Navigating Oncology Groups for Children and Adults19:06 - Collaborative Models in Kidney Cancer Care22:18 - Benefits and Challenges of Collaboration35:24 - Final Thoughts and Recommendations --- RESOURCES Society of Urologic Oncology:https://suonet.org/home.aspx Children’s Oncology Grouphttps://www.childrensoncologygroup.org/