BackTable Urology

Patients seeking penile girth enhancement often do so for both physical and psychological reasons. When treating this patient population, understanding your patient’s goal is as critical as mastering the aesthetics. In this episode of BackTable Urology, Dr. Amy Pearlman, co-founder of PRIME Institute Miami, meets with our host Dr. Jose Silva to discuss practical tips for treating patients that seek penile girth enhancement.---SYNPOSISDr. Pearlman shares her journey from academic urology to healthcare entrepreneurship, emphasizing the personalized, holistic care offered at her practice. The conversation covers the procedure's impact on patients' lives, the management of a concierge clinic, and the integration of sexual health with overall wellness. Dr. Pearlman elaborates on the specifics of the penile girth enhancement procedure using hyaluronic acid. She covers patient experiences, consultation practices, and safety protocols. The episode emphasizes the broader conversation around men’s health and the importance of sexual well-being.---TIMESTAMPS00:00 - Introduction10:09 - Injectable vs. Surgical Options10:30 - Hyaluronic Acid Fillers14:06 - Patient Experiences and Expectations24:09 - Injection Techniques and Aftercare32:55 - Understanding Penile Aesthetics35:43 - Consultation Process37:23 - Pain Management39:01 - Patient Experiences and Feedback46:53 - Telehealth Consultations49:22 - Closing Advice for Providers

Sharpen your approach to high-risk renal cell carcinoma (RCC). In this episode of BackTable Urology, guest Dr. Sumanta (Monty) Pal from City of Hope joins host Dr. Aditya Bagrodia to discuss contemporary kidney cancer treatment and the complexities of perioperative therapy.---This podcast is supported by:Photocurehttps://www.photocure.com/---SYNPOSISThe conversation covers the challenging side effects of perioperative treatments, the evolution of therapies from tyrosine kinase inhibitors to modern checkpoint inhibitors, and the introduction of adjuvant therapies. Dr. Pal and Dr. Bagrodia explore the impact of these treatments on patient outcomes, the challenges with current biomarkers, and the potential of emerging trials. The doctors also highlight the importance of personalized RCC management strategies, particularly for high-risk patients and non-clear cell histologies. They also emphasize the need for appropriate patient counseling in this emerging field.---TIMESTAMPS00:00 - Introduction01:53 - Evolution of Kidney Cancer Treatments03:30 - Tyrosine Kinase Inhibitors in the 2010s10:42 - Checkpoint Inhibitor Trials23:09 - Discussing Adjuvant Therapy with Patients26:56 - Restaging and Biomarkers31:58 - Challenges in Adjuvant Immunotherapy39:57 - Non-Clear Cell RCC41:42 - Future Directions---RESOURCESPhotocure:https://www.photocure.com/

Do you need a recap of the latest urologic oncology research presented at GU ASCO 2025? This episode of BackTable Urology features a multidisciplinary discussion among three leading voices in urology and medical oncology – Drs. Bogdana Schmidt, Shilpa Gupta, and Ben Maughan – covering the most notable results presented at this year’s meeting.---This podcast is supported by:Photocurehttps://www.photocure.com/---SYNPOSISFirst, the doctors cover a wide range of topics including PARP inhibitors for prostate cancer, HER2-targeting antibody drug conjugates in bladder cancer, adjuvant chemotherapy for upper tract urothelial carcinoma, and biomarkers such as KIM-1 in kidney cancer. Highlighting the importance of multidisciplinary collaboration, the experts also critique the COSMIC-313 trial and discuss the nuances of applying new therapeutic combinations in real-world clinical practice.---TIMESTAMPS00:00 - Introduction09:20 - TALAPRO-2 Trial Insights19:29 - Bladder Cancer: Immuno-Oncology Combinations and HER227:42 - NIAGARA and iNDUCT Trials33:32 - Future Directions in Upper Tract Treatment37:38 - Biomarkers in Kidney Cancer: KIM-146:43 - COSMIC-313: Triplet Therapy in Renal Cell Carcinoma52:39 - Concluding Thoughts and Future Directions---RESOURCESPhotocure:https://www.photocure.com/

Dr. Allison Keenan, a faculty member at Levine Children's Hospital, and Dr. Nicholas Koch, a urology resident at Atrium Health, share their insights on optimizing residency training in urology. They discuss the importance of clinic experiences for developing decision-making skills and patient engagement. Dr. Keenan introduces the innovative Longitudinal Resident Clinic model to enhance continuity and autonomy for trainees, while Dr. Koch reflects on how this prepares residents for independent practice. Their conversation is rich with strategies for effective teaching and improving patient care.

How does the microbiome affect urologic health, and what role does it play in urinary tract infections (UTIs)? In this episode of BackTable Urology, Dr. Lennie Ackerman from UCLA joins host Dr. Suzette Sutherland to discuss the bladder microbiome and innovative methods for detecting UTIs.---SYNPOSISDr. Ackerman and Dr. Sutherland talk through the challenges of diagnosing chronic UTI symptoms, the limitations of standard urine cultures, and the role of new, enhanced culture methods and molecular diagnostics. They emphasize the importance of clinical judgment, the potential misuse of antibiotics, and the need for a long-term approach to managing urinary symptoms while maintaining a healthy microbiome.---TIMESTAMPS00:00 - Introduction01:58 - The Bladder Microbiome05:44 - Challenges in Diagnosing UTIs16:36 - Enhanced Quantitative Urine Culture21:30 - Molecular Diagnostic Approaches34:01 - Chronic UTIs and Long-Term Management46:10 - Conclusion

With the abundance of interventional options for benign prostate hyperplasia (BPH), how do you decide on the best treatment for each individual patient? In this episode of BackTable Urology, Dr. Marawan El Tayeb, chief of urology at Baylor Scott and White-Temple, joins host Dr. Jose Silva to discuss the intricacies of decision-making in BPH treatment.---SYNPOSISThe urologists discuss advantages and disadvantages of various BPH interventions, providing insight on when to use what. The conversation then goes deeper on holmium laser enucleation of the prostate (HoLEP), emphasizing the importance of appropriate patient counseling about retrograde ejaculation and transient urinary incontinence. Dr. El Tayeb shares his experiences in managing BPH both medically and surgically. He details his procedural approach, patient selection criteria, and postoperative care, along with special considerations for patients with prostate cancer on active surveillance. The episode concludes with a detailed look at alternative prostate treatments and insights into upcoming technological advancements in prostate care.---TIMESTAMPS00:00 - Introduction02:44 - Evolution of BPH Treatments09:40 - Weighing BPH Procedures14:33 - HoLEP Insights20:59 - Understanding HoLEP Equipment21:06 - Techniques for Intravesical Lobes24:10 - Post-Procedure Decisions30:33 - Special Considerations for Cancer Patients40:24 - Alternative Treatments and Final Thoughts

Are you a resident that’s interested in getting involved in research, or a residency program leader looking to equip your trainees with practical research skills? In this episode of BackTable Urology, Dr. Kate Dwyer from Vanderbilt joins guest host Dr. Gina Badalato from Columbia to discuss training urology residents in effective peer review as a way to start contributing to clinical research and academic medicine.---This podcast is supported by:Photocurehttps://www.photocure.com/---SYNPOSISDr. Dwyer shares her personal journey and residency experiences, focusing on the formalized research training that she received as a trainee. The conversation covers the benefits of conducting peer review for residents, how to get involved, and how peer review can enhance your clinical and academic career. They also discuss the potential of formalizing a trainee peer review system across institutions to ensure all residents have access to peer review opportunities. Finally, the doctors conclude by discussing the balance of clinical duties with academic endeavors and personal wellness during residency.---TIMESTAMPS00:00 - Introduction03:28 - Getting Started with Peer Review08:50 - Tips for Effective Peer Review19:03 - Formalizing Peer Review Programs24:39 - Advice for Residents---RESOURCESPhotocurehttps://www.photocure.com/

Are you married to a physician? How do you balance demanding work, busy home life, and conflicting career ambitions as a dual physician couple? In collaboration with the Society of Women in Urology (SWIU), this episode of the BackTable Urology Podcast provides unique perspectives on how physician couples can live an integrated work-life, featuring Dr. Katie Amin and Dr. Peter Bajic, hosted by Dr. Helen Bernie.---This podcast is supported by:Boston Scientific UroAdvancehttp://bostonscientific.com/uroadvance---SYNPOSISThe doctors discuss key pillars to success as a physician couple, including flexibility, effective communication, and building a village of support. The conversation offers personal insights and strategies into managing childcare, household chores, and ensuring career fulfillment for both partners. The episode also emphasizes the need for further advocacy in the workplace, including parental leave policies.---TIMESTAMPS00:00 - Introduction02:09 - Life as a Dual Physician Couple04:31 - Career Decisions and Relocation Challenges06:34 - Financial Discussions13:24 - Parental Leave and Childcare19:59 - Early Morning Routine and Nannies27:33 - Household Chores and Outsourcing34:47 - Work-Life Balance and Integration42:18 - Final Thoughts---RESOURCESBoston Scientifichttps://www.bostonscientific.com/en-US/medical-specialties/urology/products.htmlSociety of Women in Urologyhttps://swiu.org/home.aspx