BackTable Urology

Join us for part two of our post-chemotherapy RPLND discussion with Society of Urologic Oncologists (SUO) members Tim Masterson from Indiana University and Rob Hamilton from Princess Margaret Hospital, University of Toronto.---This podcast was developed in collaboration with:Society of Urologic Oncologyhttps://suonet.org/home.aspx---SYNPOSISThe conversation covers critical aspects of RPLND, including surgical techniques, preoperative considerations, common complications like chyle leaks, and post-operative care. Both surgeons emphasize the importance of humility, constant learning, and interprofessional collaboration to enhance surgical outcomes. The experts provide valuable insights and detailed discussions meant to guide urologists.---TIMESTAMPS00:00 - Introduction01:16 - General Steps for RPLND Surgery07:23 - Finding the Ureters11:53 - Vascular Control23:26 - Mitigating Chyle Leak32:32 - Conclusion---RESOURCESExpert Approaches to Complex PC RPLND Cases Part 1:https://www.backtable.com/shows/urology/podcasts/201/expert-approaches-to-complex-pc-rplnd-cases-part-1Society of Urologic Oncology:https://suonet.org/home.aspx

Retroperitoneal lymph node dissection (RPLND) for testicular cancer can be a challenging surgery, even for the most experienced urologic oncologists. In part one of this special two-part series, host Dr. Aditya Bagrodia invites Society of Urologic Oncologists (SUO) members Dr. Timothy Masterson (Indiana University) and Dr. Robert Hamilton (Princess Margaret Hospital/University of Toronto) to cover current approaches to post-chemotherapy RPLND.---SYNPOSISFirst, the urologists delve into the technical considerations and perioperative planning for post-chemotherapy retroperitoneal lymph node dissections (RPLND) in patients with germ cell tumors. They discuss the importance of patient preparation, imaging assessments, and surgical approaches. Additionally, they explain their own surgical techniques as well as tips for dealing with operative complications. To end, their discussion addresses the importance of a multidisciplinary team and practical tips for ensuring successful surgical outcomes.---TIMESTAMPS00:00 - Introduction01:37 - Preparing for Post-Chemotherapy RPLND08:10 - Intraoperative Considerations11:02 - Handling Complications20:11 - Vascular Anatomy and Preoperative Planning27:13 - Anesthesia Considerations and Pain Management29:22 - Essential Tools and Techniques for Surgery38:24 - Incision Strategies and Post-Chemotherapy Considerations46:32 - Extraperitoneal Approach and Future Research---RESOURCESSociety of Urologic Oncologistshttps://suonet.org/home.aspx

Dr. Amar Kishan, a Professor of Radiation Oncology at UCLA, dives into the challenges of managing biochemical recurrence after prostate radiation. He discusses alternatives to androgen deprivation therapy and the importance of PSA monitoring. The episode highlights advancements like PSMA PET scans for better detection and modern treatments such as focal therapy and re-irradiation. Dr. Kishan emphasizes the need for personalized, multidisciplinary approaches to improve patient outcomes in prostate cancer care.

How do you care for patients with penile cancer? As urologists, we’re trained to think about diagnosis and treatment, but how can we help manage the psychological impacts of penile cancer? In this episode of BackTable Urology, host Dr. Ben Ayres, a urologic oncologist specializing in penile cancer, discusses the unique psychological challenges faced by penile cancer patients with bladder cancer survivor Dr. Rick Bangs and nurse Rob Cornes.---This podcast is supported by:Photocurehttps://www.photocure.com/---SYNPOSISThis episode emphasizes the importance of awareness and peer support in reducing isolation and stigma associated with penile cancer. The conversation also explores the role of multidisciplinary care and the benefits of holistic approaches to patient decision-making.---TIMESTAMPS00:00 - Introduction04:05 - Isolation in Penile Cancer06:38 - The Role of Advocacy and Peer Support15:29 - Shared Decision Making in Penile Cancer Care23:22 - Value of Multidisciplinary Care---RESOURCESPhotocurehttps://www.photocure.com/Global Society of Rare GU Tumors (GSRGT)https://www.gsrgt.com

En este episodio de BackTable Urology, Dr. José Silva da la bienvenida a su colega de residencia, el Dr. Omar Soto, para profundizar en el viaje y los desafíos del Dr. Soto al establecer una práctica de urología reconstructiva en Puerto Rico después de su extensa capacitación y práctica en Detroit.---This podcast is supported by:Photocurehttps://www.photocure.com/---SYNPOSISLos doctores exploran las complejidades de navegar la atención urológica, la importancia de cumplir con el estándar de atención a pesar de las limitaciones sistémicas y el panorama en evolución de la urología reconstructiva y protésica. El Dr. Soto comparte anécdotas personales, el impacto de la pandemia de COVID-19 en su práctica y el papel crucial de la colaboración comunitaria y profesional en el avance de los servicios urológicos en Puerto Rico. El episodio destaca la dedicación necesaria para mejorar la calidad de vida del paciente y adaptarse a las nuevas tecnologías médicas.---TIMESTAMPS00:00 - Viaje a la Urología Reconstructiva08:32 - Decisión de Quedarse en Detroit13:31 - Regresando al Puerto Rico27:47 - Tratamientos Urológicos en América Latina30:18 - Equilibrio entre la Práctica Privada y las Necesidades de la Comunidad36:32 - Prácticas y Técnicas Quirúrgicas41:25 - La Importancia del Aprendizaje Continuo52:45 - Pensamientos Finales---RESOURCESPhotocurehttps://www.photocure.com/

Frustrated with stone retrieval after a long lithotripsy case? In this episode of the BackTable Urology Podcast, host Aditya Bagrodia, MD, and guest Roger Sur, MD, director of the Comprehensive Kidney Stone Center at UC San Diego Health, delve into the latest technological advancements in the treatment of kidney stones. The episode focuses on the CVAC (continuous vacuum aspiration and irrigation) device as a suction platform for endourologists.---This podcast is supported by:Photocurehttps://www.photocure.com/---SYNPOSISTheir conversation offers interesting historical detail on the evolution of kidney stone treatment, from open surgery to modern techniques including percutaneous nephrolithotomy, shockwave lithotripsy, and ureteroscopy. As one of the original visionaries behind CVAC, Dr. Sur highlights the development journey from lab experiments to FDA approval. The episode covers data on CVAC’s superiority in patient outcomes and stone-free rates compared to other technologies. Key insights from recent studies, such as the ASPIRE trial, underscore the benefits of CVAC in reducing postoperative events and stone regrowth. The conversation also explores practical aspects of integrating suction platforms into practices and looks ahead towards the potential for machine learning to refine these technologies.---TIMESTAMPS00:00 - Introduction04:29 - The Rise of Ureteroscopy10:38 - Development of Suction Devices12:22 - The CVAC Device: History and Functionality21:05 - Comparing Suction Device Systems31:34 - Looking Into the Data37:42 - Considerations for Real-World Practice---RESOURCESPhotocurehttps://www.photocure.com/

Are you curious about the biotechnology startup world? Learn how our guest transitioned from trauma surgeon to entrepreneur in this episode of the BackTable Podcast. Dr. Chris Kinsella, CEO of Watershed Therapeutics and our host Dr. Bryan Hartley discuss the importance of using entrepreneurship to solve clinical needs. Watershed Therapeutics has created a novel bladder drug delivery platform to help women with recurrent urinary tract infections.---SYNPOSISThe doctors systematically cover the process of identifying market needs, inventing solutions, bringing a product to the market, and managing risk. They also share examples of successful startup ventures and underscore the importance of perseverance, innovative thinking, and strategic market focus in forging a path to success.---TIMESTAMPS00:00 - Introduction04:30 - The Birth of a Surgical Trainer07:04 - Challenges and Innovations in Trauma Surgery22:06 - Evaluating and Killing Ideas28:27 - Challenging Assumptions29:53 - Meeting a Co-Founder33:07 - Developing the Solution37:29 - Raising Funds40:28 - Navigating Regulatory Challenges and Market Expansion---RESOURCESWatershed Therapeutics:https://www.watershedtx.com/Stanford Biodesign Innovation Fellowship:https://biodesign.stanford.edu/programs/fellowships/innovation-fellowships.html

Are you a 2025 Urology Match applicant or a residency program faculty member? In this week’s episode of the BackTable Urology podcast, guests Dr. Mihir Shah, Dr. Gina Badalato, and Dr. Lindsay Hampson provide guidance on navigating urology residency interviews. Their discussion offers insights from a residency leadership, department faculty, and medical student’s point of view with host Yash Shah.---SYNPOSISThe episode covers tips for both virtual and in-person interviews, strategies for conversational engagement, and advice for how applicants should evaluate programs. They further detail aligning personal values with program culture, describing past challenges, and lowering interview anxiety through effective practice. The conversation offers applicants invaluable preparation tips to approach the interview process with confidence and a positive attitude.---TIMESTAMPS00:00 - Introduction02:32 - Virtual vs. In-Person Interviews07:02 - Preparing for Residency Interviews: Tips and Strategies17:29 - The Role of Research20:43 - Pivoting to Leadership and Advocacy22:01 - Behavioral Questions: Tips and Examples26:22 - Discussing Difficult Subjects28:26 - Choosing the Right Residency Program33:10 - Post-Interview Communication36:24 - Final Advice

Intrarenal pressure monitoring during ureteroscopy is a complex but crucial component of performing safe procedures. In this episode of the BackTable Urology Podcast, urologist Dr. Julie M. Riley from the University of Arkansas for Medical Sciences shares expert insights on ureteroscopy, focusing on intrarenal pressure monitoring, procedural techniques, and new technologies aimed at improving patient safety.---This podcast is supported by:Boston Scientific Urologyhttps://www.bostonscientific.com/en-US/about-us/core-businesses/urology-pelvic-health.html---SYNPOSISDr. Riley discusses the benefits of access sheaths, the utility of new devices including LithoVue Elite, and strategies for minimizing infection. She highlights the benefits and intended use cases of this new technology, and further outlines potential complications and challenges in using this new tool. Dr. Riley also shares her own approaches to complex patients, and her predictions for the future of ureteroscopy.---TIMESTAMPS00:00 - Introduction03:10 - Ureteroscopy and Patient Candidacy04:12 - Complications09:50 - Technological Advances13:30 - Practical Tips32:59 - Looking Ahead---RESOURCESBoston Scientifichttps://www.bostonscientific.com/en-US/home.html

Catch up on the latest breakthroughs in bladder cancer management. In this episode of the BackTable Urology Podcast, Dr. Bogdana Schmidt (University of Utah) speaks with Dr. Andrea Apolo, a medical oncologist at the National Cancer Institute, about recent advancements in bladder cancer treatment presented at the 2024 European Society of Medical Oncology (ESMO) Congress.---SYNPOSISThey review pivotal trials like the NIAGARA and AMBASSADOR studies, the TAR-200 drug delivery system, the use of bladder-sparing treatment, and the role of ctDNA as a biomarker. Further, they detail the effectiveness of systemic therapies such as gemcitabine and pembrolizumab, the implications of perioperative immunotherapy, and the future role of antibody-drug conjugates. The conversation highlights the trend towards less invasive approaches while improving survival rates from bladder cancer.---TIMESTAMPS00:00 - Introduction03:49 - NIAGARA Trial09:10 - Challenges in Bladder Cancer Treatment18:56 - AMBASSADOR Trial25:30 - Adjuvant Immunotherapy29:30 - Exploring Biomarkers and ctDNA36:34 - Surgery and Less Invasive Therapies46:31 - Future Directions in Bladder Cancer Treatment---RESOURCESESMOhttps://www.esmo.org/