BackTable Urology

What is the role of blue light cystoscopy in bladder cancer? In this episode, Dr. Suzette Sutherland interviews Dr. Suzanne Merrill from Colorado Urology about the benefits of this technology in the diagnosis and treatment of bladder cancer, and how to implement it into your practice.---CHECK OUT OUR SPONSORPhotocurehttps://www.photocure.com/---SYNPOSISThe doctors start by discussing the advantages of using blue light cystoscopy, including better detection rates of Ta and T1 lesions and the reduction of cancer recurrence by as much as 11%. They highlight the importance of complete transurethral resection of bladder tumor (TURBT) and patient compliance. Dr. Merrill emphasizes the necessity of accurate risk stratification and the logistics of real-life incorporation. Finally, she also comments on new bladder cancer technologies, such as narrow band imaging.---TIMESTAMPS00:00 - Introduction03:45 - Epidemiology and Risk of Bladder Cancer05:48 - AUA Guidelines for Bladder Cancer08:01 - Mechanism and Benefits of Blue Light Cystoscopy10:33 - Practical Applications34:48 - Conclusion---RESOURCESPhotocurehttps://www.photocure.com/

Empathy, social awareness, and servant leadership are important qualities for all physicians to possess. This week on the BackTable Urology Podcast, Houston Methodist urologists Dr. Raj Satkunasivam and Dr. Rose Khavari sit down with Dr. Timothy Boone to discuss developing humanistic skills in medicine.---SYNPOSISDr. Boone reflects on his personal journey into urology and his experiences in education and administration. The urologists emphasize the significance and joys of patient relationships and effective mentorship for other doctors. Furthermore, they offer advice for young urologists on self-reflection, time management, and the art of doctoring.---TIMESTAMPS00:00 - Introduction05:00 - Early Influences and Career Path24:28 - Challenges in Maintaining Empathy29:19 - The Importance of Self-Reflection33:24 - Recruitment and Retention in Leadership36:12 - Balancing Personal Life42:03 - Innovative Medical Education48:54 - Final Thoughts---RESOURCESPearson Ravitzhttps://pearsonravitz.com/BackTable URO24 - Operate with Zenhttps://www.backtable.com/shows/urology/podcasts/24/operate-with-zen

Beyond patient morbidity, complications can have a significant impact on surgeon health and relationships outside of medicine. In this episode of the PGY Pearls Series of BackTable Urology, hosts Dr. Lindsay Hampson (UCSF) and Dr. Gina Badalato (Columbia University) discuss the “second victim phenomenon” with special guest Dr. Chloe Peters, a fifth-year urology resident at the University of Washington.---SYNPOSISThe “second victim phenomenon” refers to the negative emotional response a healthcare worker endures after a traumatic patient care event. The conversation explores the psychological impacts of surgical complications as Dr. Peters describes the phases of coping. She emphasizes the need to distinguish between personal failure and professional setbacks and highlights the importance of peer and institutional support. The discussion also delves into recent cultural shifts in medicine, especially in the wake of COVID-19. The experts conclude by discussing steps for progress and improvement within the surgical work environment.---TIMESTAMPS00:00 - Introduction02:00 - Second Victim Phenomenon06:52 - Challenges for Trainees09:43 - Managing Complications17:04 - Phases of Emotions20:31 - Peer Support and Institutional Resources35:04 - Building a Supportive Training Environment---RESOURCESPearson Ravitzhttps://pearsonravitz.com/BackTable URO24- Operate with Zenhttps://www.backtable.com/shows/urology/podcasts/24/operate-with-zenBackTable URO39- The Anatomy of a Complication https://www.backtable.com/shows/urology/podcasts/39/the-anatomy-of-a-complication-surgeon-healthBackTable URO42- Mental Constructs to Avoid Complications https://www.backtable.com/shows/urology/podcasts/42/mental-constructs-to-avoid-complications

With contemporary treatment options, your female patients don’t have to live with urinary incontinence! In this crossover episode of BackTable Urology and OBGYN, host Dr. Suzette Sutherland from University of Washington interviews Dr. Sarah Boyles, a urogynecologist at The Oregon Clinic, regarding female urinary incontinence, its diagnostic criteria, and various treatment options to help improve quality of life in the incontinence patient.---CHECK OUT OUR SPONSORPearsonRavitzhttps://pearsonravitz.com/backtable---SYNPOSISFirst, Dr. Boyles explains the importance of patient history and physical examination, along with the need for certain diagnostic tests for proper characterization of the type of urinary incontinence in a patient. She also explores behavioral treatments, pelvic floor physical therapy, vaginal pessaries, and advanced interventions such as urethral bulking and surgery for stress incontinence. The doctors further discuss innovative pharmaceutical and neuromodulation options for urge incontinence.Dr. Boyles concludes with a mention of patient education resources that are available on her platform, thewomensbladderdoctor.com.---TIMESTAMPS00:00 - Introduction02:35 - The Women’s Bladder Doctor Initiative07:03 - Types of Urinary Incontinence11:49 - Diagnostic Approaches to Urinary Incontinence28:39 - Treatment Algorithms for Urinary Incontinence31:12 - Bladder Retraining and Pelvic Floor Therapy40:00 - Urethral Seals and Vaginal Pessaries50:47 - Treatment for Urgency57:51 - Future Directions---RESOURCESPearson Ravitzhttps://pearsonravitz.com/The Women’s Bladder Doctorhttps://thewomensbladderdoctor.com/

It can be tough to avoid burnout, stay motivated, and retain your passion for patient care when facing the day-to-day challenges of medical practice. In this episode of the BackTable Urology Podcast, Dr. Alexander Kutikov from Fox Chase Cancer Center discusses keys to developing a sustainable and fulfilling career within urology.

Attention residents and fellows! In this episode of the BackTable Urology podcast, Dr. Jay Shah hosts Dr. Eugene Shkolyar, a recent SUO fellowship graduate and new faculty member at Stanford, to discuss the process of securing a first job out of training.---CHECK OUT OUR SPONSORFellowhttps://www.meetfellow.com/---SYNPOSISThe conversation covers the importance of introspection, geography, and mentorship. Dr. Shkoliar also delves into practical aspects of networking, job offer negotiation, and the balance between professional aspirations and personal life. Dr. Shkoliar shares personal experiences from this career milestone.---TIMESTAMPS00:00 - Introduction02:17 - The Job Search09:13 - Balancing Personal and Professional Goals16:43 - Exploring Different Career Paths22:26 - Understanding Healthcare Structures26:14 - Practical Steps30:07 - Mentorship and Networking37:39 - Negotiation Tactics49:48 - Final Reflections---RESOURCESFellowhttps://www.meetfellow.com/

How can residents maximize their surgical skills development and personal growth during the grueling years of urology residency? In the second edition of the BackTable Urology podcast’s PGY Playlist series, host Dr. Gina Badalato interviews Dr. George Moran, a chief resident from Columbia University, about his recommended strategies.---SYNPOSISDr. Moran shares his approach to studying medical guidelines, using the spaced repetition app, Anki, and preparing for the annual in-service exam. The doctors also discuss GAMERS, a surgical simulation competition started by Dr. Moran intended to improve robotic skills. Finally, Dr. Moran speaks to the importance of adaptability, personalization, and mentorship in effective learning during residency.---TIMESTAMPS00:00 - Introduction02:38 - Strategies for Learning Medical Knowledge09:08 - Preparing for Exams16:14 - Robotic Simulation21:46 - Final Wisdom

Stay up-to-date on the latest advancements and treatment strategies in the field of genitourinary oncology. In this episode of BackTable Urology, guest host Dr. Bogdana Schmidt, a urologic oncologist from the University of Utah, discusses takeaways from ASCO 2024 with Dr. Petros Grivas from Fred Hutchinson Cancer Center and Dr. Sumanta (Monty) Pal from City of Hope.---CHECK OUT OUR SPONSORSiemens Healthineers Theranosticshttps://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics---SYNPOSISThe conversation initially focuses on advanced urothelial carcinoma and the EV302 trial, discussing detailed insights from the quality-of-life results presented at ASCO. The experts offer relevant clinical perspectives for modern metastatic urothelial carcinoma management, focusing on pembrolizumab plus enfortumab vedotin. Further, they delve into breaking biomarker research at ASCO, including KIM-1 in adjuvant renal cell carcinoma (RCC) therapy and the HIF-2 inhibitor DFF332 for chromophobe RCC.---TIMESTAMPS00:00 - Introduction03:42 - Pembrolizumab and Enfortumab Vedotin Trial Insights07:43 - Future Trials and Treatment Strategies21:27 - Javelin Bladder 100 Trial Discussion32:05 - Growth Factor Use36:21 - Future Directions of Biomarkers38:55 - Kidney Cancer Biomarker Trials53:40 - Concluding Thoughts

In this episode of the BackTable Urology Podcast, Dr. Ashish Kamat discusses contemporary management of high-risk, non-muscle-invasive bladder cancer (NMIBC) and his thoughts into the future of this arena.---CHECK OUT OUR SPONSORSiemens Healthineers Theranosticshttps://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics---SYNPOSISDr. Kamat explores the evolving role of BCG and potential alternative therapies such as gemcitabine and docetaxel. He also covers effective clinical management, emerging clinical trials, and nuanced decision-making principles for radical cystectomy. Finally, the conversation touches on Dr. Kamat’s expert insights regarding the future of NMIBC management, including predictive biomarkers and personalized medicine.---TIMESTAMPS00:00 - Introduction03:56 - Initial Diagnosis and Workup12:22 - High-Grade Bladder Cancer22:37 - BCG and Alternative Treatments31:30 - BCG Unresponsive Disease36:56 - Novel Intravesical and Systemic Therapies46:45 - Future Directions---RESOURCESRelated BackTable episodes:https://www.backtable.com/shows/urology/podcasts/64/management-of-bcg-refractory-nmibchttps://www.backtable.com/shows/urology/podcasts/157/the-bladder-cancer-matters-podcasthttps://www.backtable.com/shows/urology/podcasts/103/adjuvant-therapy-for-high-risk-bladder-cancer