BackTable Urology

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

Dr. Charla Holdren, a resident at the University of Michigan-West, and Dr. Christine Van Horn, an endourology fellow at Loyola, explore the high rates of infertility and pregnancy complications among female urologists.---CHECK OUT OUR SPONSORFellowhttps://www.meetfellow.com/---SYNPOSISFirst, the two experts discuss personal experiences in family planning and challenges faced regularly in the hospital environment. They outline the complexities of assisted reproductive technology and offer insights for a better path forward, including cultural shifts, new policies, and supportive resources to better accommodate the needs of female surgeons.---TIMESTAMPS00:00 - Introduction04:05 - Dr. Holdren and Dr. Van Horn’s Journeys06:57 - Challenges in Family Planning17:51 - Parental Leave Policies26:56 - Advanced Reproductive Technology33:46 - Looking Towards the Future---RESOURCESFellowhttps://www.meetfellow.com/

As part of our recurring resident-focused series "PGY Playlist", guest hosts Dr. Lindsay Hampson (UCSF) and Dr. Gina Badalato (Columbia) speak with Onyi Ibeziako, a third-year resident at UT Southwestern, about effectively handling challenges during the early years of urology residency.---SYNPOSISDr. Ibeziako offers practical advice on managing competing responsibilities, building relationships with hospital staff, and developing early surgical skills. She offers valuable personal insights on self-directed study, triage of tasks, and making the most of these valuable years to set up for a successful career ahead.---TIMESTAMPS00:00 - Introduction05:43 - Early Residency Challenges10:51 - Relationships with Nursing14:23 - Multitasking24:06 - Developing Surgical Skills as an Intern33:09 - Continuous Learning and Final Pearls of Wisdom

In this episode of the BackTable Urology Podcast, Dr. Jose Silva and Dr. Spencer Hiller discuss holmium laser enucleation of the prostate (HoLEP), including preoperative and postoperative care, and the technical nuances of the procedure.---CHECK OUT OUR SPONSORSiemens Healthineers Theranosticshttps://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics---SYNPOSISDr. Hiller emphasizes the importance of patient education, bladder retraining, and the holistic management of incontinence. The conversation also touches on the science of lasers, effective morcellation, and practical challenges in achieving successful outcomes.---TIMESTAMPS00:00 - Introduction07:58 - HoLEP Patient Counseling21:29 - HoLEP Surgical Techniques33:54 - Morcellation: Challenges and Best Practices37:16 - Post-Operative Care47:21 - Postoperative Urinary Symptoms