BackTable Urology BackTable
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- Health & Fitness
The BackTable Urology Podcast is a resource for practicing urologists to learn tips, techniques, and practical advice from their peers in the field. Listen here or on the streaming platform of your choice.
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Ep. 169 Prostate Cancer: Navigating Focal Therapy Options with Dr. Matthew Cooperberg and Dr. Arvin George
In this episode, Dr. Matthew Cooperberg (UC San Francisco) and Dr. Arvin George (Johns Hopkins) join host Dr. Aditya Bagrodia in a conversation about guidelines and treatment algorithms for focal therapy in prostate cancer treatment.
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CHECK OUT OUR SPONSORS
Siemens Healthineers Theranostics
https://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics
Veracyte
https://www.veracyte.com/decipher
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SYNPOSIS
First, the doctors discuss focal therapy in prostate cancer treatment from various perspectives, including the challenges of treating certain lesions, the comparison of different focal therapy modalities like high-intensity focused ultrasound (HIFU) and brachytherapy, cryotherapy and the importance of patient-specific factors in treatment decisions. They emphasize the need for clinical trials and registries to validate focal therapy outcomes, the potential expansion of indications for focal therapy, and the critical role of advanced imaging and genomic classifiers in patient selection and treatment planning. The discussion also touches on the potential of focal therapy to evolve as a standard care option alongside advancements in understanding the biology of prostate cancer and improving imaging and treatment technologies.
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TIMESTAMPS
Siemens Healthineers Theranostics:
https://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics
Decipher Prostate Genomic Classifier by Veracyte:
https://decipherbio.com/decipher-prostate/physicians/decipher-prostate-overview/
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RESOURCES
Siemens Healthineers Theranostics:
https://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics
Decipher Prostate Genomic Classifier by Veracyte:
https://decipherbio.com/decipher-prostate/physicians/decipher-prostate-overview/ -
Ep. 168 Enhancing Men's Health: The Role of APPs with Kenneth Mitchell, PA-C
In this episode of Backtable Urology Podcast, Ken Mitchell MPAS, PA-C, a certified physician associate, speaks about the role of interprofessional collaboration in treating male sexual dysfunction and infertility.
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CHECK OUT OUR SPONSOR
KYZATREX™
https://www.kyzatrex.com
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SYNPOSIS
First, Ken highlights his journey into men’s health, sparked by the debut of erectile dysfunction medication and his engagement in vascular medicine. He then discusses how he leveraged his clinical background to address prevalent issues such as erectile dysfunction and testosterone management. Ken emphasizes the importance of education, collaboration, and innovative treatment approaches in providing effective patient care. Dr. Silva and Ken also cover the potential of oral testosterone treatments and their growing acceptance among patients due to convenience and cost-effectiveness. Ken shares insights into his role in advancing APP utilization in urology practices and ensuring comprehensive care coverage. Finally, Ken introduces his nonprofit organization, GUYnecology Men’s Health, an initiative aimed at fostering a broader understanding of preventative care among patients and healthcare professionals.
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TIMESTAMPS
00:00 - Introduction
06:28 - Expanding the Role of APPs in Urology
14:47 - Addressing Testosterone Replacement Therapy
21:40 - Exploring Treatment and Insurance Challenges in Urology Practices
27:35 - The Evolution of Oral Testosterone Treatments
35:29 - Incorporating Telehealth and Enhancing Patient Education
36:03 - Introducing Guynecology: A New Approach to Men’s Health
41:44 - Final Thoughts and Advice for Urologists and APPs
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RESOURCES
KYZATREX
https://www.kyzatrex.com/
GUYnecology Men’s Health Association
https://learnguynecology.org/ -
Ep. 167 Solving Semen Analysis Barriers: Innovation & Accessibility with Dr. James Smith
In this episode of BackTable Urology, Dr. James Smith, Director of Male Reproductive Health at UC San Francisco and CMO of Fellow, discusses advancements in semen analysis and fertility testing with Dr. Jose Silva.
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CHECK OUT OUR SPONSOR
Fellow
https://www.meetfellow.com/
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SYNPOSIS
First, Dr. Smith introduces the significance of a comprehensive approach to examining male fertility, including total motile sperm counts and treatable conditions like prostatitis. He also highlights the role of the Fellow kit, a mail-in semen analysis test that improves the access and availability of sperm analysis. He explains the scientific foundations behind the Fellow kit, including temperature control, nutrient supply, and antibacterial measures to preserve sperm motility. The episode also touches on broader themes in fertility, such as the impact of illnesses like COVID-19 on sperm quality, the potential for future molecular and genetic testing in semen analysis, and the socioeconomic factors affecting access to fertility testing. Finally, Dr. Smith emphasizes the importance of early and comprehensive fertility evaluations for men and discusses the potential for future research to further improve fertility diagnostics.
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TIMESTAMPS
0:00 - Exploring Fertility Challenges and Solutions
10:16 - The Game-Changing Impact of the Fellow Semen Analysis Kit
15:29 - Navigating Semen Analysis: Quality, Progression, and Treatment
22:51 - The Importance of Early Fertility Testing and Intervention
27:27 - The Journey of Fellow: Improving Patient Compliance and Access
41:08 - The Future of Semen Analysis and Fertility Research
44:25 - Concluding Thoughts on Male Fertility and Patient Care
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RESOURCES
Fellow Website
https://www.meetfellow.com/ -
Ep. 166 Innovating Urology: Surgeons Trailblazing Solutions with Dr. Alexandra Haessler, Dr. Jay Shakuri-Rad, and Dr. Tova Weiss
In this crossover episode of BackTable Urology and OBGYN, Dr. Suzette Sutherland interviews three urological/gynecologic innovators, Dr. Ali Haessler, Dr. Jay Shakuri-Rad, and Dr. Tova Weiss, who are all at different career stages and product development phases.
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SYNPOSIS
Dr. Tova Weiss, a urology resident at the University of Washington, discusses her development of a safer urinary catheter so that if a patient were to pull out their catheter, the distal part would disconnect from the catheter inside the urethra, preventing urethral trauma. Dr. Jay Shakuri-Rad, a practicing urologist specializing in robotics and neuromodulation, shares his creation of the Foramen Finder to enhance sacral neuromodulation procedures. Dr. Allie Haessler, a practicing urogynecologist, talks about her invention of a novel vaginal ring aimed at providing neuromodulation therapy for pelvic floor issues. They each discuss the inspiration behind their inventions, challenges faced, and the importance of failure in the path to innovation. The episode emphasizes the role of physicians in identifying healthcare gaps, collaborating across disciplines, and pushing the boundaries of medical technology to improve patient care.
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TIMESTAMPS
00:00 - Introduction
01:54 - Dr. Tova Weiss and the Urinary Catheter Accessory
08:49 - Dr. Jay Shakuri-Rad and the Foramen Finder
22:04 - Dr. Allie Haessler and the Neuromodulation Vaginal Ring
27:29 - Navigating the Patent Process and Protecting Innovation
29:52 - The Path to FDA Approval
37:11 - Advice for Aspiring Innovators in Medicine
40:52 - Embracing Failure and the Inventor’s Mindset -
Ep. 165 Empowering Clinicians through Quality Improvement Initiatives with Dr. Andrew Harris
In this episode of BackTable Urology, Dr. Aditya Bagrodia invites Dr. Andrew Harris (University of Kentucky) to discuss the significance of quality improvement using the lean methodology to improve patient safety and healthcare efficiency.
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SYNPOSIS
First, Dr. Harris shares his transformative journey into quality improvement following a personal experience in the operating room, highlighting how critical it is for healthcare professionals to scrutinize and refine daily processes for better outcomes. The conversation dives into the heart of quality improvement, complex problem solving, encouraging healthcare professionals to apply their analytical skills to improve systems and processes. They discuss the importance of communication, team involvement, and leadership in fostering a culture that embraces quality improvement. Practical examples from Harris’s experience underscore how small changes can lead to significant benefits in patient care, staff satisfaction, and overall healthcare efficiency.
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TIMESTAMPS
00:00 - Introduction
05:16 - Combating Burnout with Quality Improvement Initiatives
13:38 - Exploring the Anatomy of a Quality Improvement Project
25:24 - Optimizing Operating Room Efficiency
28:37 - Balancing Standardization and Flexibility in Healthcare Processes
34:11 - Ad Hoc Solutions vs. Structured Quality Improvement
40:36 - Incorporating Patient Perspectives in Quality Improvement -
Ep. 164 Urology Advocacy: From Passion to Policy with Dr. Seth Cohen and Dr. Michelle Leach
In this episode of Backtable Urology, Dr. Suzette Sutherland invites Dr. Seth Cohen (City of Hope) and Dr. Michelle Leach (UC San Diego) to explore the importance and impact of advocacy work in the field of urology, highlighting how physicians can wield their influence to affect change within their communities and the healthcare system at large.
Dr. Cohen and Dr. Leach first discuss their personal journeys into advocacy work, the projects they’ve been involved in, and the tangible changes they have helped make, including a resident book club and increasing access to sacral neuromodulation. They both emphasize the importance of physician involvement in advocacy at both the beginning and throughout their careers. They also provide practical advice on participating in professional organizations (AUA, AMA, etc.) and the importance of surveys in guiding advocacy efforts. The discussion concludes with encouragement for medical professionals to engage in policy and advocacy to safeguard their practice and enhance patient care.
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SHOW NOTES
00:00 - Introduction
16:50 - Real-World Success Stories
25:36 - Navigating the Complexities of Health Policy and Advocacy
33:06 - The Importance of Membership in Professional Organizations
36:14 - Highlighting Urology’s Influence in Health Policy
45:14 - The AUA Summit Experience
55:23 - The Value of Engagement and Advocacy
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RESOURCES
Ep. 82- Advocacy Basics for the Urologist: From Your Clinic to Capitol Hill with Dr. Ruchika Talwar
https://www.backtable.com/shows/urology/podcasts/82/advocacy-basics-for-the-urologist-from-your-clinic-to-capitol-hill
Ep. 154- Navigating Healthcare Reform: Lessons from Urology Advocacy with Dr. Mara Holton
https://www.backtable.com/shows/urology/podcasts/154/navigating-healthcare-reform-lessons-from-urology-advocacy