54 episodes

The BackTable OBGYN Podcast is a resource for practicing OBGYN's to learn tips, techniques, and practical advice from their peers in the field. Listen here or on the streaming platform of your choice.

BackTable OBGYN BackTable

    • Health & Fitness
    • 5.0 • 16 Ratings

The BackTable OBGYN Podcast is a resource for practicing OBGYN's to learn tips, techniques, and practical advice from their peers in the field. Listen here or on the streaming platform of your choice.

    Ep. 54 Reevaluating Activity Guidelines After Surgery with Dr. Maggie Mueller and Dr. Kim Kenton

    Ep. 54 Reevaluating Activity Guidelines After Surgery with Dr. Maggie Mueller and Dr. Kim Kenton

    In this episode of the BackTable OBGYN podcast, Drs. Kimberly (Kim) Kenton and Margaret (Maggie) Mueller discuss advancements in patient recovery guidelines, particularly after gynecologic surgeries.

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    SYNPOSIS

    The discussion first covers the evolution of post-operative care protocols, emphasizing the lack of evidence behind traditional post-op restrictions and highlighting recent studies that suggest liberal post-operative activities might lead to better recovery outcomes without compromising surgical results. Additionally, the episode touches on the impact of minimally invasive surgical techniques, such as single port surgeries, on patient recovery times and hospital system efficiencies. Finally, the conversation delves into the shift towards team-based care, where nurses and nurse practitioners actively participate in pre-op counseling, educating patients, and enhancing the overall healthcare team’s efficiency. The overarching theme is the crucial role of evidence-based practice in improving patient care and recovery in obstetrics and gynecology.

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    TIMESTAMPS

    00:00 - Introduction
    02:57 - Exploring Postoperative Restrictions in Gynecologic Surgery
    20:56 - Adapting Postoperative Visits
    26:02 - Recovery Times, Hospital Stays, and the Impact on Patients and Healthcare
    35:58 - Team-Based Care and Communication Strategies
    44:38 - Surgical Techniques and Recovery Insights

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    RESOURCES

    Mueller MG, Kenton K. Activity Restrictions After Gynecologic Surgery. Obstet Gynecol. 2024 Mar 01; 143(3):378-382. PMID: 38207325; PMCID: PMC10863662.

    • 58 min
    Ep. 53 Innovating Urology: Surgeons Trailblazing Solutions with Dr. Alexandra Haessler, Dr. Jay Shakuri-Rad, and Dr. Tova Weiss

    Ep. 53 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

    • 46 min
    Ep. 52 Navigating Adenomyosis: From Misconceptions to Innovative Solutions with Dr. Keith Isaacson

    Ep. 52 Navigating Adenomyosis: From Misconceptions to Innovative Solutions with Dr. Keith Isaacson

    This episode of BackTable OBGYN features an extensive discussion with Dr. Keith Isaacson, a specialist in Reproductive Endocrinology and Infertility, regarding the complexities of diagnosing and treating adenomyosis, emphasizing surgery, medical treatments, and research in the field.

    Dr. Isaacson describes the pivots in the field’s understanding of adenomyosis and endometriosis, including the impact of these conditions on fertility and potential treatment pathways. Adenomyosis has been redefined in the past five years as a disease that affects women of all reproductive ages and causes dysmenorrhea, heavy menstrual bleeding, and infertility. Because the disease is found in the myometrium of the uterus, it has historically been difficult to diagnose unless through pathology following hysterectomy; however, imaging has since improved and there are now criteria seen on ultrasound that are consistent with adenomyosis.

    Dr. Isaacson then discusses the differences and misconceptions about adenomyosis compared to endometriosis. Additionally, the episode touches on the evolution of treatment strategies over the years, including medical therapy versus surgery. Furthermore, Dr. Isaacson highlights the crucial role of research in uncovering disease pathophysiology and new therapeutic approaches.

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    SHOW NOTES

    00:00 - Introduction
    04:06 - Definitions, Symptoms, and Insights
    11:33 - Exploring Treatment Options for Adenomyosis and Infertility
    21:30 - The Intersection of Endometriosis and Adenomyosis
    30:09 - Imaging, Surgery, and Pathology
    36:31 - The Future of Research and Patient-Centric Care

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    RESOURCES

    Moawad G, Fruscalzo A, Youssef Y, Kheil M, Tawil T, Nehme J, Pirtea P, Guani B, Afaneh H, Ayoubi JM, Feki A. Adenomyosis: An Updated Review on Diagnosis and Classification. J Clin Med. 2023 Jul 21;12(14):4828. doi: 10.3390/jcm12144828. PMID: 37510943; PMCID: PMC10381628.

    • 48 min
    Ep. 51 Menopause Matters: Clinical Strategies & Patient Support with Dr. Jessica Ritch

    Ep. 51 Menopause Matters: Clinical Strategies & Patient Support with Dr. Jessica Ritch

    This episode features host Dr. Mark Hoffman and guest Dr. Jessica Ritch as they discuss the lack of menopause education and research during medical training, and the necessity for practitioners to learn more about menopausal symptoms and management strategies.

    The episode begins with Dr. Ritch, a minimally invasive gynecologic surgeon, describing her path into menopause care, including the development of her podcast, EnRitched Menopause. She touches on the role of laboratory workup in menopause, but emphasizes the patient’s symptoms are more important to address than numerical values on labs. She then delves into treatment options, including the complexities of hormone replacement therapy, and the multifactorial nature of sexual function issues. Most importantly, the physicians emphasize listening to patients, offering comprehensive care beyond hormone therapy, and utilizing resources like podcasts to educate both practitioners and patients. Finally, they explore new treatments and the potential future advancements in menopause care.

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    EARN CME

    Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/I7Ougz

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    SHOW NOTES

    00:00 - Introduction
    08:52 - The EnRitched Menopause Podcast: A Resource for Patients and Practitioners
    15:22 - Common Patient Presentations of Menopause
    20:43 - The Role of Laboratory Evaluation of Hormone Levels
    24:20 - Testosterone in the Menopausal Patient
    27:13 - Navigating Hormone Therapy: Estrogen, Progesterone, and Testosterone
    31:03 - Physiologic Hormonal Changes in Menopause
    35:00 - Shared Decision-Making
    39:00 - Exploring Sexual Function and Libido in Menopause
    45:38 - The Power of a Physician’s Support and Trusted Advice
    50:09 - Innovative Approaches and Future Directions in Menopause Care

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    RESOURCES

    EnRitched Menopause Podcast:
    https://podtail.com/en/podcast/enritched-menopause/welcome-to-enritched-menopause/

    Rosy App:
    https://play.google.com/store/apps/details?id=com.rosywellness&pli=1 (Google)
    https://apps.apple.com/us/app/rosy-womens-sexual-health/id1444780510 (Apple)

    • 56 min
    Ep. 50 Decoding Isthmocele: Causes and Considerations with Dr. Chuck Miller

    Ep. 50 Decoding Isthmocele: Causes and Considerations with Dr. Chuck Miller

    In this episode of BackTable OBGYN, renowned reproductive endocrinologist and minimally invasive gynecologic surgeon Dr. Charles (Chuck) Miller delves into the topic of isthmoceles, a common yet often overlooked complication of C-sections, and shares his best practices for repair.

    Dr. Miller shares his extensive experience in diagnosing and treating isthmoceles, discussing various surgical techniques including hysteroscopic, laparoscopic, and robotic-assisted resection. He emphasizes the importance of an aggressive surgical approach for achieving higher success rates in terms of future fertility and resolving symptoms such as abnormal bleeding. Moreover, Dr. Miller highlights the need for standardized treatment protocols and reflects on the mentorship, the ongoing journey of learning and adapting in medicine, and the noble profession of healthcare. The episode offers insightful perspectives on a lesser-known gynecologic issue, underscores the value of experience and mentorship in medicine, and advocates for concerted efforts toward establishing best practices in surgical procedures.

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    SHOW NOTES

    00:00 - Introduction
    07:18 - Defining Isthmocele and the History of Isthmocele
    10:00 - The Diagnosis of Isthmocele and Its Impact on Fertility
    19:31 - Exploring Surgical Techniques for Isthmocele Repair
    27:54 - Understanding Hysteroscopic Resection
    30:12 - Addressing C-Section Ectopics and Isthmocele Repairs
    36:46 - Adapting the Surgical Approach to Different Patient Scenarios
    39:35 - Postoperative Complications and Safety Measures
    40:55 - The Future of Isthmocele: Surgical Standardization
    50:51 - Closing Thoughts and Acknowledgements

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    RESOURCES

    Ban Y, Shen J, Wang X, Zhang T, Lu X, Qu W, Hao Y, Mao Z, Li S, Tao G, Wang F, Zhao Y, Zhang X, Zhang Y, Zhang G, Cui B. Cesarean Scar Ectopic Pregnancy Clinical Classification System With Recommended Surgical Strategy. Obstet Gynecol. 2023 May 1;141(5):927-936. doi: 10.1097/AOG.0000000000005113. Epub 2023 Apr 5. PMID: 37023450; PMCID: PMC10108840.

    • 53 min
    Ep. 49 Women’s Health at Risk: Climate Change Realities with Dr. Alexandra Melnyk and Dr. Jane van Dis

    Ep. 49 Women’s Health at Risk: Climate Change Realities with Dr. Alexandra Melnyk and Dr. Jane van Dis

    • 1 hr 2 min

Customer Reviews

5.0 out of 5
16 Ratings

16 Ratings

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