BackTable Urology

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BackTable Urology

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.

  1. Ep. 206 Biochemical Recurrence: Insights from AUA/ASTRO/SUO Guidelines with Dr. Todd Morgan

    ١٦ جمادى الآخرة

    Ep. 206 Biochemical Recurrence: Insights from AUA/ASTRO/SUO Guidelines with Dr. Todd Morgan

    Have you checked out the AUA/ASTRO/SUO’s recently released guidelines for salvage therapy in prostate cancer biochemical recurrence? In this episode of the BackTable Urology Podcast, guest Dr. Todd Morgan from the University of Michigan and host Dr. Aditya Bagrodia continue with part two of our series on prostate cancer biochemical recurrence management. --- This podcast is supported by: Veracyte https://www.veracyte.com/decipher --- SYNPOSIS The doctors focus on the difficulty in declaring a patient 'cured' and the implications of biochemical recurrence after treatment. Dr. Morgan highlights the importance of PSA in the postoperative setting and explores the role of the Decipher Prostate Genomic Classifier in personalizing treatment. He talks through the latest AUA/ASTRO/SUO consensus on biochemical recurrence guidelines, including the significance of early salvage therapy and the integration of advanced imaging techniques like PSMA PET scans. Further, Dr. Morgan emphasizes the role for multidisciplinary evaluation, patient counseling, and future directions of research to refine treatment options. This discussion underscores the transition from adjuvant to early salvage radiation as a standard practice and considers emerging biomarker strategies to inform treatment decisions. --- TIMESTAMPS 00:00 - Introduction 03:41 - Consensus Biochemical Recurrence Guidelines 08:56 - Evolution of Post-Prostatectomy Biochemical Recurrence Management 13:24 - Patient Counseling and Risk of Recurrence 17:42 - PSMA PET Scans 20:44 - Postoperative PSA Monitoring 28:35 - The Role of Radiation 31:56 - Hormone Therapy 39:00 - Salvage Lymphadenectomy 46:30 - Future Directions and Concluding Thoughts --- RESOURCES Veracyte https://www.veracyte.com/ Salvage Therapy for Prostate Cancer: AUA/ASTRO/SUO Guideline (2024) https://www.auanet.org/guidelines-and-quality/guidelines/salvage-therapy-for-prostate-cancer

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  2. Ep. 205 Optimizing Bladder Health in BPH Treatment Strategies with Dr. Shawn West

    ٩ جمادى الآخرة

    Ep. 205 Optimizing Bladder Health in BPH Treatment Strategies with Dr. Shawn West

    While benign prostatic hyperplasia (BPH) care has historically focused on immediate symptom management, often by way of long-term polypharmacy, leading urologists are now considering long-term bladder health when determining the most appropriate BPH treatment. In this episode of the BackTable Urology Podcast, Dr. Shawn West, a urologist practicing at McIver Clinic in Florida, discusses the contemporary management of BPH with host Dr. Jose Silva, emphasizing the newly appreciated role of first-line interventional therapy. --- This podcast is supported by: Teleflex UroLift https://www.urolift.com/ --- SYNPOSIS First, Dr. West delves into the initial patient consultation, diagnostic procedures, and the diverse treatment options for BPH including UroLift, GreenLight laser therapy, and Aquablation. Dr. West emphasizes the importance of individualized patient care, the role of objective symptom scoring systems, and the significance of setting realistic expectations for patients. The discussion also covers the benefits and challenges of different BPH treatments amidst the evolving landscape of minimally invasive urological procedures. --- TIMESTAMPS 00:00 - Introduction 03:59 - BPH and Voiding Dysfunction 10:21 - Patient-Centered Approach to BPH 19:46 - Diagnostic Workup for BPH 24:53 - Postoperative Catheter and Complications 25:02 - Aquablation 26:04 - UroLift 31:06 - Challenges with Median Lobes 41:02 - Postoperative Care 47:14 - Conclusion

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  3. Ep. 204 Managing Low and Intermediate Risk Bladder Cancer with Dr. Betsy Koehne and Dr. Amir Salmasi

    ٥ جمادى الآخرة

    Ep. 204 Managing Low and Intermediate Risk Bladder Cancer with Dr. Betsy Koehne and Dr. Amir Salmasi

    Stay up to date in your bladder cancer practice with this insightful episode of the BackTable Urology podcast, developed in collaboration with the Society of Urologic Oncology. Dr. Betsy Koehne (University of Wisconsin) and Dr. Amir Salmasi (UC San Diego) talk through the contemporary management of low and intermediate-risk non-muscle-invasive bladder cancer. --- SYNPOSIS The doctors explore the challenges and nuances of patient communication, intravesical therapy, and postoperative surveillance. They also cover emerging treatments and clinical trials that hold promise for improving patient outcomes and quality of life. Emphasis is placed on the distress experienced by patients and the need for personalized treatments. --- TIMESTAMPS 00:00 - Introduction 01:51 - Initial Consultation 08:01 - TURBT Procedure Insights 23:14 - Managing Low and Intermediate Risk Bladder Cancer 26:47 - Recurrence and Surveillance Strategies 27:48 - Prognostication Tools 30:10 - Intravesical Chemotherapy Options 33:24 - High Grade Tumors 42:33 - Clinical Trials and Emerging Therapies 49:19 - Concluding Thoughts

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  4. ٢ جمادى الآخرة

    Ep. 203 Active Surveillance: A Data Driven Approach with Dr. Dan Lin

    Recent research is changing how we manage low risk prostate cancer. In this BackTable Urology Podcast episode, Dr. Dan Lin, a urologist at the University of Washington, walks through contemporary diagnosis, surveillance, and management of Grade Group 2 prostate cancer with host Dr. Aditya Bagrodia. --- This podcast is supported by: Veracyte https://www.veracyte.com/decipher --- SYNPOSIS The doctors delve into real-world implementation of active surveillance, alongside the use of advanced diagnostics, biopsy methods, and personalized care plans. The conversation highlights the Canary Prostate Active Surveillance Study (PASS) and the prognostic role of biomarkers and genomic testing. Dr. Lin and Dr. Bagrodia also discuss how lifestyle factors such as diet impact cancer progression and how patients can be empowered to manage their disease. Strategies for transitioning patients off surveillance are highlighted. Finally, the two experts discuss insights from recent clinical trials like PIVOT, PROTECT, and SPCG and how they’re impacting prostate cancer management. --- TIMESTAMPS 00:00 - Introduction 02:54 - Active Surveillance and Canary PASS Data 12:02 - Biopsy Considerations 19:44 - Active Surveillance Protocols 26:58 - Patient Concerns and Risk Reduction 30:52 - Transitioning Off Surveillance 33:39 - Grade Group 2: Treatment vs. Monitoring 46:24 - Surgical Considerations and Node Dissection 49:25 - Future Directions --- RESOURCES Veracyte https://www.veracyte.com/

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  5. Ep. 202 Expert Approaches to Complex PC RPLND Cases with Dr. Timothy Masterson and Dr. Rob Hamilton, Part Two

    ٢٧ جمادى الأولى

    Ep. 202 Expert Approaches to Complex PC RPLND Cases with Dr. Timothy Masterson and Dr. Rob Hamilton, Part Two

    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 Oncology https://suonet.org/home.aspx --- SYNPOSIS The 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. --- TIMESTAMPS 00:00 - Introduction 01:16 - General Steps for RPLND Surgery 07:23 - Finding the Ureters 11:53 - Vascular Control 23:26 - Mitigating Chyle Leak 32:32 - Conclusion --- RESOURCES Expert Approaches to Complex PC RPLND Cases Part 1: https://www.backtable.com/shows/urology/podcasts/201/expert-approaches-to-complex-pc-rplnd-cases-part-1 Society of Urologic Oncology: https://suonet.org/home.aspx

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  6. Ep. 201 Expert Approaches to Complex PC RPLND Cases with Dr. Timothy Masterson and Dr. Rob Hamilton, Part One

    ٢٤ جمادى الأولى

    Ep. 201 Expert Approaches to Complex PC RPLND Cases with Dr. Timothy Masterson and Dr. Rob Hamilton, Part One

    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. --- SYNPOSIS First, 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. --- TIMESTAMPS 00:00 - Introduction 01:37 - Preparing for Post-Chemotherapy RPLND 08:10 - Intraoperative Considerations 11:02 - Handling Complications 20:11 - Vascular Anatomy and Preoperative Planning 27:13 - Anesthesia Considerations and Pain Management 29:22 - Essential Tools and Techniques for Surgery 38:24 - Incision Strategies and Post-Chemotherapy Considerations 46:32 - Extraperitoneal Approach and Future Research --- RESOURCES Society of Urologic Oncologists https://suonet.org/home.aspx

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  7. ١٧ جمادى الأولى

    Ep. 200 Managing Biochemical Recurrence After Prostate Radiation with Dr. Amar Kishan

    Biochemical recurrence of prostate cancer can be difficult to diagnose and treat. In this episode of BackTable Urology, where Dr. Aditya Bagrodia hosts Dr. Amar Kishan, a genitourinary radiation oncologist at UCLA, to discuss the complexities of biochemical recurrence and local failure after radiation therapy for prostate cancer. --- This podcast is supported by: Veracyte https://www.veracyte.com/decipher --- SYNPOSIS First, they evaluate alternatives to androgen deprivation therapy (ADT), the benefits and risks associated with ADT, and the role of genetic classifier tests. They also detail the goals of prostate-specific antigen (PSA) monitoring, PSA trends post-radiation, and advancements in PSMA PET scans. Then, the conversation highlights modern treatment options like targeted radiation, low dose rate brachytherapy, salvage radical prostatectomy, and focal therapy. Finally, the doctors emphasize personalized and multidisciplinary treatment plans as they hope to improve long-term outcomes for patients with prostate cancer. --- TIMESTAMPS 00:00 - Introduction 04:31 - PSA Levels Post-Radiation 13:21 - Local Recurrence and PSMA PET 21:29 - Explaining Radiation Effects to Patients 22:41 - Managing PSA Bounce 26:05 - Imaging and Biopsy Techniques 28:55 - Treatment Options for Local Recurrence 30:16 - Re-Irradiation and Focal Therapy 33:13 - Concluding Thoughts --- RESOURCES Veracyte https://www.veracyte.com/

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  8. ١٠ جمادى الأولى

    Ep. 199 Addressing Isolation and the Psychosocial Needs of Penile Cancer Patients with Rob Cornes and Rick Bangs

    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: Photocure https://www.photocure.com/ --- SYNPOSIS This 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. --- TIMESTAMPS 00:00 - Introduction 04:05 - Isolation in Penile Cancer 06:38 - The Role of Advocacy and Peer Support 15:29 - Shared Decision Making in Penile Cancer Care 23:22 - Value of Multidisciplinary Care --- RESOURCES Photocure https://www.photocure.com/ Global Society of Rare GU Tumors (GSRGT) https://www.gsrgt.com

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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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