Episoder

  • 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

  • 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/

  • Manglende episoder?

    Klik her for at forny feed.

  • 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

  • En este episodio de BackTable Urology, Dr. José Silva da la bienvenida a su colega de residencia, el Dr. Omar Soto, para profundizar en el viaje y los desafíos del Dr. Soto al establecer una práctica de urología reconstructiva en Puerto Rico después de su extensa capacitación y práctica en Detroit.

    ---

    This podcast is supported by:

    Photocure
    https://www.photocure.com/

    ---

    SYNPOSIS

    Los doctores exploran las complejidades de navegar la atención urológica, la importancia de cumplir con el estándar de atención a pesar de las limitaciones sistémicas y el panorama en evolución de la urología reconstructiva y protésica. El Dr. Soto comparte anécdotas personales, el impacto de la pandemia de COVID-19 en su práctica y el papel crucial de la colaboración comunitaria y profesional en el avance de los servicios urológicos en Puerto Rico. El episodio destaca la dedicación necesaria para mejorar la calidad de vida del paciente y adaptarse a las nuevas tecnologías médicas.

    ---

    TIMESTAMPS

    00:00 - Viaje a la Urología Reconstructiva
    08:32 - Decisión de Quedarse en Detroit
    13:31 - Regresando al Puerto Rico
    27:47 - Tratamientos Urológicos en América Latina
    30:18 - Equilibrio entre la Práctica Privada y las Necesidades de la Comunidad
    36:32 - Prácticas y Técnicas Quirúrgicas
    41:25 - La Importancia del Aprendizaje Continuo
    52:45 - Pensamientos Finales


    ---

    RESOURCES

    Photocure
    https://www.photocure.com/

  • Frustrated with stone retrieval after a long lithotripsy case? In this episode of the BackTable Urology Podcast, host Aditya Bagrodia, MD, and guest Roger Sur, MD, director of the Comprehensive Kidney Stone Center at UC San Diego Health, delve into the latest technological advancements in the treatment of kidney stones. The episode focuses on the CVAC (continuous vacuum aspiration and irrigation) device as a suction platform for endourologists.

    ---

    This podcast is supported by:

    Photocure
    https://www.photocure.com/

    ---

    SYNPOSIS

    Their conversation offers interesting historical detail on the evolution of kidney stone treatment, from open surgery to modern techniques including percutaneous nephrolithotomy, shockwave lithotripsy, and ureteroscopy. As one of the original visionaries behind CVAC, Dr. Sur highlights the development journey from lab experiments to FDA approval. The episode covers data on CVAC’s superiority in patient outcomes and stone-free rates compared to other technologies. Key insights from recent studies, such as the ASPIRE trial, underscore the benefits of CVAC in reducing postoperative events and stone regrowth. The conversation also explores practical aspects of integrating suction platforms into practices and looks ahead towards the potential for machine learning to refine these technologies.

    ---

    TIMESTAMPS

    00:00 - Introduction
    04:29 - The Rise of Ureteroscopy
    10:38 - Development of Suction Devices
    12:22 - The CVAC Device: History and Functionality
    21:05 - Comparing Suction Device Systems
    31:34 - Looking Into the Data
    37:42 - Considerations for Real-World Practice

    ---

    RESOURCES

    Photocure
    https://www.photocure.com/

  • Are you curious about the biotechnology startup world? Learn how our guest transitioned from trauma surgeon to entrepreneur in this episode of the BackTable Podcast. Dr. Chris Kinsella, CEO of Watershed Therapeutics and our host Dr. Bryan Hartley discuss the importance of using entrepreneurship to solve clinical needs. Watershed Therapeutics has created a novel bladder drug delivery platform to help women with recurrent urinary tract infections.

    ---

    SYNPOSIS

    The doctors systematically cover the process of identifying market needs, inventing solutions, bringing a product to the market, and managing risk. They also share examples of successful startup ventures and underscore the importance of perseverance, innovative thinking, and strategic market focus in forging a path to success.

    ---

    TIMESTAMPS

    00:00 - Introduction
    04:30 - The Birth of a Surgical Trainer
    07:04 - Challenges and Innovations in Trauma Surgery
    22:06 - Evaluating and Killing Ideas
    28:27 - Challenging Assumptions
    29:53 - Meeting a Co-Founder
    33:07 - Developing the Solution
    37:29 - Raising Funds
    40:28 - Navigating Regulatory Challenges and Market Expansion

    ---

    RESOURCES

    Watershed Therapeutics:
    https://www.watershedtx.com/

    Stanford Biodesign Innovation Fellowship:
    https://biodesign.stanford.edu/programs/fellowships/innovation-fellowships.html

  • Are you a 2025 Urology Match applicant or a residency program faculty member? In this week’s episode of the BackTable Urology podcast, guests Dr. Mihir Shah, Dr. Gina Badalato, and Dr. Lindsay Hampson provide guidance on navigating urology residency interviews. Their discussion offers insights from a residency leadership, department faculty, and medical student’s point of view with host Yash Shah.

    ---

    SYNPOSIS

    The episode covers tips for both virtual and in-person interviews, strategies for conversational engagement, and advice for how applicants should evaluate programs. They further detail aligning personal values with program culture, describing past challenges, and lowering interview anxiety through effective practice. The conversation offers applicants invaluable preparation tips to approach the interview process with confidence and a positive attitude.

    ---

    TIMESTAMPS

    00:00 - Introduction
    02:32 - Virtual vs. In-Person Interviews
    07:02 - Preparing for Residency Interviews: Tips and Strategies
    17:29 - The Role of Research
    20:43 - Pivoting to Leadership and Advocacy
    22:01 - Behavioral Questions: Tips and Examples
    26:22 - Discussing Difficult Subjects
    28:26 - Choosing the Right Residency Program
    33:10 - Post-Interview Communication
    36:24 - Final Advice

  • Intrarenal pressure monitoring during ureteroscopy is a complex but crucial component of performing safe procedures. In this episode of the BackTable Urology Podcast, urologist Dr. Julie M. Riley from the University of Arkansas for Medical Sciences shares expert insights on ureteroscopy, focusing on intrarenal pressure monitoring, procedural techniques, and new technologies aimed at improving patient safety.

    ---

    This podcast is supported by:

    Boston Scientific Urology
    https://www.bostonscientific.com/en-US/about-us/core-businesses/urology-pelvic-health.html

    ---

    SYNPOSIS

    Dr. Riley discusses the benefits of access sheaths, the utility of new devices including LithoVue Elite, and strategies for minimizing infection. She highlights the benefits and intended use cases of this new technology, and further outlines potential complications and challenges in using this new tool. Dr. Riley also shares her own approaches to complex patients, and her predictions for the future of ureteroscopy.

    ---

    TIMESTAMPS

    00:00 - Introduction
    03:10 - Ureteroscopy and Patient Candidacy
    04:12 - Complications
    09:50 - Technological Advances
    13:30 - Practical Tips
    32:59 - Looking Ahead

    ---

    RESOURCES

    Boston Scientific
    https://www.bostonscientific.com/en-US/home.html

  • Catch up on the latest breakthroughs in bladder cancer management. In this episode of the BackTable Urology Podcast, Dr. Bogdana Schmidt (University of Utah) speaks with Dr. Andrea Apolo, a medical oncologist at the National Cancer Institute, about recent advancements in bladder cancer treatment presented at the 2024 European Society of Medical Oncology (ESMO) Congress.

    ---

    SYNPOSIS

    They review pivotal trials like the NIAGARA and AMBASSADOR studies, the TAR-200 drug delivery system, the use of bladder-sparing treatment, and the role of ctDNA as a biomarker. Further, they detail the effectiveness of systemic therapies such as gemcitabine and pembrolizumab, the implications of perioperative immunotherapy, and the future role of antibody-drug conjugates. The conversation highlights the trend towards less invasive approaches while improving survival rates from bladder cancer.

    ---

    TIMESTAMPS

    00:00 - Introduction
    03:49 - NIAGARA Trial
    09:10 - Challenges in Bladder Cancer Treatment
    18:56 - AMBASSADOR Trial
    25:30 - Adjuvant Immunotherapy
    29:30 - Exploring Biomarkers and ctDNA
    36:34 - Surgery and Less Invasive Therapies
    46:31 - Future Directions in Bladder Cancer Treatment

    ---

    RESOURCES

    ESMO
    https://www.esmo.org/

  • Inequality persists in pay and career advancement between male and female urologists. In this episode of the BackTable Urology Podcast, Dr. Suzette Sutherland hosts Dr. Yahir Santiago-Lastra from the University of California San Diego. They discuss the gender wage gap in medicine, particularly amongst urologists.

    ---

    This podcast is supported by:

    Photocure
    https://www.photocure.com/

    ---

    SYNPOSIS

    Dr. Santiago, a Latina from Puerto Rico and a first-generation physician, highlights the latest data on pay, research funding, and professional advancement for women physicians. They debunk common myths, discuss the importance of transparency, and emphasize the need for inclusive work environments. The conversation also covers the economic phenomena underlying current discrepancies and the benefits of fostering diversity. This episode offers valuable insights for leaders on retaining and nurturing talent within their organizations.

    ---

    TIMESTAMPS

    00:00 - Introduction
    06:28 - Impact of Menopause and Women’s Health
    10:33 - Gender Gaps in Urology
    31:52 - The Meritocracy Myth
    35:56 - The Abrasiveness Trap and Gender Schema
    40:04 - Navigating Work Personalities
    47:54 - Leadership and Inclusivity in Organizations
    51:30 - Tokenism vs. True Inclusion
    56:58 - The Benefits of a Diverse Workforce

    ---

    RESOURCES

    Photocure
    https://www.photocure.com/

  • What does recent research say about the role of perirectal spacers in prostate cancer treatment? In this episode of the BackTable Urology Podcast, host Dr. Jose Silva discusses the use of perirectal spacers for prostate radiotherapy with guests Dr. Eric Chenven, Chief of Urology at Broward Health Medical Center, and Dr. Nadim Nasr, a radiation oncologist at Arlington Radiation Oncology.

    ---

    This podcast is supported by:

    Boston Scientific SpaceOAR Hydrogel
    https://www.spaceoar.com/about-spaceoar-hydrogel/how-spaceoar-hydrogel-works/?utm_source=google&utm_medium=cpc&utm_campaign=uro-ph-us-spaceoar-dtp&utm_content=nf-cs-prostatecancer_search_en_us_brand_conversion_dtp_uro-spaceoar-651995397243-res&gad_source=1&gclid=CjwKCAjw9eO3BhBNEiwAoc0-jTE63KEHSnZ1soXre9ovVRqweY2QctIuZ_iN2QUjk6Px4k6fK1757BoCVNgQAvD_BwE

    ---

    SYNPOSIS

    Their conversation delves into the use of Boston Scientific’s SpaceOAR hydrogel to reduce radiation exposure to the rectum. The experts elaborate on the techniques and logistical challenges of placing spacers, as well as their effects on patient outcomes. They also discuss insurance hurdles, use of sedation, fiducial marker placement, and the impact of large prostate size on treatment efficacy. Finally, they touch on Barrigel, the newest spacer option. This episode emphasizes the need for collaboration between urologists and radiation oncologists to improve patient care.

    ---

    TIMESTAMPS

    00:00 - Introduction
    06:33 - Importance of Perirectal Spacing
    11:17 - Techniques and Protocols
    13:00 - Barrigel: The New Option
    14:58 - Challenges and Practical Considerations
    24:55 - Future Directions

    ---

    RESOURCES

    Boston Scientific SpaceOAR
    https://www.bostonscientific.com/en-US/products/hydrogel-spacers/spaceoar-hydrogel.html

    URO108 - Minimizing Radiation Therapy Side Effects
    https://www.backtable.com/shows/urology/podcasts/108/minimizing-radiation-therapy-side-effects

    URO123 - Perfecting Rectal Spacer Placement for Optimal Care
    https://www.backtable.com/shows/urology/podcasts/123/perfecting-rectal-spacer-placement-for-optimal-care

  • Learn how Advanced Practice Providers (APPs) can boost workflow efficiency and improve patient experience in your urology practice. In this episode of the BackTable Urology podcast, host Dr. Jose Silva speaks with Dr. Arpeet Shah and advanced practice nurse (APN) Nicole Hollander, about the role of APPs in benign prostate hyperplasia (BPH) patient care.

    ---

    CHECK OUT OUR SPONSOR

    Boston Scientific Rezum Water Vapor Therapy
    https://www.bostonscientific.com/rezum

    ---

    SYNPOSIS

    Hollander and Shah discuss the importance of effective APP training and onboarding. Dr. Shah shares his wisdom on structuring an APP program to ensure that new practitioners are educated, compliant, and satisfied; all while helping to address the current urologist shortage. The discussion also covers BPH workflows, effective follow-up, and staying up to date on evolving medical knowledge in the context of innovations such as GreenLight Laser and UroCuff.

    ---

    TIMESTAMPS

    00:00 - Introduction
    06:58 - Nicole’s APP Journey
    07:42 - Training APPs
    12:22 - BPH Workflow
    21:04 - Deciding on Procedures for BPH
    26:40 - Rezum
    33:40 - Ensuring APP Clinical Excellence and Compliance
    36:34 - APP Career Development and Retention
    40:31 - Looking Ahead

  • Did you know that robotic prostatectomy has its roots in both the immigrant experience and the renowned manufacturing legacy of Detroit? In this episode of BackTable Urology, Dr. Mani Menon, a pioneer in robotic surgery, joins Dr. Aditya Bagrodia to discuss the development of robotic prostatectomy technology.

    ---

    CHECK OUT OUR SPONSORS

    Siemens Healthineers Theranostics
    https://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics

    Photocure
    https://www.photocure.com/

    ---

    SYNPOSIS

    Dr. Menon reflects on how robotic prostatectomy techniques have evolved over his career. He shares his journey from India to the United States, highlighting his trailblazing work at the Vattikuti Urology Institute at Henry Ford Hospital. He also talks about the challenges of working with robotic technology, recent advancements in the field, and what the future may hold for robotic surgery.

    ---

    TIMESTAMPS

    00:00 - Introduction
    03:05 - Dr. Menon’s Early Life
    06:51 - Experiences of an International Medical Graduate
    19:51 - The Move to Henry Ford
    36:44 - Transitioning to Robotic Surgery
    41:36 - Patient Outcomes and Reflections
    47:50 - Technological Advancements in Surgery
    55:52 - Looking Ahead

    ---

    RESOURCES

    Photocure
    https://www.photocure.com/

    Siemens Healthineers
    https://www.siemens-healthineers.com/en-us/urology-equipment

  • What is the role of testosterone therapy in prostate cancer? Urologist Dr. Abraham Morgentaler of Beth Israel Deaconess Medical Center and Harvard Medical School joins host Dr. Jose Silva to discuss the evolution of testosterone therapies, modern testosterone treatments, and how to integrate testosterone replacement therapy into your practice.

    ---

    CHECK OUT OUR SPONSOR

    KYZATREX™
    https://www.kyzatrex.com

    ---

    SYNPOSIS

    Dr. Morgenhaler starts by sharing his pioneering journey with testosterone replacement therapy starting in the 1980s, challenging long-held beliefs that it increases prostate cancer risk. He highlights key studies to debunk myths about testosterone’s dangers and emphasizes the ability to improve patients’ quality of life. Further, he discusses modern treatment options and provides practical advice for safely initiating testosterone replacement therapy. Finally, he discusses its use in patients with a history of prostate cancer and emphasizes the importance of individualized treatment plans.

    ---

    TIMESTAMPS

    00:00 - Introduction
    03:04 - Historical Perspectives on Testosterone and Prostate Cancer
    21:31 - Evolution of Testosterone Treatments
    31:16 - Testosterone and Prostate Cancer: A Controversial History
    35:42 - Treating Prostate Cancer Patients with Testosterone
    37:12 - A Case Study
    43:05 - Shifting Perspectives
    57:15 - Final Thoughts


    ---

    RESOURCES

    T4L Education
    https://t4leducation.com/

    Marius Pharmaceuticals
    https://mariuspharma.com/

    Testosterone Replacement in Prostate Cancer Survivors URO98
    https://www.backtable.com/shows/urology/podcasts/98/testosterone-replacement-in-prostate-cancer-survivors

    Men's Health & Testosterone Replacement Therapy URO114
    https://www.backtable.com/shows/urology/podcasts/114/mens-health-testosterone-replacement-therapy

    Testosterone & Hypogonadism: A Clinical Perspective URO124
    https://www.backtable.com/shows/urology/podcasts/124/testosterone-hypogonadism-a-clinical-perspective

    Testosterone: Navigating Options & Implementation in Clinical Practice URO 125
    https://www.backtable.com/shows/urology/podcasts/125/testosterone-navigating-options-implementation-in-clinical-practice

  • Hot off the press! The results of the 2023 American Urological Association Census findings will likely surprise listeners. In this episode of the BackTable Urology Podcast, host Dr. Suzette Sutherland is joined by Dr. Amanda North (The Children’s Hospital at Montefiore) and Dr. Matt Nielsen (University of North Carolina) to dive deep into the census data and offer a call to action for all urologists.

    ---

    CHECK OUT OUR SPONSOR

    PearsonRavitz
    https://pearsonravitz.com/backtable

    ---

    SYNPOSIS

    The conversation covers noteworthy statistics on burnout, accessibility to mental health care, and practice patterns within the urologic community. The doctors also discuss the evolution in demographics amongst practicing urologists, improvement in diversity, equity, and inclusion initiatives, and the growing concern of workforce shortages. Finally, the episode explores the importance of this census data in informing AUA advocacy efforts to shape future government policies.

    ---

    TIMESTAMPS

    00:00 - Introduction
    06:04 - The AUA Census
    11:20 - Demographics of Urologists in the U.S.
    22:48 - Trends in Private Practice and Employment
    38:00 - Burden of Prior Authorizations
    43:17 - Addressing Burnout
    45:29 - Diversity, Equity, and Inclusion
    52:43 - Conclusion

    ---

    RESOURCES

    Pearson Ravitz
    https://pearsonravitz.com/

    Photocure
    https://www.photocure.com/

  • 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 SPONSOR

    Photocure
    https://www.photocure.com/

    ---

    SYNPOSIS

    The 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.

    ---

    TIMESTAMPS

    00:00 - Introduction
    03:45 - Epidemiology and Risk of Bladder Cancer
    05:48 - AUA Guidelines for Bladder Cancer
    08:01 - Mechanism and Benefits of Blue Light Cystoscopy
    10:33 - Practical Applications
    34:48 - Conclusion

    ---

    RESOURCES

    Photocure
    https://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.

    ---

    SYNPOSIS

    Dr. 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.

    ---

    TIMESTAMPS

    00:00 - Introduction
    05:00 - Early Influences and Career Path
    24:28 - Challenges in Maintaining Empathy
    29:19 - The Importance of Self-Reflection
    33:24 - Recruitment and Retention in Leadership
    36:12 - Balancing Personal Life
    42:03 - Innovative Medical Education
    48:54 - Final Thoughts

    ---

    RESOURCES

    Pearson Ravitz
    https://pearsonravitz.com/

    BackTable URO24 - Operate with Zen
    https://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.

    ---

    SYNPOSIS

    The “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.

    ---

    TIMESTAMPS

    00:00 - Introduction
    02:00 - Second Victim Phenomenon
    06:52 - Challenges for Trainees
    09:43 - Managing Complications
    17:04 - Phases of Emotions
    20:31 - Peer Support and Institutional Resources
    35:04 - Building a Supportive Training Environment

    ---

    RESOURCES

    Pearson Ravitz
    https://pearsonravitz.com/

    BackTable URO24- Operate with Zen
    https://www.backtable.com/shows/urology/podcasts/24/operate-with-zen

    BackTable URO39- The Anatomy of a Complication https://www.backtable.com/shows/urology/podcasts/39/the-anatomy-of-a-complication-surgeon-health

    BackTable 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 SPONSOR

    PearsonRavitz
    https://pearsonravitz.com/backtable

    ---

    SYNPOSIS

    First, 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.

    ---

    TIMESTAMPS

    00:00 - Introduction
    02:35 - The Women’s Bladder Doctor Initiative
    07:03 - Types of Urinary Incontinence
    11:49 - Diagnostic Approaches to Urinary Incontinence
    28:39 - Treatment Algorithms for Urinary Incontinence
    31:12 - Bladder Retraining and Pelvic Floor Therapy
    40:00 - Urethral Seals and Vaginal Pessaries
    50:47 - Treatment for Urgency
    57:51 - Future Directions

    ---

    RESOURCES

    Pearson Ravitz
    https://pearsonravitz.com/

    The Women’s Bladder Doctor
    https://thewomensbladderdoctor.com/