Episoder
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Esta semana en BackTable Urology, el Dr. José Silva entrevista a la obstetra y ginecóloga Dra. Pamela Silén-Rivera sobre la terapia de reemplazo de estrógeno, específicamente disipando mitos y su experiencia en el avance de la salud de la mujer en Puerto Rico.
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SYNPOSIS
La conversación aborda las complejidades y desafíos en el tratamiento de la menopausia y la salud sexual de la mujer, incluyendo el uso de hormonas bioidénticas, testosterona y tratamientos personalizados. La Dra. Silén-Rivera destaca la importancia de la educación tanto para los profesionales médicos como para las pacientes, y habla sobre la necesidad de productos específicos para mujeres aprobados por la FDA. Además, discuten temas como las alternativas al reemplazo hormonal.
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TIMESTAMPS
00:00 - Antecedentes y experiencia en salud sexual de la mujer
06:02 - Síntomas de la menopausia y enfoques de tratamiento
17:25 - Tratamiento personalizado y riesgos
29:23 - Terapia de reemplazo hormonal y anticonceptivos
33:00 - Terapia de testosterona en mujeres
43:45 - Educar a las futuras generaciones sobre la terapia hormonal
49:20 - La importancia del estrógeno vaginal
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RESOURCES
Centro de Bienestar para la Mujer
https://www.centrobienestarmujer.com/ -
This week we bring together urologists and radiologists to work towards a shared goal of innovating on kidney cancer care. Dr. Jason Abel, Professor of Urology and Radiology at the University of Wisconsin, and Dr. Louis Hinshaw, Section Chief of Abdominal Imaging Intervention at the University of Wisconsin, join our host Dr. Ruchika Talwar for a multidisciplinary conversation regarding the treatment of renal tumors.
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SYNPOSIS
Their discussion covers the history and benefits of collaboration between urology and interventional radiology (IR), advances in image-guided procedural technologies, and the importance of teamwork in improving patient outcomes. The episode also considers the encouraging, but limited data in IR treatments such as microwave ablation and discusses the lasting role for surgery. Finally, Dr. Abel and Dr. Hinshaw share their experiences in establishing a successful interdisciplinary kidney cancer program. Ultimately, they conclude that the future of renal tumor treatment lies not in silos, but in collaboration.
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TIMESTAMPS
00:00 - Introduction
04:04 - Collaboration Between Urologists and Interventional Radiologists
05:58 - Advancements in Ablation
10:05 - Patient Selection
15:19 - Technical Considerations
26:57 - Post-Ablation Surveillance and Recurrence Management
33:19 - Conclusion -
Mangler du episoder?
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What does it take to deliver truly personalized, multidisciplinary care in testicular cancer? Get an inside look in this episode of BackTable Urology, where renowned testicular cancer experts Dr. Nabil Adra and Dr. Richard Matulewicz join host Dr. Aditya Bagrodia for a virtual tumor board session on the nuanced management of germ cell tumors. This episode was produced in collaboration with the Society of Urologic Oncology.
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SYNPOSIS
The expert panel uses specific patient cases to review their decision-making processes on the use of surgery, chemotherapy, and radiation. They highlight the importance of a multidisciplinary approach, particularly for advanced disease and challenging surgical scenarios. The episode reviews patient-specific factors, standard treatment protocols, post-treatment surveillance, and the latest research. This episode also highlights the benefits of personalized cancer care.
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TIMESTAMPS
00:00 - Introduction
01:45 - Case Presentation: 23-Year-Old Male with Testicular Mass
02:14 - Initial Counseling and Management
04:03 - Orchiectomy and Post-Surgery
06:27 - Stage I Management
10:00 - Surveillance and Adjuvant Therapy
13:56 - Recurrence
23:13 - Case Study: 44-Year-Old with Non-Seminoma
28:14 - Case Study: 17-Year-Old with Developmental Delay and Cancer
29:42 - Chemotherapy Decisions
30:31 - Brain Imaging and Metastasis Predictions
33:54 - Chemotherapy Regimens
35:53 - Monitoring and Salvage Therapy
45:01 - Case Study: 21-Year-Old with Teratoma
55:21 - Concluding Thoughts
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RESOURCES
Society of Urologic Oncology:
https://suonet.org/home.aspx -
Have you noticed that urologists tend to have an outsized presence and interest in healthcare leadership and administrative positions? In this episode of BackTable Urology, Dr. Marisa Clifton, an associate professor and Associate Chief Medical Officer at Johns Hopkins, discusses her experiences in executive leadership with host Dr. Michelle Van Kuiken. This episode was produced in collaboration with the Society of Women in Urology (SWIU).
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SYNPOSIS
Dr. Clifton shares her journey evolving from surgery and clinical medicine to hospital administration, highlighting the importance of mentorship, skill-building, and strategic decision-making. She discusses her journey towards finding a balance between clinical practice and administrative roles. She also highlights the challenges and rewards of working in hospital leadership. This episode offers key guidance on obtaining mentorship, coaching, and executive presence. This candid conversation provides valuable insights for any physician interested in leadership roles.
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TIMESTAMPS
00:00 - Introduction
02:28 - Dr. Marisa Clifton's Career Journey
13:03 - Balancing Clinical and Administrative Roles
17:01 - Challenges and Growth in Leadership
25:31 - Balancing Clinical Medicine and Hospital Administration
28:08 - Improving Communication Between Clinicians and Administrators
32:20 - Leadership Development
38:02 - The Role of Coaching
43:13 - Final Thoughts and Future Directions
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RESOURCES
Society of Women in Urology
https://swiu.org/home.aspx -
Can the gender of your surgeon influence your outcome after surgery? New research says yes. In this episode of BackTable Urology, Dr. Christopher J.D. Wallis, a prominent urologic oncologist and health services researcher in Toronto, joins guest host Dr. Casey Seideman for a pivotal conversation at the intersection of surgical outcomes, gender, and health equity. This episode was developed in collaboration with the Society of Women in Urology (SWIU).
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SYNPOSIS
Drawing from extensive studies and meta-analyses, Dr. Wallace highlights a significant mortality benefit for patients treated by female surgeons. The episode explores how these findings have sparked discussions on surgeon practices, patient care, and gender equity in medicine. Dr. Wallace also shares personal experiences to underline the importance of diversity and inclusive practices in healthcare. Finally, the two urologists discuss challenges faced when supporting diversity efforts and opportunities for future progress.
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TIMESTAMPS
00:00 - Introduction
04:01 - Personal Experience with Gender Bias in Surgery
07:05 - Groundbreaking Data on Surgeon Sex and Patient Outcomes
12:23 - Long-Term Outcomes and Consistency in Data
14:14 - Hypotheses and Underlying Reasons for Better Outcomes with Female Surgeons
20:18 - Impact on Healthcare Costs and Productivity
26:14 - Challenges and Pushback in the Medical Community
35:05 - Conclusion
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RESOURCES
Society of Women in Urology
https://swiu.org/home.aspx -
Urology was recently named the most burned out specialty in the medical field – a title that we’re not particularly proud of. How can we better support ourselves and one another, and take real steps towards improving career satisfaction and mental health within our specialty? In this episode of the BackTable Urology Podcast, Dr. Nishant Patel, a urologist from San Diego bravely shares his personal struggles with depression, substance abuse, and suicidality with host Dr. Aditya Bagrodia; and how he overcame the lowest points in his career.
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SYNPOSIS
Dr. Patel details his journey from growing up in a small town in Arizona to becoming a successful urologist. He discusses the internal battles, external pressures, and pivotal moments that shaped his life and career. He then highlights the importance of peer support and introduces his new initiative, SafeHavenMD, a platform designed to provide confidential, peer-to-peer support for physicians dealing with mental health and substance abuse issues. This episode is a must-listen as it offers a raw and emotional insight into the often unseen challenges faced by medical professionals.
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TIMESTAMPS
00:00 - Introduction
03:29 - Early Signs of Alcoholism
03:56 - Medical School and Escalating Alcohol Use
05:43 - Journey to Sobriety
08:26 - Creating SafeHavenMD
19:40 - Personal Experience and Resources
20:20 - Handling Complications and Peer Support
21:47 - SafeHavenMD: An Overview
23:05 - Monitoring Programs and Confidentiality
24:19 - Disclosing Issues and Seeking Help
34:11 - Closing Message to the Audience -
Attention trainees and general urologists: this episode is for you! Learn the basics of pediatric urology and core principles for building a practice in transitional urology, directly from the experts. In this episode of BackTable Urology, pediatric urologists Nicco Passoni and Arthi Hannallah, join guest host Dr. Ryan Mauck to discuss the most common conditions they see.
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SYNPOSIS
The discussion covers a broad spectrum of topics in the transition of pediatric urology patients to adult care. Key highlights include self-catheterization, testicular torsion, bladder augmentation, and patients with a history of pediatric surgeries or spina bifida. Dr. Mauck emphasizes a collaborative discussion on the importance of managing conditions independently versus seeking specialized help for these complex patient situations.
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TIMESTAMPS
00:00 - Introduction
03:41 - Testicular Torsion Emergencies
08:45 - Common Challenges in Pediatric Urology
16:34 - Bladder Augmentation and Rupture
27:24 - Self-Catheterization
30:25 - Reflux and Reimplantation
35:25 - Managing Pediatric Urology Patients in Adulthood
46:47 - Outpatient Management of Reconstructed Bladders
50:58 - Embracing a Multidisciplinary Approach
54:02 - Key Takeaways -
Patients seeking penile girth enhancement often do so for both physical and psychological reasons. When treating this patient population, understanding your patient’s goal is as critical as mastering the aesthetics. In this episode of BackTable Urology, Dr. Amy Pearlman, co-founder of PRIME Institute Miami, meets with our host Dr. Jose Silva to discuss practical tips for treating patients that seek penile girth enhancement.
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SYNPOSIS
Dr. Pearlman shares her journey from academic urology to healthcare entrepreneurship, emphasizing the personalized, holistic care offered at her practice. The conversation covers the procedure's impact on patients' lives, the management of a concierge clinic, and the integration of sexual health with overall wellness. Dr. Pearlman elaborates on the specifics of the penile girth enhancement procedure using hyaluronic acid. She covers patient experiences, consultation practices, and safety protocols. The episode emphasizes the broader conversation around men’s health and the importance of sexual well-being.
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TIMESTAMPS
00:00 - Introduction
10:09 - Injectable vs. Surgical Options
10:30 - Hyaluronic Acid Fillers
14:06 - Patient Experiences and Expectations
24:09 - Injection Techniques and Aftercare
32:55 - Understanding Penile Aesthetics
35:43 - Consultation Process
37:23 - Pain Management
39:01 - Patient Experiences and Feedback
46:53 - Telehealth Consultations
49:22 - Closing Advice for Providers -
Sharpen your approach to high-risk renal cell carcinoma (RCC). In this episode of BackTable Urology, guest Dr. Sumanta (Monty) Pal from City of Hope joins host Dr. Aditya Bagrodia to discuss contemporary kidney cancer treatment and the complexities of perioperative therapy.
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This podcast is supported by:
Photocure
https://www.photocure.com/
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SYNPOSIS
The conversation covers the challenging side effects of perioperative treatments, the evolution of therapies from tyrosine kinase inhibitors to modern checkpoint inhibitors, and the introduction of adjuvant therapies. Dr. Pal and Dr. Bagrodia explore the impact of these treatments on patient outcomes, the challenges with current biomarkers, and the potential of emerging trials. The doctors also highlight the importance of personalized RCC management strategies, particularly for high-risk patients and non-clear cell histologies. They also emphasize the need for appropriate patient counseling in this emerging field.
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TIMESTAMPS
00:00 - Introduction
01:53 - Evolution of Kidney Cancer Treatments
03:30 - Tyrosine Kinase Inhibitors in the 2010s
10:42 - Checkpoint Inhibitor Trials
23:09 - Discussing Adjuvant Therapy with Patients
26:56 - Restaging and Biomarkers
31:58 - Challenges in Adjuvant Immunotherapy
39:57 - Non-Clear Cell RCC
41:42 - Future Directions
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RESOURCES
Photocure:
https://www.photocure.com/ -
Do you need a recap of the latest urologic oncology research presented at GU ASCO 2025? This episode of BackTable Urology features a multidisciplinary discussion among three leading voices in urology and medical oncology – Drs. Bogdana Schmidt, Shilpa Gupta, and Ben Maughan – covering the most notable results presented at this year’s meeting.
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This podcast is supported by:
Photocure
https://www.photocure.com/
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SYNPOSIS
First, the doctors cover a wide range of topics including PARP inhibitors for prostate cancer, HER2-targeting antibody drug conjugates in bladder cancer, adjuvant chemotherapy for upper tract urothelial carcinoma, and biomarkers such as KIM-1 in kidney cancer. Highlighting the importance of multidisciplinary collaboration, the experts also critique the COSMIC-313 trial and discuss the nuances of applying new therapeutic combinations in real-world clinical practice.
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TIMESTAMPS
00:00 - Introduction
09:20 - TALAPRO-2 Trial Insights
19:29 - Bladder Cancer: Immuno-Oncology Combinations and HER2
27:42 - NIAGARA and iNDUCT Trials
33:32 - Future Directions in Upper Tract Treatment
37:38 - Biomarkers in Kidney Cancer: KIM-1
46:43 - COSMIC-313: Triplet Therapy in Renal Cell Carcinoma
52:39 - Concluding Thoughts and Future Directions
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RESOURCES
Photocure:
https://www.photocure.com/ -
Why is clinic experience important in urology residency training? In this edition of the BackTable Urology PGY Playlist, guests Dr. Alison Keenan and resident Dr. Nicholas Koch join host Dr. Gina Badalato to discuss the significance of clinic exposure as a trainee.
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This podcast is supported by:
Photocure
https://www.photocure.com/
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SYNPOSIS
Extended clinic exposure can facilitate better clinical decision-making, improve understanding of pathology, and help develop soft skills. Dr. Keenan shares her experience in implementing a longitudinal resident clinic (LRC) model at her institution, emphasizing its role in providing continuity and autonomy. As a senior resident, Dr. Koch reflects on his experiences from participating in the LRC, underlining its value in preparing for independent practice.
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TIMESTAMPS
00:00 - Introduction
02:37 - Outpatient Resident Education
08:13 - Effective Teaching in Clinic
19:42 - Innovative Longitudinal Resident Clinic (LRC) Model
27:59 - Advice and Final Thoughts
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RESOURCES
Photocure:
https://www.photocure.com/ -
How does the microbiome affect urologic health, and what role does it play in urinary tract infections (UTIs)? In this episode of BackTable Urology, Dr. Lennie Ackerman from UCLA joins host Dr. Suzette Sutherland to discuss the bladder microbiome and innovative methods for detecting UTIs.
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SYNPOSIS
Dr. Ackerman and Dr. Sutherland talk through the challenges of diagnosing chronic UTI symptoms, the limitations of standard urine cultures, and the role of new, enhanced culture methods and molecular diagnostics. They emphasize the importance of clinical judgment, the potential misuse of antibiotics, and the need for a long-term approach to managing urinary symptoms while maintaining a healthy microbiome.
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TIMESTAMPS
00:00 - Introduction
01:58 - The Bladder Microbiome
05:44 - Challenges in Diagnosing UTIs
16:36 - Enhanced Quantitative Urine Culture
21:30 - Molecular Diagnostic Approaches
34:01 - Chronic UTIs and Long-Term Management
46:10 - Conclusion -
With the abundance of interventional options for benign prostate hyperplasia (BPH), how do you decide on the best treatment for each individual patient? In this episode of BackTable Urology, Dr. Marawan El Tayeb, chief of urology at Baylor Scott and White-Temple, joins host Dr. Jose Silva to discuss the intricacies of decision-making in BPH treatment.
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SYNPOSIS
The urologists discuss advantages and disadvantages of various BPH interventions, providing insight on when to use what. The conversation then goes deeper on holmium laser enucleation of the prostate (HoLEP), emphasizing the importance of appropriate patient counseling about retrograde ejaculation and transient urinary incontinence. Dr. El Tayeb shares his experiences in managing BPH both medically and surgically. He details his procedural approach, patient selection criteria, and postoperative care, along with special considerations for patients with prostate cancer on active surveillance. The episode concludes with a detailed look at alternative prostate treatments and insights into upcoming technological advancements in prostate care.
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TIMESTAMPS
00:00 - Introduction
02:44 - Evolution of BPH Treatments
09:40 - Weighing BPH Procedures
14:33 - HoLEP Insights
20:59 - Understanding HoLEP Equipment
21:06 - Techniques for Intravesical Lobes
24:10 - Post-Procedure Decisions
30:33 - Special Considerations for Cancer Patients
40:24 - Alternative Treatments and Final Thoughts -
Are you a resident that’s interested in getting involved in research, or a residency program leader looking to equip your trainees with practical research skills? In this episode of BackTable Urology, Dr. Kate Dwyer from Vanderbilt joins guest host Dr. Gina Badalato from Columbia to discuss training urology residents in effective peer review as a way to start contributing to clinical research and academic medicine.
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This podcast is supported by:
Photocure
https://www.photocure.com/
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SYNPOSIS
Dr. Dwyer shares her personal journey and residency experiences, focusing on the formalized research training that she received as a trainee. The conversation covers the benefits of conducting peer review for residents, how to get involved, and how peer review can enhance your clinical and academic career. They also discuss the potential of formalizing a trainee peer review system across institutions to ensure all residents have access to peer review opportunities. Finally, the doctors conclude by discussing the balance of clinical duties with academic endeavors and personal wellness during residency.
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TIMESTAMPS
00:00 - Introduction
03:28 - Getting Started with Peer Review
08:50 - Tips for Effective Peer Review
19:03 - Formalizing Peer Review Programs
24:39 - Advice for Residents
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RESOURCES
Photocure
https://www.photocure.com/ -
Are you married to a physician? How do you balance demanding work, busy home life, and conflicting career ambitions as a dual physician couple? In collaboration with the Society of Women in Urology (SWIU), this episode of the BackTable Urology Podcast provides unique perspectives on how physician couples can live an integrated work-life, featuring Dr. Katie Amin and Dr. Peter Bajic, hosted by Dr. Helen Bernie.
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This podcast is supported by:
Boston Scientific UroAdvance
http://bostonscientific.com/uroadvance
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SYNPOSIS
The doctors discuss key pillars to success as a physician couple, including flexibility, effective communication, and building a village of support. The conversation offers personal insights and strategies into managing childcare, household chores, and ensuring career fulfillment for both partners. The episode also emphasizes the need for further advocacy in the workplace, including parental leave policies.
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TIMESTAMPS
00:00 - Introduction
02:09 - Life as a Dual Physician Couple
04:31 - Career Decisions and Relocation Challenges
06:34 - Financial Discussions
13:24 - Parental Leave and Childcare
19:59 - Early Morning Routine and Nannies
27:33 - Household Chores and Outsourcing
34:47 - Work-Life Balance and Integration
42:18 - Final Thoughts
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RESOURCES
Boston Scientific
https://www.bostonscientific.com/en-US/medical-specialties/urology/products.html
Society of Women in Urology
https://swiu.org/home.aspx -
Are you interested in building an academic niche within global surgery? Dr. Catherine deVries, Professor of Urology and Global Surgery at the University of Utah and founder of International Volunteers in Urology (IVUMed), shares her journey and provides a blueprint for the aspiring academic surgeon. This episode is hosted by Dr. Suzette Sutherland in collaboration with the Society of Women in Urology.
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This podcast is supported by:
Boston Scientific UroAdvance
http://bostonscientific.com/uroadvance
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SYNPOSIS
The episode focuses on Dr. deVries experiences as a groundbreaking woman in the historically male-dominated field of urology. Dr. deVries delves into her landmark contributions to global health, particularly through her work leading IVUMed. She shares her experiences developing sustainable surgical care programs and her academic journey. The conversation also touches on the importance of ethics and public health when conducting surgical missions. The discussion serves as an inspiration for future generations in the field of urology and global health.
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TIMESTAMPS
00:00 - Introduction
02:17 - Dr. DeVries' Academic and Professional Journey
04:08 - Experiences as a Woman in Urology
14:55 - Pediatric Urology and Global Health
21:54 - Founding IVUMed
40:34 - Future Directions
44:14 - Conclusion
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RESOURCES
Boston Scientific
https://www.bostonscientific.com/en-US/medical-specialties/urology/products.html
Society of Women in Urology
https://swiu.org/home.aspx -
We are excited to introduce a new collaboration with the Society of Women in Urology (SWIU)! In this episode of BackTable Urology, guest host Dr. Casey Seideman discusses the impact of SWIU with society leadership Dr. Akanksha Mehta and Dr. Simone Thavaseelan.
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This podcast is supported by:
Boston Scientific UroAdvance
http://bostonscientific.com/uroadvance
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SYNPOSIS
The doctors talk about SWIU's rapid growth, its role in networking and career development for women, and its proven impact across career stages. They highlight the importance of the annual Clinical Mentoring Conference, which provides a unique opportunity for networking and professional development. The conversation also underscores SWIU's inclusivity and efforts for gender-diverse individuals. Looking ahead, Dr. Mehta and Dr. Thavaseelan predict continued growth, innovation, and deeper integration in organized urology.
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TIMESTAMPS
00:00 - Introduction
02:42 - History of SWIU
03:29 - Personal Journeys with SWIU
07:08 - The Mentoring Conference
09:27 - Career Development
34:40 - Inclusivity and Male Allyship
39:14 - Conclusion
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RESOURCES
Boston Scientific
https://www.bostonscientific.com/en-US/medical-specialties/urology/products.html
Society of Women in Urology
https://swiu.org/home.aspx -
What is the role of androgen deprivation therapy (ADT) in prostate cancer treatment? In this episode of the BackTable Urology Podcast, Dr. Rana McKay, a medical oncologist from UC San Diego, joins host Dr. Aditya Bagrodia to discuss the administration of ADT and other management strategies for prostate cancer.
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This podcast is supported by:
Photocure
https://www.photocure.com/
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SYNPOSIS
The doctors offer a historical perspective into the evolution of ADT over time and discuss the variety of different ADT treatment options available. They compare management strategies for localized and metastatic prostate cancer and discuss how to align therapy with patient goals, focusing on the side effects. The conversation also explores the impact of prostate-specific membrane antigen (PSMA) PET imaging on management and the future directions of hormonal therapies in urologic oncology.
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TIMESTAMPS
00:00 - Introduction
05:25 - ADT Options
10:36 - Choosing an Agent and Managing Side Effects
26:42 - Continuous Versus Intermittent Therapy
30:30 - Closing Remarks
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RESOURCES
Photocure
https://www.photocure.com/ - Se mer
