Avsnitt
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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.
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CHECK OUT OUR SPONSOR
PearsonRavitz
https://pearsonravitz.com/backtable
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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.
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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.
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CHECK OUT OUR SPONSOR
Photocure
https://www.photocure.com/
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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.
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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
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RESOURCES
Photocure
https://www.photocure.com/ -
Saknas det avsnitt?
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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.
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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.
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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
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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.
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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.
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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
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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.
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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.
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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/ -
It can be tough to avoid burnout, stay motivated, and retain your passion for patient care when facing the day-to-day challenges of medical practice. In this episode of the BackTable Urology Podcast, Dr. Alexander Kutikov from Fox Chase Cancer Center discusses keys to developing a sustainable and fulfilling career within urology.
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Attention residents and fellows! In this episode of the BackTable Urology podcast, Dr. Jay Shah hosts Dr. Eugene Shkolyar, a recent SUO fellowship graduate and new faculty member at Stanford, to discuss the process of securing a first job out of training.
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CHECK OUT OUR SPONSOR
Fellow
https://www.meetfellow.com/
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SYNPOSIS
The conversation covers the importance of introspection, geography, and mentorship. Dr. Shkoliar also delves into practical aspects of networking, job offer negotiation, and the balance between professional aspirations and personal life. Dr. Shkoliar shares personal experiences from this career milestone.
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TIMESTAMPS
00:00 - Introduction
02:17 - The Job Search
09:13 - Balancing Personal and Professional Goals
16:43 - Exploring Different Career Paths
22:26 - Understanding Healthcare Structures
26:14 - Practical Steps
30:07 - Mentorship and Networking
37:39 - Negotiation Tactics
49:48 - Final Reflections
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RESOURCES
Fellow
https://www.meetfellow.com/ -
How can residents maximize their surgical skills development and personal growth during the grueling years of urology residency? In the second edition of the BackTable Urology podcast’s PGY Playlist series, host Dr. Gina Badalato interviews Dr. George Moran, a chief resident from Columbia University, about his recommended strategies.
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SYNPOSIS
Dr. Moran shares his approach to studying medical guidelines, using the spaced repetition app, Anki, and preparing for the annual in-service exam. The doctors also discuss GAMERS, a surgical simulation competition started by Dr. Moran intended to improve robotic skills. Finally, Dr. Moran speaks to the importance of adaptability, personalization, and mentorship in effective learning during residency.
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TIMESTAMPS
00:00 - Introduction
02:38 - Strategies for Learning Medical Knowledge
09:08 - Preparing for Exams
16:14 - Robotic Simulation
21:46 - Final Wisdom -
Stay up-to-date on the latest advancements and treatment strategies in the field of genitourinary oncology. In this episode of BackTable Urology, guest host Dr. Bogdana Schmidt, a urologic oncologist from the University of Utah, discusses takeaways from ASCO 2024 with Dr. Petros Grivas from Fred Hutchinson Cancer Center and Dr. Sumanta (Monty) Pal from City of Hope.
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CHECK OUT OUR SPONSOR
Siemens Healthineers Theranostics
https://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics
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SYNPOSIS
The conversation initially focuses on advanced urothelial carcinoma and the EV302 trial, discussing detailed insights from the quality-of-life results presented at ASCO. The experts offer relevant clinical perspectives for modern metastatic urothelial carcinoma management, focusing on pembrolizumab plus enfortumab vedotin. Further, they delve into breaking biomarker research at ASCO, including KIM-1 in adjuvant renal cell carcinoma (RCC) therapy and the HIF-2 inhibitor DFF332 for chromophobe RCC.
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TIMESTAMPS
00:00 - Introduction
03:42 - Pembrolizumab and Enfortumab Vedotin Trial Insights
07:43 - Future Trials and Treatment Strategies
21:27 - Javelin Bladder 100 Trial Discussion
32:05 - Growth Factor Use
36:21 - Future Directions of Biomarkers
38:55 - Kidney Cancer Biomarker Trials
53:40 - Concluding Thoughts -
In this episode of the BackTable Urology Podcast, Dr. Ashish Kamat discusses contemporary management of high-risk, non-muscle-invasive bladder cancer (NMIBC) and his thoughts into the future of this arena.
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CHECK OUT OUR SPONSOR
Siemens Healthineers Theranostics
https://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics
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SYNPOSIS
Dr. Kamat explores the evolving role of BCG and potential alternative therapies such as gemcitabine and docetaxel. He also covers effective clinical management, emerging clinical trials, and nuanced decision-making principles for radical cystectomy. Finally, the conversation touches on Dr. Kamat’s expert insights regarding the future of NMIBC management, including predictive biomarkers and personalized medicine.
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TIMESTAMPS
00:00 - Introduction
03:56 - Initial Diagnosis and Workup
12:22 - High-Grade Bladder Cancer
22:37 - BCG and Alternative Treatments
31:30 - BCG Unresponsive Disease
36:56 - Novel Intravesical and Systemic Therapies
46:45 - Future Directions
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RESOURCES
Related BackTable episodes:
https://www.backtable.com/shows/urology/podcasts/64/management-of-bcg-refractory-nmibc
https://www.backtable.com/shows/urology/podcasts/157/the-bladder-cancer-matters-podcast
https://www.backtable.com/shows/urology/podcasts/103/adjuvant-therapy-for-high-risk-bladder-cancer -
Dr. Charla Holdren, a resident at the University of Michigan-West, and Dr. Christine Van Horn, an endourology fellow at Loyola, explore the high rates of infertility and pregnancy complications among female urologists.
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CHECK OUT OUR SPONSOR
Fellow
https://www.meetfellow.com/
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SYNPOSIS
First, the two experts discuss personal experiences in family planning and challenges faced regularly in the hospital environment. They outline the complexities of assisted reproductive technology and offer insights for a better path forward, including cultural shifts, new policies, and supportive resources to better accommodate the needs of female surgeons.
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TIMESTAMPS
00:00 - Introduction
04:05 - Dr. Holdren and Dr. Van Horn’s Journeys
06:57 - Challenges in Family Planning
17:51 - Parental Leave Policies
26:56 - Advanced Reproductive Technology
33:46 - Looking Towards the Future
---
RESOURCES
Fellow
https://www.meetfellow.com/ -
As part of our recurring resident-focused series "PGY Playlist", guest hosts Dr. Lindsay Hampson (UCSF) and Dr. Gina Badalato (Columbia) speak with Onyi Ibeziako, a third-year resident at UT Southwestern, about effectively handling challenges during the early years of urology residency.
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SYNPOSIS
Dr. Ibeziako offers practical advice on managing competing responsibilities, building relationships with hospital staff, and developing early surgical skills. She offers valuable personal insights on self-directed study, triage of tasks, and making the most of these valuable years to set up for a successful career ahead.
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TIMESTAMPS
00:00 - Introduction
05:43 - Early Residency Challenges
10:51 - Relationships with Nursing
14:23 - Multitasking
24:06 - Developing Surgical Skills as an Intern
33:09 - Continuous Learning and Final Pearls of Wisdom -
In this episode of the BackTable Urology Podcast, Dr. Jose Silva and Dr. Spencer Hiller discuss holmium laser enucleation of the prostate (HoLEP), including preoperative and postoperative care, and the technical nuances of the procedure.
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CHECK OUT OUR SPONSOR
Siemens Healthineers Theranostics
https://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics
---
SYNPOSIS
Dr. Hiller emphasizes the importance of patient education, bladder retraining, and the holistic management of incontinence. The conversation also touches on the science of lasers, effective morcellation, and practical challenges in achieving successful outcomes.
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TIMESTAMPS
00:00 - Introduction
07:58 - HoLEP Patient Counseling
21:29 - HoLEP Surgical Techniques
33:54 - Morcellation: Challenges and Best Practices
37:16 - Post-Operative Care
47:21 - Postoperative Urinary Symptoms -
Dr. Aditya Bagrodia sits down with Elie Toubiana, founder and CEO of ScribeMD.ai, to discuss the transformative potential of artificial intelligence (AI) in medical documentation.
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SYNPOSIS
Their conversation covers the capabilities and benefits of using an AI-driven medical scribe that ensures HIPAA compliance, reduces physician burnout, and enhances patient interactions. Elie also shares his insights about the technology’s adaptability across various medical fields. Finally, Dr. Bagrodia and Elie discuss ethical considerations surrounding applications of AI in other aspects of healthcare, such as medical workup and diagnosis.
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TIMESTAMPS
00:00 - Introduction
06:00 - How ScribeMD AI Works
14:14 - Integration with EMR
20:31 - Legal Considerations with AI Technology
26:34 - Cost Implications of AI Scribes
38:46 - Future of AI in Medical Diagnosis
41:45 - Conclusion and Final Thoughts
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RESOURCES
ScribeMD.ai
https://www.scribemd.ai/ -
In this episode of the BackTable Urology, Dr. Bogdana Schmidt (University of Utah), Dr. Woodson Smelser (Washington University in St. Louis), and Dr. Jeff Tosoian (Vanderbilt University) discusses the latest insights and advancements in prostate and bladder cancer treatment presented at AUA 2024.
---
CHECK OUT OUR SPONSOR
Veracyte
https://www.veracyte.com/decipher
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SYNPOSIS
First, the doctors cover noteworthy topics, including the effectiveness of early screening and treatment for high-risk prostate cancer patients, innovative approaches in imaging and biomarkers, and the impact of new guidelines on salvage therapy. They also explore emerging treatments for non-muscle invasive bladder cancer (NMIBC), as well as the evolving role of systemic immunotherapies and advanced genomic testing. To wrap up, the urologists offer detailed analyses and their expert opinions on how these developments could transform patient care in the field of urologic oncology.
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TIMESTAMPS
00:00 - Introductions
03:06 - Prostate Cancer Screening Insights
10:10 - Advancements in MRI and Biomarkers
18:22 - Transperineal vs. Transrectal Prostate Biopsy
27:18 - New Guidelines for Bladder Cancer Treatment
30:57 - Innovative Drug Delivery Systems
32:36 - Gene Therapy and Immunotherapy Advances
40:11 - Concluding Thoughts and Future Prospects
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RESOURCES
Decipher Prostate Genomic Classifier by Veracyte:
https://decipherbio.com/decipher-prostate/physicians/decipher-prostate-overview/ -
In this episode of Back Table Urology, Dr. Aditya Bagrodia, Dr. Joshua Langston, and Dr. Mara Holton from the Large Urology Group Practice Association (LUGPA) share insights on the financial and administrative complexities that urologists face.
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CHECK OUT OUR SPONSOR
Fellow
https://www.meetfellow.com/
---
SYNPOSIS
The doctors delve into the increasing costs of healthcare, the challenges posed by regulatory requirements, and the significance of physician leadership in influencing healthcare delivery. The discussion also highlights the importance of advocacy, the evolving role of physicians in business and policy, and actionable steps doctors can take to ensure their voices are heard. Finally, the doctors address the growing trend of hospital employment among physicians and its impact on rural healthcare access.
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TIMESTAMPS
00:00 - Introduction
06:41 - Complexities and Costs in Healthcare
11:48 - The Role of Physicians in Healthcare Leadership
17:21 - The Shift Towards Hospital Employment
27:35 - Economic Pressures on Physicians and Patients
30:09 - Cost Discrepancies in Medical Procedures
38:16 - Burnout and Workforce Challenges
49:26 - Advocacy and Call to Action
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RESOURCES
Fellow
https://www.meetfellow.com/
BackTable URO Ep. 82- Advocacy Basics for the Urologist: From Your Clinic to Capitol Hill with Dr. Ruchika Talwar
https://open.spotify.com/episode/0hcLrKuf5QU7TZCHSErs4Z?si=842c7985f44c4e04
BackTable URO Ep. 164: Urology Advocacy: From Passion to Policy with Dr. Seth Cohen, Dr. Michelle Leach, and Dr. Suzette Sutherland
https://open.spotify.com/episode/68pR7MxFIgQ1HJLy6xQHDX?si=36a93eedd6594770 -
In this episode of BackTable Urology, host Dr. Aditya Bagrodia, urologic oncologist Dr. Philippe Speiss (Moffitt Cancer Center), and medical oncologist Dr. Andrea Necchi (Università Vita-Salute San Raffaele) have an in-depth discussion about the mission and achievements of the Global Society of Rare Genitourinary Tumors (GSRGT).
---
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 the society’s mission to improve the diagnosis and treatment of rare genitourinary cancers globally. They give an overview of their educational efforts, international collaborations, and significant achievements in clinical research. The discussion also covers the importance of global representation, the challenges of studying rare tumors, and future directions, such as leveraging artificial intelligence. The episode concludes with an emphasis on the society’s commitment to being inclusive and providing opportunities for young investigators.
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TIMESTAMPS
00:00 - Introduction
06:45 - Origins and Missions of GSRGT
11:21 - Challenges in Rare Cancer Research
31:51 - Future Directions in Rare Cancer Treatment
38:38 - How to Get Involved with GSRGT
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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/
GSRGT Website
https://www.gsrgt.com/
Andrea Necchi Website
https://www.andreanecchi.com/ -
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.
---
CHECK OUT OUR SPONSORS
Siemens Healthineers Theranostics
https://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics
Veracyte
https://www.veracyte.com/decipher
---
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/
---
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/ -
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/ - Visa fler
