Episodios

  • Ep. 229 Consideraciones Prácticas en Terapia Hormonal Femenina con Dr. Pamela Silen Rivera

    Ep. 229 Consideraciones Prácticas en Terapia Hormonal Femenina con Dr. Pamela Silen Rivera
    Apr 25 2025
    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. --- 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. --- 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 --- RESOURCES Centro de Bienestar para la Mujer https://www.centrobienestarmujer.com/
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    55 m
  • Ep. 228 Multidisciplinary Approaches to Renal Cancer Care with Dr. Louis Hinshaw and Dr. Jason Abel

    Ep. 228 Multidisciplinary Approaches to Renal Cancer Care with Dr. Louis Hinshaw and Dr. Jason Abel
    Apr 23 2025
    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. --- 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. --- 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
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    39 m
  • Ep. 227 Tumor Board: Multidisciplinary Management of Testicular Germ Cell Tumors with Dr. Nabil Adra and Dr. Richard Matulewicz

    Ep. 227 Tumor Board: Multidisciplinary Management of Testicular Germ Cell Tumors with Dr. Nabil Adra and Dr. Richard Matulewicz
    Apr 22 2025
    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. --- 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. --- 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 --- RESOURCES Society of Urologic Oncology: https://suonet.org/home.aspx
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    57 m
  • Ep. 226 Pathways to Leadership in Academic Medicine with Dr. Marisa Clifton

    Ep. 226 Pathways to Leadership in Academic Medicine with Dr. Marisa Clifton
    Apr 15 2025
    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). --- 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. --- 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 --- RESOURCES Society of Women in Urology https://swiu.org/home.aspx
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    52 m
  • Ep. 225 How Surgeon Sex Impacts Patient Outcomes with Dr. Chris Wallis

    Ep. 225 How Surgeon Sex Impacts Patient Outcomes with Dr. Chris Wallis
    Apr 8 2025
    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). --- 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. --- 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 --- RESOURCES Society of Women in Urology https://swiu.org/home.aspx
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    39 m
  • Ep. 224 A Urologist’s Journey Through Mental Health and Addiction with Dr. Nishant Patel

    Ep. 224 A Urologist’s Journey Through Mental Health and Addiction with Dr. Nishant Patel
    Apr 4 2025
    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. --- 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. --- 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
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    38 m
  • Ep. 223 Transitioning Pediatric Urology to Adult Care with Dr. Ryan Mauck

    Ep. 223 Transitioning Pediatric Urology to Adult Care with Dr. Ryan Mauck
    Apr 1 2025
    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. --- 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. --- 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
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    1 h y 1 m
  • Ep. 222 Exploring Penile Girth Enhancement Techniques with Dr. Amy Pearlman

    Ep. 222 Exploring Penile Girth Enhancement Techniques with Dr. Amy Pearlman
    Mar 25 2025
    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. --- 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. --- 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
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    56 m
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