Episodes

  • Ep. 69 Imaging Protocols to Guide Endometriosis Treatment with Dr. Wendaline VanBuren and Dr. Tatnai Burnett

    Ep. 69 Imaging Protocols to Guide Endometriosis Treatment with Dr. Wendaline VanBuren and Dr. Tatnai Burnett
    Nov 5 2024
    Endometriosis is a very difficult disease to diagnose and manage, but effective imaging can make all of the difference. In this episode of the BackTable OBGYN podcast, Mayo Clinic radiologist Dr. Wendaline VanBuren and gynecologist Dr. Tatnai Burnett discuss the complexities of diagnosing, imaging, and surgically treating endometriosis. --- SYNPOSIS The doctors delve into the importance of advanced imaging techniques such as MRI and dedicated protocols, the critical need for a multidisciplinary approach with radiologists and GYN surgeons, and the future potential of imaging in improving endometriosis diagnosis, treatment, and surgical planning. The discussion also covers the upcoming International Endometriosis Imaging Congress aimed at advancing standardized care and collaboration in the field. --- TIMESTAMPS 00:00 - Introduction 05:15 - Dr. VanBuren’s Journey to Endometriosis Imaging 08:24 - Dr. Burnett’s Surgical Training and Insights 11:57 - Challenges in Diagnosing and Understanding the Pathophysiology of Endometriosis 13:24 - The Role of Imaging in Surgical Planning 25:51 - Imaging Follow-Up, Monitoring for Malignant Transformation 32:03 - Protocol for MRI Imaging of Endometriosis 34:47 - The Role of Radiologists in Endometriosis 36:12 - The Complexity of Bowel Endometriosis 48:02 - The Future of Endometriosis Imaging --- RESOURCES International Endometriosis Imaging Congress-March 8-9, 2025 https://eice.ltd/international-endometriosis-imaging-congress/
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    58 mins
  • Ep. 68 Single Port Robotics in GYN: Advancing Minimally Invasive Surgery with Dr. Johnny Yi

    Ep. 68 Single Port Robotics in GYN: Advancing Minimally Invasive Surgery with Dr. Johnny Yi
    Oct 29 2024
    Stay up to date on the latest advancements in gynecologic surgery. In this episode of the BackTable OBGYN Podcast, hosts Dr. Amy Park and Dr. Mark Hoffman invite Dr. Johnny Yi, a pioneer in the field of minimally invasive surgery and urogynecology, to discuss the latest advancements in, benefits of, and challenges with single port robotic gynecologic surgery. --- SYNPOSIS The discussion covers evolutionary strides in robotic-assisted surgeries such as sacral colpopexy and myomectomies, the transition from traditional laparoscopy, and the intricacies of handling large uteri procedures. The episode also navigates the global adoption of these technologies, particularly in South Korea and Japan, and the varying applications in different specialties. Key topics include surgical skill requirements, training needs, innovative techniques, FDA approvals, and the future potential of single port surgeries. Overall, this discussion provides a well-rounded perspective on the current state and forward-looking innovations in the field of gynecologic surgery. --- TIMESTAMPS 00:00 - Introduction 03:57 - Single Port Robotic Surgery 08:27 - Benefits of Robotics with Sacral Colpopexy 11:37 - Technical Aspects of Single Port Surgery 14:40 - Training for Single Port Surgery 19:43 - Global Adoption and Future Potential of Single Port Surgery 25:35 - Access into the Abdomen 29:39 - Challenges and Innovations in Single Port Surgery 31:34 - Evaluating Risks and Success Rates 33:16 - Cost Analysis 35:16 - Training and Simulation for Single Port Surgery 39:35 - Future of Single Port and vNOTES Surgery 45:05 - Patient Reactions and Satisfaction 46:34 - Closing Techniques 52:14 - Future Prospects and Final Thoughts --- RESOURCES Oh S, Yi J, Song AY, Jee J, Bae N, Shin JH. Intraoperative Complications and Perioperative and Surgical Outcomes of Single-Port Robotics-Assisted Sacrocolpopexy. Int Urogynecol J. 2024 Jul; 35 (7):1521-1526 Epub 2024 June 20.
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    56 mins
  • BackTable Brief: Genitourinary Syndrome of Menopause: Mitigating Risks and Enhancing Treatment with Dr. Rachel Rubin

    BackTable Brief: Genitourinary Syndrome of Menopause: Mitigating Risks and Enhancing Treatment with Dr. Rachel Rubin
    Oct 25 2024
    How can we address barriers to care for women with genitourinary syndrome of menopause? In this episode, host Dr. Suzette Sutherland and Dr. Rachel Rubin discuss the challenges and misconceptions around Genitourinary Syndrome of Menopause (GSM). They identify the severity of symptoms such as pain, urinary issues, and recurrent infections that are often inadequately addressed. Dr. Rubin advocates for the use of vaginal estrogen, emphasizing that its benefits outweigh any perceived risks, contrasting it with other treatments like tamoxifen. The discussion includes the efforts to create guidelines for GSM through the American Urological Association (AUA) to standardize care, and the use of systemic and localized hormonal therapies, particularly in cancer patients. The session highlights the importance of updated medical practices and shared decision-making in treating GSM and related conditions. TIMESTAMPS 00:00 - Understanding Genitourinary Syndrome of Menopause (GSM) 01:33 - Challenges, Misconceptions, and Advocacy 02:31 - Developing GSM Guidelines 04:34 - Hormonal Replacement Therapy and GSM 05:46 - Vaginal Rings 06:59 - Cancer Survivors and Vaginal Estrogen 09:17 - Shared Decision Making CHECK OUT THE FULL EPISODE OBGYN Ep. 33 - Genitourinary Syndrome of Menopause (GSM): Improving a DRY Topic https://www.backtable.com/shows/obgyn/podcasts/33/genitourinary-syndrome-of-menopause-gsm-improving-a-dry-topic
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    11 mins
  • BackTable Brief: Debunking Estrogen Myths with Dr. Rachel Rubin

    BackTable Brief: Debunking Estrogen Myths with Dr. Rachel Rubin
    Oct 22 2024
    How can we educate women about vaginal estrogen for genitourinary syndrome of menopause, especially given the black box warning? In this Brief, Dr. Rachel Rubin and host Dr. Suzette Sutherland discuss misconceptions around the use of estrogen creams and suppositories, particularly focusing on dosage and application for safe, effective treatment. They address common factors leading to inadequate results and the safety of low-dose vaginal estrogen. The doctors emphasize the importance of patience with treatment, correct understanding of hormone products, and education of patients to combat misinformation. Dr. Rubin and Dr. Sutherland also challenge misleading black box warnings associated with vaginal estrogen and stress the necessity for advocacy to update these labels and educate patients. TIMESTAMPS 00:00 - Introduction 00:20 - Debunking Myths About Estrogen Cream Usage 04:10 - Safety and Proper Usage/Dosage of Estrogen Products 05:48 - Patient Education and Compliance 08:23 - Addressing the Black Box Warning on Vaginal Estrogen 10:48 - Conclusion CHECK OUT THE FULL EPISODE OBGYN Ep. 33 - Genitourinary Syndrome of Menopause (GSM): Improving a DRY Topic https://www.backtable.com/shows/obgyn/podcasts/33/genitourinary-syndrome-of-menopause-gsm-improving-a-dry-topic
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    14 mins
  • Ep. 67 Non-Opioid Pain Management in GYN Surgery with Dr. Paula Bilica and Dr. Steven McCarus

    Ep. 67 Non-Opioid Pain Management in GYN Surgery with Dr. Paula Bilica and Dr. Steven McCarus
    Oct 15 2024
    Everyone knows about the dangers of opioids, but how can physicians provide quality postoperative pain control without opioids? This episode of the BackTable OBGYN podcast, hosted by Dr. Amy Park, features a discussion with experts Dr. Steven McCarus and Dr. Paula Bilica on non-opioid pain control in obstetric and gynecologic surgery. --- This podcast is supported by: Pacira https://www.pacira.com/ --- SYNPOSIS Highlighting the use of Exparel, a liposomal bupivacaine formulation, the discussion addresses how it has transformed post-operative pain management by reducing opioid exposure. The episode covers techniques for Exparel application in surgeries such as hysterectomies and C-sections, with positive patient outcomes noted. The conversation also emphasizes the importance of collaboration among healthcare professionals to advocate for better pain management protocols and patient satisfaction, spotlighting upcoming initiatives like the No Pain Act. --- TIMESTAMPS 00:00 - Introduction 04:47 - Introduction to Liposomal Bupivacaine (Exparel) 07:10 - Techniques and Applications of Exparel 20:13 - The No Pain Act 25:07 - Patient Success Stories with Exparel 26:30 - Administrative Hurdles and Solutions 30:24 - Safety and Efficacy of Exparel 32:42 - Educating Staff and Implementing Protocols 38:05 - Final Thoughts
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    45 mins
  • BackTable Brief: Managing Genitourinary Syndrome of Menopause with Dr. Rachel Rubin

    BackTable Brief: Managing Genitourinary Syndrome of Menopause with Dr. Rachel Rubin
    Oct 8 2024
    OBGYN Briefs - Managing Genitourinary Syndrome of Menopause Frequent UTIs and vaginal atrophy/dryness are common signs of genitourinary syndrome of menopause (GSM). In this Brief, Dr. Rachel Rubin discusses the management of GSM and why estrogen is so vital to these tissues. They address the lack of information and awareness about GSM among urologists and gynecologists while emphasizing its impact on the urinary and genital symptoms experienced by menopausal women. Dr. Rubin details how GSM is not just a matter of vaginal atrophy but involves broader symptoms like urinary tract infections and bladder issues. The doctors also discuss a range of treatment options available, including local vaginal supplementation products like estradiol creams and DHEA suppositories, and their benefits for urinary health. TIMESTAMPS 00:00 - Introduction 00:20 - Understanding Genitourinary Syndrome of Menopause (GSM) 01:42 - Symptoms and Implications of GSM 03:00 - Vaginal Supplementation Products 05:09 - DHEA and SERM Therapy 08:44 - Estrogen and Vaginal Health CHECK OUT THE FULL EPISODE OBGYN Ep. 33 - Genitourinary Syndrome of Menopause (GSM): Improving a DRY Topic https://www.backtable.com/shows/obgyn/podcasts/33/genitourinary-syndrome-of-menopause-gsm-improving-a-dry-topic
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    13 mins
  • Ep. 66 Peripartum Pelvic Floor Disorders Explained with Dr. Lisa Hickman

    Ep. 66 Peripartum Pelvic Floor Disorders Explained with Dr. Lisa Hickman
    Oct 1 2024
    Pregnancy and childbirth have a significant impact on the pelvic floor, often more than patients realize and even more still than most of our current postpartum care models are designed to address. In this episode of the BackTable OBGYN podcast, hosts Dr. Mark Hoffman and Dr. Amy Park welcome Dr. Lisa Hickman, a urogynecologist and pelvic reconstructive surgeon from The Ohio State University, to discuss peripartum pelvic floor disorders and her dedicated clinic for women with advanced obstetric lacerations. --- This podcast is supported by: PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS The conversation touches on key aspects of pelvic floor health, the impact of pregnancy and childbirth, and effective strategies for preventing and managing pelvic floor disorders. The episode emphasizes the importance of patient education, tailored postpartum care, and multidisciplinary collaboration with pelvic floor physical therapists and other healthcare personnel. Dr. Hickman shares insights on building a sustainable clinical model for peripartum pelvic floor disorders, securing stakeholder support, and implementing standardized processes to enhance patient outcomes. --- TIMESTAMPS 00:00 - Introduction 04:21 - Understanding the Pelvic Floor 05:36 - Impact of Pregnancy and Childbirth 07:48 - Preventing and Managing Tears 22:56 - Postpartum Care and Challenges 28:54 - Starting a Peripartum Clinic: A Roadmap 33:54 - Pelvic Floor PT and Patient Education 40:03 - Impact of Repair Techniques on Long-term Outcomes 50:56 - Sustaining and Expanding the Program --- RESOURCES Hickman LC, Propst K, Swenson CW, Lewicky-Gaupp C. Subspecialty care for peripartum pelvic floor disorders. Am J Obstet Gynecol. 2020 Nov;223(5):709-714. doi: 10.1016/j.ajog.2020.08.015. Epub 2020 Sep 2. PMID: 32888923; PMCID: PMC7720615.
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    54 mins
  • Ep. 65 Thoracic Endometriosis: Beyond the Pelvis in Diagnosis with Dr. Shanti Mohling

    Ep. 65 Thoracic Endometriosis: Beyond the Pelvis in Diagnosis with Dr. Shanti Mohling
    Sep 17 2024
    Thoracic endometriosis occurs in about 12% of patients with advanced endometriosis. Due in part to its lower incidence and inherent diagnostic challenges, many providers are not well-versed in the workup and management of this advanced disease. In this episode of The BackTable OBGYN Podcast, host Dr. Mark Hoffman interviews Dr. Shanti Mohling, a gynecologic surgeon at Northwest Endometriosis and Pelvic Surgery, regarding her approach to thoracic endometriosis. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS The physicians discuss the embryological and congenital theories of endometriosis etiology, the impacts of retrograde menstruation, and epigenetic factors. Dr. Mohling shares insights into her advanced surgical techniques for treating endometriosis, including diaphragmatic and thoracic disease, and the importance of a comprehensive history, exam, and diagnostic imaging. Her practice patterns, patient care strategies, and interdisciplinary collaborations for optimal outcomes are also highlighted. --- TIMESTAMPS 00:00 - Introduction 06:40 - Pelvic Pain Workup 08:09 - Thoracic Endometriosis 14:12 - Medical Management Post-Surgery 18:48 - In-Office Ultrasound Techniques 23:33 - Collaboration in Surgery 24:59 - Preparing for Thoracic Endometriosis Surgery 36:44 - Managing Postoperative Care 41:13 - Theories on Endometriosis Etiology 46:31 - Concluding Thoughts
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    50 mins