• Ep. 198 Innovaciones en Urología Reconstructiva: Desde Detroit a Puerto Rico con Dr. Omar Soto
    Nov 5 2024
    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/
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    57 mins
  • Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur
    Oct 29 2024
    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/
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    47 mins
  • Ep. 196 Biodesign Insights: Embracing Risk and Innovation with Dr. Christopher Kinsella
    Oct 25 2024
    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
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    55 mins
  • Ep. 195 BackTable Resident Edition: Tips for Virtual and In-Person Urology Residency Interviews with Dr. Mihir Shah, Dr. Lindsay Hampson, Dr. Gina Badalato, and Yash Shah
    Oct 22 2024
    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
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    40 mins
  • Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley
    Oct 15 2024
    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
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    40 mins
  • Ep. 193 Bladder Cancer Innovations: ESMO 2024 Highlights with Dr. Andrea Apolo
    Oct 8 2024
    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/
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    52 mins
  • Ep. 192 Closing the Gender Gap in Urology with Dr. Yahir Santiago-Lastra
    Oct 4 2024
    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/
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    1 hr and 12 mins
  • Ep. 191 Optimizing Radiation Therapy: Role of Perirectal Spacers with Dr. Eric Chenven and Dr. Nadim Nasr
    Oct 1 2024
    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
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    42 mins