Video Archives

OAB – Tier 3, Tibial Nerve Stim – eCoin

Posted by Jason M. Kim, MD | Sep 2024

Jason M. Kim, MD, introduces the eCoin device, a small, 2.3-centimeter implant used for tibial nerve stimulation to treat bladder control issues. In this 8-minute presentation, Dr. Kim briefly overviews the eCoin implantation kit and procedure.
Dr. Kim praises the high quality of the kit and ease of implantation. The process takes around five minutes, with the majority of the time spent ensuring a secure three-layer closure.
Kim shares the device’s effectiveness, with 75% of patients experiencing significant symptom relief after one year. His presentation concludes with a discussion on patient preferences, comparing the eCoin implant with traditional options like Botox and sacral neuromodulation.

Implantable Tibial Nerve Stimulation (iTNS): Revi

Posted by Suzette E. Sutherland, MD, MS, URPS | Sep 2024

Suzette E. Sutherland, MD, MS, URPS, focuses on implantable tibial nerve stimulation (ITNS) for treating overactive bladder and urinary incontinence. In this 17-minute presentation, she introduces the Revi device featured in the OASIS trial.

After discussing the Revi device’s benefits, Dr. Sutherland reviews the implantation procedure and the 12-month data from the OASIS trial, which show promising results. The device is considered safe, with no serious adverse events reported. Minor issues such as discomfort were easily resolved with reprogramming, a feature of note with this device.
Sutherland emphasizes the importance of ease of use, safety, and flexibility in choosing ITNS devices. As more implantable devices enter the market, factors like surgical complexity, reprogrammability, battery replacement needs, and ongoing support will determine their success.

Quality Improvement American College of Radiology Program in Prostate MRI

Posted by Andrei Purysko, MD | Sep 2024

Dr. Andrei Purysko, MD, presents an overview of the Quality Improvement American College of Radiology (ACR) Program in Prostate MRI. He underscores the critical role that prostate MRI plays in the diagnosis and management of prostate cancer.

Purysko elaborates on the methodology of the ACR program, which encompasses standardized protocols, rigorous training, and certification processes for radiologists. He details the program’s key components, such as the development of evidence-based guidelines and the implementation of performance metrics to continually assess and enhance radiologist proficiency, and the impact of these measures on patient outcomes.

Purysko presents data illustrating that adherence to standardized MRI protocols can significantly improve the detection rates of clinically significant prostate cancers. This improvement facilitates timely and appropriate treatment, ultimately benefiting patient care.

KEYNOTE LECTURE: Too Little or Just Enough? The Role of Focal Therapy in ProtecT Era

Posted by Freddie Hamdy, MD | Sep 2024

Freddie Hamdy, MD, presents an insightful analysis of the role of focal therapy in the treatment of prostate cancer within the ProtecT era. He explores the balance between overtreatment and undertreatment, emphasizing the need for tailored approaches that maximize patient outcomes while minimizing unnecessary interventions.

Dr. Hamdy discusses the ProtecT trial’s findings, which highlight the benefits and limitations of active monitoring, surgery, and radiotherapy for localized prostate cancer. Focal therapy emerges as a promising middle ground. His presentation covers various focal therapy techniques, including high-intensity focused ultrasound (HIFU), cryotherapy, and focal laser ablation.

Dr. Hamdy stresses the importance of accurate patient selection, including diagnostic evaluations, multiparametric MRI, and targeted biopsies, for focal therapy. He also addresses the necessity of follow-up protocols including regular PSA testing and imaging.

Podcasting Finding Your Voice – From Permission to Prominence

Posted by Kelly J. Casperson, MD | Sep 2024

Kelly J. Casperson, MD, urologist-turned-podcaster, reflects on her journey into podcasting and the power of finding one’s voice. In this 16-minute presentation, she emphasizes that podcasting isn’t just about the technical aspects—like choosing a microphone—but rather about personal growth and discovering who you truly are. Casperson’s podcast, “You Are Not Broken,” focuses on issues often overlooked in urology, such as female sexual health and menopause.

Dr. Casperson reflects on the growing podcast industry, highlighting its intimate nature and its ability to reach audiences in personal settings. She describes the evolution of podcasting from an audio-only format to a visual medium, noting YouTube’s dominance as a podcast platform. Ultimately, the presentation invites the audience to reflect on their own passions and consider ways to contribute meaningfully beyond traditional clinical work, emphasizing the importance of finding fulfillment through self-expression.