Video Archives

Adventures in Weight Loss: Preliminary Results from the Uric Acid POUND OUT Study

Posted by Benjamin K. Canales, MD, MPH | Aug 2024

Benjamin K. Canales, MD, MPH explains the POUND OUT study, which involves participants undergoing a structured weight loss program. The primary focus is on evaluating changes in uric acid levels in response to different weight loss interventions.

Preliminary results indicate a significant correlation between weight reduction and decreased uric acid levels. Dr. Canales highlights the differential responses observed among participants, attributing these variations to factors such as baseline uric acid levels, degree of weight loss, and adherence to the prescribed interventions. He underscores the importance of personalized approaches in managing hyperuricemia and its related complications.

Kidney Preservation for Upper-Tract Urothelial Carcinoma: Current State and Future Directions

Posted by Jay D. Raman, MD | Aug 2024

Jay D. Raman, MD, examines the evolving strategies and treatment paradigms aimed at preserving kidney function in patients with upper-tract urothelial carcinoma (UTUC). Dr. Raman highlights the clinical significance of kidney preservation, given the substantial morbidity associated with radical nephroureterectomy, the traditional standard of care.

Dr. Raman emphasizes the importance of patient selection, detailing how advancements in diagnostic imaging and risk stratification enable more precise identification of candidates for kidney-sparing approaches. He discusses the role of endoscopic management, such as laser ablation and segmental ureterectomy, underscoring their efficacy and safety in appropriately selected patients. Furthermore, he examines the integration of perioperative therapies, including intraluminal chemotherapy and immunotherapy, as adjuncts to enhance local control and reduce recurrence rates.

Improving Patient Decision-Making in Urinary Diversion: Satisfaction Over Regret

Posted by O. Lenaine Westney, MD | Aug 2024

O. Lenaine Westney, MD examines the psychological and emotional impacts of urinary diversion, emphasizing how these procedures profoundly affect patients’ lives. She discusses the main types of urinary diversions—ileal conduit, continent cutaneous diversion, and orthotopic neobladder—detailing their indications, advantages, and potential complications.

Dr. Westney advocates for a collaborative approach in which urologists and patients engage in open dialogues about the risks and benefits of each urinary diversion method. She emphasizes the importance of integrating patients’ values, goals, and quality of life considerations into the treatment planning process.

Dr. Westney also addresses common sources of decisional regret among patients, such as unmet expectations and unanticipated complications. Utilizing case studies and real-world examples, Dr. Westney demonstrates how effective communication and patient-centered care can lead to higher satisfaction rates and reduced instances of regret.

Obstacles to Optimal Outcomes for Patients Undergoing Radical Cystectomy

Posted by Raj S. Pruthi, MD, MHA, FACS | Aug 2024

Dr. Raj S. Pruthi discusses the obstacles to achieving optimal outcomes for patients undergoing radical cystectomy. He meticulously analyzes the multifaceted challenges encountered in the preoperative, intraoperative, and postoperative phases of radical cystectomy, a complex surgical procedure primarily performed for muscle-invasive bladder cancer.

Preoperative factors that can impede optimal outcomes, including patient comorbidities, nutritional status, and the importance of thorough preoperative assessment and optimization. He emphasizes the role of prehabilitation in enhancing patient readiness for surgery.

During the intraoperative phase, Dr. Pruthi highlights the technical intricacies of radical cystectomy, stressing the importance of surgical expertise and meticulous technique in minimizing perioperative complications. He discusses the role of minimally invasive techniques, such as robotic-assisted surgery, in potentially reducing blood loss, shortening hospital stays, and enhancing recovery.

Postoperatively, Dr. Pruthi identifies key factors that influence recovery and long-term outcomes. He underscores the significance of effective pain management, early mobilization, and comprehensive postoperative care in mitigating complications. Dr. Pruthi also discusses the challenges related to urinary diversion, including the management of neobladder and ileal conduit complications, and the impact of these diversions on patients’ quality of life.

Will Bicycling make you a Stallion or a Gelding?

Posted by William O. Brant, MD, FACS, FECSM | Aug 2024

William O. Brant, MD, FACS, FECSM discusses the cardiovascular and overall health benefits of regular bicycling. He highlights the positive effects on physical fitness, weight management, and mental health, noting how these factors contribute to improved sexual health and performance. The presentation emphasizes the role of aerobic exercise, such as cycling, in enhancing blood flow, which is crucial for erectile function.

Dr. Brant also addresses the concerns regarding the adverse effects of prolonged cycling on male genital health. Dr. Brant examines the anatomical and physiological mechanisms behind these concerns, focusing on the impact of sustained pressure on the perineal nerves and blood vessels.

The presentation includes an analysis of studies investigating the prevalence and severity of cycling-related genital issues. Dr. Brant discusses the role of bicycle design, saddle shape, and cycling posture in mitigating these risks.