Episodes

  • Ep. 62 Price Transparency in Healthcare with Dr. Keith Smith

    Ep. 62 Price Transparency in Healthcare with Dr. Keith Smith
    Aug 9 2024
    38 mins
  • Ep. 61 Evaluating Female Urinary Incontinence: Essential Steps for the Generalist - GYN and Urologist with Dr. Sarah Boyles

    Ep. 61 Evaluating Female Urinary Incontinence: Essential Steps for the Generalist - GYN and Urologist with Dr. Sarah Boyles
    Aug 6 2024
    With contemporary treatment options, your female patients don’t have to live with urinary incontinence! In this crossover episode of BackTable Urology and OBGYN, host Dr. Suzette Sutherland from University of Washington interviews Dr. Sarah Boyles, a urogynecologist at The Oregon Clinic, regarding female urinary incontinence, its diagnostic criteria, and various treatment options to help improve quality of life in the incontinence patient. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Boyles explains the importance of patient history and physical examination, along with the need for certain diagnostic tests for proper characterization of the type of urinary incontinence in a patient. She also explores behavioral treatments, pelvic floor physical therapy, vaginal pessaries, and advanced interventions such as urethral bulking and surgery for stress incontinence. The doctors further discuss innovative pharmaceutical and neuromodulation options for urge incontinence. Dr. Boyles concludes with a mention of patient education resources that are available on her platform, thewomensbladderdoctor.com. --- TIMESTAMPS 00:00 - Introduction 02:35 - The Women’s Bladder Doctor Initiative 07:03 - Types of Urinary Incontinence 11:49 - Diagnostic Approaches to Urinary Incontinence 28:39 - Treatment Algorithms for Urinary Incontinence 31:12 - Bladder Retraining and Pelvic Floor Therapy 40:00 - Urethral Seals and Vaginal Pessaries 50:47 - Treatment for Urgency 57:51 - Future Directions --- RESOURCES Pearson Ravitz https://pearsonravitz.com/ The Women’s Bladder Doctor https://thewomensbladderdoctor.com/
    Show more Show less
    1 hr and 5 mins
  • BackTable Brief: Exam Techniques and Advanced Imaging for Endometriosis with Dr. Ted Lee

    BackTable Brief: Exam Techniques and Advanced Imaging for Endometriosis with Dr. Ted Lee
    Jul 30 2024
    Often the first practical thing we’re taught in medical school is the importance of taking a thorough patient history. In this BackTable OBGYN Brief, Dr. Mark Hoffman and Dr. Ted Lee bring us back to the basics and emphasize the importance of conducting a quality patient interview to elucidate symptoms of endometriosis. The physicians first explore the limitations and practicalities of patient surveys, and move on to discuss the importance of thorough history taking along with specific symptoms to look for. The conversation also delves into the diagnostic challenges and delay of diagnosis in endometriosis patients. They explain the role of surgical diagnosis in endometriosis, emphasizing the necessity of listening to and believing patients’ experiences with chronic pelvic pain. TIMESTAMPS: 00:00 - Introduction 00:14 - Initial Patient Workup: Surveys and History 01:19 - Key Patient History Indicators 04:24 - Endometriosis Symptoms 07:49 - Treatment Approaches and Surgical Considerations 09:32 - Barriers to Diagnosis CHECK OUT THE FULL EPISODE BackTable OBGYN Ep. 30: Ambulatory Workup of Endometriosis Patients https://www.backtable.com/shows/obgyn/podcasts/30/ambulatory-workup-of-endometriosis-patients
    Show more Show less
    14 mins
  • Ep. 60 Transforming Gynecologic Surgery with Robotics with Dr. Arnold Advincula

    Ep. 60 Transforming Gynecologic Surgery with Robotics with Dr. Arnold Advincula
    Jul 23 2024
    In the modern era of rapid technological progress and AI, the medical community is abuzz with discussions on how medicine will change and how practice will adapt. In this episode of the BackTable OBGYN podcast, hosts Dr. Mark Hoffman and Dr. Amy Park welcome Dr. Arnold Advincula, a leading figure in minimally invasive and robotic surgery, to discuss the evolution and impact of robotic surgery in the field of gynecology. --- SYNPOSIS Dr. Advincula shares his journey from training to pioneering robotic-assisted procedures, emphasizing the benefits and challenges faced along the way. The conversation delves into the future of robotics, including the potential of AI in surgery and the integration of digital tools to enhance surgical outcomes. Listeners gain insights into the importance of ergonomic surgery, the advancements in robotic technology, the future of minimally invasive gynecologic surgery, and the collaborative efforts required to elevate patient care in gynecology. --- TIMESTAMPS 00:00 - Introduction 06:05 - Pioneering Robotic Surgery 12:50 - Challenges and Innovations 24:43 - Allure of Robotic Surgery 28:05 - Challenges in Rural Healthcare 35:00 - Future of Minimally Invasive Surgery 42:00 - Advancements in Surgical Training 43:35 - Ergonomics 49:28 - The Future of Gynecologic Surgery 53:06 - Closing Thoughts --- RESOURCES BackTable OBGYN Ep. 2: Surgeon Ergonomics https://www.backtable.com/shows/obgyn/podcasts/2/surgeon-ergonomics
    Show more Show less
    58 mins
  • BackTable Brief: Diagnosis and Management of Endometriosis with Dr. Ted Lee

    BackTable Brief: Diagnosis and Management of Endometriosis with Dr. Ted Lee
    Jul 16 2024
    In this BackTable OBGYN Brief, Dr. Mark Hoffman and Dr. Ted Lee discuss the clinical approach to diagnosing endometriosis through physical exam and imaging, and the collaborative surgical approach to treating it. Dr. Lee explains the importance of detailed patient history and various examination techniques, including palpation and rectovaginal exams, to identify potential signs of endometriosis. He emphasizes the specificity of these exams in differentiating endometriosis pain from other causes. The discussion also covers the role of imaging, such as MRI, particularly in advanced cases, and the collaborative approach with colorectal surgeons for bowel-related complications. Dr. Lee shares insights on the use of physical therapy and managing musculoskeletal pain related to endometriosis, highlighting the importance of multi-disciplinary care for optimal patient outcomes. TIMESTAMPS 00:00 - Introduction 00:15 - Initial Patient Assessment for Endometriosis 01:00 - Detailed Physical Exam Techniques 07:00 - Imaging and Further Diagnostic Steps 10:55 - Collaborative Surgical Approach CHECK OUT THE FULL EPISODE BackTable OBGYN Ep. 30: Ambulatory Workup of Endometriosis Patients https://www.backtable.com/shows/obgyn/podcasts/30/ambulatory-workup-of-endometriosis-patients
    Show more Show less
    12 mins
  • Ep. 59 Tackling the Big Uterus with Dr. Uchenna Acholonu

    Ep. 59 Tackling the Big Uterus with Dr. Uchenna Acholonu
    Jul 9 2024
    In this episode of the BackTable OBGYN podcast, host Dr. Mark Hoffman is joined by MIGS specialist Dr. Uchenna Acholonu to discuss the intricacies of complex gynecologic surgeries, focusing particularly on handling large uteruses during total laparoscopic hysterectomy (TLH). --- SYNPOSIS The discussion begins with talk of the doctors’ practices and friendship. They then cover comprehensive patient evaluations and various surgical techniques, including skeletonizing the uterines, colpotomy tricks, uterine manipulators, and morcellation. Dr. Acholonu also shares his personal routines and preferences, including the use of a flexible scope to get around the big uterus. The duo exchange insights on surgical techniques, patient-centered care, and the continuous learning necessary in the medical field. They emphasize the significance of safety, adequate planning, and the benefits of engaging in community networks for better surgical outcomes. The conversation concludes with a light-hearted note on their shared experiences and camaraderie, offering both educational value and a glimpse into the dynamic relationship between two seasoned professionals. --- TIMESTAMPS 00:00 - Introduction 04:01 - Building a Subspecialty Practice 07:34 - Patient Referrals 12:41 - Surgical Approach 16:06- The Big Uterus 28:36 - Surgical Steps in TLH, Skeletonizing the Uterines 32:56 - Challenges and Solutions 36:49 - Energy Sources and Surgical Tools 42:34 - Colpotomy 44:43 - Tissue Extraction and Morcellation 50:27 - Closing and Post-Operative Care 52:05 - Use of Lupron 53:16 - Final Thoughts
    Show more Show less
    56 mins
  • BackTable Brief: vNOTES IV with Dr. Jan Baekelandt

    BackTable Brief: vNOTES IV with Dr. Jan Baekelandt
    Jul 5 2024
    In this BackTable OBGYN Brief, host Dr. Mark Hoffman interviews Dr. Jan Baekelandt from Belgium about vNOTES (vaginal natural orifice transluminal endoscopic surgery) incision placement to allow future vaginal deliveries and prevent dyspareunia. First, Dr. Hoffman discusses the nuances of laparoscopy, particularly the preference for smaller incisions to reduce hernia rates and postoperative pain. The conversation covers the specifics of performing colpotomy and the risks associated with different types of incisions, including vaginal and abdominal. Dr. Baekelandt emphasizes the importance of proper training and starting with simpler cases when introducing new surgical techniques like vNOTES. TIMESTAMPS 00:00 - Introduction 00:32 - Concerns About Hernia Rates and Incisions 01:05 - Vaginal Incisions and Their Implications 02:35 - Vaginal Deliveries After vNOTES 03:55 - Dyspareunia After vNOTES 04:13 - Technical Details on Incision Placement 05:53 - Closing Techniques 06:45 - Advice for Surgeons Introducing vNOTES CHECK OUT THE FULL EPISODE BackTable OBGYN Ep 31: The vNOTES Procedure https://www.backtable.com/shows/obgyn/podcasts/31/the-vnotes-procedure
    Show more Show less
    10 mins
  • BackTable Brief: vNOTES III with Dr. Jan Baekelandt

    BackTable Brief: vNOTES III with Dr. Jan Baekelandt
    Jul 2 2024
    In this BackTable OBGYN Brief, host Dr. Mark Hoffman speaks with Dr. Jan Baekelandt about the specific challenges and complications associated with vNOTES, as well as contraindications to be mindful of. They discuss the nuances of uterine artery management and the benefits and risks of the Alexis ring, especially for hemostasis. The doctors go on to discuss contraindications for vNOTES, including complex endometriosis and pelvic scarring. Dr. Baekelandt also shares insights on avoiding ureteric and bladder injuries and future direction of vNOTES. TIMESTAMPS 00:00 - Introduction 00:14 - Understanding vNOTES Complications 00:50 - Techniques for Uterine Artery Management 02:13 - Hemostasis 03:24 - Challenges with Ureter and Bladder Management 09:44 - Contraindications to vNOTES 12:07 - Future Directions CHECK OUT THE FULL EPISODE BackTable OBGYN Ep 31: The vNOTES Procedure https://www.backtable.com/shows/obgyn/podcasts/31/the-vnotes-procedure
    Show more Show less
    15 mins