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BackTable / Urology / Podcast / Episode #205
Optimizing Bladder Health in BPH Treatment Strategies
with Dr. Shawn West
While benign prostatic hyperplasia (BPH) care has historically focused on immediate symptom management, often by way of long-term polypharmacy, leading urologists are now considering long-term bladder health when determining the most appropriate BPH treatment. In this episode of the BackTable Urology Podcast, Dr. Shawn West, a urologist practicing at McIver Clinic in Florida, discusses the contemporary management of BPH with host Dr. Jose Silva, emphasizing the newly appreciated role of first-line interventional therapy.
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BackTable, LLC (Producer). (2024, December 10). Ep. 205 – Optimizing Bladder Health in BPH Treatment Strategies [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Synopsis
First, Dr. West delves into the initial patient consultation, diagnostic procedures, and the diverse treatment options for BPH including UroLift, GreenLight laser therapy, and Aquablation. Dr. West emphasizes the importance of individualized patient care, the role of objective symptom scoring systems, and the significance of setting realistic expectations for patients. The discussion also covers the benefits and challenges of different BPH treatments amidst the evolving landscape of minimally invasive urological procedures.
Timestamps
00:00 - Introduction
03:59 - BPH and Voiding Dysfunction
10:21 - Patient-Centered Approach to BPH
19:46 - Diagnostic Workup for BPH
24:53 - Postoperative Catheter and Complications
25:02 - Aquablation
26:04 - UroLift
31:06 - Challenges with Median Lobes
41:02 - Postoperative Care
47:14 - Conclusion
Transcript Preview
The fact that when you walk into the room and you have this IPSS Symptom Score, you know what's going on, because there is a phenomenon of not wanting to disappoint the physician. You go to the doctor, you've had BPH, and, "Okay. Mr. Smith, how are you doing?" "Oh, I'm doing fine, doctor." Come to find out, you've had him on Flomax for 10 years, and he's up four times a night, and he's bathroom hunting everywhere he's outside, and he's not happy.
The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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