Episode 41

Teaming Up with Urology to Treat Renal Masses

with urologist Dr. Arthur Caire and interventional radiologist Dr. Shelby Bennett

Urologist Dr. Arthur Caire and IR Dr. Shelby Bennett discuss their approaches to treating renal masses, including ways in which IR and Urology collaborate, laparoscopic versus percutaneous ablation, follow-up imaging, and more. Special thanks to our sponsor RADPAD® Radiation Protection.

Cite this podcast: BackTable, LLC (Producer). (2019, April 29). Ep 41 – IR and Urology Collaboration on Renal Masses [Audio podcast]. Retrieved from https://www.backtable.com/podcast

In this Episode

Podcast Participants

Dr. Arthur Caire is a practicing urologist with Christus St. Vincent Health System in Santa Fe, New Mexico.

Dr. Shelby Bennett is a practicing interventional radiologist with X-Ray Associates of New Mexico in Santa Fe.

Host Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.


Referral Patterns

  • For Urology, majority of referrals are driven by lesions detected on incidental imaging

  • For Interventional Radiology, majority of referrals from Urology with occasional referrals from Oncology


Renal Biopsy

  • Risks tend to outweigh benefits

  • Does not change treatment strategy in majority of cases

  • Can be inclusive

  • Risk of tract seeding

Staging system: TNM staging system

  • Page 479 of AJCC Cancer Staging Manual (link below)


Ideal IR Candidate

  • Less than 4 cm, lower/mid pole and peripheral

  • Nothing is off limits, but some lesions are more suited to percutaneous approach than others

  • Dr. Bennett prefers cryotherapy over microwave ablation

Urology tools for treating T1a lesions

  • Laparoscopic nephrectomy

  • Robotic-assisted partial nephrectomy

  • Cryotherapy: can do either laparoscopic vs robotically (if reconstruction needed)

  • Complex cystic lesions: cryoablation can be beneficial


  • Urology

    • Hemorrhage

    • Tumor recurrence

  • Interventional Radiology

    • Same as Urology

    • Hematuria is expected

Follow Up

  • Interventional Radiology

    • 1, 3, 9, 12 month scans and yearly thereafter

    • MRI preferred over CT

  • Urology

    • 1st follow up at 6 months. Depending on patient, 6 or 12 month thereafter

    • Will usually follow with CT

Collaborative practice patterns

  • Know resources available in the community

  • Open dialogue between physicians

  • Always keep patients first

2 simple ways to support the show

  • Subscribe to the podcast

  • Leave BackTable a short written review on iTunes


Protect yourself and your patients. Contact us to request a free RADPAD No Brainer® surgical cap and learn more about radiation protection at www.radpad.com.

BackTable Podcast Episode 15 - Renal Ablation Therapies

AJCC Cancer Staging Manual

Disclaimer: The Materials available on the BackTable Podcast 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.

More Ways to Stay Up to Date

Get the App

Everything BackTable. All in one place. Get the free BackTable App to access exclusive intel on over 40 procedures.

Download on th App Store badge
Get it on Google Play badge

Stream the Podcast

Is your media library missing a "seriously helpful advice from interventional experts" playlist? You can now listen to the BackTable podcast on these popular streaming platforms.

Listen on Spotify badge
Listen on Soundcloud badge
Listen on Apple Podcasts badge

Keep Up With Your Peers

Get BackTable In Your Inbox

download BackTable for iOS


Tel: 318-820-1023

1023 Walnut St. Suite 100

Boulder,  Colorado  80302

  • White LinkedIn Icon
  • White Facebook Icon
  • White Twitter Icon

© 2019 by Backtable. All rights reserved.


Please review our Terms of Use.