BackTable Urology
Ep. 191 Optimizing Radiation Therapy: Role of Perirectal Spacers with Dr. Eric Chenven and Dr. Nadim Nasr
Tue, 01 Oct 2024
What does recent research say about the role of perirectal spacers in prostate cancer treatment? In this episode of the BackTable Urology Podcast, host Dr. Jose Silva discusses the use of perirectal spacers for prostate radiotherapy with guests Dr. Eric Chenven, Chief of Urology at Broward Health Medical Center, and Dr. Nadim Nasr, a radiation oncologist at Arlington Radiation Oncology. --- This podcast is supported by: Boston Scientific SpaceOAR Hydrogel https://www.spaceoar.com/about-spaceoar-hydrogel/how-spaceoar-hydrogel-works/?utm_source=google&utm_medium=cpc&utm_campaign=uro-ph-us-spaceoar-dtp&utm_content=nf-cs-prostatecancer_search_en_us_brand_conversion_dtp_uro-spaceoar-651995397243-res&gad_source=1&gclid=CjwKCAjw9eO3BhBNEiwAoc0-jTE63KEHSnZ1soXre9ovVRqweY2QctIuZ_iN2QUjk6Px4k6fK1757BoCVNgQAvD_BwE --- SYNPOSIS Their conversation delves into the use of Boston Scientific’s SpaceOAR hydrogel to reduce radiation exposure to the rectum. The experts elaborate on the techniques and logistical challenges of placing spacers, as well as their effects on patient outcomes. They also discuss insurance hurdles, use of sedation, fiducial marker placement, and the impact of large prostate size on treatment efficacy. Finally, they touch on Barrigel, the newest spacer option. This episode emphasizes the need for collaboration between urologists and radiation oncologists to improve patient care. --- TIMESTAMPS 00:00 - Introduction 06:33 - Importance of Perirectal Spacing 11:17 - Techniques and Protocols 13:00 - Barrigel: The New Option 14:58 - Challenges and Practical Considerations 24:55 - Future Directions --- RESOURCES Boston Scientific SpaceOAR https://www.bostonscientific.com/en-US/products/hydrogel-spacers/spaceoar-hydrogel.html URO108 - Minimizing Radiation Therapy Side Effects https://www.backtable.com/shows/urology/podcasts/108/minimizing-radiation-therapy-side-effects URO123 - Perfecting Rectal Spacer Placement for Optimal Care https://www.backtable.com/shows/urology/podcasts/123/perfecting-rectal-spacer-placement-for-optimal-care
Full Episode
This week on the Backtable Podcast.
I've certainly started with the space ore and that became very comfortable with that pretty quickly. I have tried the barra gel and I've certainly heard from some and been told by others the attraction to it. I don't see the attraction. I like the way the space ore injects and kind of does not really diffuse through the tissue like the Barragel does.
I think in the end, if you, whatever you're using, if you do a good job and get adequate spacer where you want it to go, I just feel it's a little easier for me when I'm injecting the spacer. I know I can kind of direct it where I need it to go with the needle. And from there, it just, the Barragel, the changing back and forth, and then just the way it
The way it doesn't really move the tissue so well until you've injected a lot of it just didn't sit well with me.
Hello, everyone, and welcome back to Backtable Urology Podcast, your source for all things urology. You can find all previous episodes of our podcast on Apple, Spotify, YouTube, and on backtable.com. Now a quick word from our sponsors. Today's Backtable podcast is sponsored by Boston Scientific's Urology Division.
Boston Scientific is dedicated to transforming lives through innovative medical solutions that improve the health of patients around the world. This includes absorbable hydrogel spacers that are intended to temporarily position the anterior rectal wall away from the prostate during radiotherapy for prostate cancer.
Bustle Scientific SpaceOR hydrogel system is a polyethylene glycol-based hydrogel design to temporarily create space between the prostate and the rectum and reduce the radiation dose delivered to the rectum during radiation therapy. SpaceOR hydrogel has been clinically shown to help reduce the side effects of radiation.
For prostate cancer patients undergoing radiation therapy, maintaining quality of life may be just as important as treating the cancer. Minimize side effects, maximize patients' quality of life. Now, back to the show. Hello, everyone. I will go back to Backtable Urology Podcast. This is Jose Silva, your host this week, and happy to introduce our guests.
We have Dr. Eric Chenven and Dr. Nassim Nasser. Dr. Chenven, he's a certified American Board of Urologists and is a member of the American Urological Association, American College of Surgeons, End Urology Society, and the American Medical Association.
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