Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley
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This week on The Backtable Podcast.
even if the patient is really unhappy, the reality is you did the safe thing and you're avoiding some of this. I think we're going to find as we're measuring these pressures, that does really correlate whenever we go in without a sheath, whenever we have very narrowed ureters, I think we're going to see that that pressure goes up. Now, whether that translates into more pain, bad outcomes for the patient in terms of infection, I don't know yet, but it does seem like those at least correlate.
Hello, everyone. Welcome back to Backtable Urology Podcast, your source for all things urology. You can find all previous episodes of our podcast on iTunes, Spotify, at 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. These include treatments, options for benign prostate hyperplasia, or BPH, one of the most prevalent urologic conditions facing men today. Green Line Laser Therapy offers a clinically proven alternative to traditional transducer resection of the prostate.
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She completed her residency in Urology at the University of Missouri-Columbia, and continued her training with a fellowship in endurology, robotics, and laparoscopy at the University of Pittsburgh. She is on the editorial board of Urology Practice. Her clinical interests are surgical and medical management of nephrolithiasis, renal and utero reconstruction, BPH, renal transplantation, and clinical practice efficiency and ease of practice. Julie, welcome to Backtable.
Wow, thank you, Jose. Every time that I hear people go over all my stuff, I'm just like, oh gosh, so much to go over. We spend so much time in school, so thank you for that introduction.
No, it's awesome. We're going to talk about uteroscopy, but I want to dive into reconstruction or stuff as well, knowing that background. So, Julie, like I mentioned, we're going to be talking about uteroscopy and new uteroscopes and... Just a little bit of the science when you go into a renal pelvis ureter. So in terms of ureteroscopy, I mean, who is a candidate? Who is not a candidate?
Yeah. So the nice thing about ureteroscopy is that just about anybody can have a ureteroscopy as long as they are a surgical candidate. So as long as we can have anesthesia clear them, you can probably put a ureteroscope where you need to go to take out the stone. A few caveats to that, of course, are that, you know, lower pole stones, very large stones are going to take significantly more time, significantly more time. you know, effect on the scopes, putting more pressure on them. But truthfully, just about any stone can be managed that way, and that is one of the very large appeals of ureteroscopy.
And in terms of possible complications of ureteroscopy, I mean, this is probably the procedure that I do the most. I see a lot of stones. And when the patients ask me about possible complications, I really just talk about after the procedure, the stent, and what they're going to feel after the stent. But
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