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BackTable Urology

Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

29 Oct 2024

Transcription

Full Episode

1.141 - 29.881 Dr. Roger Sur

We know that TURBT procedure is critical in the care of patients with non-muscle invasive bladder cancer. With data that shows that CIS was missed by TURBT in more than 45% of radical cystectomy cases and 86% of residual tumors have been found at the original resection site, it's clear that enhanced visualization could be a significant benefit during TURBT's.

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30.942 - 40.61 Dr. Roger Sur

Further, with only 23% of patients coming back for re-resection, it's all the more important to do a complete TURBT right from the start.

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42.219 - 61.839 Dr. Roger Sur

This week on the Backtable Podcast. Isn't a stone a three-dimensional object? Shouldn't we be looking at volume of stone? You think about it, it totally makes sense. It's the volume of the stone that probably makes a lot more sense than the two-dimensional. It's kind of dumbing it down when really we should be looking at volume. So that I think is one of the futures is to look at

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62.259 - 80.459 Dr. Roger Sur

How much stone are you leaving behind? And not just in two dimensions, but in three dimensions. You can see there's emerging research demonstrating the importance of volume. So I think when you're gonna see that more and more, that people will be talking about how much volume is left behind and how that translates to all those things that you were talking about, post-op problems.

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91.308 - 116.256 Aditya Bagrodia

Hello, everyone, and welcome to Backtable, your source for all things urology. You can find all previous episodes on Apple, Spotify, YouTube, and on backtable.com. This is Aditya Bagrodia as your host this week. And I'm thrilled to invite our guest today, Dr. Roger Sir, who's one of my partners here at UC San Diego. He's a tremendous clinician, tremendous surgeon, great friend and partner.

116.416 - 117.457 Aditya Bagrodia

Roger, how's it going today?

117.637 - 126.023 Dr. Roger Sur

It's going great, Aditya. I'm really honored to be here. And I'm glad you're my host, actually, because it makes it super comfortable for me since we're good friends.

126.727 - 149.265 Aditya Bagrodia

Yeah, we are good friends. Roger's had the, I guess, pleasure or displeasure of helping me get my sea legs on a surfboard. So he's taken us out. It's been super fun. You know, one of the things I've been most impressed with getting to know Roger is it's the clinical care. It's the innovation, problem solving, remaining non-intimidated by new technologies. And maybe we'll get into that.

150.166 - 175.091 Aditya Bagrodia

So today we're going to talk about suction devices and suction technologies and kidney stone treatment. And I'm excited. You know, taking a walk down memory lane, largely it was lasers, fragment, basket retrieval for as long as that was required. Then dusting kind of came on the scene as like a new thing. And that seems to be kind of a...

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