Ep. 330 Establishing a Comprehensive Cancer Survivorship Practice with Dr. Hiren Patel
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What is the background and origin story of Dr. Patel’s interest in reconstructive urology?
This week on the Backtable podcast.
If you look at it from a patient standpoint, there's so many different perspectives that you can look at the problem from. And if you look at it from each one of those perspectives, how are you improving or adding value to that person or that person, that entity's bottom line? I think that is the value proposition that you can then pitch to the C-suite. hey, like from a patient's perspective, we have improved their quality of life, their outcome, they're not coming to the ER anymore. From, you know, the hospital access standpoint, you've increased the ability to take care of more patients with similar problems. You've increased the referrals for those patients. I think that also trickles down, right?
And so that kind of, once you start doing some of these difficult cases and you get good outcomes, more and more patients will trickle into your system.
Welcome to Backtable Urology, everyone. This is George Koch from The Ohio State University, and I'm really excited today to introduce my partner at The Ohio State, Dr. Hiran Patel, an assistant professor of urology, to talk about cancer survivorship in urology. Dr. Patel, thanks so much for joining me on Backtable Urology.
Thank you for the invitation.
It's a pleasure always to hang out with a friend. Yeah, absolutely. Absolutely. This will be a fun episode. You know, I really like to kick off episodes by asking folks, you know, kind of for their origin story in reconstructive urology. You know, yours is interesting. You know, we don't have a ton of PhDs in microbiology and in recon. So let's start there. You know, how did you get involved in or how did you get involved interested in urology and specifically reconstructive urology.
You're right. Not a lot of MD-PhDs, especially not with a microbiology background. I actually got my dissertation in tuberculosis. And so I had an understanding about BCG and kind of genitourinary tuberculosis, but not so much on what it implied in urology. And so I think I was on my... I had finished my PhD, come back to medical school, and I realized I really like working with my hands. I loved surgery. And I was on my surgery rotation, and one of the old school urologists came and was like, hey, follow me into the operating room. And I ended up seeing a hydroseal, a stone surgery, and then I think we did a robotic nephrectomy. And I was like... What field is this that we're doing open lasers and robots?
And instantly I was hooked. Reconstruction for me was about looking at survivorship. We came from, I came from a program, Robert Wood Johnson, where the program was heavily focused on oncology. And so we often saw patients back several times for survivorship reasons, but also for different cancers that they had. And so I always connected with the patients throughout my residency, mostly about quality of life stuff. And I found myself very interested in that aspect. Also, some personal things happened during my time in residency and grad school, and that also influenced how I looked at survivorship. I lost my mom when I was in grad school and my grandmother earlier than that. And I think that kind of taught me the caregiver aspect of what survivorship looked like.
And so I was really fascinated by what patients kind of experience And that connected me to reconstruction. I thought my values and goals kind of aligned really well with the field.
Yeah, I love that. Thank you for sharing that. Are you the only urology? No. Yeah. It's the most common last name in the world. I've been told. But are you the only person probably in the world who takes urology exams and is like, oh, thank God. I know tuberculosis isn't the answer for this one.
Yes. Oh, my God. Speaking of, I have someone in my clinic that has possibly GUTB. Really? Ureteral stricture. Yeah.
Oh, you're going to tell them like, I'm the guy for you, right? Like you have to.
I think he got sent to me because of my background.
Oh my God. I love that. I love that. Traditionally, when urologists think of survivorship, you know, I think many of our minds go to post-prostatectomy troubles, you know, erectile dysfunction, stress urinary incontinence, you know, the classic penile prostheses and artificial urinary sphincters are what people, you know, often think of when they think of urologic survivorship.
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Chapters
8 chapters
1
What is the background and origin story of Dr. Patel’s interest in reconstructive urology?
0:05–6:30
2
How does Dr. Patel define cancer survivorship from a reconstructive urologist’s perspective?
6:30–13:31
3
Why are dedicated survivorship practices essential for genitourinary cancer patients?
13:31–18:33
4
What work‑up and patient‑alignment steps are used before starting survivorship care?
18:33–24:23
5
How are active‑cancer scenarios managed within a survivorship clinic?
24:23–31:28
6
What are the key steps to building a comprehensive survivorship program at a large academic center?
31:28–38:53
7
How does the clinic grow referrals and optimize workflow for complex cases?
38:53–53:00
8
What new technologies (single‑port robot, ICG, etc.) are changing reconstructive urology for cancer survivors?
53:00–1:03:51
Speakers
2 identifiedMore from BackTable Urology
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