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Urology Times Podcasts

Urology Times Podcasts

By: Urology Times
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 Urology Times Podcasts is the official podcast platform for Urology Times®, including Speaking of Urology, MEDcast, and Pearls & Perspectives. Be sure to subscribe to stay up to date with the latest in expert clinical analysis, practice advice, and timely and informative insights from leaders in urology. Hygiene & Healthy Living
Episodes
  • Pearls & Perspectives: From Guidelines to Practice—Navigating the TRT Treatment Spectrum, with Alex Tatem, MD

    Pearls & Perspectives: From Guidelines to Practice—Navigating the TRT Treatment Spectrum, with Alex Tatem, MD
    May 17 2025
    In this episode of Pearls & Perspectives, host Amy Pearlman, MD, sits down with Alex Tatem, MD, a urologist with Urology of Indiana and corporate director of men’s health for US Urology Partners, for a deep dive into the practical and nuanced realities of testosterone therapy.
    Together, they unpack what it means to deliver meaningful care in a landscape crowded with confusion, outdated messaging, and inconsistent training. Tatem shares his path from fellowship under Larry I. Lipshultz, MD, to leading national men’s health strategy, blending clinical experience with a personal perspective on testosterone deficiency. He outlines the most effective and sustainable treatment options—from injectables like cypionate and enanthate to newer oral therapies like Kyzatrex—explaining how he customizes regimens based on body composition, aromatization risk, and patient lifestyle.
    Pearlman and Tatem dig into the art of hormone management, discussing injection technique, frequency, side effect mitigation, and how to guide patients through formulation decisions. They touch on evolving views around estradiol, the limitations of past training models, and how a few key lab values (like LH, FSH, and prolactin) can dramatically change management—especially in younger men or those considering fertility.
    Later, they address broader questions about medical trust, guideline gaps, and testosterone’s misunderstood cardiovascular risk profile. Tatem calls for providers to be the first line of preventive care for aging men, noting that although testosterone has become culturally controversial, proper management is rooted in physiology, long-term health, and personalized care.
    Together, Pearlman and Tatem demystify testosterone therapy, positioning it not just as a treatment—but as a critical tool for enhancing longevity, independence, and quality of life.
    You can learn more about Tatem here.


    Chapters
    0:00:00 - Introduction and Professional Backgrounds
    0:08:59 - Personal and Professional Interest in Testosterone
    0:24:33 - Injection Techniques and Patient Preferences
    0:43:33 - Topical Testosterone Formulations
    0:50:17 - Alternative Testosterone Delivery Methods
    0:58:34 - Advice for Early Career Urologists
    1:00:52 - Rebuilding Patient Trust in Hormone Management
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    1 hr and 1 min
  • Pearls & Perspectives: Understanding and addressing priapism, with Serge Carrier, MD, and Gregory Broderick, MD

    Pearls & Perspectives: Understanding and addressing priapism, with Serge Carrier, MD, and Gregory Broderick, MD
    May 3 2025
    In this episode of Pearls & Perspectives, host Amy Pearlman, MD, is joined by Gregory Broderick, MD, of Mayo Clinic Florida, and Serge Carrier, MD, of McGill University, for a timely discussion recorded ahead of their plenary session at the 2025 American Urological Association (AUA) Annual Meeting in Las Vegas, NV. Together, they break down the clinical and procedural nuances of priapism—from test injections in the office to surgical intervention in the ER.

    Broderick and Carrier, both long-time contributors to AUA guideline development, walk through a staged, case-based approach to managing prolonged erections. Pearlman opens with the common scenario of an in-office diagnostic injection leading to prolonged tumescence—an awkward, and potentially dangerous, outcome if not handled properly. They discuss the importance of efficient protocols, availability of phenylephrine, and why sending a patient “to another room to take care of it” is neither practical nor safe.

    Carrier emphasizes the urgency of intervention once priapism crosses the ischemic threshold. He outlines what to do when patients show up with erections lasting more than 12 hours, including aspiration, phenylephrine use, and when to escalate to surgical shunting. Broderick reinforces that every minute counts, sharing insights from decades of resident training and why aspiration should be performed until bright red blood returns—signaling better oxygenation and a higher chance of pharmacologic success.

    The conversation also touches on the blurred lines between urology clinics and online or non-specialist men’s health centers. With compounded GLP-1s leaving the market, Pearlman and Broderick anticipate an increase in ED treatments from non-urologists and warn of the risks that come with uncontrolled injection protocols. They underscore the importance of ownership—if you're initiating penile injections, you're responsible for teaching, titrating, and reversing them safely.

    Looking ahead, the panel stresses collaboration, not criticism, when it comes to non-traditional ED care providers. Their message: priapism is rare, but when it happens, there’s no room for delay, denial, or delegation.
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    10 mins
  • Pearls & Perspectives: Evolving role of APPs in urology, with Corinna Hughes, DNP, at AUA 2025

    Pearls & Perspectives: Evolving role of APPs in urology, with Corinna Hughes, DNP, at AUA 2025
    May 1 2025
    In this edition of Pearls & Perspectives from the American Urological Association's (AUA) 2025 Annual Meeting, Dr. Amy Pearlman sat down with Corinna Hughes, a nurse practitioner at Mayo Clinic specializing in outpatient urology. A graduate of Mayo Clinic’s advanced practice provider (APP) fellowship, Hughes has established herself not only as a procedural urology provider but also as a widely followed educator on social media.

    Hughes began her Instagram presence in 2020, recognizing a lack of visibility into APP fellowship experiences and career development. Her platform—@UroNursePractitioner—has since evolved into a hub for peer education, mentorship, and insight into the day-to-day realities of practicing urology as a nurse practitioner. With a mix of procedural discussion and humor, Hughes helps demystify both the training path and clinical responsibilities of APPs in this specialty.

    The conversation highlighted the growth of urology-specific APP fellowships, which have expanded from 4–5 programs in 2020 to 15 nationwide. Hughes emphasized that while fellowship is not mandatory, it can be critical for those entering subspecialties like urology, especially when institutional support or mentorship is limited. She encouraged prospective applicants to closely evaluate a program’s procedural training opportunities and collaboration with physician faculty.

    At Mayo, Hughes practices independently and collaboratively, with a diverse weekly schedule that includes cystoscopies, transperineal prostate biopsies, and a general clinic. She credits Mayo’s team-based approach and emphasis on procedural integration with enhancing job satisfaction and reducing burnout.

    Hughes also spoke to the significance of increased APP-specific programming at the AUA. Sessions tailored to APPs, she said, not only support clinical development but also affirm their growing role in urology. As national organizations like the AUA expand opportunities for APP education and engagement, providers like Hughes are leading by example—both in clinic and online.

    Follow her work on Instagram at @UroNursePractitioner.
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    10 mins

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