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Welcome to the Why Urology podcast with Dr. Todd Brandt.

This podcast is my personal attempt to teach you about your genito-urinary tract, what can go wrong, and how your urologist may just become your superhero.

The name of the podcast comes from my ongoing need to answer the question that I get so often from patients, friends, and family, “Why Urology? Why did you choose to become a urologist?”

Jan 21, 2017

For this episode I interview one of my young partners Dr. Mikael Regelman about care for patients after having their prostates removed for prostate cancer.

Doctor Regelman and I sat down together after clinic one day to discuss what we call our SIMS protocol. The SIMS protocol is a preoperative class combined with postoperative clinic visits for men who are having their prostates removed for prostate cancer. The SIMS protocol gives men strategies to help them restore both urinary function and sexual function after the operation. 

If you want to watch a video version of the SIMS class you can find it here:

In this episode Dr. Regelman and I discuss why a man is incontinent after his prostate is removed. We discuss the anatomy relationship of the bladder, prostate, and urinary sphincter and how it changes after the prostate is taken out. We also discuss our expectations for men in terms of the recovery of urinary control as well as strategies such as Kegel exercises and biofeedback to encourage and restore urinary continence.

If you enjoyed this episode I have done previous episodes on robotic surgery (episode # 16—an interview with Dr Peter Sershon), Kegel exercises (episode #9 ), and surgical correction of post-prostatectomy incontinence using a urethral sling or urinary sphincter (episode #15—cohosted by my friend Rick).

Look for an episode in the future to discuss specifically post-prostatectomy impotence and our protocol to help men with that.