WEBVTT 1 00:00:00.088 --> 00:00:02.269 This podcast is created by Coelis. 2 00:00:03.549 --> 00:00:18.576 Data and studies will help us finding out the optimal strategy for our patients to identify risk factors for progression disease and reduce complications and also long-term issues. 3 00:00:26.719 --> 00:00:28.960 Welcome to a new episode of Prostatalk. 4 00:00:29.404 --> 00:00:33.407 Where we are diving deep into the exciting world of data. 5 00:00:33.927 --> 00:00:35.428 But not just any data. 6 00:00:36.109 --> 00:00:37.230 Prostate care data. 7 00:00:38.430 --> 00:00:39.871 Now I know what you are thinking. 8 00:00:40.091 --> 00:00:43.654 How can numbers and spreadsheets about prostate be interesting? 9 00:00:43.994 --> 00:00:44.274 Well, 10 00:00:44.675 --> 00:00:45.815 hold on to your seats. 11 00:00:46.156 --> 00:00:51.659 Because the way data is collected and used in prostate care is nothing short of revolutionary. 12 00:00:52.280 --> 00:00:54.401 This is why we have invited today Dr. 13 00:00:54.481 --> 00:00:54.982 Trauman, 14 00:00:55.342 --> 00:00:58.004 a specialist in data collection and analysis. 15 00:00:58.592 --> 00:01:06.355 We'll explore how healthcare is evolving using mountains of patient data to better diagnose and treat prostate condition, 16 00:01:06.635 --> 00:01:07.596 making us wonder, 17 00:01:07.876 --> 00:01:09.597 is there anything data can't do? 18 00:01:10.597 --> 00:01:11.377 And don't worry, 19 00:01:11.718 --> 00:01:15.059 we are not just talking about nerdy algorithms. 20 00:01:15.379 --> 00:01:23.382 We'll also discuss how the machines behind all this tech are becoming so user-friendly that even your grandma could give them go. 21 00:01:23.963 --> 00:01:24.243 Also, 22 00:01:24.443 --> 00:01:25.703 hopefully she won't have to. 23 00:01:26.584 --> 00:01:26.824 From... 24 00:01:27.024 --> 00:01:30.505 easy-to-use interfaces to powerful diagnostic tool, 25 00:01:30.925 --> 00:01:36.307 we are witnessing a new age of prostate care that's as simple as pressing a button. 26 00:01:37.167 --> 00:01:45.589 So grab your headphones and let's explore the future of prostate health through the lens of data collection and some very fancy machines. 27 00:01:49.470 --> 00:01:49.671 Hi, 28 00:01:49.731 --> 00:01:49.851 Dr. 29 00:01:50.051 --> 00:01:50.431 Trauman. 30 00:01:50.811 --> 00:01:53.812 Thanks for having accepted to participate in our podcast, 31 00:01:53.932 --> 00:01:54.652 Prostate Talk. 32 00:01:55.352 --> 00:01:57.373 We are live at the GGU Congress in Germany. 33 00:01:57.913 --> 00:02:00.013 How are you and how the Congress is going? 34 00:02:01.094 --> 00:02:01.834 I'm very well. 35 00:02:01.994 --> 00:02:03.474 Thank you for having me here. 36 00:02:04.154 --> 00:02:05.035 And so far, 37 00:02:05.215 --> 00:02:06.855 the Congress is going really well. 38 00:02:07.055 --> 00:02:11.016 I've seen some interesting talks and I had a talk myself. 39 00:02:11.176 --> 00:02:14.157 And so I'm enjoying myself a lot here. 40 00:02:15.018 --> 00:02:16.438 We are really pleased to welcome you. 41 00:02:16.998 --> 00:02:18.619 Before starting the interview, 42 00:02:18.919 --> 00:02:20.879 could you please tell us who is Dr. 43 00:02:20.959 --> 00:02:21.379 Trauman? 44 00:02:22.159 --> 00:02:22.700 So hi, 45 00:02:22.820 --> 00:02:23.220 everybody. 46 00:02:23.540 --> 00:02:23.780 I am... 47 00:02:24.020 --> 00:02:24.320 Dr. 48 00:02:24.440 --> 00:02:25.401 Miriam Traumann. 49 00:02:25.881 --> 00:02:28.823 I was actually born and raised in Hamburg, 50 00:02:28.903 --> 00:02:29.303 Germany, 51 00:02:30.123 --> 00:02:30.464 and 52 00:02:30.864 --> 00:02:35.546 I am now currently working at the University Hospital in Frankfurt, 53 00:02:35.766 --> 00:02:36.187 Germany. 54 00:02:37.167 --> 00:02:39.829 And after my residency, 55 00:02:40.249 --> 00:02:43.591 which I started in Hamburg at the Martini Clinic, 56 00:02:43.931 --> 00:02:46.672 we probably all know the Martini Clinic, 57 00:02:46.993 --> 00:02:48.073 biggest cancer, 58 00:02:48.413 --> 00:02:50.715 prostate cancer center in the world. 59 00:02:51.175 --> 00:02:53.116 I continued at the University Clinic. 60 00:02:53.316 --> 00:02:54.036 in Hamburg. 61 00:02:54.617 --> 00:02:55.417 Afterwards, 62 00:02:55.857 --> 00:03:00.940 I spent a year actually in Marseille at an oncology center. 63 00:03:01.621 --> 00:03:02.161 After that, 64 00:03:02.661 --> 00:03:07.884 I worked at a smaller hospital as a consultant and attendant. 65 00:03:08.104 --> 00:03:13.267 And now I'm back at the university field and the university setting. 66 00:03:13.487 --> 00:03:15.708 I was my head of the department, 67 00:03:15.808 --> 00:03:16.549 Professor Chun, 68 00:03:17.029 --> 00:03:19.230 who I already know back from Hamburg. 69 00:03:20.511 --> 00:03:21.751 Thanks for this presentation. 70 00:03:22.112 --> 00:03:22.552 I heard. 71 00:03:22.992 --> 00:03:23.913 One here in Marseille. 72 00:03:23.993 --> 00:03:27.115 So does that mean that you speak a little bit French? 73 00:03:27.916 --> 00:03:29.137 Just un peu. 74 00:03:29.997 --> 00:03:30.438 Perfect. 75 00:03:30.978 --> 00:03:32.059 Better than my German. 76 00:03:32.259 --> 00:03:32.819 No worries. 77 00:03:33.540 --> 00:03:35.561 So let's not talk about prostate, 78 00:03:35.581 --> 00:03:37.463 but especially fusion biopsy. 79 00:03:37.943 --> 00:03:41.125 I have heard that you are interested in data collection, 80 00:03:41.225 --> 00:03:41.526 right? 81 00:03:42.126 --> 00:03:44.448 What kind of information do you collect precisely? 82 00:03:45.408 --> 00:03:45.649 Yes, 83 00:03:45.789 --> 00:03:49.972 so our department is very eager on data collection. 84 00:03:50.540 --> 00:03:54.822 That means we basically collect every data we can get. 85 00:03:55.402 --> 00:04:00.704 So prospectively searched or gained data is very important for us, 86 00:04:00.784 --> 00:04:02.065 as well as prompts. 87 00:04:02.125 --> 00:04:05.166 That means patient reported outcomes measurements. 88 00:04:05.826 --> 00:04:08.607 We send actually in very traditional, 89 00:04:08.747 --> 00:04:09.748 classic ways, 90 00:04:09.948 --> 00:04:11.849 questionnaires to patients. 91 00:04:12.369 --> 00:04:14.130 We try to do a follow up. 92 00:04:14.230 --> 00:04:16.291 We try to get every data, 93 00:04:16.771 --> 00:04:17.351 like I said, 94 00:04:17.771 --> 00:04:19.552 concerning the patient as well as. 95 00:04:19.832 --> 00:04:20.593 the cancer, 96 00:04:21.233 --> 00:04:22.094 the outcome, 97 00:04:22.354 --> 00:04:23.595 the diagnostics, 98 00:04:23.815 --> 00:04:32.783 and we try to collect as much as we can so we can actually squeeze the information out that might help us in the future. 99 00:04:33.723 --> 00:04:34.284 Concretely, 100 00:04:34.424 --> 00:04:37.246 how do you work with data in your daily practice? 101 00:04:37.486 --> 00:04:38.948 How do you use this data? 102 00:04:39.928 --> 00:04:40.509 So actually, 103 00:04:40.749 --> 00:04:42.090 we collect all the data, 104 00:04:42.310 --> 00:04:42.851 especially, 105 00:04:43.051 --> 00:04:43.611 for instance, 106 00:04:43.651 --> 00:04:49.096 for complication rates according to some complication classifications. 107 00:04:49.456 --> 00:04:51.241 That is really important to us. 108 00:04:51.501 --> 00:04:57.135 We have a lot of studious medical students as well as residents that... 109 00:04:58.161 --> 00:05:01.522 basically type in all the data in a sheet, 110 00:05:01.982 --> 00:05:03.402 in a work data sheet, 111 00:05:03.763 --> 00:05:04.083 very... 112 00:05:06.503 --> 00:05:07.744 a little bit conservative, 113 00:05:07.864 --> 00:05:23.928 but with all this data gained from our patient and also the diagnostics and we know a lot about everything and about our patients and the major concern is actually for us cancer 114 00:05:24.028 --> 00:05:25.288 detection rates, 115 00:05:25.789 --> 00:05:26.789 the screening. 116 00:05:27.593 --> 00:05:28.533 the imaging, 117 00:05:29.033 --> 00:05:46.498 the sensitivity and accuracy of biopsies and the outcome and also to have the best treatment or the best personalized therapy treatment for our patients and to guide them and 118 00:05:46.598 --> 00:05:49.059 to give them a good medical advice. 119 00:05:50.259 --> 00:05:52.300 And you mentioned the collect of the information. 120 00:05:52.420 --> 00:05:55.101 So how do you collect this information? 121 00:05:55.121 --> 00:05:56.501 Do you use a specific system? 122 00:05:57.625 --> 00:05:58.586 Any tools, 123 00:05:58.666 --> 00:05:59.466 particular tools? 124 00:06:00.727 --> 00:06:05.829 So we are using some kind of data collection system for PROMs, 125 00:06:05.869 --> 00:06:08.630 so the patient reported outcome system. 126 00:06:09.190 --> 00:06:17.113 We have a really big program for our perioperative and data of hospital stays, 127 00:06:17.173 --> 00:06:17.934 for instance. 128 00:06:18.134 --> 00:06:25.457 But we also use standardized questionnaires to follow up on patient and also what we're... 129 00:06:26.321 --> 00:06:26.741 Right now, 130 00:06:26.981 --> 00:06:31.503 working on is questionnaires during procedures for, 131 00:06:32.524 --> 00:06:33.144 for example, 132 00:06:33.304 --> 00:06:35.465 asking for pain and anxiety. 133 00:06:36.345 --> 00:06:41.667 And let's go back to the diagnostics stage about your fusion biopsy system. 134 00:06:42.168 --> 00:06:43.988 Since when have you been using it? 135 00:06:44.809 --> 00:06:49.471 So we already started using it in 2017. 136 00:06:49.491 --> 00:06:51.732 Back then I was at the smaller hospital, 137 00:06:51.792 --> 00:06:54.313 but also here in Frankfurt we used it. 138 00:06:55.213 --> 00:07:10.682 through the transrectal approach and we changed in 2023 so last year we changed to the perineal approach and we're still doing a lot of targeted fusion biopsies and what 139 00:07:10.782 --> 00:07:23.649 were your criteria of choice you mentioned the transparent approach but other criterias for once we chose the perineal approach because all the data and studies showed that 140 00:07:24.229 --> 00:07:26.110 they favor less infection. 141 00:07:26.210 --> 00:07:30.051 We don't need that much antibiotic prophylaxis anymore or not at all, 142 00:07:30.131 --> 00:07:30.532 actually. 143 00:07:31.072 --> 00:07:35.734 And we looked actually at our own data and we could confirm this. 144 00:07:36.314 --> 00:07:40.456 So we don't use any antibiotic prophylaxis anymore. 145 00:07:41.676 --> 00:07:50.060 And I think this is a very important step to reduce urinary infections or infection complications. 146 00:07:50.520 --> 00:07:53.081 And also it is very important because 147 00:07:53.505 --> 00:07:54.126 Some years ago, 148 00:07:54.966 --> 00:08:00.230 we didn't really know if MRI was a good tool to detect cancer. 149 00:08:00.730 --> 00:08:04.433 And with using more targeted and fusion biopsy, 150 00:08:04.553 --> 00:08:14.599 we can actually look at the imaging and see if it's good enough or if there are a lot of centers that do it better, 151 00:08:14.1000 --> 00:08:16.201 specialized centers, 152 00:08:16.601 --> 00:08:22.585 and also re-evaluate our own data and the accuracy of. 153 00:08:22.865 --> 00:08:40.310 imaging and our biopsies and looking at the detection rates of prostate cancer which is actually clinical significant also so you already answer to my next question about the approach of prostate biopsy that are you using so could 154 00:08:40.350 --> 00:08:50.113 you explain us the workflow and how do you use the transparent approach in your daily practice maybe so in our hospital we do one day of 155 00:08:50.413 --> 00:08:55.136 biopsies and it's like in an outpatient setting. 156 00:08:55.556 --> 00:08:57.237 So the patient comes in, 157 00:08:57.857 --> 00:09:00.118 we do no antibiotic prophylaxis, 158 00:09:00.779 --> 00:09:05.561 then we'll do the perineal biopsy with local anesthesia. 159 00:09:05.762 --> 00:09:16.187 That means we'll have the superficial skin anesthesia followed by deeper periprosthetic block of anesthesia. 160 00:09:16.868 --> 00:09:18.669 I was surprised actually because 161 00:09:19.417 --> 00:09:20.017 Some years ago, 162 00:09:20.198 --> 00:09:23.640 we still did it under general anesthesia. 163 00:09:23.940 --> 00:09:28.142 And I was surprised that actually when you do a good local anesthesia, 164 00:09:28.422 --> 00:09:30.784 the patient will be okay with that. 165 00:09:31.344 --> 00:09:33.205 And he doesn't need general anesthesia. 166 00:09:33.285 --> 00:09:42.110 He just stays for maybe 30 minutes after the biopsy and then will leave the hospital on his own and go back to his home. 167 00:09:42.150 --> 00:09:45.272 So that's actually became a lot easier. 168 00:09:45.992 --> 00:09:46.473 Perfect. 169 00:09:47.121 --> 00:09:48.823 You mentioned that you changed recently, 170 00:09:48.883 --> 00:09:49.223 I mean, 171 00:09:50.205 --> 00:09:51.166 like one year, 172 00:09:51.526 --> 00:09:52.287 one year and a half, 173 00:09:52.888 --> 00:09:54.870 from transrectal to transperineal. 174 00:09:55.471 --> 00:09:59.175 Would you say it is easy to use the transperineal approach? 175 00:09:59.875 --> 00:10:04.641 Could you tell us more about the learning curve that involved this changing? 176 00:10:05.749 --> 00:10:14.496 I think for me it was a little bit harder to change to the perineal approach because I was so used to the transrectal approach. 177 00:10:14.516 --> 00:10:20.742 And I think this is what most people will tell you if they are really used to one approach and one technique. 178 00:10:21.082 --> 00:10:25.786 It's always a little bit tricky or harder to get used to another approach, 179 00:10:25.806 --> 00:10:26.867 to a different approach. 180 00:10:27.367 --> 00:10:33.752 But I really see the advantages of the transperineal approach because it's so much cleaner. 181 00:10:34.553 --> 00:10:37.436 and associated with less infections. 182 00:10:37.916 --> 00:10:39.737 And once you get it, 183 00:10:39.878 --> 00:10:44.501 and it will be quick that you learn it because you already know the imaging. 184 00:10:44.902 --> 00:10:45.802 And at the end, 185 00:10:45.862 --> 00:10:56.471 it's probably easier because you have a good exposition of the anatomy and also can compare it very well with the MRI eyes and do a good fusion. 186 00:10:56.651 --> 00:10:58.253 And you just have to get used to it. 187 00:10:58.353 --> 00:11:00.134 And once you've got this, 188 00:11:00.715 --> 00:11:01.535 it's actually, 189 00:11:01.716 --> 00:11:02.076 I think, 190 00:11:02.596 --> 00:11:03.297 maybe easier. 191 00:11:03.985 --> 00:11:04.385 Perfect. 192 00:11:04.866 --> 00:11:05.986 Thanks for your insights. 193 00:11:06.466 --> 00:11:06.667 Dr. 194 00:11:06.707 --> 00:11:07.047 Thurman, 195 00:11:07.127 --> 00:11:09.768 how do you see the future of prostate care? 196 00:11:10.209 --> 00:11:11.549 What will be the role of data? 197 00:11:12.530 --> 00:11:29.580 Data and studies will help us finding out the optimal strategy for our patients to identify risk factors for progression disease and reduce complications and also long-term issues because 198 00:11:29.860 --> 00:11:31.561 we all know that antibiotics 199 00:11:31.681 --> 00:11:38.446 resistances are a problem and we can avoid it by using no antibiotic prophylaxis. 200 00:11:39.066 --> 00:11:39.426 Also, 201 00:11:40.147 --> 00:11:49.933 maybe for the patient less biopsies when we figure out what are really the patients that we can pick out that have lower risk. 202 00:11:50.414 --> 00:11:52.015 Because every patient, 203 00:11:52.155 --> 00:11:54.196 and sounds a little bit cheesy, 204 00:11:54.296 --> 00:11:56.137 but every patient is an individual. 205 00:11:56.658 --> 00:11:59.520 His prostate cancer is also very different. 206 00:11:59.560 --> 00:12:01.221 So we have patients that are 207 00:12:01.669 --> 00:12:05.150 very low risk and you can do a perfect active surveillance, 208 00:12:05.170 --> 00:12:08.132 they will never die of prostate cancer. 209 00:12:08.532 --> 00:12:13.854 And then we have to really select those patients and see them early, 210 00:12:14.254 --> 00:12:19.156 those patients who are at risk of actually dying of prostate cancer. 211 00:12:19.616 --> 00:12:25.919 So I think this is very important and also to guide the patient in his disease. 212 00:12:26.699 --> 00:12:27.059 Thank you. 213 00:12:27.239 --> 00:12:30.941 I really like the way that you put the patients in the matter of your... 214 00:12:31.381 --> 00:12:49.892 practice and it's fabulous thank you talking about the future what are you currently working on we are currently working on our data concerning detection rate we already published some of our data but we want to compare 215 00:12:49.892 --> 00:12:57.297 it with the first so actually the learning curve we had and with the data now because since 216 00:12:57.737 --> 00:12:58.438 More than a year, 217 00:12:58.478 --> 00:13:00.979 we've already done over 300 biopsies. 218 00:13:01.039 --> 00:13:01.880 So I think, 219 00:13:02.461 --> 00:13:08.325 I hope we'll get better at that and that will lead to higher detection rates, 220 00:13:08.365 --> 00:13:08.725 I hope. 221 00:13:08.945 --> 00:13:09.325 Also, 222 00:13:09.846 --> 00:13:21.274 a topic that is really interesting is the use of verbal anesthesia and devices such as virtual reality devices. 223 00:13:21.514 --> 00:13:24.416 We actually are trying something out right now. 224 00:13:24.556 --> 00:13:25.357 It's just like... 225 00:13:25.541 --> 00:13:41.614 goggles where the patients look at a very very boring movie and it will help maybe to reduce the pain and also the anxiety so we are giving our patients um we let them choose 226 00:13:41.654 --> 00:13:54.425 between to use the vr device or not and we assess and anxiety and pain questionnaires actually yeah we want to look at those data further and also 227 00:13:55.041 --> 00:13:57.062 Always look at the complication rates, 228 00:13:57.302 --> 00:13:58.643 what we can improve, 229 00:13:59.123 --> 00:13:59.763 what we can, 230 00:14:00.803 --> 00:14:06.966 or also to identify those patients who are at higher risk for complications maybe. 231 00:14:08.026 --> 00:14:08.387 Thank you. 232 00:14:08.987 --> 00:14:09.107 So, 233 00:14:09.667 --> 00:14:09.907 Dr. 234 00:14:09.947 --> 00:14:10.267 Truman, 235 00:14:10.287 --> 00:14:13.009 I couldn't resist to ask you this next question. 236 00:14:13.749 --> 00:14:16.290 Urology is still a mal-dominated field. 237 00:14:16.810 --> 00:14:18.511 As a woman in this specialty, 238 00:14:19.051 --> 00:14:23.373 have you faced any specific challenge throughout your career and how? 239 00:14:23.773 --> 00:14:24.914 Have you navigated them? 240 00:14:25.534 --> 00:14:29.957 I think that's a really good question and a good topic to, 241 00:14:30.418 --> 00:14:32.539 I could talk about it for hours probably. 242 00:14:33.340 --> 00:14:35.121 But long story short, 243 00:14:35.381 --> 00:14:38.143 I think as a woman in this domain, 244 00:14:38.403 --> 00:14:41.345 you will face a lot of difficulties, 245 00:14:41.746 --> 00:14:44.207 but also a lot of advantages maybe. 246 00:14:44.908 --> 00:14:46.849 So as women, 247 00:14:47.049 --> 00:14:52.093 we should also feel strong to work in a male-dominated field. 248 00:14:52.749 --> 00:14:53.429 And at the end, 249 00:14:53.690 --> 00:14:57.332 we should try to network more together. 250 00:14:57.572 --> 00:15:01.254 I think that's maybe a little bit of a woman's weakness, 251 00:15:01.655 --> 00:15:03.136 if you can say it like that, 252 00:15:03.376 --> 00:15:07.238 that women don't do networking as well as men maybe. 253 00:15:08.963 --> 00:15:11.384 There are more because I think in my generations, 254 00:15:11.404 --> 00:15:12.824 there are a lot of women. 255 00:15:13.344 --> 00:15:14.305 But at the end, 256 00:15:14.445 --> 00:15:15.065 on the top, 257 00:15:15.185 --> 00:15:20.246 the head of departments are still pretty dominantly male head of departments. 258 00:15:20.686 --> 00:15:23.367 So I think in order to change that, 259 00:15:23.747 --> 00:15:25.348 we kind of have to stick together, 260 00:15:25.608 --> 00:15:28.769 overcome certain cliches also. 261 00:15:29.149 --> 00:15:30.929 But it's still a long way. 262 00:15:31.470 --> 00:15:32.170 But actually, 263 00:15:32.290 --> 00:15:35.671 I never really felt discriminated against because 264 00:15:36.011 --> 00:15:36.531 I'm a woman. 265 00:15:36.771 --> 00:15:43.276 because I have lovely colleagues and all the head of the departments I've worked with were really supportive. 266 00:15:43.657 --> 00:15:48.260 But I think also that women maybe underestimate themselves sometimes. 267 00:15:48.320 --> 00:15:54.926 So we have to learn also from our male colleagues that we can work at higher positions. 268 00:15:55.486 --> 00:16:03.012 Maybe you put a little nut in the mind of other women urologists to create this network, 269 00:16:03.072 --> 00:16:05.795 maybe a club or a social club. 270 00:16:06.279 --> 00:16:10.462 with all these fabulous women who are working in urology that can be a good idea. 271 00:16:11.302 --> 00:16:11.463 Yes, 272 00:16:11.503 --> 00:16:18.267 that's a really good idea and it's already in general surgery but also urology. 273 00:16:18.367 --> 00:16:26.433 There are some clubs or actually associations only for women and I don't want to exclude the men of course, 274 00:16:26.433 --> 00:16:35.579 they're really important for us as well but it's also important and we figured that out already that we have some networking. 275 00:16:36.223 --> 00:16:37.664 clubs or associations, 276 00:16:38.004 --> 00:16:42.065 especially supporting younger female colleagues. 277 00:16:43.066 --> 00:16:48.568 And do you feel it influenced your approach to the patient care to be a woman? 278 00:16:49.108 --> 00:16:51.529 I was surprised that for the most part, 279 00:16:51.890 --> 00:16:56.451 all of the patients didn't mind if I were a woman or not. 280 00:16:56.551 --> 00:16:56.972 Actually, 281 00:16:57.212 --> 00:16:59.493 everybody was really open. 282 00:17:00.133 --> 00:17:04.775 I think there are some patients that prefer maybe going to a male doctor. 283 00:17:05.391 --> 00:17:06.691 especially in neurology, 284 00:17:07.252 --> 00:17:11.813 but at the university hospital or at the clinic setting, 285 00:17:12.233 --> 00:17:14.454 that was actually never an issue. 286 00:17:14.754 --> 00:17:15.134 And 287 00:17:16.034 --> 00:17:23.336 I think some patients were really happy to have a female surgeon also because they felt maybe 288 00:17:23.856 --> 00:17:26.757 I was more sensitive, 289 00:17:27.677 --> 00:17:28.317 which I'm not, 290 00:17:29.638 --> 00:17:31.458 compared to my male colleagues. 291 00:17:31.558 --> 00:17:31.758 But 292 00:17:32.519 --> 00:17:33.899 I think it's... 293 00:17:33.979 --> 00:17:49.508 the end it doesn't really matter if you're male or female it matters how you treat the patient how you talk with them and i figured that you can do a surgery as well as anybody else and the end it's the way the 294 00:17:49.528 --> 00:18:01.355 patient feels about his disease and about the way he's been treated as a human being basically definitely and finally dr troman for any woman listening today 295 00:18:01.675 --> 00:18:04.276 who might be considering a career in urology. 296 00:18:04.756 --> 00:18:07.377 Do you have any advice or insight to share with us? 297 00:18:07.938 --> 00:18:08.998 As I said before, 298 00:18:09.378 --> 00:18:12.780 I think we have to believe in ourselves. 299 00:18:12.980 --> 00:18:14.540 I think the generations, 300 00:18:14.540 --> 00:18:23.344 the younger generation of women are a lot more independent and also confident about themselves. 301 00:18:23.864 --> 00:18:23.984 So 302 00:18:24.364 --> 00:18:27.185 I don't worry about the female future. 303 00:18:27.365 --> 00:18:27.766 Actually, 304 00:18:27.826 --> 00:18:28.526 in urology, 305 00:18:28.566 --> 00:18:30.927 I see a lot of young colleagues and they... 306 00:18:31.495 --> 00:18:35.536 doing research and they're doing everything that the male colleagues do. 307 00:18:36.236 --> 00:18:36.616 And 308 00:18:37.077 --> 00:18:40.177 I think they just have to believe that they can do the same, 309 00:18:40.738 --> 00:18:43.718 but also put the same effort into everything. 310 00:18:44.339 --> 00:18:44.539 Yes, 311 00:18:44.699 --> 00:18:47.820 that's my advice for the younger colleagues. 312 00:18:48.580 --> 00:18:50.660 Thanks a lot for the interesting insights. 313 00:18:51.361 --> 00:18:53.221 Before to finish our interview, 314 00:18:53.801 --> 00:18:55.502 I like to ask a special question. 315 00:18:56.062 --> 00:18:56.762 What is Dr. 316 00:18:56.802 --> 00:18:57.182 Traumat, 317 00:18:57.602 --> 00:18:59.303 your favorite song of the moment? 318 00:19:00.495 --> 00:19:04.078 My favorite song at the moment is probably 319 00:19:05.198 --> 00:19:06.699 Sara Perchettiamo. 320 00:19:07.140 --> 00:19:08.841 It's an Italian classic. 321 00:19:10.942 --> 00:19:11.783 Thank you a lot. 322 00:19:12.283 --> 00:19:12.964 Arrivederci. 323 00:19:14.465 --> 00:19:16.246 And I hope you like the exercise, 324 00:19:16.306 --> 00:19:16.426 Dr. 325 00:19:16.446 --> 00:19:16.726 Truman. 326 00:19:16.827 --> 00:19:18.027 Thank you for your participation. 327 00:19:18.568 --> 00:19:19.428 Thank you very much. 328 00:19:24.332 --> 00:19:26.814 Huge thanks to our dedicated listeners. 329 00:19:27.274 --> 00:19:28.815 If you enjoyed the podcast. 330 00:19:29.015 --> 00:19:31.636 make sure to subscribe for more captivating content. 331 00:19:32.216 --> 00:19:34.117 Your support means the world. 332 00:19:35.818 --> 00:19:37.459 If you found this informative, 333 00:19:37.559 --> 00:19:38.639 a quick favor please, 334 00:19:38.959 --> 00:19:40.260 drop up a 5-star review. 335 00:19:40.700 --> 00:19:45.042 Your feedback helps us grow and deliver quality insight. 336 00:19:45.082 --> 00:19:46.702 Have topics you'd love us to cover? 337 00:19:47.103 --> 00:19:50.484 Share your ideas in the comments or connect with us on social media. 338 00:19:51.104 --> 00:19:53.946 Your input guides the future of Prostate Talk. 339 00:19:54.446 --> 00:19:57.207 Thanks for being a crucial part of our community. 340 00:19:58.111 --> 00:19:59.733 For more urology insights, 341 00:20:00.074 --> 00:20:01.215 visit curlews.com. 342 00:20:01.616 --> 00:20:03.719 Stay tuned and see you next time.