Dr. Geo Espinosa sits down with Dr. Eric Giesler, a leading urologist from Austin, Texas, to discuss Rezūm, an innovative steam-based treatment for BPH (enlarged prostate). Learn how Rezūm works, who it’s best suited for, and how it compares to other minimally invasive treatments like UroLift. Discover the latest advancements in BPH care and actionable insights for improving prostate health. Key Points: What is Rezūm? A minimally invasive steam treatment for BPH, reducing prostate size and impro...
Nov 22, 2024•57 min•Ep. 126
In this insightful episode of the Dr. Geo Podcast, Dr. Geo Espinosa dives deep into chronic pelvic pain syndrome (CPPS), discussing its causes, diagnosis, and innovative therapies. Joining him is the renowned Dr. Jeanette Potts, a urologist and expert in CPPS, who brings her wealth of experience from her time at the Cleveland Clinic and beyond. Key Takeaways: Understanding CPPS: Learn why prostatitis might be an overused or even misdiagnosed term, and how CPPS encompasses a broader spectrum of s...
Nov 16, 2024•1 hr•Ep. 125
In this highly requested episode, Dr. Geo sits down with Dr. Vikram Rajpurohit, a clinical professor at NYU Langone and an expert in Prostate Artery Embolization (PAE), to dive into the specifics of PAE as a treatment for Benign Prostatic Hyperplasia (BPH). Dr. Rajpurohit explains what PAE is, how it works, and who the ideal candidates are. The discussion covers the procedure’s effectiveness in shrinking the prostate and improving urinary symptoms, along with details on expected outcomes, durati...
Nov 08, 2024•47 min•Ep. 124
In this episode of the Dr. Geo Podcast, Dr. Geo Espinosa interviews Dr. Matthew Cooperberg, a leading expert in prostate cancer from UCSF. They discuss the intricacies of diagnosing prostate cancer, the criteria for active surveillance, and how to choose the right treatment path. Dr. Cooperberg explains the evolving role of genetic testing, MRI, and other diagnostic tools that aid in personalized prostate cancer care. Together, they delve into why the best treatment decisions are made based on i...
Oct 24, 2024•54 min•Ep. 123
In this insightful episode, Dr. Geo welcomes Dr. James Eastham, a renowned urologist from Memorial Sloan Kettering Cancer Center. They discuss the ideal candidates for prostate removal (prostatectomy), the latest surgical approaches, and Dr. Eastham’s experiences and philosophy as a surgeon. Dr. Eastham shares valuable insights on robotic vs. open surgery, the evolving landscape of prostate cancer treatments, and how he balances professional success with personal wellness. Listeners also get a g...
Oct 21, 2024•1 hr 7 min•Ep. 122
In this episode, Dr. Geo sits down with Dr. Todd Morgan, a leading urological surgeon from Michigan Medicine, to explore cutting-edge tools like biomarkers, MRI, and genomic testing in diagnosing prostate cancer. They dive into the benefits of active surveillance, the importance of the MUSIC trial, and how advanced diagnostics shape treatment decisions. Key Points: Importance of biomarkers and MRI in reducing unnecessary biopsies. Active surveillance for low-risk prostate cancer and the impact o...
Oct 12, 2024•53 min•Ep. 121
In this engaging episode, Dr. Geo sits down with Dr. Behfar Ehdaie, a renowned urologic surgeon from Memorial Sloan Kettering Cancer Center, for an insightful discussion on prostate cancer treatment. The focus is on High-Intensity Focused Ultrasound (HIFU) as a focal therapy for prostate cancer, including patient selection criteria and the future of minimally invasive treatments. Key points covered include: Prostate Cancer : Understanding active surveillance for Gleason 6 and Gleason 7 prostate ...
Sep 27, 2024•1 hr 12 min•Ep. 120
Dr. Geo sits down with Dr. Ara Karamanian, MD, a board-certified interventional and diagnostic radiologist with expertise in prostate cancer treatment. Dr. Karamanian, who holds a biomedical engineering degree from Duke University, specializes in Focal Laser Ablation (FLA), a cutting-edge, minimally invasive therapy that uses real-time MRI guidance to precisely target and treat prostate cancer. Together, they discuss the benefits of FLA, how it compares to other focal therapies, and who makes an...
Sep 20, 2024•1 hr 17 min•Ep. 119
In this episode of the Dr. Geo Podcast, Dr. Geo sits down with Dr. Xiaosong Meng from UT Southwestern Medical Center to discuss TULSA (Transurethral Ultrasound Ablation), an advanced focal treatment for prostate cancer. They explore how TULSA works, its benefits, and how it compares to other focal therapies like HIFU, cryoablation, and IRE. The episode also highlights key factors such as MRI guidance, potential side effects, and the suitability of TULSA for patients with both BPH and prostate ca...
Sep 13, 2024•49 min•Ep. 118
In this episode, Dr. Geo sits down with Dr. Arvin George, a renowned urologic surgeon from Johns Hopkins specializing in prostate cancer, to delve into the world of focal therapy. They discuss what focal therapy is, its side effects, and various energy types used in treating prostate cancer. Dr. George explains the advancements in imaging, the importance of patient empowerment, and compares different therapeutic modalities like HIFU, cryoablation, TULSA, and more. This comprehensive conversation...
Sep 03, 2024•57 min•Ep. 117
Join Dr. Geo as he sits down with Dr. Valary Raup, a top urologist specializing in male sexual health, to uncover the pros and cons of erectile dysfunction treatments, particularly after prostate cancer. In this episode, they discuss everything from penile implants and urinary incontinence solutions to the importance of patient-centered care. Dr. Raup shares her expert insights on the latest advancements and what men need to know to make informed decisions about their sexual health. Whether you'...
Aug 31, 2024•44 min•Ep. 116
In this rebroadcast episode, Dr. Geo Espinosa hosts a discussion with Dr. Robert Valenzuela, a leading expert in penile implants and reconstructive urology, about the journey to restoring sexual function after prostate cancer treatment. They delve into penile rehabilitation, exploring both non-invasive treatments like medications and devices, as well as more advanced solutions such as penile implants. Dr. Valenzuela provides valuable insights into the entire process, from pre-surgery preparation...
Aug 24, 2024•1 hr•Ep. 115
In this compelling episode of The Dr. Geo Podcast, Dr. Geo Espinosa sits down with Dr. Justin Dubin, a renowned urologist specializing in penile implants and men's health, to explore the challenges men face in their sexual health after a prostate diagnosis. Dr. Dubin shares a detailed overview of penile implants, discussing the various types, the surgical procedures involved, and who might be the right candidate for this life-changing solution. They dive into some of the most common questions, s...
Aug 17, 2024•57 min•Ep. 114
In this episode , Dr. Geo is joined by two distinguished urologists, Dr. Raphael Carrion and Dr. Raul Fernandez Crespo, from the University of South Florida. Together, they provide a comprehensive overview of medical approaches to treating erectile dysfunction (ED). The discussion covers the effectiveness of PDE5 inhibitors like Cialis and Viagra, as well as the intricacies of penile implant surgeries, exploring both malleable and inflatable options. Dr. Carrion and Dr. Fernandez-Crespo share th...
Aug 11, 2024•1 hr 8 min•Ep. 113
In this episode of The Dr. Geo Podcast, Dr. Geo Espinosa sits down with Dr. Johan Skog, the Chief Scientific Officer and founding scientist of Exosome Diagnostics, to delve into the groundbreaking Exosome DX test. This innovative urine test is designed to determine whether a patient needs a prostate biopsy, providing a non-invasive approach to diagnosing prostate cancer. Dr. Skog explains the fascinating science of exosomes and their crucial role in this diagnostic process. The conversation cove...
Jul 29, 2024•1 hr 2 min•Ep. 112
Join Dr. Geo as he interviews Dr. David Albala, Chief of Urology at Crouse Hospital and a renowned expert in laparoscopic and robotic urological surgery. They explore the advancements in prostate cancer diagnosis, emphasizing the shift from routine biopsies based on high PSA levels to more sophisticated methods like urine tests and biomarkers such as free PSA, ExoDx, and 4Kscore. Dr. Albala shares his experiences and insights on the benefits and limitations of these tests, reflecting on how tele...
Jul 21, 2024•1 hr 9 min•Ep. 111
In this episode Dr. Geo speaks with Dr. Elai Davicioni, a pioneering figure in the field of genomics related to prostate cancer. The discussion delves into the development and utility of the Decipher test, a cutting-edge genomic test that helps assess the metastatic potential of prostate tumors. Dr. Elai Davicioni elaborates on the rigorous processes involved in creating and validating the test, tracing its origins from pediatric oncology to its broader applications in adult cancers. They also e...
Jul 14, 2024•57 min•Ep. 110
Join Dr. Geo's interview with Dr. Ashley Ross, an esteemed associate professor in urology and clinical director at Northwestern Feinberg School of Medicine, they delve into personalized prostate cancer care. This discussion covers prostate biopsies, understanding clinical staging, and the critical role of prostate genomic tests in active surveillance. Discover modern tools like genomic tests, MRI, and PSA density, and how they inform treatment and surveillance decisions. The conversation also hi...
Jul 05, 2024•1 hr 12 min•Ep. 109
In this episode, Dr. Geo interviews Dr. Helen Bernie from Indiana University about Testosterone Replacement Therapy (TRT) post-prostate cancer diagnosis and treatment. They discuss the suitability of TRT for different stages of prostate cancer patients, debunk the long-standing myth that testosterone fuels prostate cancer, and highlight the importance of a shared decision-making process for improving patient quality of life. Dr. Bernie emphasizes the significant benefits of TRT for men's overall...
Jun 30, 2024•50 min•Ep. 108
In this episode, Dr. Geo engages in a detailed discussion with Dr. Eric Klein, a leading expert in prostate cancer. They delve into the genetics behind prostate cancer, exploring genetic predispositions and the mechanics behind genetic mutations. The conversation highlights the emerging role of liquid biopsies in detecting and monitoring prostate cancer, with Dr. Klein explaining the potential of next-generation sequencing in identifying DNA mutations and cancer signals in the bloodstream. They ...
Jun 21, 2024•1 hr 1 min•Ep. 107
In this special Father's Day episode, Dr. Geo reflects on his experiences and challenges in fathering, emphasizing the importance of continuous learning and communication with children. This episode also features an in-depth conversation with Scott Donnell, an entrepreneur focused on teaching kids financial literacy and building strong family legacies. Scott shares strategies to instill values, responsibility, and financial skills in children through practical approaches like the Home Economy Sy...
Jun 14, 2024•1 hr 13 min•Ep. 106
In this episode, Dr. Geo Espinosa engages in an in-depth conversation with Dr. Daniel Margolis, a professor of radiology and director of prostate MRI at Weill Cornell Medicine. They discuss the significance of MRI in prostate cancer screening, the importance of using advanced MRI technology, and the role of expert radiologists in accurate diagnosis. Key topics include the mechanics and benefits of different MRI technologies, the application of contrast agents, and the development of AI in radiol...
Jun 11, 2024•1 hr 23 min•Ep. 105
Join Dr. Geo as he sits down with legendary bodybuilder Lee Labrada to discuss the history and evolution of bodybuilding, how to maintain a healthy lifestyle, and the keys to aging successfully. Labrada shares insights about his career, including winning the IFBB Mr. Universe title, competing at Mr. Olympia, and his experiences raising his son Hunter, a top professional bodybuilder. The conversation delves into nutrition, training routines, and the significance of a disciplined and optimistic mi...
Jun 03, 2024•49 min•Ep. 104
In this episode of the Dr. Gio podcast, host Dr. Gio interviews Dr. Neal Shore, a leading specialist in advanced prostate cancer and Medical Director of the Carolina Urologic Research Center. They discuss the evolution of prostate cancer treatments over the past 20-30 years, highlighting therapies such as androgen deprivation therapy, immunotherapy, and radioligand therapy. Dr. Shore defines advanced prostate cancer and emphasizes the importance of a holistic approach, considering both patient p...
May 24, 2024•58 min•Ep. 103
In this episode of the Dr. Geo Podcast, host Dr. Geo engages in a comprehensive conversation with Dr. Mark Stengler, a renowned naturopathic doctor with over 20 years of experience and author of "A Holistic Guide to Gut Health." The discussion delves into leaky gut syndrome and its broad implications on overall health, including connections to prostate health, testosterone levels, and mental well-being. Dr. Stengler explores the root causes of leaky gut and small intestine bacterial overgrowth (...
May 16, 2024•57 min•Ep. 102
This episode of the Dr. Geo podcast features a conversation with Dr. Daniel Spratt, a renowned radiation oncologist, about the integration of artificial intelligence (AI) into prostate cancer treatment, specifically through the application of Arterial AI. Dr. Spratt, affiliated with University Hospitals Seidman Cancer Center and Case Western Reserve University, discusses the role of Arterial AI in assisting oncologists and physicians in determining the necessity of androgen deprivation therapy f...
May 03, 2024•47 min•Ep. 101
The Dr. Geo Podcast celebrates the 100th episode with special guest Dr. Thomas Seyfried, a noted biology professor from Boston College who specializes in cancer research. They delve into the significance of metabolic therapy in cancer treatment, particularly exploring the role of ketogenic diets, water fasting, and the critical maintenance of low glucose ketone index levels in managing diseases like prostate cancer. Dr. Seyfried revisits Otto Warburg's theories on the metabolic nature of cancer,...
Apr 26, 2024•1 hr 22 min•Ep. 100
Join Dr. Geo as he catches up with his former professor, Dr. Greg Kelly, a renowned naturopathic physician and Senior Director of Product Development at NeuroHacker Collective. Together, they dive into the fascinating world of Nicotinamide Adenine Dinucleotide (NAD), unraveling its importance in our body's energy and cellular health. From discussing ATP production to understanding nicotinamide riboside (NR) as a NAD precursor, they simplify complex concepts for easy understanding. Explore the be...
Mar 12, 2024•58 min•Ep. 99
In this enlightening conversation, Dr. geo interviews Dr. Miles Spar, a renowned clinical practice leader focusing on chronic diseases and integrative medicine. Dr. Spar brings his knowledge to the table, highlighting the critical yet underappreciated role of endothelial cells and the endothelial glycocalyx in maintaining arterial health. Discover the vital connections between our daily lifestyle choices and the health of our arterial lining, and learn how these factors contribute to the prevent...
Feb 29, 2024•49 min•Ep. 98
Dive into the heart of health with Dr. Geo and esteemed cardiologist Dr. Joel Kahn in a compelling episode about combating heart disease. Discover the critical role of Lipoprotein(a) and how diet—especially plant-based choices—and specific animal proteins impact cardiovascular health. The doctors debunk myths about vegan diets, highlight essential supplements, and explore advanced diagnostics like biomarkers and heart CT scans. This episode is a must-listen for anyone eager to learn about preven...
Feb 05, 2024•1 hr 17 min•Ep. 96
