Ep. 316 Bladder Cancer in the Community: Meeting Patients Where They Are with Dr. Adam J. Gadzinski

As bladder cancer treatment options expand, so do the challenges of delivering them in real-world practice. On this episode of BackTable Urology, community urologic oncologist Dr. Adam Gadzinski joins Dr. Ruchika Talwar to discuss how evolving therapies for non–muscle-invasive bladder cancer (NMIBC) are changing the landscape for both patients and providers. They explore the financial, logistical, and workflow hurdles to adopting new treatments in community settings, as well as the unique opportunities for expanding access through local clinical trials. \--- Get the BackTable app https://www.backtable.com/app \--- This podcast is supported by Urogen https://www.zusduri.com \--- Timestamps 00:00 - Introduction 02:51 - Delivering Bladder Cancer Care in the Community 09:08 - Navigating Treatment Choices 13:05 - Patient Expectations and Insurance Coverage 19:01 - Ablation Strategies for Low and Intermediate Risk 22:34 - Making Therapies Community Friendly 27:12 - Launching Community Trials 31:08 - Referrals and Community Practice Advice 36:36 - Cystectomy Counseling Pearls 44:46 - Closing Takeaways \--- More about this episode The conversation covers decision-making for bladder-preserving therapies, radical cystectomy, and trimodal approaches, along with strategies for guiding patients through these complex choices. Dr. Gadzinski shares insights on navigating insurance, launching community trials, and sustaining practice growth while maintaining high-quality care. The episode also offers practical advice on referrals, patient counseling, and finding the right practice environment for long-term success in bladder cancer care. \--- Resources Bladder Cancer Basics Handbooks https://bcan.org/bladder-cancer-basics-handbook/ Wellprept https://wellprept.com/foundation \--- BackTable Urology is the go-to podcast for urologists, urologic oncologists, and urogynecologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app