Pediatric Urology Academy is an evidence-based educational podcast hosted by Amin Afrasiabi, MD, Pediatric Urologist. Each episode explores pediatric urology through clinical cases, landmark studies, practical decision-making, surgical principles, and emerging research. Topics include posterior urethral valves, vesicoureteral reflux, hydronephrosis, UPJO, megaureter, neurogenic bladder, hypospadias, disorders of sexual development, pediatric stone disease, and reconstructive surgery. Designed for pediatric urologists, urologists, residents, fellows, and healthcare professionals worldwide.
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Contact path
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Booking probability
31%
Guest openness
Selective
80/100
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Pediatric Urology Academy is a health podcast hosted by Amin Afrasiabi, MD, Pediatric Urologist, with 46 episodes on record and a Required Pod Score of 80. PitchCentric scores this show on Booking Probability, Listen Score, and live audience signals refreshed every 24 hours.
About the host
Amin Afrasiabi, MD, Pediatric Urologist hosts Pediatric Urology Academy, a health show with 46 episodes published.
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Episode #14
Cosmetic versus Functional Success: Are We Measuring the Right Outcome?
Aug 13, 20264 minS4
A hypospadias repair may look successful in the postoperative photograph and still fail the patient later. This episode asks whether cosmetic success, anatomic success, urinary success, and patient success are the same outcome. We discuss HOSE, PPPS, urinary stream, meatal position, glans shape, uroflow, parent satisfaction, surgeon satisfaction, adolescent perception, body image, sexual confidence, and why short-term pediatric follow-up may miss the outcomes that matter most. This episode is part of Season 4 of Pediatric Urology Academy: Hypospadias — Anatomy, Judgment, and Reconstruction.
Redo Hypospadias: When the Tissue Has Already Lost Trust
Aug 13, 20264 minS4
Redo hypospadias is not primary hypospadias repeated. The anatomy may look familiar, but the biology has changed. Scar, altered vascularity, consumed dartos, stiff glans wings, recurrent curvature, strictures, diverticula, fistulas, and prior tissue choices all change the operation. This episode reframes redo hypospadias as a different reconstructive disease. We discuss a five-failure framework: flow failure, tissue failure, coverage failure, curvature failure, and expectation failure. The goal is not simply to close the visible defect. The goal is to understand why the previous repair failed before creating the next repair. This episode is part of Season 4 of Pediatric Urology Academy: Hypospadias — Anatomy, Judgment, and Reconstruction.
Preventing Fistula: Dartos, Tunica Vaginalis, Coverage Layers, and Pressure
Aug 12, 20264 minS4
Urethrocutaneous fistula after hypospadias repair is often described as an unpredictable complication. This episode argues the opposite. Fistula is usually the visible endpoint of pressure, ischemia, tension, distal obstruction, hematoma, catheter stress, or inadequate vascular coverage. We discuss dartos, tunica vaginalis, second-layer coverage, non-overlapping suture lines, glans pressure, dressing strategy, catheter-related stress, bladder spasms, distal narrowing, and why fistula prevention should be understood as engineering rather than luck. This episode is part of Season 4 of Pediatric Urology Academy: Hypospadias — Anatomy, Judgment, and Reconstruction.
Grafting in Hypospadias: Preputial Skin, Buccal Mucosa, and Tissue Trust
Aug 11, 20264 minS4
Grafting in hypospadias is often discussed as a choice between tissues: preputial skin, buccal mucosa, local skin, extragenital tissue, free graft, or vascularized flap. This episode argues that the real question is not which graft is available. The real question is whether the graft can be trusted in the recipient bed where it is placed. We discuss preputial skin, buccal mucosa, graft take, graft contraction, inlay grafts, staged grafting, graft beds, corporotomy fields, tubularization timing, and why graft choice should be documented as a response to a defined tissue problem. This episode is part of Season 4 of Pediatric Urology Academy: Hypospadias — Anatomy, Judgment, and Reconstruction.
TIP After Three Decades: Why the Most Familiar Operation Still Fails
Aug 10, 20264 minS4
The tubularized incised plate repair changed hypospadias surgery. It respected native tissue, avoided flaps in many distal repairs, produced a more vertical meatus, and became the most familiar operation in modern hypospadiology. But familiarity can be dangerous. This episode asks a more precise question: when does TIP stop being plate preservation and become a forced tube? We discuss urethral plate quality, glans configuration, distal calibration, proximal TIP, flow resistance, barrier layers, and why the operative note should document not only that TIP was performed, but why the plate deserved to be preserved. This episode is part of Season 4 of Pediatric Urology Academy: Hypospadias — Anatomy, Judgment, and Reconstruction.
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