Open Access

EDITORIAL

Leonard G. Gomella
Canadian Journal of Urology, Vol.30, No.2, pp. 11457-11458, 2023
Abstract This article has no abstract. More >

View

21

Download

24

Open Access

LEGENDS IN UROLOGY

Roger S. Kirby
Canadian Journal of Urology, Vol.30, No.2, pp. 11459-11461, 2023
Abstract This article has no abstract. More >

View

22

Download

34

Open Access

BOOK REVIEW

Amilal Bhat
Canadian Journal of Urology, Vol.30, No.2, pp. 11462-11462, 2023
Abstract This article has no abstract. More >

View

21

Download

30

Open Access

LETTER

Arosh S. Perera Molligoda Arachchige^1,2
Canadian Journal of Urology, Vol.30, No.2, pp. 11463-11464, 2023
Abstract This article has no abstract. More >

View

21

Download

26

Open Access

LETTER

Steven P. Rowe^1,2,3, Andrew F. Voter¹, Rudolf A. Werner^1,4, Katherine A. Zukotynski^5,6,7, Martin G. Pomper^1,2,3, Michael A. Gorin⁸, Lilja B. Solnes^1,3
Canadian Journal of Urology, Vol.30, No.2, pp. 11465-11466, 2023
Abstract This article has no abstract. More >

View

23

Download

23

Open Access

ARTICLE

Leslie M. Peard¹, Seth Teplitsky¹, Arati Annabathula², William Gunnar³, Peter Mills⁴, Andrew Harris^1,2
Canadian Journal of Urology, Vol.30, No.2, pp. 11467-11472, 2023
Abstract Introduction: Adverse events in urologic procedures are poorly studied. This study analyzes the Veterans Health Administration (VHA) Root Cause Analysis (RCA) data for patient safety adverse events during urologic procedures performed in a VHA operating room (OR).
Materials and methods: The VHA National Center for Patient Safety RCA database was queried for fiscal years 2015-2019 using urologic terms including vasectomy, prostatectomy, nephrectomy, cystectomy, cystoscopy, lithotripsy, ureteroscopy, urethral, TURBT, etc. RCAs for events outside a VHA OR were excluded. Cases were categorized based on type of event.
Results: Sixty-eight RCAs were identified for 319,713 urologic procedures. The most common… More >

View

20

Download

28

Open Access

ARTICLE

Tawfik Elsherbini^1,*, David Bouhadana^2,*, Iman Sadri³, David-Dan Nguyen⁴, Kyle W. Law⁵, Adel Arezki³, Claudia Deyirmendjian¹, Ahmed Ibrahim⁵, Naeem Bhojani⁵, Dean S. Elterman⁶, Bilal Chughtai⁷, Franck Bruyère⁸, Luca Cindolo⁹, Giovanni Ferrari⁹, Carlos Vasquez-Lastra¹⁰, Tiago Borelli-Bovo¹¹, Edgardo F. Becher¹², Hannes Cash¹³, Maximillian Reimann¹⁴, Enrique Rijo¹⁵, Vincent Misrai¹⁶, Kevin C. Zorn⁵
Canadian Journal of Urology, Vol.30, No.2, pp. 11473-11479, 2023
Abstract Introduction: In this study, we sought to investigate the impact of 5-alpha reductase inhibitors (5-ARI) on the perioperative and functional outcomes of 180-Watt XPS GreenLight photovaporization of the prostate (PVP) using a large international database.
Materials and methods: Data were obtained from the Global GreenLight Group (GGG) database, which includes eight high-volume, experienced surgeons from seven international centers. All men with established benign prostatic hyperplasia (BPH) with known 5-ARI status who underwent GreenLight PVP using the XPS-180W system between 2011 and 2019 were eligible for the study. Patients were assigned to two groups based on the preoperative… More >

View

23

Download

25

Open Access

ARTICLE

Cameron J. Britton¹, Aaron M. Potretzke¹, Christine Liaw¹, Mohamed E. Ahmed¹, Madeleine G. Manka¹, Kevin M. Wymer¹, Manaf Alom¹, Brian J. Linder¹, Kevin Koo¹, Dane E. Klett^1,2
Canadian Journal of Urology, Vol.30, No.2, pp. 11480-11486, 2023
Abstract Introduction: We aimed to assess the impact of discharge instruction (DCI) readability on 30-day postoperative contact with the healthcare system.
Materials and methods: Utilizing a multidisciplinary team, DCI were modified for patients undergoing cystoscopy, retrograde pyelogram, ureteroscopy, laser lithotripsy, and stent placement (CRULLS) from a 13th grade to a 7th grade reading level. We retrospectively reviewed 100 patients including 50 consecutive patients with original DCI (oDCI) and 50 consecutive patients with improved readability DCI (irDCI). Clinical and demographic data collected including healthcare system contact (communications [phone or electronic message], emergency department [ED], and unplanned clinic visits) within… More >

View

21

Download

27

Open Access

ARTICLE

Devon M. Langston¹, Daniel Evans², Stanley Moore³, Jolie Shen³, Ziho Lee⁴, Jonathan Wingate⁴, Alexander J. Skokan⁴, Aron Liaw⁵, Judith C. Hagedorn³, Benjamin N. Breyer⁵, Nima Baradaran²
Canadian Journal of Urology, Vol.30, No.2, pp. 11487-11494, 2023
Abstract Introduction: Fournier’s gangrene (FG), is a progressive, necrotizing soft tissue infection of the external genitalia, perineum, and/or anorectal region. How treatment and recovery from FG impacts quality of life related to sexual and general health is poorly characterized. Our purpose is to evaluate the long term impact of FG on overall and sexual quality of life using standardized questionnaires through a multi-institutional observational study.
Materials and methods: Multi-institutional retrospective data were collected by standardized questionnaires on patient-reported outcome measures including the Changes in Sexual Functioning Questionnaire (CSFQ) and the Veterans RAND 36 (VR-36) survey of general health-related… More >

View

19

Download

29

Open Access

ARTICLE

Rogelio Valdez^1,2, Johnathan Drevik³, Megan Prunty^1,2, Ilaha Isali^1,2, Mohit Sindhani⁴, Lee Ponsky^1,2, Alberto Castro Bigalli⁵, David Chen⁵, Kirtishri Mishra^1,2, Alexander Kutikov⁵, Adam Calaway^1,2, Laura Bukavina^1,5
Canadian Journal of Urology, Vol.30, No.2, pp. 11495-11501, 2023
Abstract Introduction: To evaluate the utility, outcomes, and cost of arterial line placement in a single institution cohort of patients undergoing robotic-assisted laparoscopic prostatectomy (RALP).
Materials and methods: A retrospective chart review was performed at a large tertiary care center from July 2018 through January 2021. Hospital costs and cost-effective analysis was performed on patients with and without arterial line placement. Means with standard deviations were used to report continuous variables, while numbers and percentages were utilized to describe categorical variables. T-tests and Chi-square tests compared categorical and continuous variables across study cohorts, respectively. Multivariable analyses were used… More >

View

24

Download

27

Open Access

RESIDENT’S CORNER

Halle E. Foss¹, Briana D. Krewson², Rishabh K. Simhal¹, Kerith R. Wang¹, Mihir S. Shah¹
Canadian Journal of Urology, Vol.30, No.2, pp. 11502-11504, 2023
Abstract We report a rare case of a 56-year-old male with a history of hypertension who initially presented to the emergency department with abdominal pain and was radiologically diagnosed with left xanthogranulomatous pyelonephritis (XGP) in a non-functioning kidney with a staghorn calculus. Pathological evaluation of his kidney revealed squamous cell carcinoma (SCC) of the renal pelvis with invasion into the renal parenchyma. We highlight the presentation, diagnosis, and management of this rare condition. More >

View

20

Download

28

Open Access

RESIDENT’S CORNER

Crystal Lihong Yan¹, Ryan A. Gallo², Madhavi Pandiri³, Stephen J. Gallo⁴
Canadian Journal of Urology, Vol.30, No.2, pp. 11505-11508, 2023
Abstract Condyloma acuminatum with synchronous squamous cell carcinoma in situ (CIS) rarely occurs in the bladder. In developed countries, bladder squamous cell carcinoma (SCC) is uncommon. Among the various noninvasive squamous bladder lesions, there is significant morphological overlap, which further complicates accurate diagnosis. Immunosuppression and human papilloma virus increase the risk of bladder condyloma acuminatum, which has a strong association with bladder SCC. Herein, we describe a case of a 79-year-old man with a history of end-stage renal disease with kidney transplantation and anal SCC who presented with bladder squamous cell CIS arising in the background More >

View

22

Download

29

Open Access

HOW I DO IT

Matt S. Ashley¹, Jason Phillips², Gregg Eure³
Canadian Journal of Urology, Vol.30, No.2, pp. 11509-11515, 2023
Abstract Millions of men in North America suffering from lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) are managed on medical therapy. Most patients, however, report poor adherence, and yet relatively few pursue more definitive surgical solutions. The Prostatic Urethral Lift (PUL) was designed to address many of the patient-identified barriers to surgery, namely iatrogenic sexual dysfunction, incontinence, lengthy recovery and postoperative catheterization. Randomized studies and large real world multicenter and database studies have demonstrated safety and effectiveness of PUL when addressing lateral lobe disease. In recent years further technique and device development… More >

View

19

Download

31

Open Access

HOW I DO IT

Matthew J. Rabinowitz, James L. Liu, Jason A. Levy, William DuComb, Arthur L. Burnett
Canadian Journal of Urology, Vol.30, No.2, pp. 11516-11519, 2023
Abstract The artificial urinary sphincter (AUS) is the “gold standard” surgical treatment for severe stress urinary incontinence. However, a subset of patients with frail urethras may require technical adjuncts to ensure optimal cuff function. Our objective is to provide a detailed tutorial of our institution’s method for performing urethral bulking with native tissue in patients with frail urethras during AUS surgery. We have found that urethral bulking with native tissue provides a cost-efficient and durable technique for improved AUS cuff coaptation. Our experience demonstrates adequate short and intermediate term efficacy with limited complications. These techniques equip More >

View

19

Download

27