Stamatios Katsimperis^1,*, Lazaros Tzelves¹, Georgios Feretzakis², Themistoklis Bellos¹, Panagiotis Deligiannis¹, Andreas Skolarikos¹, Athanasios Papatsoris¹, Iraklis Mitsogiannis¹

Canadian Journal of Urology, Vol.32, No.4, pp. 271-282, 2025, DOI:10.32604/cju.2025.066395 - 29 August 2025

Abstract Background: Accurate complication reporting in endourology remains challenging, with the Clavien-Dindo Classification and Comprehensive Complication Index being the most commonly used systems. This study aimed to compare surgical outcomes and complication reporting in ureterolithotripsy (URL), percutaneous nephrolithotomy (PCNL), and extracorporeal shock wave lithotripsy (ESWL) using both systems. Methods: This prospective, single-center, non-interventional study included 473 patients undergoing URL, PCNL, or ESWL from October 2022 to October 2024. Demographic, stone-related, and procedural variables were recorded. Complications were classified using the CDC, and cumulative morbidity was assessed using CCI. Statistical analyses, including univariate and multivariate regression, were… More >

Fabrizio Di Maida^1,*, Francesca Oriti¹, Antonio Andrea Grosso¹, Francesco Sessa², Daniele Paganelli¹, Vincenzo Salamone¹, Sara Costagli¹, Francesca Solazzi¹, Luca Lambertini¹, Matteo Salvi¹, Michele Di Dio³, Andrea Mari¹, Rino Oriti¹, Andrea Minervini¹

Canadian Journal of Urology, Vol.32, No.4, pp. 283-292, 2025, DOI:10.32604/cju.2025.065984 - 29 August 2025

Abstract Background: The surgical management of patients with benign prostatic hyperplasia (BPH) has considerably evolved through recent years. Nonetheless, benefits and harms of several laser procedures are still to be determined. The study aimed to report perioperative and early functional results of patients treated with anatomical photo vaporization of the prostate (aPVP). Methods: Data from consecutive patients treated with aPVP by using a 180-W XPS GreenLight laser were prospectively collected in a single tertiary center between 2020 and 2023. The surgical procedure was divided into a modular step-by-step fashion. Patients were asked to complete self-administered questionnaires… More >

Mai Ishiwata^1,2, Kohei Ishibashi^1,*, Yoshiaki Kato³, Heima Sakaguchi³, Toshihiro Nakamura¹, Satoshi Oka¹, Yuichiro Miyazaki¹, Akinori Wakamiya¹, Nobuhiko Ueda¹, Kenzaburo Nakajima¹, Tsukasa Kamakura¹, Mitsuru Wada¹, Yuko Inoue¹, Koji Miyamoto¹, Takeshi Aiba¹, Norihiko Takeda², Kengo Kusano¹

Congenital Heart Disease, Vol.20, No.3, pp. 273-286, 2025, DOI:10.32604/chd.2025.067716 - 11 July 2025

Abstract Background: Ventricular arrhythmia is a common cause of mortality in adult congenital heart disease (ACHD). The beneficial effects of implantable cardioverter-defibrillators (ICD) in patients with ACHD have been demonstrated; however, evidence on this topic remains insufficient. This study aimed to assess the long-term outcomes after ICD implantation in the ACHD population. Methods: We retrospectively reviewed 35 consecutive patients with ACHD who underwent ICD implantation between December 2012 and August 2022. ICD implantation was classified as primary or secondary prevention. The long-term outcomes, including all-cause mortality, appropriate and inappropriate ICD therapy, and complications related to ICD implantation, were… More > Graphic Abstract

Yushen Fang¹, Zechen Li¹, Jiahong Li¹, Kaiyu Wang¹, Gang Xu¹, Shusheng Wen^1,2, Jimei Chen^1,2, Jian Zhuang^1,2, Haiyun Yuan^1,2,*, Xiaobing Liu^1,2,*

Congenital Heart Disease, Vol.20, No.3, pp. 357-368, 2025, DOI:10.32604/chd.2025.066817 - 11 July 2025

Abstract Background: Totally thoracoscopic surgery (TTS) and right lateral thoracotomy (RLT) are both extensively utilized in the surgical repair for atrial septal defect (ASD). However, RLT is generally considered in low-weight pediatric patients as a result of restricted surgical exposure. This study aims to introduce an RLT approach for ASD repair in adults and compare its clinical outcomes with TTS. Methods: We conducted a retrospective analysis of the clinical data of 23 adult patients who underwent ASD repair at Guangdong Provincial People’s Hospital between June and October 2024. Patients were divided into two groups based on the… More >

Arjun Pon Avudaiappan^*, Pushan Prabhakar, Hannah Baker, Mukesh K. Roy, Manuel Ozambela Jr, Christopher Gomez, Murugesan Manoharan

Canadian Journal of Urology, Vol.32, No.3, pp. 137-143, 2025, DOI:10.32604/cju.2025.064725 - 27 June 2025

Abstract Introduction: Radical cystectomy with pelvic node dissection remains the standard of care for muscle-invasive bladder carcinoma (MIBC); however, there is a growing interest in bladder preservation alternatives among the elderly population. Guidelines indicate that partial cystectomy (PC) combined with pelvic node dissection (LND) can be considered as an alternative in carefully selected individuals. Using the National Cancer Database, we analyzed the overall survival (OS) between PC with and without LND among octogenarians. Methods: We identified octogenarians with localized muscle-invasive bladder carcinoma (cT2-3N0M0) and urothelial histology who underwent PC with or without LND between 2004 and… More >

Jonathan A. Seaman^*, Rita Palanjian, John Fitzgerald, Kyle McCormick, Joel Funk, Sunchin Kim

Canadian Journal of Urology, Vol.32, No.3, pp. 181-187, 2025, DOI:10.32604/cju.2025.064047 - 27 June 2025

Abstract Introduction: Distal ureteral obstruction has classically been managed by ureteroneocystostomy (UNC). The feasibility and success of robotic primary ureteroureterostomy (UU) for benign obstruction appears promising with several benefits over UNC but is poorly studied. Robotic repair offers superior visualization and precision, allowing for minimal ureteral dissection. Here we report on our experience and short-term outcomes. Materials and Methods: We identified patients who underwent robotic distal ureteroureterostomy for benign distal ureteral obstruction at our institution from 2020–2024. Etiology, stricture length, and post-operative outcomes were recorded. All patients had renal ultrasound (US), diuretic renography, or cross-sectional imaging within… More >

Qian Ma¹, Hao Zhou^2,*

Journal of Psychology in Africa, Vol.35, No.1, pp. 7-19, 2025, DOI:10.32604/jpa.2025.065775 - 30 April 2025

Abstract Employees’ innovative performance determines an organization’s innovation, which critically impacts its structural optimization and sustainability. Applying expectancy theory, we examined how and when the Pygmalion effect occurs in the relationship between leaders’ expectations of innovation and employee innovative behavior. Our sample comprised 201 frontline employees (female = 31.84%; mean age = 41.48 years, SD = 7.97 years) in a Chinese coal enterprise, who completed surveys on innovation expectations of leaders, expected positive performance outcomes, innovative self-efficacy and innovative behavior. The results revealed that employees’ expected positive performance outcomes mediated the positive relationship between leaders’ innovation More >

Mihály Murányi^1,*, András Domoszlai¹, Attila Csaba Nagy², Tibor Flaskó¹

Canadian Journal of Urology, Vol.32, No.2, pp. 119-127, 2025, DOI:10.32604/cju.2025.063821 - 30 April 2025

Abstract Introduction: We aimed to compare the oncological and functional outcomes of glansectomy and split-thickness skin graft reconstruction (GR) with those of glansectomy alone (GA) and penile amputation (PA). Materials and Methods: This retrospective study included patients with penile carcinoma or penile intraepithelial neoplasia diagnosed between 2017 and 2022. Surgical outcomes, complications, and oncological outcomes were assessed through a chart review, and functional outcomes were assessed using a questionnaire administered to patients who underwent GR (group A), GA (group B), or PA (group C). Results: Six, eight, and seven patients were enrolled in groups A, B, and… More >

Yash B. Shah¹, Courtney E. Capella^1,*, Rishabh K. Simhal², Maria J. D’Amico¹, Whitney Smith¹, Alana M. Murphy¹

Canadian Journal of Urology, Vol.32, No.1, pp. 63-70, 2025, DOI:10.32604/cju.2025.064711 - 20 March 2025

Abstract Introduction: With the aging population, more females will suffer from pelvic organ prolapse. Both urologists and gynecologists perform sacrocolpopexy, but there is no comparative study analyzing differences in provision of care, outcomes, or patient population. We aimed to elucidate potential differences in demographics, outcomes, and minimally invasive surgery utilization for SCP performed by urology and gynecology. Methods: In our retrospective analysis, sacrocolpopexies were identified using the American College of Surgeons National Surgical Quality Improvement Project database from 2006–2020. Pearson’s chi-square test was performed to test trends in the utilization of MIS in five-year blocks. Frailty… More >

Yash B. Shah¹, Brian H. Im¹, Aaron R. Hochberg¹, Elliott P. Freudenburg², James Jiang², Bruce M. Gao², Mihir S. Shah¹, Akhil K. Das^2,*

Canadian Journal of Urology, Vol.32, No.1, pp. 15-19, 2025, DOI:10.32604/cju.2025.064708 - 20 March 2025

Abstract Introduction: Holmium Laser Enucleation of the Prostate (HoLEP) is a size-independent, endoscopic management option for benign prostatic hyperplasia (BPH). HoLEP offers a distinct advantage for patients who are at high-risk for bleeding whilst preserving prostatic tissue for pathology analysis, unlike photoselective vaporization. Further, HoLEP avoids the need for cystotomy, unlike simple open and robotic prostatectomy, by using intravesical morcellation. We report our experience with the first 1000 HoLEP procedures at our institution. Materials and Methods: We performed a retrospective review of all HoLEP procedures performed at our institution from 2013–2021 to capture patient demographics, procedure details,… More >