Jacob R. Stephens¹, Kenneth M. Peters^1,2

Canadian Journal of Urology, Vol.29, No.1, pp. 11032-11035, 2022

Abstract Vulvodynia is a debilitating disorder which can prove extremely difficult to treat. Neuromodulation is increasingly becoming a frontline therapy in various chronic pain syndromes. We present a relatively simple surgical technique utilizing targeted neuromodulation leading to the successful treatment of vulvodynia. More >

Blair Stocks¹, Hunter Fuentes¹, Zachary McDowell¹, Michael Brooks^1,2, Jeffrey A. Jones^1,2

Canadian Journal of Urology, Vol.28, No.2, pp. 10648-10651, 2021

Abstract Regional analgesia is an important adjunct for perioperative pain management in the setting of pediatric penile surgeries. Caudal epidural analgesia (CEA) is the most common analgesic technique performed, but it has limitations and associated morbidity. The pudendal nerve block (PNB) is an effective alternative to CEA with a lower risk profile; in prior examination of the approach, PNB has been demonstrated to have similar postoperative pain control outcomes. We describe our technique and highlight observations made as we have transitioned from CEA to PNB for many patients. More >

Thenappan Chandrasekar^1,*, Lydia Glick², Daniella Wong², Timothy M. Han², Joon Yau Leong², Misung Yi³, James R. Mark¹, Mark J. Mann¹, Edouard J. Trabulsi¹, Costas D. Lallas¹

Canadian Journal of Urology, Vol.27, No.3, pp. 10250-10256, 2020

Abstract Introduction: To evaluate the impact of an “opt-in” non-narcotic postoperative pain regimen on narcotic utilization and patient-reported pain scores.
Materials and methods: A prospective, non-blinded pre- and post-interventional trial was conducted, including a lead-in period for baseline evaluation. The intervention group received a new pain protocol prioritizing non-narcotic medications, an “opt-in” requirement for opiates, and standardized patient education. Study outcomes included opiate prescription and utilization (measured in Morphine Equivalent Doses) and reported pain scores on postoperative day (POD) 1, discharge, and follow-up.
Results: At discharge, 70% fewer patients were prescribed any opioids (ARR: -0.7; p < 0.001); the… More >

Rafi Mazor^1,*, Meital Mazor², Ali E. Dabiri^2,3, Bhavesh Patel², Ghassan S. Kassab²

Molecular & Cellular Biomechanics, Vol.17, No.2, pp. 93-99, 2020, DOI:10.32604/mcb.2019.08267

Abstract Cryotherapy, or more commonly known as cold therapy, is the use of low temperatures in medical treatment. The most prominent use of cryotherapy is for cryosurgery where application of very low temperatures is used to ablate diseased tissue (e.g., most commonly in dermatology). Recent research, however, shows that low temperature may modulate collagen fibers beyond the already known effects of extreme cooling on joint pain relieve and inflammation. The goal of this brief review is to outline the known effects of extreme cooling on molecular, fiber and cell physiology and to leverage these properties in… More >