Home / Journals / CJU / Vol.24, No.4, 2017
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  • Open AccessOpen Access

    EDITORIAL

    Prostate Cancer: Has Patience Paid Off?

    Thomas W. Jarrett
    Canadian Journal of Urology, Vol.24, No.4, pp. 8871-8871, 2017
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    Roland F. P. van Velthoven
    Canadian Journal of Urology, Vol.24, No.4, pp. 8872-8874, 2017
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    BOOK REVIEW

    Hinman’s Atlas of Urologic Surgery, 4th Edition

    Joseph A. Smith, Jr., Stuart S. Howards, Glenn M. Preminger, Roger R. Dmochowski
    Canadian Journal of Urology, Vol.24, No.4, pp. 8875-8875, 2017
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    REVIEW

    MRI-targeted biopsy: is systematic biopsy obsolete?

    Dordaneh Sugano1, Abhinav Sidana1,2, Brian Calio1, Kaitlan Cobb1, Baris Turkbey3, Peter A. Pinto1
    Canadian Journal of Urology, Vol.24, No.4, pp. 8876-8882, 2017
    Abstract Introduction: Although prostate cancer is the most common non-cutaneous cancer in men, it is traditionally diagnosed with a non-targeted, systematic transrectal ultrasound prostate biopsy (TRUS-Bx). This technique has been demonstrated to both under-detect clinically significant (CS) cancer and over-detect clinically insignificant cancer, and performs poorly in patients with a prior negative biopsy. With recent advances in MRI technology, most prominently the advent of multiparametric MRI, MRI-targeted prostate biopsy (MRI-TB) has been gaining favor as a more accurate alternative to TRUS-Bx. In this review, we attempt to summarize the current literature on MRI-TB and to determine if… More >

  • Open AccessOpen Access

    ARTICLE

    Procedural povidone iodine rectal preparation reduces bacteriuria and bacteremia following prostate needle biopsy

    Jordan L. Allen1, Kathleen Lehman1, Kalyan Dewan2, Girish Kirimanjeswara2, Jay D. Raman1
    Canadian Journal of Urology, Vol.24, No.4, pp. 8883-8889, 2017
    Abstract Introduction: To determine if a povidone iodine rectal preparation (PIRP) reduces rates of bacteriuria and bacteremia following transrectal ultrasound guided prostate needle biopsy (TRUS PNB).
    Materials and methods: Men undergoing TRUS PNB were prospectively enrolled in a study comparing the impact of PIRP versus standard of care (two pills of ciprofloxacin 500 mg). Urine, blood, and rectal cultures were obtained 30 minutes post-procedure with colony forming units (CFUs) determined after 48 hours. Patients were called 7 and 30 days post-procedure to evaluate for infections.
    Results: A total of 150 men were accrued into this study including 95 receiving… More >

  • Open AccessOpen Access

    ARTICLE

    Clinical use of patient decision-making aids for stone patients

    Amy H. Lim1, Necole M. Streeper2, Sara L. Best1, Kristina L. Penniston1, Stephen Y. Nakada1
    Canadian Journal of Urology, Vol.24, No.4, pp. 8890-8894, 2017
    Abstract Introduction: Patient decision-making aids (PDMAs) help patients make informed healthcare decisions and improve patient satisfaction. The utility of PDMAs for patients considering treatments for urolithiasis has not yet been published. We report our experience using PDMAs developed at our institution in the outpatient clinical setting in patients considering a variety of treatment options for stones.
    Materials and methods: Patients with radiographically confirmed urolithiasis were given PDMAs regarding treatment options for their stone(s) based on their clinical profile. We assessed patients' satisfaction, involvedness, and feeling of making a more informed decision with utilization of the PDMAs using a… More >

  • Open AccessOpen Access

    ARTICLE

    Preoperative immunonutrition prior to radical cystectomy: a pilot study

    Timothy D. Lyon1, Robert M. Turner II1, Dawn McBride1, Li Wang2, Jeffrey R. Gingrich1, Ronald L. Hrebinko1, Bruce L. Jacobs1, Benjamin J. Davies1, Tatum V. Tarin1
    Canadian Journal of Urology, Vol.24, No.4, pp. 8895-8901, 2017
    Abstract Introduction: To investigate the use of a high-arginine immunonutrient supplement prior to radical cystectomy for bladder cancer.
    Materials and methods: We recruited 40 patients to consume a total of four high-arginine immunonutrient shakes per day for 5 days prior to radical cystectomy. The primary outcome measures were safety, tolerability and adherence to the supplementation regimen. Ninety-day postoperative outcomes were also compared between supplemented patients and a cohort of 104 prospectively identified non-supplemented radical cystectomy patients. Multivariable logistic regression models were used to compare overall complications, infectious complications, and readmission rates between groups.
    Results: There were no serious adverse… More >

  • Open AccessOpen Access

    COMMENTARY

    Value of nutrition supplementation prior to cystectomy

    Yuval Freifeld, Yair Lotan
    Canadian Journal of Urology, Vol.24, No.4, pp. 8902-8902, 2017
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    ARTICLE

    Preoperative symptoms predict continence after post-radiation transurethral resection of prostate

    Allison Polland1, Emily A. Vertosick2, Daniel D. Sjoberg2, Gillian L. Stearns3, Laura S. Leddy4, Marisa A. Kollmeier5, Jaspreet S. Sandhu4
    Canadian Journal of Urology, Vol.24, No.4, pp. 8903-8909, 2017
    Abstract Introduction: Lower urinary tract symptoms and retention are known complications of radiation for prostate cancer and traditionally transurethral resection of the prostate (TURP) has been avoided in these patients because of the risk of incontinence. The purpose of this study was to evaluate the incidence and predictors of post-TURP incontinence in previously radiated patients.
    Materials and methods: One-hundred and eleven patients who underwent brachytherapy or external beam radiotherapy for prostate cancer with subsequent TURP performed between 1992 and 2012 at a single institution were identified. We tested for associations between post-TURP continence status and pre-TURP predictors including… More >

  • Open AccessOpen Access

    ARTICLE

    Adecision aid versus shared decision making for prostate cancer screening: results of a randomized, controlled trial

    Andrew W. Stamm1, John S. Banerji1, Erika M. Wolff1, April Slee2, Sydney Akapame2, Kathryn Dahl1, John D. Massman III1, Michael C. Soung3, Kim R. Pittenger3, John M. Corman1
    Canadian Journal of Urology, Vol.24, No.4, pp. 8910-8917, 2017
    Abstract Introduction: Shared decision making (SDM) is widely encouraged by both the American Urological Association and Choosing Wisely for prostate cancer screening. Implementation of SDM is challenging secondary to time constraints and competing patient priorities. One strategy to mitigate the difficulties in implementing SDM is to utilize a decision aid (DA). Here we evaluate whether a DA improves a patient's prostate cancer knowledge and affects prostate-specific antigen (PSA) screening rates.
    Materials and methods: Patients were randomized to usual care (UC), DA, or DA + SDM. Perception of quality of care was measured using the Consumer Assessment of Healthcare… More >

  • Open AccessOpen Access

    ARTICLE

    Surgical technique for removal of tined lead for InterStim

    Zhamshid Okhunov1, Bilal Farhan1, Ahmed Ahmed1,2, Christopher Pulford1, Gamal Ghoniem1
    Canadian Journal of Urology, Vol.24, No.4, pp. 8918-8920, 2017
    Abstract Introduction: We aimed to introduce our technique describing the removal of a chronic implanted tined-lead in patients with a sacral neuromodulator implant.
    Materials and methods: We performed a retrospective review of patients who had chronic sacral neuromodulator (InterStim) implanted by a single surgeon from 2001 through 2015. This simple surgical technique was developed and successfully performed to remove the leads. Primary reasons for removal were elective due to poor symptoms control and failure to maintain response or lead migration. Patient demographics, indication for implantation, as well as installation and removal complications were recorded and analyzed.
    Results: Twenty-five patients… More >

  • Open AccessOpen Access

    COMMENTARY

    Surgical technique for removal of InterStim leads

    Stanley Zaslau, Ali Hajiran
    Canadian Journal of Urology, Vol.24, No.4, pp. 8921-8921, 2017
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    ARTICLE

    180W-LBO GreenLight XPS laser vaporization for benign prostatic hyperplasia: our experience with current markers of surgical proficiency for durable and reproducible outcomes

    Joris Zhou1,*, Côme Tholomier1,*, Marc Zanaty1, Pierre-Alain Hueber1, Roger Valdivieso1, Pierre Karakewicz1, Daniel Liberman1, Vincent Misrai2, Kevin C. Zorn1
    Canadian Journal of Urology, Vol.24, No.4, pp. 8922-8931, 2017
    Abstract Introduction: This study aims at analyzing the impact of reaching current markers of proficiency on intra and postoperative clinical outcomes of laser vaporization with 180W GreenLight XPS in the treatment of benign prostatic hyperplasia.
    Materials and methods: A retrospective analysis was conducted on a prospectively collected database of 328 consecutive patients who underwent photoselective vaporization of the prostate (PVP) using Greenlight XPS performed by a single experienced laser surgeon. A logarithmic model was used to evaluate the case number to attain benchmark criteria for durable treatment. We compared clinical outcomes before and after current markers of proficiency,… More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    A case of emphysematous cystitis caused by Klebsiella pneumoniae

    José Ignacio Nolazco, Matías Ignacio González, Gabriel Favre, Guillermo Gueglio, Juan Carlos Tejerizo
    Canadian Journal of Urology, Vol.24, No.4, pp. 8932-8933, 2017
    Abstract Emphysematous cystitis is a rare type of urinary tract infection that is characterized by air pockets within the bladder wall and lumen, which come from gas that is mainly produced by gram-negative bacteria, notably Escherichia coli. This infection is more common in older women with poorly controlled diabetes. An abdominal computerized tomography (CT) scan is the gold standard method to make the diagnosis. The infection can be life-threatening, so prompt treatment is essential.
    We present a case of a 39-year-old woman with poorly controlled type 2 diabetes who developed emphysematous cystitis after a bilateral adrenalectomy. The More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Amyloidosis and acute hemorrhage of the kidney, ureter, and bladder

    Dany N. Hanna, Jason A. Levy, Jonah S. Marshall
    Canadian Journal of Urology, Vol.24, No.4, pp. 8934-8936, 2017
    Abstract Gross hematuria is a common occurrence in adults. The differential diagnosis is extensive, including: malignancy, trauma, infammation of the urinary tract, and stones. While, urinary tract amyloidosis represents only a small percentage of causative gross hematuria, it is concerning because of its superfcial resemblance to malignant processes. We report the case of an 82-year-old male with concurrent primary amyloidosis of the kidney, ureter and bladder in the setting of acute hemorrhage. Histopathological examination of several biopsied samples confrmed our diagnosis. A nephroureterectomy with bladder cuff was successfully performed without complication along with watchful waiting for More >

  • Open AccessOpen Access

    HOW I DO IT

    How I do it: Balloon tamponade of prostatic fossa following Aquablation

    Nikolai Aljuri1, Peter Gilling2, Claus Roehrborn3
    Canadian Journal of Urology, Vol.24, No.4, pp. 8937-8940, 2017
    Abstract Since its first report in the 1870s, control of bleeding after transurethral resection of the prostate (TURP) has remained a concern. Foley’s initial report of a urinary catheter involved placement of the balloon into the prostatic fossa following TURP. Removal of prostate tissue with a high-velocity saline stream (Aquablation) is a recently reported alternative to TURP. As Aquablation is heat-free, alternatives to non-thermal hemostasis were sought to optimize the procedure. We report use of a balloon catheter in the prostatic fossa after Aquablation as a post-resection hemostatic method. More >

  • Open AccessOpen Access

    PEDIATRIC UROLOGY

    Cryptorchidism: experience and reason

    Kyrollis Attalla, Eric Arnone, Pierre Williot, Saul P. Greenfield
    Canadian Journal of Urology, Vol.24, No.4, pp. 8941-8945, 2017
    Abstract Introduction: To characterize our contemporary clinical experience with cryptorchidism.
    Materials and methods: The records of boys referred for cryptorchidism were reviewed from 2001 to 2011. Data regarding the incidence of retractile testes, testicular ascent, surgical approach and outcomes were tabulated. Follow up was both early (< 12 weeks) and late (> 12 weeks).
    Results: A total of 1885 patients, or 2593 testes, were identified. Eight hundred and forty-one children (45%) or 1204 testes (46%) were retractile on initial exam--57% bilateral; 187 testes (7%) later "ascended" on re-examination and underwent surgery--15% bilateral; 1340 (85%) testes were palpable in the… More >

  • Open AccessOpen Access

    ABSTRACT

    Abstracts of the Mid-Atlantic Section of the American Urological Association Annual Meeting. September 14 - 17, 2017


    Canadian Journal of Urology, Vol.24, No.4, pp. 8946-8971, 2017
    Abstract This article has no abstract. More >

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