Open Access

EDITORIAL

Leonard G. Gomella
Canadian Journal of Urology, Vol.24, No.5, pp. 8972-8972, 2017
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LEGENDS IN UROLOGY

Howard R. Soule
Canadian Journal of Urology, Vol.24, No.5, pp. 8973-8975, 2017
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ARTICLE

Joseph Haddad¹, Christopher Anderson², Jonathan Heinlen¹, Kelly Stratton¹, Adamantios Mellis¹, Harry Herr³, Michael Cookson¹, Sanjay Patel¹
Canadian Journal of Urology, Vol.24, No.5, pp. 8976-8981, 2017
Abstract Introduction: To assess the quality of resident dictations for transurethral resection of bladder tumor (TURBT). One indicator of surgical quality is the completeness of the operative report. Surprisingly, there is a paucity of standardized operative templates for TURBT and little formalized instruction for learners. The quality of TURBT dictations was assessed and areas of improvement were determined after implementation of a 10 item TURBT checklist.
Materials and methods: A retrospective review of the last 50 TURBT operative reports dictated by residents was performed. A "TURBT checklist" was used assessing 10 key factors in documentation. A formal training… More >

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ARTICLE

Robert Qi^1,3, Wen-chi Foo², Michael N. Ferrandino¹, Leah G. Davis¹, Sitharthan Sekar³, Thomas A. Longo¹, Ghalib Jibara¹, Tracy Han³, Ilhan Gokhan⁴, Judd W. Moul¹
Canadian Journal of Urology, Vol.24, No.5, pp. 8982-8989, 2017
Abstract Introduction: Contemporary clinical guidelines utilize the highest Gleason sum (HGS) in any one core on prostate biopsy to determine prostate cancer treatment. Here, we present a large discrepancy between prostate cancer risk stratified as high risk on biopsy and their pathology after radical prostatectomy.
Materials and methods: We retrospectively reviewed 1424 men who underwent either open or robotic-assisted prostatectomy between 2004 and 2015. We analyzed 148 men who were diagnosed with HGS 8 on prostate biopsy. Biopsy and prostatectomy pathology were compared in aggregate and over 1 year time intervals. Chi-squared test, Fisher's exact test, Student's t-test,… More >

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ARTICLE

Izak Faiena¹, Alexandra Tabakin¹, Jeffrey Leow², Neal Patel¹, Parth K. Modi¹, Amirali H. Salmasi¹, Benjamin I. Chung³, Steven L. Chang², Eric A. Singer¹
Canadian Journal of Urology, Vol.24, No.5, pp. 8990-8997, 2017
Abstract Introduction: Data on the utilization of open, laparoscopic and robotic adrenalectomy on a national level is limited.
Materials and methods: Data on patients who underwent open, laparoscopic, or robotic adrenalectomy for benign or malignant disease in the US from 2003-2013 were extracted using ICD-9 codes from the Premier Hospital Database. Surgeon specialty, patient demographics, hospital characteristics, and complications were compared. Data were analyzed using univariate and multivariable logistic regression analyses.
Results: A total of 8,831 adrenalectomies were performed for benign and malignant tumors. There was no significant difference in rate of adrenalectomy with regards to comorbidities, insurance status,… More >

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ARTICLE

Henry C. Wright¹, Kevin McGeagh¹, Lee A. Richter², Jonathan J. Hwang³, Krishnan Venkatesan³, Amanda Pysher⁴, George E. Koch⁴, Keith Kowalczyk¹, Gaurav Bandi¹, Daniel Marchalik²
Canadian Journal of Urology, Vol.24, No.5, pp. 8998-9002, 2017
Abstract Introduction: We review our experience with the AdVance sling in patients with post-prostatectomy incontinence, comparing the role that adjuvant radiation therapy plays in sling success and patient satisfaction at short and long term follow ups.
Materials and methods: Men who underwent AdVance sling placement for post-prostatectomy incontinence from 2007 to present were identified using Current Procedural Terminology (CPT) codes. Manual chart review was performed. Level of incontinence was assessed using Expanded Prostate Cancer Index Composite (EPIC) and pads per day (PPD) use. Satisfaction was assessed by willingness to recommend the procedure to a friend. Outcomes in men… More >

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COMMENTARY

Chad R. Pusateri, Jack M. Zuckerman
Canadian Journal of Urology, Vol.24, No.5, pp. 9003-9003, 2017
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ARTICLE

John Roger Bell¹, Kristina L. Penniston¹, Sara L. Best¹, Stephen Y. Nakada^1,2,3
Canadian Journal of Urology, Vol.24, No.5, pp. 9004-9010, 2017
Abstract Introduction: Assess the function and handling in the clinical setting of three different types of reusable or disposable ureteroscopes using a novel, comprehensive flexible ureteroscope evaluation tool.
Materials and methods: Urologists used a fiberoptic (Olympus URF-P5/P6), digital reusable (Storz Flex Xc), or a new digital disposable ureteroscope (Boston Scientific LithoVue) during ureteroscopic laser lithotripsy. An investigator-designed evaluation tool was used to prospectively assess the performance and handling of the ureteroscopes related to user comfort, maneuverability, efficiency, and various mechanical qualities. After each procedure, surgeons involved in each case who used the ureteroscope completed the written evaluation of… More >

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ARTICLE

Mohannad A. Awad^1,2, Thomas W. Gaither¹, E. Charles Osterberg^1,3, Glen Yang⁴, Kirsten L. Greene¹, Dana A. Weiss⁵, Jennifer T. Anger⁶, Benjamin N. Breyer^1,7
Canadian Journal of Urology, Vol.24, No.5, pp. 9011-9016, 2017
Abstract Introduction: The gender demographics within urology are changing as more women are entering the workforce. Since research productivity strongly influence career advancement, we aim to characterize gender differences in scholarly productivity and promotions in a cohort of graduated academic urologists.
Materials and methods: Urologists who graduated between 2002 and 2008 from 34 residency programs affiliated with the top 50 urology hospitals as ranked in 2009 by U.S. News & World Report were followed longitudinally. Only urologists affiliated with an academic teaching hospital were included for analysis.
Results: A total of 543 residents graduated, 459 (84.5%) males and 84… More >

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ARTICLE

Jonathan Bloom, Cristina Fox, Sean Fullerton, Gerald Matthews, John Phillips
Canadian Journal of Urology, Vol.24, No.5, pp. 9017-9023, 2017
Abstract Introduction: We sought to determine our rate of postoperative sepsis after ureteroscopy as well as identifying associative factors, common antibiotic practices along with culture data.
Materials and methods: Records of all patients who underwent elective ureteroscopy from 2010 to 2015 at an urban tertiary care facility were retrospectively reviewed. Factors thought to be associated with infection were collected, along with comorbidities depicted as Charlson Age-Adjusted Comorbidity Index (CAACI) and American Society of Anesthesia (ASA) score. Each patient’s course was reviewed to determine if they were treated for postoperative sepsis as defined by standardized criteria.
Results: A total of… More >

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ARTICLE

Lee Baumgarten, Anuj Desai, Scott Shipman, Daniel D. Eun, Michel A. Pontari, Jack H. Mydlo, Adam C. Reese
Canadian Journal of Urology, Vol.24, No.5, pp. 9024-9029, 2017
Abstract Introduction: To determine rates of spontaneous ureteral stone passage in patients with indwelling ureteral stents, and to identify factors associated with the spontaneous passage of stones while a ureteral stent is in place.
Materials and methods: From our institutional database, we identified patients who underwent ureteroscopic procedures for stone disease between January 1, 2013 and March 1, 2015. We compared the rates of spontaneous stone passage between patients who had previously undergone ureteral stent placement and those who had not. In patients with indwelling stents, multivariate logistic regression was performed to identify factors associated with spontaneous… More >

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ARTICLE

Tian C. Zhou, Joshua M. Stern
Canadian Journal of Urology, Vol.24, No.5, pp. 9030-9034, 2017
Abstract Introduction: To introduce the ureteropelvic junction stent as a safe and effective modification to tubeless percutaneous nephrolithotomy for select patients to maintain antegrade access to the collecting system.
Materials and methods: From April 2014 to December 2015, 31 patients underwent modified tubeless percutaneous nephrolithotomy with ureteropelvic junction (UPJ) stent left in situ and an extraction string coming out the nephrostomy tract. Primary study endpoints included complications, emergency department visits, or re-admissions. Secondary endpoints were perioperative parameters including mean operative time, blood loss, length of stay, and time to stent removal.
Results: There were three Clavien grade III complications:… More >

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RESIDENT’S CORNER

Sara L. Valente¹, Jared M. Bieniek², Stuart S. Kesler²
Canadian Journal of Urology, Vol.24, No.5, pp. 9035-9037, 2017
Abstract Urothelial melanosis is a rare finding characterized by abnormal pigmentation noted on cystoscopic evaluation and histologically defined by melanin deposition in the urothelium. Although generally considered benign, few cases of urothelial melanosis have been reported in the literature and the risk of recurrence or progression remains largely unknown. Four cases associated with urothelial cell carcinoma have been previously described. Here, we report a case of urothelial melanosis and review previously published cases in the literature. More >

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PEDIATRIC UROLOGY

Nicholas J. Farber¹, Rachel B. Davis¹, Gwen M. Grimsby², Brian Shinder¹, Glenn M. Cannon Jr.³, Micah A. Jacobs⁴, Michael C. Ost³, Francis X. Schneck³, Heidi A. Stephany³, Patricio C. Gargollo⁵, Moira E. Dwyer³
Canadian Journal of Urology, Vol.24, No.5, pp. 9038-9042, 2017
Abstract Introduction: Mechanical bowel preparation (MBP) has historically been the standard of care for patients undergoing reconstructive urologic surgery, including urinary diversion. To date, several studies have examined the role of mechanical bowel preparation in postoperative outcomes in pediatric patients undergoing augmentation cystoplasty. However, these patient populations have been heterogeneous in nature, with no studies dedicated to examining the role of MBP prior to reconstructive urologic surgery in pediatric patients with myelomenginoceles. Thus, our objective was to retrospectively assess perioperative measures and postoperative complications after reconstructive urologic surgery with or without mechanical bowel preparation in pediatric myelomeningocele… More >

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ABSTRACT

Canadian Journal of Urology, Vol.24, No.5, pp. 9043-9074, 2017
Abstract This article has no abstract. More >

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