Home / Journals / CJU / Vol.26, No.4, 2019
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  • Open AccessOpen Access

    EDITORIAL

    Viral Therapy for Bladder Cancer: Everything Old is New Again

    Leonard G. Gomella
    Canadian Journal of Urology, Vol.26, No.4, pp. 9802-9802, 2019
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    Ananias C. Diokno
    Canadian Journal of Urology, Vol.26, No.4, pp. 9803-9805, 2019
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    MINI REVIEW

    Global warming: the implications for urologic disease

    Kevin R. Loughlin
    Canadian Journal of Urology, Vol.26, No.4, pp. 9806-9808, 2019
    Abstract Global warming is receiving more attention in both the lay and scientific press. However, many individuals still view global warming as an abstract, distant concern that has little, if any, impact on their daily lives. As urologists, it is important to realize that global warming may influence some of the diseases that we treat. Much of the scientific basis for the link between climate and urologic disease is still in its nascent stages. However, a review of the emerging literature suggests that climatic changes may well alter the frequency of some urologic conditions. More >

  • Open AccessOpen Access

    ARTICLE

    A prospective study of health-related quality of life outcomes among men treated for intermediate- and high-risk prostate cancer: the impact of primary and secondary therapies

    Mazen Alsinnawi1, Jennifer Cullen2,3,4, Lauren M. Hurwitz2,3, Katherine E. Levie2,3, John F. Burns1, Inger L. Rosner2,5, Timothy C. Brand2,6, Sean Stroup2,7, Joseph R. Sterbis2,8, Kevin Rice2,5, Galen Conti2,3, Christopher R. Porter1,2
    Canadian Journal of Urology, Vol.26, No.4, pp. 9809-9820, 2019
    Abstract Introduction: To assess the impact of primary and secondary therapies for high- and intermediate-risk prostate cancer on health-related quality of life (HRQoL).
    Materials and methods: A prospective study was initiated in 2007 at Center for Prostate Disease Research Multicenter National Database sites. Longitudinal patterns in HRQoL from baseline (pre-treatment) to 5 years post-diagnosis were examined for patients with high- and intermediate-risk prostate cancer, treated by radical prostatectomy (RP) or external beam radiation therapy (EBRT). Change in HRQoL was modeled using linear regression models fit with generalized estimating equations. The probability of maintaining HRQoL was compared between patients… More >

  • Open AccessOpen Access

    ARTICLE

    Characteristics of men with untreated LUTS interested in over-the-counter tamsulosin

    Claus G. Roehrborn1, Franklin C. Lowe2, Marc Gittelman3, Jan M. Wruck4, Anna E. Verbeek5
    Canadian Journal of Urology, Vol.26, No.4, pp. 9821-9828, 2019
    Abstract Introduction: Treatment for lower urinary tract symptoms (LUTS) is often delayed, as it is considered a natural progression of aging. We described baseline demographic and clinical characteristics of men currently not using prescription medications for benign prostatic hyperplasia (BPH) but interested in self-directed use of over-the-counter (OTC) tamsulosin and who had participated in OTC tamsulosin–simulated studies.
    Materials and methods: Pooled baseline data from four OTC tamsulosin–simulated studies were analyzed for men who were currently not using BPH prescription medication and who believed that OTC tamsulosin was appropriate for use or were interested in purchasing it. Data from… More >

  • Open AccessOpen Access

    ARTICLE

    Bladder volume correction factors measured with 3D ultrasound and BladderScan

    Naomi N. Vinod1, Anna S. Nagle2, Hameeda A. Naimi1, Hiren Kolli1, Derek Sheen1, Naveen Nandanan1, Laura R. Carucci3, John E. Speich2, Adam P. Klausner1,4
    Canadian Journal of Urology, Vol.26, No.4, pp. 9829-9834, 2019
    Abstract Introduction: The aim of this study was to investigate conventional 3D ultrasound and portable BladderScan volume measurements and implement correction factors to ensure accurate volume metrics.
    Materials and methods: Healthy participants without urinary urgency were recruited for a prospective hydration study in which three consecutive voids were analyzed for two separate visits. Just before and after voiding, 3D ultrasound and BladderScan volumes were measured. Estimated voided volumes were calculated as the volume immediately prior to void minus any post void residual and were compared to actual voided volumes measured using a graduated container. Percent errors were calculated,… More >

  • Open AccessOpen Access

    COMMENTARY

    Non-invasive assessment of lower urinary tract function

    David E. Rapp, Mikel Gray
    Canadian Journal of Urology, Vol.26, No.4, pp. 9835-9835, 2019
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    ARTICLE

    A retrospective comparison of diode to holmium for laser enucleation of the prostate

    Akhil K. Das*, Seth Teplitsky*, Alex Uhr, Joon Yau Leong, Victor Kucherov, Patrick J. Shenot
    Canadian Journal of Urology, Vol.26, No.4, pp. 9836-9842, 2019
    Abstract Introduction: Holmium endoscopic laser enucleation of the prostate (HoLEP) is a well-established alternative to traditional transurethral resection and open prostatectomy for the treatment of benign prostatic hyperplasia (BPH). We investigate the 1470 nm diode laser for enucleation as an alternative to HoLEP. The safety, efficacy, and initial outcomes of diode enucleation of the prostate (DiLEP), when compared to HoLEP, were examined.
    Materials and methods: We reviewed records of 50 patients who underwent DiLEP between 2012 and 2015 and matched them with 50 HoLEP patients during the same time period. Objective evaluation of efficacy was determined by comparing… More >

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    ARTICLE

    Oncological and functional outcomes of a large Canadian robotic-assisted radical prostatectomy database with 10 years of surgical experience

    Come Tholomier1,2, Felix Couture1,3, Khaled Ajib1, Felix Preisser4,5, Helen Davis Bondarenko1, Cristina Negrean1, Pierre Karakiewicz1,4, Assaad El-Hakim6, Kevin C. Zorn1
    Canadian Journal of Urology, Vol.26, No.4, pp. 9843-9851, 2019
    Abstract Introduction: Robotic-assisted radical prostatectomy (RARP) has grown to be the predominant global surgical approach to treat localized prostate cancer. However, there is still limited access to robotic technology and little data from Canadian cohorts. Herein, we report on our oncological and functional outcomes after 10 years of surgical experience.
    Materials and methods: Prospective data from 1,034 RARP cases performed by two high-volume experienced surgeons at two academic centers were collected from October 2006 to June 2017. Preoperative characteristics, surgical, oncological, and functional outcomes were assessed up to 72 months postoperative.
    Results: D’Amico risk distribution was 26.1%, 59.8%, and… More >

  • Open AccessOpen Access

    ARTICLE

    Lymph node density for stratification of survival outcomes with node positive upper tract urothelial carcinoma

    Syed Johar Raza, Caleb Miller, Allison May, Facundo Davaro, Sameer Ahmed Siddiqui, Zachary Hamilton
    Canadian Journal of Urology, Vol.26, No.4, pp. 9852-9858, 2019
    Abstract Introduction: The use of lymph node density (LND) as a predictor of survival outcomes has been studied with urothelial carcinoma of the bladder. Similar results can be postulated to upper tract urothelial carcinoma (UTUC). This study aims to determine the overall survival of patients with lymph node positive UTUC based on LND, utilizing the National Cancer Database (NCDB).
    Materials and methods: Data was derived from NCDB Participant User Kidney Dataset using the histology code ‘transitional cell carcinoma’, utilizing pN+ patients from 2004-2015. LND was calculated as number of positive nodes divided by total number of nodes removed.… More >

  • Open AccessOpen Access

    ARTICLE

    Use of flexible cystoscopy at time of artificial urinary sphincter placement

    M. Francesca Monn, Brian M. Orr, Matthew J. Mellon
    Canadian Journal of Urology, Vol.26, No.4, pp. 9859-9862, 2019
    Abstract Introduction: Artificial urinary sphincters (AUS) are used to treat significant urinary incontinence. Flexible cystoscopy at the time of AUS placement provides relevant intraoperative feedback including confirmation that the AUS is functioning, visualization of coaptation, and evaluation for urethral injury. Current guidelines for placement of an AUS do not include flexible cystoscopy. The objective was to evaluate whether flexible cystoscopy at time of AUS placement changed cuff size at the time of surgery.
    Materials and methods: A retrospective cohort study was performed to evaluate all patients undergoing AUS placement by a single surgeon between March 2013 and March… More >

  • Open AccessOpen Access

    COMMENTARY

    Intraopertive cystoscopy during AUS surgery – a necessary step?

    Jack M. Zuckerman
    Canadian Journal of Urology, Vol.26, No.4, pp. 9863-9863, 2019
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Cultural anorgasmia: considerations in the evaluation of male infertility in the Hasidic community

    Elliot Dubowitch, Jacob Khurgin
    Canadian Journal of Urology, Vol.26, No.4, pp. 9864-9866, 2019
    Abstract There are many factors that may contribute to infertility, including psychosocial issues. The understanding of the cultural and spiritual background of patients can help elicit a sexual history that may lead to a diagnosis and subsequent successful treatment plan. Within this context, we present a case report of a Hasidic couple with primary infertility. Evaluation revealed what we are referring to as “cultural anorgasmia,” with the male partner having never been educated about nor experienced an orgasm due to his religious upbringing. Counseling about basic anatomy and the physiology of sexual arousal and orgasm was More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Surgical management of retained needle in a transgender woman’s phallus

    Shu Pan1, Maria J. D’Amico2, Ricardo Munarriz1
    Canadian Journal of Urology, Vol.26, No.4, pp. 9867-9870, 2019
    Abstract Intracavernosal self-injection (ICI) is an effective treatment for erectile dysfunction. A rare but serious complication is needle breakage. We report an unusual case of a 51-year-old transgender female patient who did not desire gender-affirming surgery, and used ICI to treat her longstanding erectile dysfunction. She presented to the emergency department 2 months after needle breakage during ICI, and was subsequently successfully treated with intraoperative fluoroscopy and needle fragment extraction. It is important to recognize transgender patients may desire to preserve sexual function, and for providers to engage in discussion surrounding sexual health throughout treatment for More >

  • Open AccessOpen Access

    ABSTRACT

    Abstracts of the 2019 New England Section of the American Urological Association Annual Meeting


    Canadian Journal of Urology, Vol.26, No.4, pp. 9871-9904, 2019
    Abstract This article has no abstract. More >

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