Open Access

EDITORIAL

Leonard G. Gomella
Canadian Journal of Urology, Vol.26, No.4, pp. 9802-9802, 2019
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LEGENDS IN UROLOGY

Ananias C. Diokno
Canadian Journal of Urology, Vol.26, No.4, pp. 9803-9805, 2019
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MINI REVIEW

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 >

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ARTICLE

Mazen Alsinnawi¹, Jennifer Cullen^2,3,4, Lauren M. Hurwitz^2,3, Katherine E. Levie^2,3, John F. Burns¹, Inger L. Rosner^2,5, Timothy C. Brand^2,6, Sean Stroup^2,7, Joseph R. Sterbis^2,8, Kevin Rice^2,5, Galen Conti^2,3, Christopher R. Porter^1,2
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 >

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ARTICLE

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 >

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ARTICLE

Naomi N. Vinod¹, Anna S. Nagle², Hameeda A. Naimi¹, Hiren Kolli¹, Derek Sheen¹, Naveen Nandanan¹, Laura R. Carucci³, John E. Speich², Adam P. Klausner^1,4
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 >

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COMMENTARY

David E. Rapp, Mikel Gray
Canadian Journal of Urology, Vol.26, No.4, pp. 9835-9835, 2019
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ARTICLE

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

Come Tholomier^1,2, Felix Couture^1,3, Khaled Ajib¹, Felix Preisser^4,5, Helen Davis Bondarenko¹, Cristina Negrean¹, Pierre Karakiewicz^1,4, 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 >

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ARTICLE

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 >

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ARTICLE

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 >

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COMMENTARY

Jack M. Zuckerman
Canadian Journal of Urology, Vol.26, No.4, pp. 9863-9863, 2019
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RESIDENT’S CORNER

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 >

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RESIDENT’S CORNER

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 >

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ABSTRACT

Canadian Journal of Urology, Vol.26, No.4, pp. 9871-9904, 2019
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