Open Access

EDITORIAL

Leonard G. Gomella
Canadian Journal of Urology, Vol.28, No.6, pp. 10880-10880, 2021
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BOOK REVIEW

Kathleen C. Kobashi, Steven D. Wexner
Canadian Journal of Urology, Vol.28, No.6, pp. 10881-10881, 2021
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LEGENDS IN UROLOGY

Mahmut Atıf Akdaş
Canadian Journal of Urology, Vol.28, No.6, pp. 10882-10883, 2021
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ARTICLE

Brian T. Helfand¹, Alexander P. Glaser¹, Ali Kasraeian², Steve Sterious³, Pooja Talaty¹, Miguel Alcantara², Kaitlyn Mola Alcantara², Andrew Higgins³, Eric Ghiraldi³, Dean Elterman⁴
Canadian Journal of Urology, Vol.28, No.6, pp. 10884-10888, 2021
Abstract Introduction: The AUA guidelines for benign prostatic hyperplasia distinguish treatments based upon prostate volume (PV), particularly for very large prostates (> 150 mL). While the clinical outcomes and benefits of Aquablation have been studied for men with average and large prostates, it is unknown whether this technology can be used for very large prostates.
Materials and methods: Men with PV > 150 mL undergoing Aquablation were identified retrospectively from four North American hospitals. The surgical times and clinical outcomes of men with very large prostates (> 150 mL) were compared to data from men with average PV… More >

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ARTICLE

Samuel Helrich¹, Wesley Pate¹, Nishant Garg¹, Philip Barbosa², Shaun Wason¹
Canadian Journal of Urology, Vol.28, No.6, pp. 10889-10899, 2021
Abstract Introduction: To compare pelvic ultrasound (PUS) and transrectal ultrasound (TRUS) to magnetic resonance imaging (MRI) in the estimation of prostate size.
Materials and methods: After IRB approval, we performed a single-center, retrospective study of 91 patients who had prostate sizing between August 2013 and June 2017. Correlation, reliability, and agreement between PUS, TRUS, and MRI were calculated through the Pearson coefficient, intraclass correlation coefficient, and Bland-Altman analysis, respectively. Data was stratified by prostate size, body mass index, and time between imaging acquisition.
Results: A total of 91 patients underwent all three imaging methods. Median age was 64, median… More >

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ARTICLE

Asaf Shvero^1,2, Seth Teplitsky³, Edward Kloniecke¹, Akhil K. Das¹
Canadian Journal of Urology, Vol.28, No.6, pp. 10900-10906, 2021
Abstract Introduction: The purpose of this study was to describe the current incidence, risk factors, and management of incidental diagnosis of prostate cancer (iPCa) among patients who underwent holmium laser enucleation of prostate (HoLEP) and have no history of prostate cancer.
Materials and methods: We conducted a retrospective review of all patients who underwent HoLEP in our institution between 2013-2020. All patients were offered a PSA screening according to the latest guidelines. We gathered demographic data, perioperative information, and pathologic evaluation. For patients diagnosed with iPCa, we gathered work up, management, and oncologic outcome. We then conducted a… More >

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ARTICLE

Bristol B. Whiles¹, Casey G. Kowalik¹, Moben Mirza¹, Hadley Wyre¹, Kerri L. Thurmon^1,2
Canadian Journal of Urology, Vol.28, No.6, pp. 10907-10913, 2021
Abstract Introduction: The COVID-19 pandemic disrupted medical student education and posed a unique challenge for educators, especially for surgical clerkships. In response to COVID-19 rotation restrictions, we implemented a virtual urologic surgery sub-internship program and evaluated medical student impressions of the experience.
Materials and methods: A two-week urology curriculum was created with content delivered by interactive videoconferencing. The curriculum included synchronous and individual learning with live patient clinical experiences in the outpatient clinic and operating room, lectures, departmental conferences, a suture lab, self-reflective writing exercises, and an oral presentation. Student impressions were assessed with an exit survey. Descriptive… More >

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ARTICLE

Eileen R. Byrne¹, Thomas W. Fuller², Sunchin Kim³, Engy T. Said⁴, Jill C. Buckley¹
Canadian Journal of Urology, Vol.28, No.6, pp. 10914-10919, 2021
Abstract Introduction: In an effort to decrease physician contribution to the opioid crisis, we utilized a narcotic free pathway (NFP) after urethroplasty. Our objectives were to demonstrate feasibility of a NFP and identify patients at higher risk for requiring postoperative narcotics.
Materials and methods: We implemented a NFP for patients undergoing urethroplasty. Pain was assessed using the Likert scale (1-10). Narcotic use was quantified using oral morphine equivalents (OMEs).
Results: Forty-six patients underwent urethroplasty following the NFP over a 7-month period. Fifteen patients were excluded, leaving 31 patients in the final analysis. Postintervention data was compared to 30 patients… More >

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ARTICLE

Ross G. Everett, David K. Charles, Halle E. Foss, R. Corey O’Connor, Michael L. Guralnick
Canadian Journal of Urology, Vol.28, No.6, pp. 10920-10928, 2021
Abstract Introduction: Urinary Tract Infection (UTI) has been cited as the primary cause of morbidity in patients with a history of spinal cord injury (SCI). Despite the significance of recurrent UTI (rUTI) in this population, the causative physiologic and patient characteristics are not well described. We sought to assess associations between demographic, clinical, and urodynamic variables and rUTI.
Materials and methods: The records of 136 individuals with SCI who perform clean intermittent catheterization (CIC) were retrospectively reviewed. All had a video urodynamics study (VUDS) available for analysis. Individuals were divided into non-recurrent (< 3/year) or rUTI (≥ 3/year)… More >

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ARTICLE

Clinton Yeaman¹, Jacqueline Zillioux¹, Kimberly Boatman², Sarah Krzastek³, David E. Rapp¹
Canadian Journal of Urology, Vol.28, No.6, pp. 10929-10935, 2021
Abstract Introduction: To assess the character and prevalence of dyspareunia in a general urology population presenting for evaluation of unrelated non-painful complaints.
Materials and methods: This is an IRB-approved, prospective, cross-sectional survey-based assessment of dyspareunia in a general cohort of female patients presenting to a urology clinic over a 10-month period (7/2018-5/2019). Patients presenting specifically for acute painful complaints were excluded. Participating patients completed an original 23-item survey with questions pertaining to dyspareunia. Specific focus was placed on pain characteristics, including location, quality, frequency, severity, and quality of life. Descriptive analysis, pain mapping, and plotting analyses were performed… More >

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ARTICLE

Utsav K. Bansal¹, Joseph P. Lopez², F. Nery Flores-Sandoval³, Mohit Khera¹
Canadian Journal of Urology, Vol.28, No.6, pp. 10936-10940, 2021
Abstract Introduction: To present our novel low submuscular (LSM) pressure regulating balloon (PRB) placement for artificial urinary sphincter (AUS) technique as an alternative to standard approaches with patient-reported satisfaction outcomes.
Materials and methods: A retrospective review was conducted on patients who underwent an AUS implantation using the LSM PRB placement with transfascial fixation technique from July 2019 to August 2020. Preoperative characteristics were collected. Patients then conducted a postoperative phone interview using an adapted questionnaire to assess satisfaction of device and PRB concealment.
Results: During the study period, nine patients had undergone AUS placement using the LSM technique by… More >

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ARTICLE

Kathryn E. Wagner¹, Mary E. Soyster¹, Christian Bartels¹, Stanton Honig², Brooke A. Harnisch¹
Canadian Journal of Urology, Vol.28, No.6, pp. 10941-10945, 2021
Abstract Introduction: Resident training in vasectomy, especially in the office setting on the awake patient, may be limited. The aim of this study is to understand resident exposure to vasectomy and to identify barriers to learning.
Materials and methods: An anonymous 18-question survey was distributed to urology residents of the 135 ACGME-accredited urology residencies in the United States. Residents were asked to specify the total number of vasectomies they had performed and in what environment (operating room versus office), their comfort performing vasectomy independently, and any barriers to learning the procedure.
Results: In total, 119 residents responded to the… More >

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RESIDENT’S CORNER

Jessica N. Schardein, J. C. Trussell
Canadian Journal of Urology, Vol.28, No.6, pp. 10946-10952, 2021
Abstract Reservoir induced bladder rupture is a rare complication of inflatable penile prosthesis (IPP) revision surgery. Our aim is to review the literature and describe our experience with this complication using two case reports that involved reusing an in-situ reservoir. In each case, an episode of gross hematuria indicated that a bladder rupture had occurred. From our experience, we propose ways to possibly avoid and if necessary, manage this rare complication. More >

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RESIDENT’S CORNER

Jordan Alger¹, Clare Mallahan², Tom Deng³, John Marshall⁴, Ross Krasnow⁵
Canadian Journal of Urology, Vol.28, No.6, pp. 10953-10955, 2021
Abstract Acquired hydronephrosis following cystectomy and ileal conduit urinary diversion for bladder cancer is most commonly caused by stricture of the ureter or the ureteroenteric anastomosis. Nevertheless, malignant obstruction due to ureteral tumor recurrence must be ruled out. Neuroendocrine tumors of the ureter are extremely rare and an unlikely cause of hydronephrosis in this setting. We present the first reported case of a patient with a history of bladder cancer and an ileal conduit presenting with hydronephrosis secondary to an obstructing carcinoid tumor of the ureter. More >

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