Open Access

EDITORIAL

Leonard G. Gomella
Canadian Journal of Urology, Vol.29, No.3, pp. 11123-11124, 2022
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LEGENDS IN UROLOGY

Larry I. Lipshultz
Canadian Journal of Urology, Vol.29, No.3, pp. 11125-11127, 2022
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ARTICLE

Sameer Thakker¹, James Wysock², Richard Matulewicz², Rozalba Gogaj², Herbert Lepor²
Canadian Journal of Urology, Vol.29, No.3, pp. 11128-11135, 2022
Abstract Introduction: Given the increasing interest in partial gland cryo-ablation as a treatment modality and the lack of data surrounding urinary and sexual outcomes after the procedure, the goal of this analysis was to assess functional outcomes following partial gland cryo-ablation (PGCA) stratified according to baseline severity of lower urinary tract symptoms (LUTS) and erectile function (EF). A secondary goal was to also determine if there were any clinical factors associated with significant change in LUTS and EF.
Materials and methods: Since 3/2017, all men undergoing primary PGCA were offered enrollment into an IRB-approved prospective outcomes registry. Men… More >

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ARTICLE

Jacob Wise¹, Raj Tiwari¹, Sophie O'Halloran¹, Lauren Fleshner¹, Susan Nguyen¹, Karen Hersey¹, Nazanin Fallah-Rad², Neil Fleshner¹
Canadian Journal of Urology, Vol.29, No.3, pp. 11136-11141, 2022
Abstract Introduction: Sunitinib is a multi-targeted receptor tyrosine kinase inhibitor used to treat metastatic renal cell carcinoma (mRCC). Patients on sunitinib do require regular in-person appointments to monitor for adverse events (AEs). Given the Covid-19 pandemic, regular in-person visits expose patients to an increased risk of infection in addition to potentially preventable travel costs. This study investigated the feasibility of implementing a remote monitoring strategy for patients being treated with sunitinib for mRCC by examining the time trends of AEs.
Materials and methods: In this retrospective chart review of patients with a diagnosis of mRCC, 167 patients received… More >

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ARTICLE

Franklin Liu¹, Facundo Davaro², Ryan Wong², Sameer Siddiqui², Zachary Hamilton²
Canadian Journal of Urology, Vol.29, No.3, pp. 11142-11149, 2022
Abstract Introduction: Sunitinib is a multi-targeted receptor tyrosine kinase inhibitor used to treat metastatic renal cell carcinoma (mRCC). Patients on sunitinib do require regular in-person appointments to monitor for adverse events (AEs). Given the Covid-19 pandemic, regular in-person visits expose patients to an increased risk of infection in addition to potentially preventable travel costs. This study investigated the feasibility of implementing a remote monitoring strategy for patients being treated with sunitinib for mRCC by examining the time trends of AEs.
Materials and methods: In this retrospective chart review of patients with a diagnosis of mRCC, 167 patients received… More >

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ARTICLE

Sarah Azari^1,*, Briana Goddard^1,*, Aadit Mehta², Dhruv Sharma², Thomas W. Jarrett¹
Canadian Journal of Urology, Vol.29, No.3, pp. 11150-11153, 2022
Abstract Introduction: Historically, the field of medicine has suffered from a lack of diversity. This project examines if urology residency program websites were actively attempting to recruit underrepresented minority applicants with the hypothesis that while some programs would attempt to attract such applicants on their website, the majority would not.
Materials and methods: A cross-sectional analysis of program webpages for information regarding underrepresented minorities was performed. Electronic Residency Application Service residency database was used to identify 130 urology residency programs. Three were no longer accepting residents and were not included. The publicly available webpages of 137 urology residency… More >

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ARTICLE

Larissa Bresler^1,2, Lauren C. Westbay², Lauren Hekman³, Cara Joyce⁴, Colleen M. Fitzgerald^2,5
Canadian Journal of Urology, Vol.29, No.3, pp. 11154-11161, 2022
Abstract Introduction: Growing evidence supports acupuncture for several pain conditions including chronic prostatitis. This study aimed to determine the safety, tolerability, and effectiveness of acupuncture in reducing pain in women with interstitial cystitis/bladder pain syndrome (IC/BPS).
Materials and methods: This prospective randomized single-blinded study compared electro-acupuncture (EA) to minimal acupuncture (MA) after 6 weekly treatments and again after 6 weeks of no treatment. Pain was assessed using the Brief Pain Inventory-Short Form (worst pain, average pain, pain severity, pain interference) and the Pain Catastrophizing Scale (PCS). Physical exams evaluated pelvic floor muscle tenderness. Mixed-effects models were used to… More >

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ARTICLE

J. Bradley Mason^1,*, Michael Creswell^2,*, Jillian Egan¹, Christopher Dall¹, Tamir Sholklapper², Lan Anh Galloway², Joanna Orzel², Harry Lee², Sameer Desale³, Lambros Stamatakis^2,4
Canadian Journal of Urology, Vol.29, No.3, pp. 11162-11169, 2022
Abstract Introduction: To identify prognostic factors for overall survival (OS) in patients with malignant ureteral obstruction (MUO) from gynecologic malignancy (GM), with the goal of improving patient selection for urinary diversion.
Materials and methods: Retrospective review of 126 patients with MUO from GM at two academic centers from 2011-2019. Factors related to OS identified by Cox regression proportional hazard model. In patients with incomplete survival data (n = 30), hospice was used as a surrogate for death. Multivariate models and receivers operating characteristics (ROC) curves were created for hemoglobin and albumin values.
Results: Overall median survival was 6.2 months.… More >

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ARTICLE

Canadian Journal of Urology, Vol.29, No.3, pp. 11170-11174, 2022
Abstract Introduction: Patients undergoing cystectomy for bladder cancer are at an increased risk for Clostridium difficile infection (CDI) due to prolonged antibiotics and underlying comorbidities. We aim to evaluate CDI risk factors in cystectomy patients.
Materials and methods: Utilizing National Surgical Quality Improvement Program (NSQIP), patients undergoing cystectomy with diagnosis of bladder cancer between 2015-2017 were included. Baseline demographics including age, sex, comorbidities, and preoperative labs were collected. Univariate and multivariable logistic regression were used to evaluate risk factors for and complications of CDI during the index hospitalization.
Results: There were a total of 6,432 patients included in the… More >

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ARTICLE

Canadian Journal of Urology, Vol.29, No.3, pp. 11175-11181, 2022
Abstract Introduction: Bladder spasm are common complications following cystoscopic urologic procedures. This study aims to determine the incidence and risk factors for bladder spasm after ambulatory cystoscopic urologic procedures.
Materials and methods: Medical records of adult patients who underwent urologic procedures in our ambulatory center from May 1st, 2018 through December 30th, 2020, were reviewed. Bladder spasm was identified from the administration of antispasmodic therapy (e.g., oxybutynin) during anesthesia recovery. Multivariable analyses were performed to assess the association between bladder spasm and clinical factors.
Results: Included were 2,671 patients, of which 917 (34.3%) developed postoperative bladder spasm, yielding an… More >

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HOW I DO IT

Jason A. Levy, Yasin Bhanji, Arthur L. Burnett
Canadian Journal of Urology, Vol.29, No.3, pp. 11182-11186, 2022
Abstract Proximal positioning of the penile prosthesis cylinder is performed during inflatable penile prosthesis surgery. We describe a technique to secure a prosthetic cylinder during inflatable penile prosthesis implantation. Urologists performing prosthetic surgeries employ a variety of surgical techniques to achieve successful outcomes. A surgical technique that secures the prosthetic device may ultimately mitigate cylinder migration and erosion.
This is a simple, cost-effective technique that can be readily incorporated into conventional corporotomy closure procedures. It proves to be a feasible technique for both running and interrupted corporotomy closures. The “pulley stitch” offers an adjunctive technique for prosthesis More >

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RESIDENT’S CORNER

Adam M. Daily¹, Ryan P. Donahue^1,2, Semra Olgac³, Christian S. Kuhr¹, Paul M. Kozlowski¹
Canadian Journal of Urology, Vol.29, No.3, pp. 11187-11189, 2022
Abstract A 71-year-old woman with history of asthma presented with 2 months history of shortness of breath; on imaging an incidental left renal mass was noted. Subsequent renal protocol CT was obtained that showed a 4.5 cm left upper pole exophytic mass with renal vein thrombus extending into the inferior vena cava to the level of the caudate lobe concerning for renal cell carcinoma. She underwent an open left radical nephrectomy and IVC thrombectomy with subsequent postoperative pathology demonstrating xanthogranulomatous pyelonephritis without renal cell carcinoma. More >

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RESIDENT’S CORNER

John M. Myrga¹, Christopher J. Staniorski¹, Robert M. Turner III¹, Michelle J. Semins²
Canadian Journal of Urology, Vol.29, No.3, pp. 11190-11193, 2022
Abstract Subcapsular renal hematoma (SRH) is an infrequent complication of urologic interventions but can lead to serious consequences in patients with a solitary kidney. We present our experience with conservative management of a patient with a solitary kidney and multiple medical comorbidities who developed a SRH and subsequent renal failure after nephroureteral catheter placement. Literature on the management of this unique clinical scenario is limited. Herein, we share our experience with supportive care and temporary dialysis in a medically complex patient whose outcome is complete renal recovery. More >

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RESIDENT’S CORNER

Niccola B. Lynch¹, Rena D. Malik²
Canadian Journal of Urology, Vol.29, No.3, pp. 11194-11197, 2022
Abstract Total pelvic exenterations (TPE) are high morbidity procedures, with up to 38% of patients experiencing a major complication after TPE surgery. We report the case of a 69-year-old woman with a sigmoid conduit-neovaginal fistula who presented with new onset continuous vaginal leakage and decreased urostomy output 3 months post-op from a TPE. We highlight the presentation, diagnosis, conservative management, and surgical management of conduit-vaginal fistulas. More >

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