Open Access

EDITORIAL

Leonard G. Gomella
Canadian Journal of Urology, Vol.29, No.5, pp. 11270-11271, 2022
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LEGENDS IN UROLOGY

Irwin Goldstein
Canadian Journal of Urology, Vol.29, No.5, pp. 11272-11274, 2022
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BOOK REVIEW

Michael D. Stifelman, Lee C. Zhao, Daniel D. Eun, Chester J. Koh
Canadian Journal of Urology, Vol.29, No.5, pp. 11275-11275, 2022
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REVIEW

Maria J. D’Amico, Halle Foss, Alex Uhr, Benjamin Rudnick, Edward Kloniecke, Leonard G. Gomella
Canadian Journal of Urology, Vol.29, No.5, pp. 11276-11283, 2022
Abstract Introduction: Hemorrhagic cystitis (HC) is a morbid condition for patients and can be challenging for urologists to manage. There are many potential contributing etiologies and the severity of bleeding can be variable. It is important to consider each clinical scenario when formulating management strategies in order to provide the highest quality of care to patients. We provide a review of the literature including diagnosis and treatment options.
Materials and methods: We performed a literature search on PubMed using the following keywords: hemorrhagic cystitis, cystitis, gross hematuria, intractable hematuria. We considered all available published articles with no specific… More >

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ARTICLE

Kassem S. Faraj¹, Weslyn D. Bunn², Victoria S. Edmonds², Mark D Tyson¹
Canadian Journal of Urology, Vol.29, No.5, pp. 11284-11290, 2022
Abstract Introduction: A comprehensive analysis on outcomes in the perioperative and pathological setting in patients with a prior diagnosis of prostate cancer has not been performed. The objective of this study is to describe the effect of prior prostate cancer treatment on perioperative and pathological outcomes after cystectomy.
Materials and methods: This was a retrospective review of all male patients who underwent cystectomy at our institution from 01/01/2007-01/01/2020. Patients who were previously diagnosed and treated for prostate cancer were identified and outcomes were assessed.
Results: In 525 male patients, 132 (25.1%) had a diagnosis of prostate cancer prior to… More >

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COMMENTARY

Jonathan E. Heinlen
Canadian Journal of Urology, Vol.29, No.5, pp. 11291-11291, 2022
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ARTICLE

Iman Sadri^1*, Adel Arezki^1*, Ahmed S. Zakaria², Félix Couture³, David-Dan Nguyen¹, Nassim Bousmaha², Pierre Karakiewicz², Kevin C. Zorn²
Canadian Journal of Urology, Vol.29, No.5, pp. 11292-11299, 2022
Abstract Introduction: Incontinence after robot-assisted radical prostatectomy (RARP) significantly impacts quality of life. This study aims to compare the age-stratified continence outcomes in Canadian men undergoing RARP.
Materials and methods: A retrospective review was performed on a prospectively maintained database of 1737 patients who underwent RARP for localized prostate cancer between 2007 and 2019. Patients were stratified into five groups based on age: group 1, ≤ 54 years (n = 245); group 2, 55-59 years (n = 302); group 3, 60-64 years (n = 386); group 4, 65-69 years (n = 348); and group 5, ≥ 70 years… More >

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ARTICLE

Reza Nabavizadeh^1,*, Grace Lee^1,*, Katherine Bobrek¹, Dattatraya Patil¹, Mehrdad Alemozaffar², Courtney Moreno³, Viraj A. Master^1,4
Canadian Journal of Urology, Vol.29, No.5, pp. 11300-11306, 2022
Abstract Introduction: This study examined the clinical accuracy of ultrasonography compared to magnetic resonance imaging (MRI) and intraoperative findings for evaluation of tumor thrombi level in patients with renal cell carcinoma.
Materials and methods: We retrospectively identified 38 patients at our institution who underwent both ultrasonography and MRI before undergoing open radical nephrectomy with tumor thrombectomy between 2010 and 2019. We compared tumor thrombus level findings of both ultrasonography and MRI, as well as the diagnostic accuracy of each to intraoperative findings. Agreement between ultrasonography, MRI, and surgery was tested with kappa. Logistic regression models identified factors that… More >

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ARTICLE

Happy Tahirih Kampire¹, Jonathan Cloutier^1,2,3, Michel Dallaire², Simon Plourde², Michel Labrecque^1,2,4
Canadian Journal of Urology, Vol.29, No.5, pp. 11307-11311, 2022
Abstract Introduction: Due to the COVID-19 pandemic teleconsultation was allowed as an insured service in the province of Quebec, Canada. We assessed the preferences of vasectomized patients for a pre-vasectomy consultation conducted in-person or by telephone.
Materials and methods: In September 2021, we sought the participation of 214 men who had their pre-vasectomy consultation over the phone to complete an anonymous three-item survey on their preferred modality for pre-vasectomy consultation. They completed their questionnaire in the waiting room of the vasectomy clinic just after the surgical procedure. We calculated the proportion and 95% confidence interval [CI] of patients… More >

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ARTICLE

Muhannad Alsyouf¹, Jonathan Maldonado, Laura Denham², Bonnie Rohweller², Jason Groegler¹, Phillip Stokes¹, Mohammad Hajiha¹, Akin Amasyali¹, Herbert Ruckle¹, Brian Hu¹
Canadian Journal of Urology, Vol.29, No.5, pp. 11312-11317, 2022
Abstract Introduction: Perivesical lymph nodes were added to the 8th edition of American Joint Committee on Cancer (AJCC) staging for bladder cancer. Currently, these nodes are inconsistently evaluated at the time of radical cystectomy. The objective of this study was to provide a detailed anatomic evaluation of perivesical lymph nodes.
Materials and methods: A radical cystectomy was performed on six un-embalmed cadavers with wide resection of perivesical tissue and meticulous care to separate the pelvic sidewall lymph nodes (e.g. obturator, external iliac) from the bladder and perivesical en-bloc specimen. Perivesical tissue dissection in 2 mm slices was performed… More >

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ARTICLE

Christopher J. Loftus¹, Jennifer Ahn², Amanda M. Nguyen³, Sarah Holt¹, Mark Cain², Margarett Shnorhavorian², Paul Merguerian², Judith C. Hagedorn¹
Canadian Journal of Urology, Vol.29, No.5, pp. 11318-11322, 2022
Abstract Introduction: Artificial urinary sphincters (AUS) have demonstrated good functional outcomes in pediatric populations. We sought to examine the nationwide short term reoperation rates in pediatric patients after AUS placement.
Materials and methods: An observational cohort study was designed utilizing claims from the Truven MarketScan Commercial Claims and Encounters database from 2007 to 2018. Patients under 18 years of age undergoing an AUS procedure were identified using CPT and ICD9/10 codes. Reoperations included any removal, replacement, or AUS placement codes which occurred after the initially identified placement code. Follow up time was the amount of time between AUS… More >

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RESIDENT’S CORNER

Arshia Sandozi, Dhaval Jivanji, Yiwu Huang, Omar Azar, Ariel Schulman
Canadian Journal of Urology, Vol.29, No.5, pp. 11323-11325, 2022
Abstract Non-urothelial malignant ureteral obstruction (MUO) causes hydronephrosis, renal damage and infectious sequelae. The overall condition, symptoms, and plans for systemic therapy inform urologic intervention. In well-selected cases, there is a role for definitive reconstruction. We describe a robotic-assisted distal ureterectomy and reimplant for definitive repair of obstructive metastatic melanoma. More >

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RESIDENT’S CORNER

Miyad Movassaghi¹, Rainjade Chung¹, George W. Moran¹, Christina P. Carpenter^1,2
Canadian Journal of Urology, Vol.29, No.5, pp. 11326-11328, 2022
Abstract Congenital megalourethra, first described in 1955, is a rare urethral anomaly resulting from dysgenesis of the penile corpus spongiosum, with or without corpus cavernosum involvement, leading to dilatation of the penile urethra. Presentations come in two forms, scaphoid and fusiform, with the former being more common and resulting from deficient or absent corpus spongiosum. Fusiform types are much rarer, and consist of absence of both the corpus spongiosum and cavernosum.³
Here, we present a case involving the surgical correction of an isolated scaphoid-type congenital megalourethra with significantly improved postoperative cosmetic and functional outcomes. More >

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RESIDENT’S CORNER

Adam J. Sharbaugh¹, Daniel L. Pelzman¹, Michelle Jo Semins^1,2
Canadian Journal of Urology, Vol.29, No.5, pp. 11329-11331, 2022
Abstract Nephrolithiasis is a rare complication of renal transplantation. Patients with an obstructing calculus in a renal allograft often lack the usual renal colic symptoms, and therefore present with atypical symptoms. Treatment of obstructing calculi is imperative to prevent renal allograft failure and other complications. We report the case of a 46-year-old man who presented 28 years after renal transplant with renal failure and massive hydronephrosis secondary to an obstructing calculus. More >

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RESIDENT’S CORNER

Jacqueline Zillioux¹, Giovanna Leone², Howard B. Goldman^1,3
Canadian Journal of Urology, Vol.29, No.5, pp. 11332-11334, 2022
Abstract Condyloma acuminatum is a benign genital lesion associated with low-risk human papillomavirus subtypes. Approximately 20% of HPV-associated genital warts occur in the urethra. Topical treatment of urethral condyloma in women can be challenging to treat due to difficulty applying the medication such that it maintains contact with the urethra long enough to be effective. We present a case of a successfully cleared urethral condyloma acuminatum treated via self-application using a Q-tip. More >

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HOW I DO IT

Amy Burns¹, Stephen Harrington², Suzanne Boltz¹, Ross M. Decter¹
Canadian Journal of Urology, Vol.29, No.5, pp. 11335-11339, 2022
Abstract Distal hypospadias is a common congenital urology anomaly for which numerous corrective procedures have been described. Over the last 40 years, the gold-standard operative technique for distal hypospadias has switched from the meatal advancement and glanuloplasty (MAGPI) procedure to the tubularized incised plate (TIP) urethroplasty. A modification to the MAGPI procedure, first described 30 years ago, is the M inverted V (MIV) glansplasty, which improved upon the MAGPI procedure to reduce instances of meatal retraction. The MIV glansplasty is unique compared to many commonly used procedures as it does not require a formal urethroplasty or More >

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