Open Access

EDITORIAL

Kevin R. Loughlin
Canadian Journal of Urology, Vol.31, No.1, pp. 11762-11763, 2024
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LEGENDS IN UROLOGY

Eduardo Solsona Narbón
Canadian Journal of Urology, Vol.31, No.1, pp. 11764-11766, 2024
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ARTICLE

Alex J. Xu¹, Sameer Thakker², Vyom Sawhney², Rozalba Gogaj¹, Fjolla Vokshi¹, James S. Wysock¹
Canadian Journal of Urology, Vol.31, No.1, pp. 11767-11774, 2024
Abstract Introduction: We evaluate the rate of developing ciprofloxacin resistance in patients undergoing repeat prostate biopsies (PBx), associated risk factors, and impact on complications.
Materials and methods: We retrospectively evaluated pre-procedural rectal culture (RCx) data in men undergoing PBx from 1/1/2016 to 1/15/2021. Univariate and multivariate logistic regression were utilized to identify risk factors associated with development of antibiotic resistance. Complication rates were compared between ciprofloxacin-sensitive and ciprofloxacin resistant patients.
Results: A total of 743 men underwent initial RCx. Initial RCx detected ciprofloxacin resistance in 22% of patients. A history of diabetes (p = 0.01), > 2 prior prostate… More >

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COMMENTARY

Cassra B. Clark, Jay D. Raman
Canadian Journal of Urology, Vol.31, No.1, pp. 11775-11776, 2024
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ARTICLE

Simon White¹, David Tella¹, Bahrom Ostad¹, David Barquin², Caleigh Smith¹,Rebecca King³, Kirsten L. Greene¹, Tracy Downs¹, Nora G. Kern¹
Canadian Journal of Urology, Vol.31, No.1, pp. 11777-11783, 2024
Abstract Introduction: Grant funding to Urology has decreased over the last decade. Documented lack of gender and race diversity at the faculty level raises concerns for funding disparities. This study sought to characterize disparities based upon race and gender in National Institutes of Health (NIH) funding data to Urologic faculty.
Methods and materials: Data from 145 ACGME accredited Urology residency programs incorporating faculty gender and underrepresented in medicine (URiM) status was utilized. The NIH Research Portfolio Online Report Tool was queried between 1985 and 2023 for grants related to current Urology faculty. URiM status, gender, years of practice,… More >

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ARTICLE

Ioana Fugaru¹, David Bouhadana¹, Gautier Marcq^2,3, Joseph Moryousef⁴, Alexis Rompré-Brodeur¹, Andrew Meng⁴, Oleg Loutochin¹, George Loutochin¹, Maurice Anidjar¹, Frank Bladou⁵, Rafael Sanchez-Salas¹
Canadian Journal of Urology, Vol.31, No.1, pp. 11784-11793, 2024
Abstract Introduction: Partial gland ablation (PGA) using high intensity focal ultrasound (HIFU) is an alternative to active surveillance for low to intermediate risk localized prostate cancer. This pilot study assessed quality of life (QoL) outcomes during the implementation of PGA HIFU at our institution.
Materials and methods: We prospectively enrolled 25 men with a diagnosis of localized low/intermediate risk prostate cancer who elected to undergo PGA-HIFU in a pilot study at our institution between 2013 and 2016. Patients underwent pre-treatment mpMRI and transrectal ultrasound-guided biopsies. The primary endpoints were impact on patient-reported functional outcomes (erectile, urinary function, QoL)… More >

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ARTICLE

Noam Bar-Yaakov^1,2, Ziv Savin^1,2, Ibrahim Fahoum^2,3, Sophie Barnes^2,4, Yuval Bar-Yosef^1,2, Ofer Yossepowitch^1,2, Gal Keren-Paz^1,2, Roy Mano^1,2
Canadian Journal of Urology, Vol.31, No.1, pp. 11793-11801, 2024
Abstract Introduction: Prostate cancer screening with PSA is associated with low specificity; furthermore, little is known about the optimal timing of biopsy. We aimed to evaluate whether a risk classification system combining PSA density (PSAD) and mpMRI can predict clinically significant cancer and determine biopsy timing.
Materials and methods: We reviewed the medical records of 256 men with a PI-RADS ≥ 3 lesion on mpMRI who underwent transperineal targeted and systematic biopsies of the prostate between 2017-2019. Patients were stratified into three risk groups based on PSAD and mpMRI findings.
The study endpoint was clinically significant prostate cancer (CSPC).… More >

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HOW I DO IT

Aalya Hamouda¹, Ahmed Ibrahim², Nicholas Corsi³, Giampaolo Siena⁴,Dean S. Elterman⁵, Bilal Chughtai⁶, Naeem Bhojani², Francesco Sessa⁴, Anna Rivetti⁴, Silvia Secco⁷, Kevin C. Zorn^2,8
Canadian Journal of Urology, Vol.31, No.1, pp. 11802-11808, 2024
Abstract Minimally invasive surgery techniques (MIST) have become newly adopted in urological care. Given this, new analgesic techniques are important in optimizing patient outcomes and resource management. Rez ūm treatment (RT) for BPH has emerged as a new MIST with excellent patient outcomes, including improving quality of life (QoL) and International Prostate Symptom Scores (IPSSs), while also preserving sexual function. Currently, the standard analgesic approach for RT involves a peri prostatic nerve block (PNB) using a transrectal ultrasound (TRUS) or systemic sedation anesthesia. The TRUS approach is invasive, uncomfortable, and holds a risk of infection. Additionally,… More >

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RESIDENT’S CORNER

Grace Helene Wegrzyn¹, Melissa Kilianek², Suzanne Iwaz³, Patricia Vidal¹, Ryan W. Dobbs¹
Canadian Journal of Urology, Vol.31, No.1, pp. 11809-11812, 2024
Abstract Mullerianosis is a rare, complex, benign tumor most commonly found in the bladder and often mistaken for a neoplastic lesion. Herein, we report a case of mullerianosis in a 65-year-old woman who presented with an incidental 2 cm bladder mass found on cross-sectional imaging. A mixed cystic and solid tumor was identified on cystoscopy and a transurethral resection of the suspected tumor was performed with histopathology confirming a final diagnosis of mullerianosis. While an unusual diagnosis, mullerianosis of the urinary bladder needs to be correctly identified to provide appropriate treatment and avoid misdiagnosis. More >

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BOOK REVIEW

Subodh R. Shivde
Canadian Journal of Urology, Vol.31, No.1, pp. 11813-11813, 2024
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