Open Access

EDITORIAL

Leonard G. Gomella
Canadian Journal of Urology, Vol.31, No.2, pp. 11814-11815, 2024
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LEGENDS IN UROLOGY

Ronald Rabinowitz
Canadian Journal of Urology, Vol.31, No.2, pp. 11816-11819, 2024
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Open Access

ARTICLE

E. David Crawford¹, David Albala², Marc B. Garnick³, Andrew W. Hahn⁴, Paul Maroni⁵, Rana R. McKay⁶, Martin Miner⁷, Peter Orio III⁸, Kshitij Pandit¹, Scott Sellinger⁹, Evan Y. Yu¹⁰, Robert H. Eckel¹¹
Canadian Journal of Urology, Vol.31, No.2, pp. 11820-11825, 2024
Abstract Introduction: Risk of cardiovascular disease is higher among men with prostate cancer than men without, and prostate cancer treatments (especially those that are hormonally based) are associated with increased cardiovascular risk.
Materials and methods: An 11-member panel of urologic, medical, and radiation oncologists (along with a men’s health specialist and an endocrinologist/ preventive cardiologist) met to discuss current practices and challenges in the management of cardiovascular risk in prostate cancer patients who are taking androgen deprivation therapies (ADT) including LHRH analogues, alone and in combination with androgen-targeted therapies (ATTs).
Results: The panel developed an assessment algorithm to categorize… More >

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ARTICLE

Rishabh K. Simhal^*, Kerith R. Wang^*, Caroline Purcell, Yash B. Shah, Paul H. Chung
Canadian Journal of Urology, Vol.31, No.2, pp. 11826-11833, 2024
Abstract Introduction: Gender affirming surgeries (GAS), such as phalloplasty (PLPs) and vaginoplasty (VGPs), are important aspects of medical care for transgender patients. Here, we aim to better characterize patient demographics and surgical outcomes for PLPs and VGPs using the National Surgical Quality Improvement Program (NSQIP). We hypothesized that frailty indices would be predictive of perioperative PLP and VGP risk and outcomes for PLPs and VGPs.
Materials and methods: Primary GAS, specifically PLPs and VGPs performed from 2006-2020 were identified in NSQIP. Baseline frailty was based on NSQIP’s modified frailty index (mFI) and preoperative morbidity probability (morbprob) variable.
Results: Fifty-eight… More >

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ARTICLE

Muqsit Buchh¹, Courtney Yong², Fezaan Kazi¹, Ali Sualeh¹, James Slaven³, Ronald S. Boris², Chandru P. Sundaram²
Canadian Journal of Urology, Vol.31, No.2, pp. 11834-11839, 2024
Abstract Introduction: Studies have reached mixed conclusions on the role of antiplatelet and anticoagulant agents on postoperative complications of partial nephrectomies. This study examines whether preoperative anticoagulation use affected the risk of hemorrhagic complications after partial nephrectomy.
Materials and methods: This is a retrospective chart review of all partial nephrectomies performed between 2017 and 2022 at a single institution. For each operation, preoperative data was gathered on whether the patient was on anticoagulation, the type and dose of anticoagulation, and how many days the anticoagulation was held preoperatively. Bivariate analyses for continuous measures were performed using Student’s t-tests… More >

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ARTICLE

Leslie M. Peard¹, Belinda Li¹, Stacy Dorris², Shilin Zhao³, Cyrus Adams¹, Douglass B. Clayton¹, John C. Thomas¹, John C. Pope IV¹, Mark C. Adams¹, John W. Brock III¹, Abby S. Taylor¹
Canadian Journal of Urology, Vol.31, No.2, pp. 11840-11846, 2024
Abstract Introduction: There are multiple historic reports linking lower urinary tract symptoms (LUTS) in children with food allergies (FA), but contemporary studies are sparse. The objective of this study was to evaluate a potential link between FA and LUTS in the pediatric population. We hypothesized that children with FAs are more likely to have LUTS.
Materials and methods: After local IRB approval, pediatric patients (6-17 years [y]) with FAs proven by positive skin prick and/or serum IgE testing were invited to participate. A control group of pediatric patients without FAs was also recruited. All families/legal guardians signed informed… More >

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BOOK REVIEW

Christopher Netsch
Canadian Journal of Urology, Vol.31, No.2, pp. 11847-11847, 2024
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Open Access

HOW I DO IT

Agustín Pérez-Londoño, Alejandro Abello, Boris Gershman, Ruslan Korets
Canadian Journal of Urology, Vol.31, No.2, pp. 11848-11853, 2024
Abstract Holmium laser enucleation of the prostate (HoLEP) is considered a size-independent technique to treat benign prostatic hyperplasia. This safe and effective procedure is increasingly being adopted in urology training programs worldwide, yet limited teaching strategies have been described. Endoscopic handling during HoLEP allows for a simultaneous interaction between the surgeon and trainee, facilitating a guided teaching strategy with increasing difficulty as experience grows. In this article, we describe our stepwise approach for teaching HoLEP as part of a structured surgical training curriculum. We also evaluate the association of our method with intraoperative efficiency parameters and More >

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RESIDENT’S CORNER

Sarah Azari, Darcy Wolfman², Armine Smith³
Canadian Journal of Urology, Vol.31, No.2, pp. 11854-11857, 2024
Abstract The majority of solid testicular tumors are treated with orchiectomy given the high risk of malignancy. We present a case of a testicular mass in an adult patient in the setting of recent hand, foot, and mouth disease that was managed conservatively with serial ultrasounds. Even though cases of viral-associated testicular masses are rare, this differential diagnosis should be considered in patients with a new testicular mass in the setting of recent viral infection and negative tumor markers. For these patients, observation may be an option instead of immediate orchiectomy. More >

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RESIDENT’S CORNER

Zhan Wu, Mystie Chen, Ryan Mori
Canadian Journal of Urology, Vol.31, No.2, pp. 11858-11860, 2024
Abstract Urethral cancer after urethral reconstruction is an under-recognized, uncommon disease associated with significant morbidity and mortality. The survival rates of patients with carcinoma of the bulbar urethra are as low as 20%-30%. Stricture recurrence and unrecognized malignant changes present prior to reconstruction are major risk factors for urethral cancer. Skin substitution urethroplasty is subjected to higher rates of recurrence, which lends to the potential for carcinogenesis. We present a case of a 59-year-old male who underwent multi-stage skin substitution urethroplasty who developed urethral carcinoma 20 years later. More >

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RESIDENT’S CORNER

Michelle K. Li, Orlando Diaz, Jonathan E. Katz
Canadian Journal of Urology, Vol.31, No.2, pp. 11861-11863, 2024
Abstract Standard treatment approaches for localized prostate cancer remain limited to active surveillance, radiotherapy, and radical prostatectomy. We present a case of transition zone prostate cancer that was treated with holmium laser enucleation of the prostate, a procedure that is normally reserved for the management of benign prostatic hyperplasia. More >

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