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  • Open Access

    COMMENTARY

    Making the case for enterocystoplasty in the urologic management of patients with multiple sclerosis

    Patrick J. Shenot

    Canadian Journal of Urology, Vol.26, No.3, pp. 9781-9781, 2019

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Long term results of augmentation cystoplasty and urinary diversion in multiple sclerosis

    Senad Kalkan1, William I. Jaffe2, Vannita Simma-Chiang3, Eric S. W. Li4, Jerry G. Blaivas3

    Canadian Journal of Urology, Vol.26, No.3, pp. 9774-9780, 2019

    Abstract Introduction: There is a paucity of data about augmentation cystoplasty (AC) in multiple sclerosis (MS) patients with refractory lower urinary tract symptoms (LUTS). The aim of this study is to evaluate the long term outcomes and morbidity of these procedures in MS patients.
    Materials and methods: This is a retrospective observational study of consecutive patients (1984-2017) with MS and refractory LUTS who underwent AC with or without a continent/incontinent abdominal stoma or urinary diversion. Pre and postoperative evaluations included routine labs, videourodynamic studies (VUDS), cystoscopy, and upper tract imaging. Long term outcomes and complications were assessed by… More >

  • Open Access

    ARTICLE

    Comparison of nocturia etiology in black and white male patients

    Matthew R. Epstein, Thomas F. Monaghan, Johnathan A. Khusid, Nicholas R. Suss, Christina W. Agudelo, Kyle P. Michelson, Zhan D. Wu, Fred Gong, Jeffrey P. Weiss

    Canadian Journal of Urology, Vol.26, No.3, pp. 9769-9773, 2019

    Abstract Introduction: Much of what is known about the etiology of nocturia (i.e., nocturnal polyuria [NP], small bladder capacity [SBC], etc.) at the population level stems from the Krimpen study, which enrolled aging males from a homogenous municipality in the Netherlands. Given the higher prevalence of benign prostatic hyperplasia and overactive bladder in black versus white males in population research, we aim to test the hypothesis that black males seeking treatment for lower urinary tract symptoms (LUTS) are more likely to have nocturia owing to SBC.
    Materials and methods: We retrospectively analyzed 24-hour frequency-volume charts (FVCs) completed by… More >

  • Open Access

    ARTICLE

    Validation of dominant and secondary sequence utilization in PI-RADS v2 for classifying prostatic lesions

    Nachiketh Soodana-Prakash1, R. Patricia Castillo2, Isildinha M. Reis3,4, Radka Stoyanova3,5, Deukwoo Kwon3, Maria C. Velasquez2, Bruno Nahar1, Pratik Kannabur1, Taylor A. Johnson1, Sanjaya K. Swain1,3, Natalie Ben-Yakar1, Vivek Venkatramani1, Chad Ritch1,3, Ramgopal Satyanarayana1,3, Mark L. Gonzalgo1,3, Dipen J. Parekh1,3, Leonardo Bittencourt6, Sanoj Punnen1,3

    Canadian Journal of Urology, Vol.26, No.3, pp. 9763-9768, 2019

    Abstract Introduction: To assess the secondary sequence rule in The Prostate Imaging Reporting Data System (PI-RADS) version 2 by comparing the detection of Grade group 1+ (GG1+) and 2+ (GG2+) cancers in PI-RADS 3, an upgraded PI-RADS 4, and true (non-upgraded) PI-RADS 4 targets.
    Materials and methods: We analyzed a total of 589 lesions scored as PI-RADS 3 or 4 obtained from 434 men who underwent mpMRI-US fusion biopsy from September 2015 to November 2017 for evaluation of GG1+ and GG2+ prostate cancer. PI-RADS 4 lesions were differentiated into those that were “upgraded” to PI-RADS 4 based on… More >

  • Open Access

    ARTICLE

    Prostate cancer genomics: comparing results from three molecular assays

    Syed Alam1, Joseph Tortora2, Ilene Staff2, Tara McLaughlin1, Joseph Wagner1

    Canadian Journal of Urology, Vol.26, No.3, pp. 9758-9762, 2019

    Abstract Introduction: OncotypeDx, Prolaris, and Decipher have each been validated to predict outcomes and guide treatment for patients with clinically localized prostate cancer, but they have yet to be compared to one another. Here we assess the correspondence between the results of each.
    Materials and methods: We performed a retrospective chart review to identify patients who underwent at least two of the three genomic tests at Hartford Hospital between 2014 and 2017. We used test-specific definitions of a favorable prediction for each to compare the percent agreement between each pair. Results were also compared to treatment recommendations based… More >

  • Open Access

    ARTICLE

    Role of robot-assisted retroperitoneal lymph node dissection in malignant mesothelioma of the tunica vaginalis: case series and review of the literature

    Kassem S. Faraj1, Haidar M. Abdul-Muhsin1, Anojan K. Navaratnam1, Kyle M. Rose1, Jeffrey Stagg2, Thai H. Ho3, Alan H. Bryce3, Scott M. Cheney1, Mark D. Tyson1, Erik P. Castle1

    Canadian Journal of Urology, Vol.26, No.3, pp. 9752-9757, 2019

    Abstract Introduction: The management of malignant mesothelioma of the tunica vaginalis (MMTVT) is not clearly defined. Retroperitoneal lymph node dissection has been reported as a potential management option. Herein we present our experience with robot-assisted retroperitoneal lymph node dissection (RARPLND) in our series of patients with MMTVT.
    Materials and methods: The Mayo Clinic cancer registry was queried from 1972-present for all patients who had a diagnosis of MMTVT. Six patients were identified, five of whom were treated with RPLND, where four underwent RARPLND.
    Results: In five patients who underwent RPLND, the median age was 50 years (IQR 34-51). Four… More >

  • Open Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    Mani Menon

    Canadian Journal of Urology, Vol.26, No.3, pp. 9748-9751, 2019

    Abstract This article has no abstract. More >

  • Open Access

    EDITORIAL

    Burnout and the Ancient Greek Defnition of Happiness

    Kevin R. Loughlin

    Canadian Journal of Urology, Vol.26, No.3, pp. 9746-9747, 2019

    Abstract This article has no abstract. More >

  • Open Access

    ABSTRACT

    Abstracts of the 2019 New England Section of the American Urological Association Annual Meeting

    Canadian Journal of Urology, Vol.26, No.4, pp. 9871-9904, 2019

    Abstract This article has no abstract. More >

  • Open Access

    RESIDENT’S CORNER

    Surgical management of retained needle in a transgender woman’s phallus

    Shu Pan1, Maria J. D’Amico2, Ricardo Munarriz1

    Canadian Journal of Urology, Vol.26, No.4, pp. 9867-9870, 2019

    Abstract Intracavernosal self-injection (ICI) is an effective treatment for erectile dysfunction. A rare but serious complication is needle breakage. We report an unusual case of a 51-year-old transgender female patient who did not desire gender-affirming surgery, and used ICI to treat her longstanding erectile dysfunction. She presented to the emergency department 2 months after needle breakage during ICI, and was subsequently successfully treated with intraoperative fluoroscopy and needle fragment extraction. It is important to recognize transgender patients may desire to preserve sexual function, and for providers to engage in discussion surrounding sexual health throughout treatment for More >

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