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  • Open Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    Gerald Jordan

    Canadian Journal of Urology, Vol.33, No.4, pp. 731-734, 2026, DOI:10.32604/cju.2026.089942 - 21 August 2026

    Abstract This article has no abstract. More >

  • Open Access

    EDITORIAL

    The 10,000 Hour Rule, Robotics and the Evolving Lifespan of a Urologic Career

    Kevin R. Loughlin

    Canadian Journal of Urology, Vol.33, No.4, pp. 729-730, 2026, DOI:10.32604/cju.2026.085422 - 21 August 2026

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    450-nm blue laser vaporization versus transurethral resection of the prostate for benign prostatic hyperplasia: a retrospective comparative study

    Nana Liu1,2, Jinjin Zhang2, Wanli Liu2, Xiangbo Chen2,*, Baoli Li1,*

    Canadian Journal of Urology, Vol.33, No.4, pp. 989-997, 2026, DOI:10.32604/cju.2026.084512 - 21 August 2026

    Abstract Background: Transurethral resection of the prostate (TURP) remains the standard surgical treatment for benign prostatic hyperplasia (BPH), whereas laser-based procedures have increasingly been adopted as alternatives because of their potential advantages in hemostasis and postoperative recovery. This study compared coagulation depth, perioperative outcomes, postoperative complications, and short-term functional outcomes between 450-nm blue laser vaporization of the prostate (BVP) and TURP. Methods: This retrospective single-center study included 260 patients with BPH who underwent either TURP (n = 110) or BVP (n = 150). Coagulation depth was compared between the two procedures using an ex vivo porcine kidney… More >

  • Open Access

    ARTICLE

    An in vitro, proof of concept study utilizing a latex model to simulate assessment of urethral pressure profile to quantify tissue compliance and stricture detection

    Diboro L. Kanabolo1,*, Noah Roselli2, Emily Ji1, Yashwanth Nanda Kumar3, Neelesh A. Patankar4, Ziho Lee1

    Canadian Journal of Urology, Vol.33, No.4, pp. 951-958, 2026, DOI:10.32604/cju.2026.079668 - 21 August 2026

    Abstract Background: Retrograde urethrogram (RUG) remains the gold standard for diagnosing urethral stricture disease, however no widely available diagnostic modality currently quantifies stricture characteristics using cross-sectional area or tissue compliance. We hypothesized that pressure-derived metrics could improve diagnostic accuracy and guide treatment. We aimed to develop an in vitro latex urethra model to simulate “healthy” and “strictured” states and directly measure luminal pressure as an initial step toward compliance assessment. Methods: Ten 20-cm latex tubes were studied; five contained 1.5-cm simulated strictures. All tubes were clamped at both ends to prevent leakage. Strictures were created by clamping… More >

  • Open Access

    REVIEW

    Efficacy and safety of blue laser vaporization of the prostate for benign prostatic hyperplasia: a systematic review and meta-analysis

    Ren-Peng Yu1,2,3, Ou-Yang Song1, Hong Weng2,3, Yong-Bo Wang2, Bing-Hui Li2, Hao Zi4, Yu Hao1, Qiang Li1,*, Xian-Tao Zeng1,2,3,*

    Canadian Journal of Urology, Vol.33, No.4, pp. 753-770, 2026, DOI:10.32604/cju.2026.079426 - 21 August 2026

    Abstract Objective: While novel 450 nm blue laser vaporization of the prostate (BLVP) has emerged as a promising treatment for benign prostatic hyperplasia (BPH), comprehensive evidence-based validation remains lacking. Therefore, this study aims to evaluate the efficacy and safety of BLVP for BPH. Methods: A systematic search was conducted in PubMed, Cochrane Library, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), VIP, and Wanfang database up to 1 September 2025 (an updated search was performed on 31 December 2025). Single-arm meta-analyses summarized the absolute efficacy and safety of BLVP. For the comparison of BLVP with… More >

  • Open Access

    HOW I DO IT

    Button Cistostomy in pediatric population: a simplified mini-inivasive insertion technique

    Giovanni Mosiello1, Martina Monti1,2,*, Rebecca Pulvirenti1, Noemi Deanesi1,3, Antonio Maria Zaccara1, Chiara Pellegrino1, Maria Luisa Capitanucci1

    Canadian Journal of Urology, Vol.33, No.4, pp. 795-798, 2026, DOI:10.32604/cju.2026.079335 - 21 August 2026

    Abstract Pediatric patients with functional or anatomical lower urinary tract obstruction, including neurogenic bladder, require effective bladder drainage to maintain low intravesical pressures, prevent infections, and preserve renal function. Clean intermittent catheterization (CIC) is the standard approach, but it is not always feasible due to patient- or anatomy-related factors. In these cases, continent or non-continent urinary diversion techniques are considered. Among non-continent options, vesicostomy has traditionally been used but is associated with significant morbidity and long-term complications. The cystostomy button (CB), originally developed for enteral feeding, has emerged as a minimally invasive, catheterizable alternative for bladder More >

  • Open Access

    ARTICLE

    The estimated economic burden of urinary incontinence-related complications in older adults Canada

    Crystal Su1, Barrett Carley1, Casandra Gardner1, Andrea Shepherd1, Adrian Wagg2,*

    Canadian Journal of Urology, Vol.33, No.4, pp. 893-902, 2026, DOI:10.32604/cju.2026.079016 - 21 August 2026

    Abstract Backgrounds: Urinary incontinence (UI) is increasingly prevalent, particularly in older adults. UI management is frequently under-resourced and is associated with the development of potentially avoidable complications, placing a significant burden on the patient and on the healthcare system. This study aimed to estimate the cost of UI-related complications in Canada. Methods: We conducted a comprehensive literature review using PubMed, Canadian Institute for Health Information (CIHI) data and citation mining to identify the prevalence of UI, UI-related complications, and associated treatment costs across each of acute care, long-term care (LTC), homecare and self/family care. UI-related complications… More >

  • Open Access

    ARTICLE

    Impact of the 2024 national medical fluid shortage on urologic practice in the United States: a cross-sectional survey

    Lucas B. Vergamini, Pedro Z. Padovani, Nicholas Choi, Wilson R. Molina, Donald Neff, David A. Duchene, Emily Elliott, Colby Souders, Maxton Thoman, Bristol B. Whiles*

    Canadian Journal of Urology, Vol.33, No.4, pp. 967-975, 2026, DOI:10.32604/cju.2026.078800 - 21 August 2026

    Abstract Objectives: In September 2024, Hurricane Helene caused extensive infrastructure damage in the United States, including severe disruption to a major Baxter sterile irrigation fluid manufacturing facility in North Carolina, leading to a nationwide shortage of sterile irrigation fluids used in surgical procedures. The objective of this study was to evaluate the impact of the nationwide sterile irrigation fluid shortage on urologic practice across the United States (U.S.) Methods: A descriptive, cross-sectional Research Electronic Data Capture (REDCap) survey was distributed to U.S. urologists. The questionnaire captured provider demographics, procedure delays, and practice/procedure modifications. Results: Ninety-five surgeons responded.… More >

  • Open Access

    REVIEW

    Diagnostic value of percutaneous sampling in Bosniak III–IV renal cysts: a systematic review and meta-analysis

    Attilio Barretta1,2,*, Angelo Mottaran1, Nicolas Carl2, Francesco Prata2,3, Sara Tamburini1,2, Edoardo Beatrici2, Mario De Angelis2,4, Francesco Cei2,4, Natali Rodriguez Peñaranda2, Francesco Pepillo2, Alessio Guidotti2, Vincenzo Cavarra2, Claudio Brancelli2, Pietro Pasquini2, Pietro Piazza1, Cristian Vincenzo Pultrone1, Hussam Dababneh1, Lorenzo Bianchi1, Alessandro Larcher4, Alexandre Mottrie2, Rocco Papalia3, Riccardo Schiavina1

    Canadian Journal of Urology, Vol.33, No.4, pp. 783-793, 2026, DOI:10.32604/cju.2026.078354 - 21 August 2026

    Abstract Objectives: Complex cystic renal lesions pose a significant diagnostic challenge in the preoperative assessment of malignancy. Although percutaneous renal mass biopsy is well established for solid tumours diagnosis, its role in cystic lesions remains controversial. This systematic review aims to evaluate the diagnostic performance, safety, and clinical impact of percutaneous sampling—fine-needle aspiration (FNA) and core needle biopsy (CNB)—in Bosniak III–IV renal cysts. Methods: A systematic review and meta-analysis were conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines [International Prospective Register of Systematic Reviews (PROSPERO) ID CRD420251124563]. PubMed/MEDLINE (Medical Literature… More >

  • Open Access

    ARTICLE

    Unintended consequences of antibiotic practices: the relationship between bowel preparation, prolonged prophylaxis, and ileus after radical cystectomy

    Sri Saran Manivasagam, Joseph Y. Clark, Jay D. Raman*

    Canadian Journal of Urology, Vol.33, No.4, pp. 865-871, 2026, DOI:10.32604/cju.2026.078196 - 21 August 2026

    Abstract Objectives: Postoperative ileus (POI) after radical cystectomy (RC) is a common complication that carries significant morbidity. Prolonged antibiotic usage has been associated with an elevated risk of POI. The American Urological Association guidelines recommend that only a single dose of peri-procedural antibiotic prophylaxis is sufficient. This study aims to evaluate the association between oral antibiotic bowel preparation (ABP) and prolonged surgical antibiotic prophylaxis (SAP) (>24 h) with postoperative ileus (POI) following radical cystectomy (RC). Materials and Methods: A retrospective cohort study using the American College of Surgeons National Surgical Quality Improvement Program procedure-targeted RC dataset was… More >

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