Jessica Costales^1,*, Muhannad Alsyouf², Phillip Napolitan³, Sharon Wang³, Brian Hu²

Canadian Journal of Urology, Vol.26, No.1, pp. 9680-9682, 2019

Abstract Corynebacterium urealyticum is an organism associated with a rare chronic urinary tract infection, which can lead to calcification of the urinary tract and promote rapid lithogenesis. This case illustrates the serious complications that can arise from chronic infection with C. urealyticum, which include rapid progression of luminal and parenchymal urinary tract calcification and concomitant renal failure. This case and a review of the literature demonstrate the need for an increased awareness of this organism with early identification, aggressive management, and test of cure that may help avoid the sequela of these infections. More >

W. Jordan Brockway¹, Andrew J. Bradsher¹, Jessica E. Hook¹, Ashay S. Patel^1,2, Ismael Zamilpa^1,2, Stephen J. Canon^1,2

Canadian Journal of Urology, Vol.26, No.1, pp. 9675-9679, 2019

Abstract Introduction: 2-octylcyanoacrylate (OC) has been shown to be a viable option for usage following standard circumcision, but data on its utilization following hypospadias repair is limited. Both OC and a standard waterproof transparent dressing (WD) are used following hypospadias repair at our children’s hospital. Our hypothesis is that patients with distal hypospadias repair using OC for surgical dressing have similar outcomes as compared to patients with WD.
Materials and methods: A retrospective study was performed evaluating all patients with distal hypospadias repair during a 2-year period. OC was primarily used by one of the three physicians in… More >

Hatim Thaker, Saum Ghodoussipour, Mateen Saffarian, Akbar Ashrafi, Gus Miranda, Jie Cai, Anne K. Schuckman, Monish Aron, Mihir Desai, Inderbir S. Gill, Siamak Daneshmand, Hooman Djaladat

Canadian Journal of Urology, Vol.26, No.1, pp. 9654-9659, 2019

Abstract Introduction: To evaluate the reasons leading to an extended hospital stay (EHS) in patients undergoing radical cystectomy (RC) with postoperative enhanced recovery after surgery (ERAS) protocol.
Materials and methods: A total of 509 patients underwent RC and urinary diversion with ERAS between May 2012 and March 2017. The protocol includes no bowel preparation, early feeding, predominantly non-narcotic pain control, and μ opioid antagonists. Non-consenting/lost to follow-up patients, and those with non-urothelial carcinoma were excluded. We defined EHS as ≥ 5 postoperative days and compared the cohort to those with a length of stay (LOS) of ≤ 4… More >

Félix Couture^1,2,*, Stefano Polesello², Côme Tholomier^2,3, Helen Davis Bondarenko², Pierre I. Karakiewicz², Sebastiano Nazzani^4,5, Felix Preisser^5,6, Assaad El-Hakim², Kevin C. Zorn⁷

Canadian Journal of Urology, Vol.26, No.1, pp. 9644-9653, 2019

Abstract Introduction: Neurovascular bundle (NVB) preservation during robot-assisted radical prostatectomy (RARP) directly affects patient functional outcomes. Despite careful surgical planning, many NVB preservation techniques are changed intraoperatively from their preoperative plan. Our objective was to identify risk factors predicting intraoperative change in NVB preservation technique during RARP.
Materials and methods: Prospective data from 578 RARPs performed by a single surgeon between 2010 and 2017 at a tertiary care center. Side-specific NVB preservation technique was planned preoperatively. Surgical techniques were either complete nerve sparing (CNS), or incomplete nerve sparing (INS). Variables included age, tumor grade, prostate volume, number of… More >

Nirmish Singla¹, Jordon T. Walker¹, Solomon L. Woldu¹, Karen De La Fuente¹, Ellen Araj², Brandon Swartz², Payal Kapur^1,2, Claus G. Roehrborn¹

Canadian Journal of Urology, Vol.26, No.1, pp. 9634-9643, 2019

Abstract Introduction: To determine whether quantifying the proximity of positive prostate biopsy cores to the capsular edge may aid in identifying patients at risk for extracapsular extension (ECE) at the time of radical prostatectomy (RP).
Materials and methods: We reviewed a single-surgeon experience of 429 systematic transrectal prostate biopsies from 2010-2014. Marking ink was applied to the capsular edge ex vivo following specimen acquisition, and the proximity of cancer to the stained capsular edge was measured. Primary outcome was ECE at RP. Demographics, PSA, DRE findings, Gleason score, core location and involvement, and RP pathology were recorded. Predictors… More >

Kevin R. Loughlin

Canadian Journal of Urology, Vol.26, No.1, pp. 9628-9629, 2019

Abstract This article has no abstract. More >

Abhinav V. Reddy^1,2, Matthew N. Mills^1,3, Stanley L. Liauw⁴, Sujith Baliga⁵, Charles R. Kersh⁶

Canadian Journal of Urology, Vol.26, No.2, pp. 9743-9745, 2019

Abstract Renal cell carcinoma (RCC) is usually treated with surgery, with or without systemic therapy. For select patients, stereotactic body radiation therapy (SBRT) may be a suitable alternative. Although many reports exist on the successful use of SBRT, very few have described long term outcomes with regard to disease progression and renal function. We report a rare case of a single patient with primary, metastatic, and locally recurrent renal cell carcinoma who was successfully treated with SBRT. The patient has been disease-free for 8 years since treatment, with stable renal function even after two courses of More >

Eric C. Wendel, Raunak D. Patel, Daniel J. Canter

Canadian Journal of Urology, Vol.26, No.2, pp. 9740-9742, 2019

Abstract The outcome of nephron-sparing surgical management of small renal masses is generally favorable, specifically in terms of long term renal function, overall survival, and oncologic outcomes. Given the overall prognosis and renal function preservation, transplantation of kidneys with small renal masses has increasingly been accepted as a donor option for renal transplantation. We present a case of an incidental renal mass on preoperative donor transplant evaluation and subsequent ex-vivo donor partial nephrectomy at the time of renal transplantation. More >

Humberto Vigil¹, Sender Herschorn¹, Ron Kodama¹, Jon Barrett²

Canadian Journal of Urology, Vol.26, No.2, pp. 9736-9739, 2019

Abstract The incidence of placenta accreta spectrum is on the rise. The most serious entity within this spectrum is percreta: extension beyond the uterus. The bladder is most commonly involved in these cases and is especially relevant for the urologist. Important sequelae include hemorrhage, massive transfusion, maternal mortality and urinary tract injury. Approaching this disorder as well as associated urinary tract involvement in a standardized and multi-disciplinary fashion significantly improves outcomes and reduces morbidity. Herein, we present a case of complete placenta percreta involving the bladder that was successfully managed with minimal obstetrical and genitourinary morbidity. More >

Ashley M. Shumate¹, Grayson Roth², Colleen T. Ball², Kaitlynn Custer², David D. Thiel¹

Canadian Journal of Urology, Vol.26, No.2, pp. 9726-9732, 2019

Abstract Introduction: To prospectively analyze the association of clinical and operative variables on patient length of hospital stay (LOS) following robotic-assisted partial nephrectomy (RAPN) and develop an accurate clinical-based scoring system to predict prolonged LOS following RAPN.
Materials and methods: We analyzed 304 consecutive RAPNs performed by a single surgeon. Prolonged LOS was defined as greater than 3 days of hospitalization postoperatively. Preoperative clinical factors and operative variables were analyzed for association with LOS. After adjusting for multiple testing, p ≤ 0.004 was considered statistically significant.
Results: LOS was 1 day in 17 (5.6%) patients, 2 days in 136… More >