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  • Open Access

    ARTICLE

    Use of TP4303 to identify prostate cancer cells in voided urine samples

    Shridhar C. Ghagane1,3, Shadab Rangrez3, R.B. Nerli2,3, Madhukar L. Thakur4,6, Leonard G. Gomella5,6

    Canadian Journal of Urology, Vol.31, No.3, pp. 11892-11896, 2024

    Abstract Introduction: Prostate cancer is the second most common malignancy in men worldwide. Genomic VPAC receptors are expressed on malignant prostate cancer cells and can be targeted and imaged optically by a peptide labeled fluorophore. The objective of our study was to assess the feasibility of detecting cancer of the prostate using a voided urine sample.
    Materials and methods: Patients ≥ 40 years old, with lower urinary tract symptoms and serum PSA > 4 ng/ mL formed the study group. The first 50 mL of voided urine sample was collected and processed. The cells that were shed in… More >

  • Open Access

    ARTICLE

    Evaluating limited biopsy templates for men with markedly elevated PSAs

    Nikola C. Teslovich1, Peter Elliott2, Christopher S. Elliott2

    Canadian Journal of Urology, Vol.31, No.3, pp. 11886-11891, 2024

    Abstract Introduction: To define the smallest prostate needle biopsy (PNB) template necessary for accurate tissue diagnosis in men with markedly elevated PSA while decreasing procedural morbidity.
    Materials and methods: We performed a chart review of 80 men presenting with a newly elevated PSA > 100 ng/mL who underwent biopsy (PNB or metastatic site). For patients who underwent a full 12-core biopsy, simulated templates of 2- to 10-cores were generated by randomly drawing subsets of biopsies from their full-template findings. Templates were iterated to randomize core location and generate theoretical smaller template outcomes. Simulated biopsy results were compared to… More >

  • Open Access

    ARTICLE

    A costing and health-related quality of life study of high intensity focused ultrasound in primary treatment of localized low or intermediate risk prostate cancer in Ontario

    Bassem Toeama1, Nathan Perlis2, Paul Grootendorst1, William Orovan3, Emmanuel Papadimitropoulos1,4

    Canadian Journal of Urology, Vol.31, No.4, pp. 11963-11970, 2024

    Abstract Introduction: Prostate cancer is the third leading cause of death from cancer among Canadian men. High intensity focused ultrasound (HIFU) is a novel approach for primary treatment of localized prostate cancer. Little is known, however, about its costs. We aimed to collect the direct costs and health-related quality of life (HRQoL) data of HIFU in primary treatment of localized low and intermediate risk prostate cancer in Ontario.
    Materials and methods: We collected direct costs and HRQoL data of 20 patients with localized low or intermediate risk prostate cancer who received whole gland HIFU at a privately owned… More >

  • Open Access

    ARTICLE

    MRI-based PI-RADS score predicts ISUP upgrading and adverse pathology at radical prostatectomy in men with biopsy ISUP 1 prostate cancer

    Snir Dekalo1,2, Ohad Mazliah2, Eyal Barkai1,2, Yuval Bar-Yosef1,2, Haim Herzberg1,2, Tomer Bashi1,2, Ibrahim Fahoum2,3, Sophie Barnes2,4, Mario Sofer1,2, Ofer Yossepowitch1,2, Gal Keren-Paz1,2, Roy Mano1,2

    Canadian Journal of Urology, Vol.31, No.4, pp. 11955-11962, 2024

    Abstract Introduction: Most men diagnosed with very-low and low-risk prostate cancer are candidates for active surveillance; however, there is still a misclassification risk. We examined whether PI-RADS category 4 or 5 combined with ISUP 1 on prostate biopsy predicts upgrading and/ or adverse pathology at radical prostatectomy.
    Materials and methods: A total of 127 patients had ISUP 1 cancer on biopsy after multiparametric MRI (mpMRI) and then underwent radical prostatectomy. We then evaluated them for ISUP upgrading and/or adverse pathology on radical prostatectomy.
    Results: Eight-nine patients (70%) were diagnosed with PI-RADS 4 or 5 lesions. ISUP upgrading was significantly… More >

  • Open Access

    COMMENTARY

    Prostate cancer and testosterone: what does the prostate cancer surgeon need to know?

    Judd W. Moul

    Canadian Journal of Urology, Vol.31, No.4, pp. 11941-11942, 2024

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Is there a relationship between testosterone and androgen receptor with prostatectomy outcomes?

    Bárbara Vieira Lima Aguiar Melão1, Sabrina Thalita dos Reis Faria2, Kátia Ramos Moreira Leite2, Ruan César Aparecido Pimenta2, Miguel Srougi1, Alberto Azoubel Antunes1

    Canadian Journal of Urology, Vol.31, No.4, pp. 11931-11940, 2024

    Abstract Introduction: Prostate cancer has a variable natural history and, despite the existence of biochemical recurrence (BCR) predictors, they are still limited in predicting outcomes. The role of testosterone in advanced prostate cancer is well known, however its role in localized prostate cancer is still uncertain. In the present study, we evaluated the relationship of testosterone levels and androgen receptor (AR) expression with oncological and functional outcomes, in patients undergoing radical retropubic prostatectomy (RRP).
    Materials and methods: Through a retrospective study, patients who underwent RRP, who had at least two preoperative total testosterone dosages, were analyzed and compared… More >

  • Open Access

    ARTICLE

    Implications of MRI contrast enhancement following focal prostate cancer cryoablation

    James Wysock1,*, Jesse Persily1,*, Angela Tong2, Eli Rapoport1, Ben Zaslavsky1, Majlinda Tafa1, Herbert Lepor1

    Canadian Journal of Urology, Vol.31, No.5, pp. 11986-11991, 2024

    Abstract Introduction: Local disease recurrence following focal therapy (FT) for prostate cancer may be due to failure to eradicate focal disease or development of disease in the untreated prostate (in- and out-of-field recurrences). Several studies suggest in-field contrast enhancement (CE) on post treatment multi-parametric (mp) MRI between 6-12 months following FT indicates residual disease. The present study assesses the incidence and oncologic implications of early CE observed following primary partial gland cryoablation (PPGCA).
    Material and methods: The surveillance protocol for men enrolled in our prospective outcomes study following PPGCA included mpMRI at 6-12 months, 2 years, 3.5 years,… More >

  • Open Access

    REVIEW

    Side effect management algorithms for niraparib/abiraterone acetate in prostate cancer

    Jean-Baptiste Lattouf1, Jenny J. Ko2, Margot K. Davis3, Christian Constance4, Geoffrey T. Gotto5

    Canadian Journal of Urology, Vol.31, No.5, pp. 11977-11985, 2024

    Abstract Introduction: Niraparib, a PARP1/2 inhibitor, is newly approved in combination with abiraterone acetate (AA) plus prednisone or prednisolone (niraparib/AA+P) for the treatment of adult patients with BRCA-mutated, treatment-naïve metastatic castration resistant prostate cancer (mCRPC). Detailed guidance beyond the prescribing information may be helpful in managing the side effect profile and dosing practicalities of this combination therapy.
    Materials and methods: A panel of specialists convened to design management algorithms for four common niraparib/ AA+P treatment-related adverse events (AEs) in mCRPC; anemia, thrombocytopenia, hypertension, and nausea. The algorithms build on Health Canada-approved prescribing information to highlight practical considerations related… More >

  • Open Access

    REVIEW

    The preventive mechanisms and research progress of sulforaphane in relation to prostate cancer

    HUANGLIN DUAN1,*, BAISHENG XU1,#, TIANPENG XIE2,#

    BIOCELL, Vol.48, No.12, pp. 1703-1719, 2024, DOI:10.32604/biocell.2024.054873 - 30 December 2024

    Abstract Prostate cancer is one of the most common tumors in urology. Dietary prophylaxis can effectively reduce prostate cancer incidence and progression. A growing body of research has shown that natural food ingredients such as Sulforaphane (SFN) can reduce the incidence of prostate cancer. It has a significant inhibitory effect on the progression from local prostate cancer to more aggressive prostate cancer. This article mainly expounds on the prevention mechanism and research progress of sulforaphane in various ways for prostate cancer and provides a reference for its future clinical application. In this review, ‘SFN’, ‘Prostate Cancer’,… More >

  • Open Access

    ARTICLE

    Oncosexology in côte d’Ivoire: Attitudes and Practices of Physicians Involved in the Management of Breast and Prostate Cancer

    Kouamé Konan Yvon Kouassi1,*, Bitti Adde Odo1, Yenahaban Lazare Toure1, Ouowene Prisca Marina Sougue2, Petiori Gningayou Laurence épouse Kamara Touré1, N’Guessan Manlan Prosper Mebiala1, Fleur Audrey Sessegnon1, Marie Sandrine Koffi1, Akissi Marie Barbara Yvonne Nogbou1, Sherif Traore1, Asmaho Akissi Danielle Andree Traore-Kouassi1, Moctar Toure1

    Psycho-Oncologie, Vol.18, No.4, pp. 359-365, 2024, DOI:10.32604/po.2024.049816 - 04 December 2024

    Abstract Objective: To evaluate the attitudes and practices of oncosexology in the management of breast and prostate cancer in Côte d’Ivoire. Methods: A cross-sectional, multicenter, descriptive and analytical survey carried out over 02 months from 1 November to 31 December 2022, among doctors involved in the management of breast and prostate cancer in Côte d’Ivoire. Results: 78 physicians on 114 participated in the study, with a participation rate of 79.5%. Only one doctor discussed the sexual risks associated with cancer with all his patients and 7.7% of doctors said they never broached questions of sexuality with their… More >

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