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  • Open Access

    ARTICLE

    Amniotic bladder therapy: six-month follow up treating interstitial cystitis/bladder pain syndrome

    Jack Considine1, Kyle O'Hollaren1, Codrut Radoiu1, Raghav Madan1, Aron Liaw1,2, Nivedita Dhar2,3

    Canadian Journal of Urology, Vol.31, No.3, pp. 11898-11903, 2024

    Abstract Introduction: Interstitial cystitis/bladder pain syndrome (IC/BPS) is characterized by chronic pelvic pain and usually accompanies lower urinary tract symptoms. We have previously reported that amniotic bladder therapy (ABT) provides symptomatic improvement in refractory IC/BPS patients for up to 3 months. Herein, we evaluated the durability of ABT up to 6 months.
    Materials and methods: Consecutive IC/BPS patients received intra-detrusor injections of 100 mg micronized amniotic membrane. Clinical evaluation and patient reported outcome measurements including Interstitial Cystitis Symptom Index (ICSI), Interstitial Cystitis Problem Index (ICPI), Bladder Pain/ Interstitial Cystitis Symptom Score (BPIC-SS) and Overactive Bladder Assessment Tool (OAB)… More >

  • Open Access

    ARTICLE

    Frontline immune checkpoint inhibitors in patients ≥ 90 years with advanced urothelial cancer: a single center experience

    Evangelia Vlachou1, Burles Avner Johnson 3rd1,2, Elizabeth Guancial3, Kara A. Lombardo1,2,4, Jean Hoffman-Censits1,2

    Canadian Journal of Urology, Vol.31, No.3, pp. 11875-11879, 2024

    Abstract Introduction: Immune checkpoint inhibitors (ICIs) are approved for advanced urothelial cancer alone and as first line in combination with enfortumab vedotin. Platinum based chemotherapy which is another frontline choice is often not a treatment option for older patients due to comorbidities that increase with age. Despite ICIs being better tolerated compared to traditional chemotherapy little is known about their efficacy and toxicity in patients ≥ 90 years due to the rarity of this population in clinical trials. Our objective was to analyze the efficacy and toxicity of immune checkpoint inhibitors in patients ≥ 90 years.
    Materials andMore >

  • Open Access

    ARTICLE

    Outcomes of sacral neuromodulation in male patients with overactive bladder, chronic pelvic pain, and fecal incontinence

    Roseanne Ferreira1, Emad Alwashmi1,2, Samuel Otis-Chapados1, Naeem Bhojani3, Kevin C. Zorn4, Bilal Chughtai5, Dean S. Elterman1

    Canadian Journal of Urology, Vol.31, No.4, pp. 11943-11949, 2024

    Abstract Introduction: Despite the growing body of literature on sacral neuromodulation (SNM) outcomes, research focusing on male patients remains limited and often represented by small cohorts nested within a larger study of mostly women. Herein, we evaluated the outcomes of SNM in a male-only cohort with overactive bladder (OAB), fecal incontinence (FI), chronic bladder pain, and neurogenic lower urinary tract dysfunction (NLUTD).
    Materials and methods: This retrospective cohort study included 64 male patients who underwent SNM insertion between 2013 and 2021 at a high-volume tertiary center. Indications for SNM therapy included OAB, FI, chronic pelvic pain, and NLUTD.… More >

  • Open Access

    RESIDENT’S CORNER

    Rapid onset severe hyperkalemia during robotic radical cystectomy: a case report

    Matthew Buell, Brian Hu

    Canadian Journal of Urology, Vol.31, No.5, pp. 12026-12029, 2024

    Abstract Radical cystectomy is a preferred treatment for muscle invasive bladder cancer. Despite known complications, rapid onset, severe hyperkalemia necessitating abortion of surgery has not been reported. In this case report, a patient with end stage renal disease (ESRD) undergoing attempted cystectomy developed severe intraoperative hyperkalemia and acidosis that led to abortion of surgery and transfer to the medical intensive care unit for emergent hemodialysis. The multifactorial etiology was related to respiratory acidosis, ESRD, patient positioning, clipping of ureters, and body habitus, as well as an idiopathic element. Knowledge of hyperkalemia etiologies can assist in diagnosis More >

  • Open Access

    ARTICLE

    Prehabilitation in patients undergoing bladder cancer surgery – A systematic review and meta-analysis

    Daniel Steffens1,2,3, Cherry Koh1,2,3,4, Nicholas Hirst1,2, Ruby Cole1,2, Michael J. Solomon1,2,3,4, Lisa Nguyen-Lal5

    Canadian Journal of Urology, Vol.31, No.5, pp. 12004-12012, 2024

    Abstract Introduction: The evidence on the effectiveness of prehabilitation in patients undergoing bladder cancer surgery remains lacking. Thus, the aim of this study is to determine the effectiveness of prehabilitation on reducing postoperative morbidity and length of hospital stay in patients undergoing bladder cancer surgery.
    Materials and methods: This systematic review included randomized controlled trials investigating the effect of prehabilitation on postoperative outcomes in patients undergoing bladder cancer surgery. A comprehensive search was conducted, with two reviewers independently screening articles and extracting data. The Cochrane Collaboration’s tool was used to assess risk of bias, and GRADE to rate… More >

  • Open Access

    REVIEW

    Illuminating the use of photodynamic therapy in urologic oncology

    Gabrielle R. Yankelevich1, Kale Moreland2, Makayla M. Swancutt2, Robert L. Grubb1

    Canadian Journal of Urology, Vol.31, No.6, pp. 12035-12044, 2024

    Abstract Introduction: We report the first scoping review of the clinical urologic literature for photodynamic therapy (PDT) among multiple urologic malignancies.
    Materials and methods: A scoping review using Medline and Embase was performed for treatment of urologic malignancies with PDT.
    Results: There were 84 papers included with the majority involving bladder and prostate cancer. Upper tract urothelial cancer (UTUC) only comprised three publications and there was no clinical data for renal or testicular cancer. Utilizing PDT in prostate cancer led to a negative biopsy rate of 30%-100%. Bladder cancer treatment with PDT had a 3-month complete response rate of More >

  • Open Access

    RETRACTION

    Retraction: long noncoding RNA ATB promotes proliferation, migration, and invasion in bladder cancer by suppressing microRNA-126

    Oncology Research Editorial Office

    Oncology Research, Vol.32, No.11, pp. 1819-1819, 2024, DOI:10.32604/or.2024.056893 - 16 October 2024

    Abstract This article has no abstract. More >

  • Open Access

    RETRACTION

    Retraction: miR-203 suppresses bladder cancer cell growth and targets twist1

    Oncology Research Editorial Office

    Oncology Research, Vol.32, No.10, pp. 1693-1694, 2024, DOI:10.32604/or.2024.056909 - 18 September 2024

    Abstract This article has no abstract. More >

  • Open Access

    RETRACTION

    Retraction: MicroRNA-940 Targets INPP4A or GSK3β and Activates the Wntβ-Catenin Pathway to Regulate the Malignant Behavior of Bladder Cancer Cells

    Oncology Research Editorial Office

    Oncology Research, Vol.32, No.9, pp. 1537-1537, 2024, DOI:10.32604/or.2024.056125 - 23 August 2024

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Ladder Time Stepwise Inertia Coordinated Control Method of Multiple Wind Farms to Suppress System Frequency Secondary Drop

    He Li1, Xianchao Liu2,*, Jidong Li1, Yuchen Qiu2

    Energy Engineering, Vol.121, No.8, pp. 2293-2311, 2024, DOI:10.32604/ee.2024.048752 - 19 July 2024

    Abstract When employing stepwise inertial control (SIC), wind power generation can offer significant frequency support to the power system, concurrently mitigating energy shortages and suppressing secondary frequency drop. Nonetheless, further investigation is imperative for implementing stepped inertia control due to variations in frequency regulation capabilities and operational safety among diverse wind farm groups. Consequently, this paper advocates a multi-wind farm ladder timing SIC method designed to alleviate secondary drops in system frequency. Initially, the paper introduces the fundamental principles of stepped inertia control for a doubly-fed induction generator (DFIG) and deduces the relationship between support energy,… More >

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