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  • Open Access

    ARTICLE

    Age-stratified potency outcomes of bilateral nerve sparing robotic-assisted radical prostatectomy

    Adel Arezki1,*, Iman Sadri1,*, Ahmed S. Zakaria2, Felix Couture3, David-Dan Nguyen4, Pierre Karakiewicz5, Dean S. Elterman6, Kevin C. Zorn2

    Canadian Journal of Urology, Vol.30, No.1, pp. 11424-11431, 2023

    Abstract Introduction: This study aims to report age-stratified potency outcomes in men undergoing robot-assisted radical prostatectomy (RARP).
    Materials and methods: A retrospective review was performed on a database of 1737 patients who underwent RARP for localized prostate cancer between 2007 and 2019. Inclusion criteria consisted of patients undergoing bilateral nerve-sparing RARP. Exclusion criteria were preoperative Sexual Health Inventory for Men (SHIM) score < 17 and postoperative androgen deprivation therapy or radiotherapy. Patients were divided into four cohorts based on age: ≤ 54 years (group 1); 55-59 years (group 2); 60-64 years (group 3) and ≥ 65 years (group… More >

  • Open Access

    ARTICLE

    Surgical treatment for BPH refractory to medication: robotic water jet ablation vs. TURP functional outcomes from two FDA clinical trials

    Alexis E. Te1, Christina Sze1, Steven A. Kaplan2, Bilal Chughtai1

    Canadian Journal of Urology, Vol.30, No.1, pp. 11408-11413, 2023

    Abstract Introduction: A common indication for benign prostate hyperplasia (BPH) therapies is failure to improve with medical therapy. However, pivotal Federal Drug Administration (FDA) registered randomized clinical trials (RCTs) for minimally invasive surgical therapies (MISTs) are designed to be compared to either sham or placebo while off medical therapy at baseline, and as an alternative to medical therapy. There are few if any RCTs reporting the MISTS efficacy in patients with true medical therapy failure. We report on the efficacy of robotic water jet ablation therapy (RWT) and TURP in patients who have failed to improve with… More >

  • Open Access

    ARTICLE

    Functional outcomes of Fournier’s gangrene: a multi-institutional experience

    Devon M. Langston1, Daniel Evans2, Stanley Moore3, Jolie Shen3, Ziho Lee4, Jonathan Wingate4, Alexander J. Skokan4, Aron Liaw5, Judith C. Hagedorn3, Benjamin N. Breyer5, Nima Baradaran2

    Canadian Journal of Urology, Vol.30, No.2, pp. 11487-11494, 2023

    Abstract Introduction: Fournier’s gangrene (FG), is a progressive, necrotizing soft tissue infection of the external genitalia, perineum, and/or anorectal region. How treatment and recovery from FG impacts quality of life related to sexual and general health is poorly characterized. Our purpose is to evaluate the long term impact of FG on overall and sexual quality of life using standardized questionnaires through a multi-institutional observational study.
    Materials and methods: Multi-institutional retrospective data were collected by standardized questionnaires on patient-reported outcome measures including the Changes in Sexual Functioning Questionnaire (CSFQ) and the Veterans RAND 36 (VR-36) survey of general health-related… More >

  • Open Access

    ARTICLE

    The impact of 5-ARI on perioperative and functional outcomes of GreenLight PVP: an analysis of the Global GreenLight Group database

    Tawfik Elsherbini1,*, David Bouhadana2,*, Iman Sadri3, David-Dan Nguyen4, Kyle W. Law5, Adel Arezki3, Claudia Deyirmendjian1, Ahmed Ibrahim5, Naeem Bhojani5, Dean S. Elterman6, Bilal Chughtai7, Franck Bruyère8, Luca Cindolo9, Giovanni Ferrari9, Carlos Vasquez-Lastra10, Tiago Borelli-Bovo11, Edgardo F. Becher12, Hannes Cash13, Maximillian Reimann14, Enrique Rijo15, Vincent Misrai16, Kevin C. Zorn5

    Canadian Journal of Urology, Vol.30, No.2, pp. 11473-11479, 2023

    Abstract Introduction: In this study, we sought to investigate the impact of 5-alpha reductase inhibitors (5-ARI) on the perioperative and functional outcomes of 180-Watt XPS GreenLight photovaporization of the prostate (PVP) using a large international database.
    Materials and methods: Data were obtained from the Global GreenLight Group (GGG) database, which includes eight high-volume, experienced surgeons from seven international centers. All men with established benign prostatic hyperplasia (BPH) with known 5-ARI status who underwent GreenLight PVP using the XPS-180W system between 2011 and 2019 were eligible for the study. Patients were assigned to two groups based on the preoperative… More >

  • Open Access

    ARTICLE

    Interdisciplinary planning improves radiologist obtained access for percutaneous nephrolithotomy

    Christopher J. Staniorski1, Mitchell B. Alameddine1, Shyam Patnaik1, Michelle J. Semins2

    Canadian Journal of Urology, Vol.30, No.5, pp. 11692-11697, 2023

    Abstract Introduction: Proper antegrade access for percutaneous nephrolithotomy (PCNL) is essential for success but can be challenging. Previous work evaluating access obtained by interventional radiology (IR), largely in the emergent setting, has shown high rates of additional access at the time of PCNL. We hypothesize that efforts to improve pre-procedural communication between urology and IR can impact the utility of the access for subsequent PCNL.
    Material and methods: We conducted a retrospective review of patients undergoing PCNL at a single hospital from January 2011 to December 2022. Adult patients undergoing PCNL with established preoperative access were included.
    Results: A… More >

  • Open Access

    ARTICLE

    Aquablation versus TURP: 5-year outcomes of the WATER randomized clinical trial for prostate volumes 50-80 mL

    Kussil Oumedjbeur1, Nicholas J. Corsi2, David Bouhadana3, Ahmed Ibrahim4, David-Dan Nguyen5, Imad Matta4, Adel Arezki3, Iman Sadri3, Tawfik Elsherbini6, Naeem Bhojani4, Dean S. Elterman5, Bilal Chughtai7, Brian T. Helfand8, Alexander P. Glaser8, Vincent Misrai9, Steven Kaplan10, Peter Gilling11, Neil Barber12, Mihir Desai13, Gopal H. Badlani14, Alexis E. Te7, Claus G. Roehrborn15, Kevin C. Zorn4

    Canadian Journal of Urology, Vol.30, No.5, pp. 11650-11658, 2023

    Abstract Introduction: To report the 5-year efficacy and safety of Aquablation compared with transurethral resection of the prostate for the management of lower urinary tract symptoms secondary to benign prostatic hyperplasia in men with prostate volumes 50-80 mL.
    Materials and methods: In a large double-blinded, multicenter, and prospective randomized controlled trial, 96 randomized men with 50-80 mL prostates who underwent Aquablation or transurethral prostate resection were prospectively identified for subgroup analysis. Follow up was performed for up to 5 years. The primary efficacy endpoint was the reduction in International Prostate Symptom Score (IPSS) at 6 months. The primary… More >

  • Open Access

    ARTICLE

    Associations between Mental Health Outcomes and Adverse Childhood Experiences and Character Strengths among University Students in Southern China

    Yulan Yu1,2, Rassamee Chotipanvithayakul3, Hujiao Kuang4, Wit Wichaidit3,*, Chonghua Wan1,2,*

    International Journal of Mental Health Promotion, Vol.25, No.12, pp. 1343-1351, 2023, DOI:10.32604/ijmhp.2023.043446 - 29 December 2023

    Abstract Adverse childhood experiences (ACEs) can negatively affect mental health, whereas character strengths seem to be positively correlated with mental health. Detailed information on the history of ACEs among university students in China and the extent which mental health is associated with ACEs and character strengths can contribute to the needed empirical evidence for relevant stakeholders. Objectives of this study are 1) to estimate the prevalence of ACEs among undergraduate students in Southern China; and 2) to assess the extent which mental health outcomes (positive growth, well-being, and depression) are associated with ACEs and character strengths… More >

  • Open Access

    REVIEW

    A perspective on molecular and cellular biology-based developmental toxicology biomarkers

    SUKHENDU DEY1,#, SANDIPAN PAL2,#, APURBA RATAN GHOSH1, PALAS SAMANTA3,*

    BIOCELL, Vol.47, No.12, pp. 2579-2590, 2023, DOI:10.32604/biocell.2023.031114 - 27 December 2023

    Abstract The process of development is intricate and couple-dependent phenomenon. Accordingly, the study of molecular and cellular biology-based developmental toxicology biomarkers increasingly is becoming an important part of risk assessment and management of chemicals for detection of health outcomes and/or biological endpoint like cytotoxicity, cell death, etc. Since, the evolution of developmental toxicology field a number of tools/markers have been developed or addressed to deal with developmental outcomes, which can ultimately be used for the development of adverse outcome pathways (AOPs) of developmental toxicants. As a result, this paper provides an overview of the current state… More >

  • Open Access

    ARTICLE

    Analysis of Risk Factors for Early Mortality in Surgical Shunt Palliation: Time for a Change?

    François-Xavier Van Vyve1, Karlien Carbonez2, Jelena Hubrechts2, Geoffroy de Beco1, Jean E. Rubay1, Mona Momeni3, Thierry Detaille4, Alain J. Poncelet1,*

    Congenital Heart Disease, Vol.18, No.5, pp. 539-550, 2023, DOI:10.32604/chd.2023.042344 - 10 November 2023

    Abstract Objectives: Over the last decade, neonatal repair has been advocated for many congenital heart diseases. However, specific subgroups of complex congenital heart disease still require temporary palliation for which both surgical and endovascular techniques are currently available. We reviewed our institutional experience with shunt palliation with an emphasis on risk factors for early mortality. Methods: This is a single-center retrospective study on 175 patients undergoing surgery for central shunt or modified Blalock-Taussig shunt. All data were extracted from a prospectively collected computerized database. We identified risk factors for early mortality by uni- and multi-variable analysis.… More >

  • Open Access

    ARTICLE

    Analysis of Pulmonary Arteries Growth after Initial Shunt Palliation in Neonates and Infants

    François-Xavier Van Vyve1,#, Karlien Carbonez2,#, Geoffroy de Beco1, Stéphane Moniotte2, Jean E. Rubay1, Mona Momeni3, Laurent Houtekie4, Alain J. Poncelet1,*

    Congenital Heart Disease, Vol.18, No.5, pp. 525-537, 2023, DOI:10.32604/chd.2023.042341 - 10 November 2023

    Abstract Objective: Despite increasing enthusiasm for neonatal repair, patients with ductal-dependent circulation (pulmonary/systemic) or restrictive pulmonary blood flow still require initial palliation. Ductal stenting has emerged as an endovascular approach whereas modified-Blalock-Taussig and central shunt remain surgical references. In this study, we analyzed the relationship between pulmonary artery growth, sites of shunt connection, or antegrade pulmonary blood flow in surgically placed shunts. The need for secondary catheter-based interventions or pulmonary arterioplasty was also investigated. Methods: A retrospective single-center study analyzing 175 patients undergoing surgery for a central or modified-Blalock-Taussig shunt. Outcome growth variables were right pulmonary… More > Graphic Abstract

    Analysis of Pulmonary Arteries Growth after Initial Shunt Palliation in Neonates and Infants

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