Da David Jiang^1,2, Kyle A. Gillis^1,2, Yiyi Chen³, Jason C. Hedges¹, Nicholas H. Chakiryan^1,2

Canadian Journal of Urology, Vol.28, No.3, pp. 10678-10684, 2021

Abstract Introduction: Perioperative stroke and myocardial infarction are uncommon but devastating thromboembolic complications. There is no comprehensive study detailing these complications for urologic procedures. The primary aim of this study is to determine which urologic procedures and patients carry the highest risk of perioperative stroke and myocardial infarction.
Materials and methods: The National Surgical Quality Improvement Program data set was reviewed from 2008-2017. Procedures coded under the urology specialty were included, and patients who had a perioperative stroke or myocardial infarction were identified. CPTs were stratified into clinically relevant procedure groups. Two multivariable logistic regression analyses were performed… More >

Leonard G. Gomella

Canadian Journal of Urology, Vol.28, No.3, pp. 10652-10652, 2021

Abstract This article has no abstract. More >

Shuang Li¹, Viacheslav Iremashvili², Simone L. Vernez¹, Kristina L. Penniston¹, R. Allan Jhagroo³, Sara L. Best¹, Sean P. Hedican¹, Stephen Y. Nakada¹

Canadian Journal of Urology, Vol.28, No.4, pp. 10744-10749, 2021

Abstract Introduction: The objective of this study is to explore the association between urinary stone composition and surgical recurrence.
Materials and methods: Patients who underwent kidney stone surgeries (between 2009-2017), were followed for > 1 year, and had ≥ 1 stone composition analyses were included in our analysis. Surgical stone recurrence (repeat surgery) was defined as the second surgery on the same kidney unit. Recurrence-free survival analysis was used.
Results: A total number of 1051 patients were included (52.7% men, average age 59.1 ± 15.1 years). Over 4.7 ± 2.5 years follow-up, 26.7% of patients required repeat surgery. Patients’… More >

Vivian H. Y. Ip¹, Jaasmit Khurana¹, Niels-Erik Jacobsen², Adrian S. Fairey², Rakesh V. Sondekoppam³

Canadian Journal of Urology, Vol.28, No.5, pp. 10871-10873, 2021

Abstract Development of chronic postsurgical pain following major abdominal or pelvic surgeries is increasingly recognized. Multimodal analgesia including regional anesthesia such as rectus sheath block is growing in popularity. While the literature mainly describes ultrasound-guided rectus sheath blocks, there are many advantages to surgicallyinitiated rectus sheath catheter performed at the end of surgery. In this technical description, we describe the rationale and technique of surgical insertion of rectus sheath catheters following major urologic surgery with midline incision which is routinely performed by urologists at our institution. Furthermore, we would like to highlight the type of catheter More >

Jessica N. Schardein, J. C. Trussell

Canadian Journal of Urology, Vol.28, No.6, pp. 10946-10952, 2021

Abstract Reservoir induced bladder rupture is a rare complication of inflatable penile prosthesis (IPP) revision surgery. Our aim is to review the literature and describe our experience with this complication using two case reports that involved reusing an in-situ reservoir. In each case, an episode of gross hematuria indicated that a bladder rupture had occurred. From our experience, we propose ways to possibly avoid and if necessary, manage this rare complication. More >

Bristol B. Whiles¹, Casey G. Kowalik¹, Moben Mirza¹, Hadley Wyre¹, Kerri L. Thurmon^1,2

Canadian Journal of Urology, Vol.28, No.6, pp. 10907-10913, 2021

Abstract Introduction: The COVID-19 pandemic disrupted medical student education and posed a unique challenge for educators, especially for surgical clerkships. In response to COVID-19 rotation restrictions, we implemented a virtual urologic surgery sub-internship program and evaluated medical student impressions of the experience.
Materials and methods: A two-week urology curriculum was created with content delivered by interactive videoconferencing. The curriculum included synchronous and individual learning with live patient clinical experiences in the outpatient clinic and operating room, lectures, departmental conferences, a suture lab, self-reflective writing exercises, and an oral presentation. Student impressions were assessed with an exit survey. Descriptive… More >

Asaf Shvero^1,2, Seth Teplitsky³, Edward Kloniecke¹, Akhil K. Das¹

Canadian Journal of Urology, Vol.28, No.6, pp. 10900-10906, 2021

Abstract Introduction: The purpose of this study was to describe the current incidence, risk factors, and management of incidental diagnosis of prostate cancer (iPCa) among patients who underwent holmium laser enucleation of prostate (HoLEP) and have no history of prostate cancer.
Materials and methods: We conducted a retrospective review of all patients who underwent HoLEP in our institution between 2013-2020. All patients were offered a PSA screening according to the latest guidelines. We gathered demographic data, perioperative information, and pathologic evaluation. For patients diagnosed with iPCa, we gathered work up, management, and oncologic outcome. We then conducted a… More >

Brian T. Helfand¹, Alexander P. Glaser¹, Ali Kasraeian², Steve Sterious³, Pooja Talaty¹, Miguel Alcantara², Kaitlyn Mola Alcantara², Andrew Higgins³, Eric Ghiraldi³, Dean Elterman⁴

Canadian Journal of Urology, Vol.28, No.6, pp. 10884-10888, 2021

Abstract Introduction: The AUA guidelines for benign prostatic hyperplasia distinguish treatments based upon prostate volume (PV), particularly for very large prostates (> 150 mL). While the clinical outcomes and benefits of Aquablation have been studied for men with average and large prostates, it is unknown whether this technology can be used for very large prostates.
Materials and methods: Men with PV > 150 mL undergoing Aquablation were identified retrospectively from four North American hospitals. The surgical times and clinical outcomes of men with very large prostates (> 150 mL) were compared to data from men with average PV… More >

Milica Karadzic Kocica¹, Hristina Ugrinovic¹, Dejan Lazovic², Nemanja Karamarkovic², Milos Grujic², Borivoje Lukic³, Oliver Radmili³, Vladimir Cvetic³, Mladen Kocica^2,*

Congenital Heart Disease, Vol.16, No.6, pp. 647-653, 2021, DOI:10.32604/CHD.2021.016923 - 08 July 2021

Abstract A single coronary artery is a very rare condition, commonly associated with other congenital anomalies. It could be generally considered as neither benign nor malignant form of congenital coronary artery anomalies since its pathophysiological and clinical implications grossly depend on different anatomical patterns defined by the site of origin and distribution of the branches. By presenting the patient who underwent successful coronary artery bypass grafting and aortic valve replacement surgery in a presence of isolated single coronary artery, we intend to emphasize natural and procedural risks and distinguish casual from causal in this extremely rare More >

Ke Zhou¹, Dongyu Li¹, Xintong Zhang², Wensheng Wang¹, Shusen Li¹, Guang Song^2,*

Congenital Heart Disease, Vol.16, No.6, pp. 609-645, 2021, DOI:10.32604/CHD.2021.016396 - 08 July 2021

Abstract Cardioplegia has been widely used to reduce myocardial injury during pediatric cardiac surgery; however, which cardioplegia solution has the best protective effect has not been established. Thus, we compared the myocardial protective effects of different cardioplegia solutions used in pediatric cardiac surgery. Seven databases were searched to identify the relevant randomized controlled trials. A network meta-analysis with a Bayesian framework was conducted. The outcomes included the following biochemical and clinical outcomes: serum concentrations of the creatine kinase-myocardial band at 6 h postoperatively; cardiac troponin I (cTnI) at 4, 12, and 24 h postoperatively; spontaneous beating… More >