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  • Open Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    Diane K. Newman

    Canadian Journal of Urology, Vol.33, No.3, pp. 499-504, 2026, DOI:10.32604/cju.2026.086225 - 29 June 2026

    Abstract This article has no abstract. More >

  • Open Access

    EDITORIAL

    Making Rounds: Our Profession’s Finest Tradition

    Kevin R. Loughlin

    Canadian Journal of Urology, Vol.33, No.3, pp. 497-498, 2026, DOI:10.32604/cju.2026.078441 - 29 June 2026

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Study on automatic recognition of stone composition in intraoperative endoscopic images—a single center study

    Daxun Luo#, Bixiao Wang#, Haifeng Song, Chaoyue Ji, Weiguo Hu, Bo Xiao, Boxing Su, Yubao Liu*, Jianxing Li*

    Canadian Journal of Urology, Vol.33, No.3, pp. 623-634, 2026, DOI:10.32604/cju.2026.076790 - 29 June 2026

    Abstract Objectives: Urinary stone composition critically influences treatment selection and recurrence prevention, yet current intraoperative assessment remains imprecise. This study aims to achieve intraoperative prediction of stone composition by applying a deep convolutional neural network (CNN) to routinely captured endoscopic images. Methods: We retrospectively studied endoscopic images from stone-breaking surgeries in Beijing Tsinghua Changgung Hospital during 2022-12–2024-12. Images were captured before and after laser lithotripsy. Based on postoperative infrared spectroscopy, stones were divided into five categories. In total, 1780 images (1167 from RIRS, 613 from PCNL) were included and split into training and testing sets at… More >

  • Open Access

    REVIEW

    Innovations in the management of urethral stricture disease: emerging and regenerative strategies

    Nicola Fazaa1,#, Kamil Malshy2,#,*, Yuval Shafran1, Ameer Nsair1, Etan Eigner1, Melissa Atallah1, Shadie Badaan1, Kirolos Meilika2, Ariel Zisman1

    Canadian Journal of Urology, Vol.33, No.3, pp. 515-526, 2026, DOI:10.32604/cju.2026.076687 - 29 June 2026

    Abstract Urethral stricture disease remains a challenging clinical entity within contemporary urology, requiring interventions that achieve sustained urethral patency while preserving functional outcomes. Established modalities such as urethral dilation, endoscopic urethrotomy, and urethroplasty using autologous grafts provide effective treatment for many patients. However, they are constrained by morbidity, graft contraction, and suboptimal success in complex or recurrent strictures. These inherent limitations have stimulated growing investigation of therapeutic strategies. Among device-based innovations, drug-coated balloon dilation, exemplified by the Optilume™, combines mechanical expansion with localized antiproliferative drug delivery and represents a significant evolution in endoscopic management. Pharmacologic adjuncts… More >

  • Open Access

    CASE REPORT

    Clean intermittent catheterization reverses hydronephrosis in a child with congenital nephrogenic diabetes insipidus: a case report

    Jianlin Xie1,#, Jingde Wu1, Qingwei Zhang1, Yuanqi Guo1, Xiande Huang2,*

    Canadian Journal of Urology, Vol.33, No.3, pp. 723-728, 2026, DOI:10.32604/cju.2026.075856 - 29 June 2026

    Abstract Background: Congenital nephrogenic diabetes insipidus (CNDI) is most frequently caused by mutations in the AVPR2 gene. Patients exhibit persistent polyuria due to renal insensitivity to antidiuretic hormone. Chronic high urine output predisposes to bladder dysfunction and upper urinary-tract dilatation, notably hydronephrosis. Although pharmacotherapy can partially reduce urine volume, its capacity to reverse established hydronephrosis is limited. Clean intermittent catheterization (CIC), a mainstay in managing neurogenic bladder, warrants investigation regarding its utility in CNDI-associated hydronephrosis.
    Case Description: A 9-year-old Chinese boy presented with lifelong polydipsia and polyuria, with a peak 24-h urine output of approximately 7100 mL. Renal ultrasonography… More >

  • Open Access

    ARTICLE

    Association of online health information exposure with disease awareness initial symptom severity in benign prostatic hyperplasia: a cross-sectional study

    Xiaoxiao Guo1,2,#, Mingyu Chang1,2,#, Gangyue Hao1,2, Fengbo Zhang3,*, Haoran Xia1,2,*

    Canadian Journal of Urology, Vol.33, No.3, pp. 573-582, 2026, DOI:10.32604/cju.2026.075599 - 29 June 2026

    Abstract Background: Benign prostatic hyperplasia (BPH) is prevalent among aging men. Whether exposure to internet-derived health information is associated with disease awareness and symptom burden at initial diagnosis remains unclear. Methods: We conducted a cross-sectional study of 400 newly diagnosed BPH outpatients. Participants were classified by prior exposure to internet-derived BPH content. BPH awareness and International Prostate Symptom Scores (IPSS) were compared using the Mann-Whitney U test and multivariate linear regression adjusted for age, education, and disposable income. Stratified analyses were performed according to educational attainment, disposable income, and content format. Results: Exposure to internet-derived BPH content… More >

  • Open Access

    ARTICLE

    Clinical and racial predictors of adverse pathology at radical prostatectomy: implications for undertreatment among patients receiving radiation and hormonal therapy

    Mutlay Sayan1,*, Yetkin Tuac2, Zhiyu Qian3,4, Alexander P. Cole3,4, Jonathan E. Leeman1, Martin T. King1, Paul L. Nguyen1, Anthony V. D’Amico1

    Canadian Journal of Urology, Vol.33, No.3, pp. 583-591, 2026, DOI:10.32604/cju.2026.074677 - 29 June 2026

    Abstract Objectives: Under-grading exists in up to 7% of patients undergoing radical prostatectomy (RP) for prostate cancer (PC). We assessed whether underrepresented race and ethnicity disproportionately increased the odds of adverse pathology at RP in patients with biopsy Gleason score 6 or 7 PC at high-risk for upgrading and/or upstaging at RP based on age and PC indices at presentation. Methods: This retrospective cohort study analyzed 76,474 patients in the National Cancer Database (2015–2021) with biopsy Gleason score 6 or 7 N0M0 PC. Odds ratio (OR) at RP of adverse pathology defined as prostatectomy (p) Gleason… More >

  • Open Access

    ARTICLE

    Intraurethral cross-linked hyaluronic acid/dextranomer (DEXSUI®) injection versus mid-urethral sling for stress urinary incontinence: a comparative short-term outcome analysis

    Mehmet Adıyeke1, Suna Yıldırım Karaca1, S. Anil Ari1, Rüyam Ercenk1, Mücahit Furkan Balci2, İbrahim Karaca1,*

    Canadian Journal of Urology, Vol.33, No.3, pp. 611-621, 2026, DOI:10.32604/cju.2026.074502 - 29 June 2026

    Abstract Objectives: Stress urinary incontinence (SUI) is a prevalent condition that impairs quality of life; while midurethral sling (MUS) surgery is the standard treatment, intraurethral bulking injection offers a minimally invasive alternative. This study aimed to compare the efficacy and safety of intraurethral cross-linked hyaluronic acid/dextranomer (CLHA/Dx, DEXSUI®) injection with midurethral sling surgery in the treatment of stress urinary incontinence in women. Methods: This retrospective study included women who presented with stress urinary incontinence to İzmir Bakırçay University, Çiğli Training and Research Hospital between January 2024 and June 2025. Patients underwent either midurethral sling surgery or intraurethral… More >

  • Open Access

    ARTICLE

    Comparison of endoscopic treatment for bladder neck contracture: a single centre study and review of literature

    Sofia Fontanet*, Julio F. Calderón-Cortéz, Edgar Suquilanda, Fernando Gaona, Alejandro García Navarro, Marta Piqueras

    Canadian Journal of Urology, Vol.33, No.3, pp. 537-544, 2026, DOI:10.32604/cju.2026.074254 - 29 June 2026

    Abstract Objectives: Nowadays, bladder neck contracture treatment reported is both bladder neck incisions and resection. Also, different energies have been described. This study aimed to describe and compare surgical techniques and energy sources used in Hospital Universitari de Vic. Methods: retrospective study of patients with a diagnosis of bladder neck contracture that required endoscopic surgical treatment between 2000 and 2024. Preoperative, operative, and postoperative characteristics were analysed. At the end of follow-up, the patient’s status was asymptomatic, under urethral dilatations, or with a permanent catheter. Results: 60 patients were included. Mean age was 71.1 years (SD =… More >

  • Open Access

    ARTICLE

    Unraveling the bidirectional association between mental disorders and prostatitis: insights from a genetic perspective

    Guancan Liang#, Jian Pan#, Ruixiang Dai, Ziyi Lin, Xunbao Wang, Teng Hou, Zhicheng Luo, Xiaoming Wang*

    Canadian Journal of Urology, Vol.33, No.3, pp. 563-571, 2026, DOI:10.32604/cju.2026.074252 - 29 June 2026

    Abstract Background: The causal link between mental illness and prostatitis remains inconclusive, largely due to heterogeneity and potential confounders. This study explored the causal link between mental illness and prostatitis in men using Mendelian randomization (MR), and offered recommendations for enhancing future research. Methods: Publicly accessible genome-wide association study (GWAS) data were accessed via the IEU OpenGWAS platform and FinnGen database for this research. The inverse variance weighted (IVW) approach served as the primary Mendelian randomization analysis, while MR-Egger, weighted median, weighted mode, and simple mode methods were additionally applied to evaluate potential relationships between prostatitis… More >

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