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  • Open Access

    ARTICLE

    Five-year outcomes for Aquablation therapy compared to TURP: results from a double-blind, randomized trial in men with LUTS due to BPH

    Peter J. Gilling1, Neil Barber2, Mohamed Bidair3, Paul Anderson4, Mark Sutton5, Tev Aho6, Eugene Kramolowsky7, Andrew Thomas8, Ronald P. Kaufman, Jr.9, Gopal Badlani10, Mark Plante11, Mihir Desai12, Leo Doumanian12, Alexis E. Te13, Claus G Roehrborn14

    Canadian Journal of Urology, Vol.29, No.1, pp. 10960-10968, 2022

    Abstract Introduction: To determine if Aquablation therapy can maintain long term effectiveness in treating men with moderate to severe lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) with a baseline prostate volume between 30 and 80 mL at 5 years compared to TURP.
    Materials and methods: In a double-blinded, multicenter prospective randomized controlled trial, 181 patients with moderate to severe LUTS secondary to BPH underwent TURP or Aquablation. The primary efficacy endpoint was reduction in International Prostate Symptom Score (IPSS) at 6 months. The primary safety endpoint was the occurrence of Clavien-Dindo persistent Grade 1… More >

  • Open Access

    BOOK REVIEW

    Manual of Sperm Retrieval and Preparation in Human Assisted Reproduction

    Ashok Agarwal, Ahmad Majzoub, Sandro C Esteves

    Canadian Journal of Urology, Vol.29, No.1, pp. 10959-10959, 2022

    Abstract This article has no abstract. More >

  • Open Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    Ian M. Thompson

    Canadian Journal of Urology, Vol.29, No.1, pp. 10956-10958, 2022

    Abstract This article has no abstract. More >

  • Open Access

    RESIDENT’S CORNER

    Complete pathologic response of bulbar urethral squamous cell carcinoma in situ to topical 5-fluorouracil with urethral milking

    Bryce A. Baird1, Timothy D. Lyon1, Kevin Wu2, Augustus Anderson3, Gregory A. Broderick1

    Canadian Journal of Urology, Vol.29, No.2, pp. 11119-11122, 2022

    Abstract Primary urethral carcinoma is a rare oncologic condition with limited data to support organ-sparing therapies. Herein, we present a case of primary urethral squamous cell carcinoma in situ of the bulbar urethra treated with intraurethral 5-fluorouracil (5-FU) who exhibited a complete pathologic response observed at the time of dismembered urethroplasty. The clinical features, diagnosis, and treatment course of our case are reviewed. These data may support the use of intraurethral 5-FU for similar cases in the future. More >

  • Open Access

    RESIDENT’S CORNER

    Robotic treatment of ureteropelvic junction obstruction in Eagle-Barrett Syndrome

    Lauren S. Faber1, Julie M. Riley2

    Canadian Journal of Urology, Vol.29, No.2, pp. 11116-11118, 2022

    Abstract Eagle-Barrett Syndrome (EBS) is a rare congenital condition characterized by the triad of absent or defective abdominal wall muscles, urinary tract abnormalities, and bilateral cryptorchidism. Ureteropelvic junction obstruction (UPJO) is seldom reported in these patients, despite it being a common cause of childhood obstructive uropathy. We present the case of a patient with EBS who was subsequently identified as having symptomatic UPJO that was successfully treated with robotic pyeloplasty. More >

  • Open Access

    HOW I DO IT

    How I do it: Aquablation in very large prostates (> 150 mL)

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

    Canadian Journal of Urology, Vol.29, No.2, pp. 11111-11115, 2022

    Abstract Aquablation has been well-studied in prostates sizes up to 150 mL. Recently, American Urological Association guidelines distinguish surgical interventions for men with large prostates (80 mL-150 mL) and now very large prostates (> 150 mL). Readers will gain an understanding of how to use Aquablation in the very large prostate size category. More >

  • Open Access

    ARTICLE

    General surgeons’ comfort and urologists’ perceptions of bladder trauma management

    Joon Yau Leong1, Joseph Schultz1, Tingting Zhan2, Joshua A. Marks3, Paul H. Chung1,*

    Canadian Journal of Urology, Vol.29, No.2, pp. 11101-11110, 2022

    Abstract Introduction: Utilizing a physician-reported survey, we assessed general surgeons (GS) comfort level in the management of bladder trauma, from a GS and urologist’s perspective.
    Materials and methods: Online questionnaires were distributed electronically to physicians of the American College of Surgeons and American Urological Association. This survey queried demographic data, clinical factors that may influence urology consultations, and bladder injury scenarios of varying severities. Two questions were presented for each scenario, the first querying GS comfort level in bladder trauma management, the second assessing the likelihood of obtaining urology consultations in such scenarios. Responses were graded on a… More >

  • Open Access

    ARTICLE

    Influence of COVID-19 pandemic on timing and outcomes of treatment for acute testicular torsion in adults: a single institution experience

    Marco Frisenda1,2,*, Stefano Signore1, Giampaolo Delicato1, Andrea Giovanni Martinelli1, Andrea Cantiani1, Marco Colafelice3, Antonio Tufano2, Francesco Del Giudice2, Michael L. Eisenberg4, Alessandro Sciarra2, Vittorio Canale1,2,*

    Canadian Journal of Urology, Vol.29, No.2, pp. 11095-11100, 2022

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Operative duration and short term morbidity and mortality following radical cystectomy with urinary diversion

    Seth L. Teplitsky1, Patrick J. Hensley1, Amber Bettis2, Andrew James1, Andrew M. Harris1,3

    Canadian Journal of Urology, Vol.29, No.2, pp. 11087-11097, 2022

    Abstract Introduction: To elucidate the association between operative duration (OD) and postoperative complications, which has been poorly studied in radical cystectomy. We hypothesize an increase in morbidity in radical cystectomy cases which have a longer OD.
    Materials and methods: Data from the National Surgical Quality Improvement Program (NSQIP) between the years 2012 and 2018 were reviewed for radical cystectomy with ileal conduit urinary diversion or continent diversion. Total operative time was divided into deciles and stratified comparisons were made using univariable and multivariable analysis.
    Results: A total of 11,128 patients were examined. OD by minutes was stratified into the… More >

  • Open Access

    ARTICLE

    The effect of day of discharge on hospital readmission after minimally invasive partial nephrectomy

    Kristian D. Stensland1,2, Joan C. Delto3, Navneet Ramesh4, Chris Robertson4, Jared P. Schober1, Peter Chang5, Andrew A. Wagner5

    Canadian Journal of Urology, Vol.29, No.2, pp. 11080-11086, 2022

    Abstract Introduction: To assess the association between postoperative discharge day after minimally invasive partial nephrectomy with 30-day readmission rates, and specifically compare postoperative day 1 to postoperative day 2 discharge. We hypothesized that discharge on earlier postoperative days would be associated with higher rates of readmission after partial nephrectomy.
    Materials and methods: The National Cancer Database was queried for patients undergoing minimally invasive partial nephrectomy for non-metastatic disease without chemo or radiation therapy from 2010-2014. Readmission rates were compared between postoperative discharge days. Multivariable logistic regression was used to analyze variables associated with 30-day readmission.
    Results: A total of… More >

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