Mang L. Chen¹, Brian D. Odom², Richard A. Santucci²

Canadian Journal of Urology, Vol.21, No.6, pp. 7565-7569, 2014

Abstract Introduction: To evaluate the efficacy of transecting anastomotic urethroplasty (AU) and buccal mucosa graft (BMG) ventral onlay substitution urethroplasty (SU) in treating short bulbar urethral strictures.
Materials and methods: Sixty patients underwent either AU or SU for bulbar strictures of similar length with follow up of at least 12 months. Follow up included clinical history, uroflowmetry, and ultrasound post-void residuals (PVR) performed every 4 months for the first year and yearly thereafter.
Results: Out of 131 patients with short bulbar strictures, 40 were treated with BMG onlay SU and 20 had AU. Median follow up in the SU… More >

Steven J. Weissbart, Karl Coutinho, Bilal Chughtai, Jaspreet S. Sandhu

Canadian Journal of Urology, Vol.21, No.6, pp. 7560-7564, 2014

Abstract Introduction: To report the characteristics and anti-incontinence outcomes of men who fail to demonstrate incontinence on intubated urodynamics (UDS).
Materials and methods: From 2005 to 2013, the records of men who underwent UDS prior to artificial urinary sphincter (AUS) were reviewed. The histories, UDS, endoscopies, and anti-incontinence outcomes of men who failed to demonstrate incontinence on intubated UDS were recorded. In our UDS protocol, the urodynamic urethral catheter was removed and the UDS was repeated to elicit incontinence without the urethral catheter. The valsalva leak point pressure (VLPP) was obtained via the rectal catheter in these men.
Results:… More >

Uzoma A. Anele¹, Robert L. Segal^1,2, Brian V. Le¹, Arthur L. Burnett¹

Canadian Journal of Urology, Vol.21, No.6, pp. 7554-7559, 2014

Abstract Introduction: Penile prosthesis implantation (PPI) is the definitive surgical treatment for erectile dysfunction (ED), yet it is often delayed for a variety of reasons. From commercial and Medicare claims data, we previously developed a tool for determining a patient’s likelihood of eventually receiving PPI. We validated this instrument’s utility by comparing cohorts receiving surgical (PPI) versus non-surgical ED management at a single institution.
Material and methods: The prediction model was based on a logistic regression incorporating claims data on demographics, comorbidities and ED therapy. A risk score is calculated from the model as the product of relative… More >

Alexandra Waters¹, Guila Delouya¹, David Donath¹, Carole Lambert¹, Sandra Larrivée², Kevin C. Zorn³, Daniel Taussky^1,2

Canadian Journal of Urology, Vol.21, No.6, pp. 7548-7553, 2014

Abstract Introduction: To identify risk factors for PSA bounce (PSAb) and compare characteristics of prostate cancer patients treated with brachytherapy and external beam radiotherapy (EBRT).
Materials and methods: We identified 362 patients treated for low risk prostate adenocarcinoma (D’Amico criteria) with a follow up time of at least 36 months. Patients received either: 1) EBRT 76 Gy in 38 fractions (n = 58); 2) hypofractionated EBRT, 45 Gy in 9 once-weekly fractions (n = 74); 3) seed brachytherapy (n = 230). PSAb was defined as a rise ≥ 0.2 ng/mL with subsequent return to baseline within the first… More >

Harold A. Frazier

Canadian Journal of Urology, Vol.21, No.6, pp. 7547-7547, 2014

Abstract This article has no abstract. More >

Jeffrey J. Leow¹, Giorgio Gandaglia², Akshay Sood³, Nedim Ruhotina¹, Dane E. Klett³, Jesse D. Sammon³, Marianne Schmid⁴, Maxine Sun⁵, Steven L. Chang¹, Adam S. Kibel¹, Quoc-Dien Trinh¹

Canadian Journal of Urology, Vol.21, No.6, pp. 7537-7546, 2014

Abstract Introduction: We examine the incidence and predictors of readmission after major urologic cancer surgery using a national, prospective-maintained database specifically developed to assess quality of surgical care.
Materials and methods: Patients undergoing major urologic cancer surgery (radical prostatectomy [RP], radical nephrectomy [RNx], partial nephrectomy [PNx]), radical cystectomy [RC]) in 2011 were identified using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) using Current Procedural Terminology (CPT) codes. Those readmitted within 30 days after surgery were identified. Multivariable logistic regression models examined the association between patient characteristics and the odds of readmission.
Results: Overall,… More >

Jay D. Raman

Canadian Journal of Urology, Vol.21, No.6, pp. 7536-7536, 2014

Abstract This article has no abstract. More >

Max Jackson, Antonio Cusano, Peter Haddock, Ilene Staff, Fernando Abarzua-Cabezas, Stuart Kesler, Anoop Meraney, Steven Shichman

Canadian Journal of Urology, Vol.21, No.6, pp. 7529-7535, 2014

Abstract Introduction: Renal masses are commonly managed by partial nephrectomy (PN) or active surveillance (AS). We assessed the impact of patient demographics and clinical indices in determining treatment decisions of renal masses between these two options.
Materials and methods: We retrospectively reviewed our renal mass database to retrieve demographic and clinical records of patients who underwent immediate PN or entered a ≥12 month period of AS during February 1999 to May 2014. Age, gender, body mass index (BMI), Charlson Comorbidity Index (CCI) score, follow up time, tumor size, tumor location, renal invasion, creatinine, and estimated glomerular filtration… More >

Daniel J. Canter^1,2,3

Canadian Journal of Urology, Vol.21, No.6, pp. 7528-7528, 2014

Abstract This article has no abstract. More >

Izak Faiena^1,2, Viktor Dombrovskiy², Christopher Koprowski², Eric A. Singer^1,2, Thomas L. Jang^1,2, Robert E. Weiss^1,2

Canadian Journal of Urology, Vol.21, No.6, pp. 7520-7527, 2014

Abstract Introduction: To investigate the trends in the performance of radical cystectomy (RC) versus partial cystectomy (PC) in the United States over the past 10 years and compare postoperative outcomes between two procedures.
Materials and methods: The data was captured from the Nationwide Inpatient Sample (NIS) 2001-2010 using the appropriate ICD-9-CM diagnosis and procedure codes. Patient sociodemographics, comorbidities and in-hospital complications after PC and RC were compared, taking into account some hospital characteristics. A chi-square analysis including a Cochran-Armitage trend test and a multivariable logistic regression analysis were employed.
Results: RC rate increased from 84.8% in 2001… More >