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  • Open Access

    COMMENTARY

    Holmium laser: not just the tool for BPH enucleation

    Kevin C. Zorn

    Canadian Journal of Urology, Vol.23, No.4, pp. 8362-8363, 2016

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Holmium laser for the surgical treatment of benign prostatic hyperplasia

    Portia Thurmond1, Sanchita Bose2, Lori B. Lerner1,2

    Canadian Journal of Urology, Vol.23, No.4, pp. 8356-8362, 2016

    Abstract Introduction: Holmium laser ablation of the prostate (HoLAP) is a surgical approach for treatment of benign prostatic hyperplasia (BPH). Limited evidence suggests laser ablation/vaporization is inferior to enucleation with respect to reoperation rates. Our objective was to determine if properly performed laser ablation results in outcomes similar to enucleation.
    Materials and methods: A total of 198 patients with moderate to severe lower urinary tract symptoms and/or acute urinary retention had holmium laser enucleation of the prostate (HoLEP) or HoLAP between 2008 and 2014. Patients with metastatic prostate cancer, prior pelvic radiation, or bladder cancer involving the bladder… More >

  • Open Access

    ARTICLE

    Perioperative blood transfusion predicts short term morbidity after nephrectomy

    Wilson Sui, Ifeanyi C. Onyeji, Justin T. Matulay, Marissa C. Theofanides, Maxwell B. James, G. Joel DeCastro, Sven Wenske

    Canadian Journal of Urology, Vol.23, No.4, pp. 8348-8355, 2016

    Abstract Introduction: To assess 30-day morbidity and mortality following partial nephrectomy (PN) and radical nephrectomy (RN) with relation to the administration of perioperative blood transfusions (PBT).
    Materials and methods: The National Surgical Quality Improvement Program was queried for patients with malignant renal tumors (International Classification of Diseases Ninth Revision codes 189-189.2) who underwent RN (Current Procedure Terminology codes 50220, 50225, 50230, 50234, 50236, 50545, 50546, 50548) or PN (50240, 50543) between 2005-2013. Patients were stratified by transfusion status and assessed for postoperative outcomes both separately and in composite, including morbidity, mortality, infectious complications, and pulmonary complications. Univariate and… More >

  • Open Access

    ARTICLE

    Infectious complications in transfused patients after radical cystectomy

    Jen-Jane Liu1, Patrick Mullane2, Max Kates3, Nilay Gandhi3, Mark P. Schoenberg4, Charles Drake5, Noah M. Hahn5, Steve Frank6, Trinity J. Bivalacqua3

    Canadian Journal of Urology, Vol.23, No.4, pp. 8342-8347, 2016

    Abstract Introduction: Infectious complications are common after radical cystectomy (RC), and allogeneic blood transfusions may increase infection risk by an immunosuppressive effect. While it has been suggested that perioperative blood transfusion (PBT) may be associated with adverse oncologic outcomes after RC, no large analyses have assessed whether PBT increases the risk of perioperative infection after RC.
    Materials and methods: We used the Nationwide Inpatient Sample (1998 to 2011) to study the rate of PBT during RC for bladder cancer and identify infectious complications. We compared rates of infectious complications in patients who did and did not receive PBT… More >

  • Open Access

    ARTICLE

    Preoperative hydronephrosis is associated with less decline in renal function after radical nephroureterectomy for upper tract urothelial carcinoma

    Nirmish Singla, Ryan Hutchinson, Ahmed Haddad, Arthur Sagalowsky, Yair Lotan, Vitaly Margulis

    Canadian Journal of Urology, Vol.23, No.4, pp. 8334-8341, 2016

    Abstract Introduction: To compare renal function changes after radical nephroureterectomy (RNU) in patients with upper tract urothelial carcinoma (UTUC) based on the presence of preoperative hydronephrosis.
    Materials and methods: Clinicopathologic data of 208 patients with UTUC treated surgically from 1998 to 2013 were compiled. Patients with bilateral disease, less than 1 month follow up, missing hydronephrosis data, or who underwent nephron-sparing approaches were excluded. Estimated glomerular filtration rate (eGFR) was calculated preoperatively, at first follow up (within 3 months) and at last follow up using the Modification of Diet in Renal Disease equation. Events were defined as new-onset… More >

  • Open Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    John Libertino

    Canadian Journal of Urology, Vol.23, No.4, pp. 8330-8333, 2016

    Abstract This article has no abstract. More >

  • Open Access

    EDITORIAL

    Big Data Equals Big Challenges for Prostate Cancer

    Leonard G. Gomella

    Canadian Journal of Urology, Vol.23, No.4, pp. 8329-8329, 2016

    Abstract This article has no abstract. More >

  • Open Access

    ABSTRACT

    Abstracts of the Mid-Atlantic Section of the American Urological Association Annual Meeting. October 6 - 9 2016, Hot Springs VA

    Canadian Journal of Urology, Vol.23, No.5, pp. 8504-8529, 2016

    Abstract This article has no abstract. More >

  • Open Access

    COMMENTARY

    To cut or not to cut... that remains the question

    Armando J. Lorenzo

    Canadian Journal of Urology, Vol.23, No.5, pp. 8503-8503, 2016

    Abstract This article has no abstract. More >

  • Open Access

    PEDIATRIC UROLOGY

    Canadian Pediatrics Society position statement on newborn circumcision: a risk-benefit analysis revisited

    Brian J. Morris1, Jeffrey D. Klausner2, John N. Krieger3, Bradley J. Willcox4, Pierre D. Crouse5, Neil Pollock6

    Canadian Journal of Urology, Vol.23, No.5, pp. 8495-8502, 2016

    Abstract Introduction: The Canadian Pediatrics Society (CPS) recently released a position statement on early infant (newborn) male circumcision (EIMC). It concluded that since benefits do not exceed risks, circumcision should only be performed on boys in high-risk populations or circumstances. This contradicts recommendations by the American Academy of Pediatrics and the Centers for Disease Control and Prevention (CDC) whose policies each support more widespread implementation of EIMC. Here we review the CPS statement, particularly its risk-benefit analysis, to determine the basis for this disparity.
    Materials and methods: We performed a risk-benefit analysis based on relevant literature retrieved from… More >

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