journal
https://read.qxmd.com/read/36779954/how-i-do-it-transperineal-prostate-biopsy-using-local-anesthetic-in-an-outpatient-setting
#1
JOURNAL ARTICLE
Flávio Vasconcelos Ordones, Lodewikus Vermeulen, Morgan Bressington, Abilash Menon, Timothy Burns, Loretta Muller, Mark Fraundorfer, Peter J Gilling
Transperineal prostate biopsy (TPPB) is proven to be an effective diagnostic tool for prostate cancer detection. It allows satisfactory sampling of apical and anterior areas which is not well achieved with the transrectal route, without the associated risks of urinary tract infection or sepsis. The main objective of this paper is to describe the technique utilized in our institution to perform transperineal prostate biopsy under local anesthetic in the outpatient clinic setting.
February 2023: Canadian Journal of Urology
https://read.qxmd.com/read/36779953/how-i-do-it-penthrox-in-urology
#2
JOURNAL ARTICLE
Roseanne Ferreira, Kevin C Zorn, Naeem Bhojani, Bilal Chughtai, Dean S Elterman
Penthrox is a portable handheld inhaler that delivers a low dose of methoxyflurane - an anesthetic with analgesic effects, rapid onset of action, and a favorable side-effect profile. It has been widely used for acute pain management in Australia for the past 40 years. Currently, it is approved for use in over 55 countries, including Canada. Prospective randomized studies highlight Penthrox analgesic effectiveness and safety profile for emergency, prehospital and outpatient settings. In addition, the use of multimodal analgesia, specifically Penthrox, can play an important role in the analgesic management of urological procedures, such as prostatic biopsies and office-based minimally invasive surgical therapies...
February 2023: Canadian Journal of Urology
https://read.qxmd.com/read/36779952/scrotal-abscess-as-an-unusual-presentation-of-blastomycosis
#3
JOURNAL ARTICLE
Faris Najdawi, Shreya Lamba, Osamah Hasan, Patricia Vidal, Ryan Dobbs
Blastomyces dermatitidis is an environmental fungus endemic to parts of Eastern North America that notably causes pulmonary infection in humans and other animals with the potential for extrapulmonary spread, particularly in immunocompromised hosts. However, it rarely presents with genitourinary (GU) tract involvement. Herein, we present a unique case of a 37-year-old immunocompetent male with genitourinary blastomycosis with the initial presentation of a scrotal abscess.
February 2023: Canadian Journal of Urology
https://read.qxmd.com/read/36779951/insight-to-urology-patients-preferences-regarding-telemedicine
#4
JOURNAL ARTICLE
Elizabeth Ellis, Lauren Gochenaur, Helena Temkin-Greener, Jean Joseph, Divya Ajay
INTRODUCTION: Due to COVID-19, telemedicine has become a common method of healthcare delivery. Our goal was to evaluate urology patients' satisfaction with telemedicine, examine patient preferences, and identify opportunities for improvement in readiness, access, and quality of care. MATERIALS AND METHODS: A total of 285 adult urology patients who completed at least one telemedicine visit from September to December 2020 were eligible. A paper survey was disseminated by postal mail with an option to complete electronically...
February 2023: Canadian Journal of Urology
https://read.qxmd.com/read/36779950/image-acquisition-and-interpretation-of-18f-dcfpyl-piflufolastat-f-18-pet-ct-how-we-do-it
#5
JOURNAL ARTICLE
Steven P Rowe, Andrew F Voter, Rudolf A Werner, Katherine A Zukotynski, Martin G Pomper, Michael A Gorin, Lilja B Solnes
Prostate-specific membrane antigen (PSMA)-targeted positron emission tomography (PET) is rapidly becoming widely accepted as the standard-of-care for imaging of men with prostate cancer. Labeled indications for regulatoryapproved agents include primary staging and recurrent disease in men at risk of metastases. The first commercial PSMA PET agent to become available was 18F-DCFPyL (piflufolastat F 18), a radiofluorinated small molecule with high-affinity for PSMA. The regulatory approval of 18F-DCFPyL hinged upon two key, multi-center, registration trials, OSPREY (patient population: highrisk primary staging) and CONDOR (patient population: biochemical recurrence)...
February 2023: Canadian Journal of Urology
https://read.qxmd.com/read/36779949/age-stratified-potency-outcomes-of-bilateral-nerve-sparing-robotic-assisted-radical-prostatectomy
#6
JOURNAL ARTICLE
Adel Arezki, Iman Sadri, Ahmed S Zakaria, Felix Couture, David-Dan Nguyen, Pierre Karakiewicz, Dean S Elterman, Kevin C Zorn
INTRODUCTION: This study aims to report age-stratified potency outcomes in men undergoing robot-assisted radical prostatectomy (RARP). MATERIALS AND METHODS: A retrospective review was performed on a database of 1737 patients who underwent RARP for localized prostate cancer between 2007 and 2019. Inclusion criteria consisted of patients undergoing bilateral nerve-sparing RARP. Exclusion criteria were preoperative Sexual Health Inventory for Men (SHIM) score < 17 and postoperative androgen deprivation therapy or radiotherapy...
February 2023: Canadian Journal of Urology
https://read.qxmd.com/read/36779948/do-larger-cuff-sizes-with-artificial-urinary-sphincter-placement-increase-the-risk-of-leakage-after-placement
#7
JOURNAL ARTICLE
Samuel Otis-Chapados, Thomas de Los Reyes, Ahmad Mousa, Gagan Fervaha, Sidney B Radomski
INTRODUCTION: To determine whether larger artificial urinary sphincters (AUS) cuff sizes of ≥ 5.0 cm have an impact on urinary incontinence after AUS implantation as compared to cuff sizes ≤ 4.5 cm. MATERIALS AND METHODS: A retrospective chart review of AUS implants performed at our institution from 1991 to 2021. Medical records were reviewed for demographics including body mass index (BMI), cause of incontinence, pelvic radiation, valsalva leak point pressure (VLPP), degree of leakage preoperatively and at 1-year post-AUS surgery, AUS revisions, erosion rate and the need for adjunct medication postoperatively...
February 2023: Canadian Journal of Urology
https://read.qxmd.com/read/36779947/minimizing-opioids-after-gender-affirming-orchiectomy-a-multimodal-pain-pathway
#8
JOURNAL ARTICLE
Eric Robinson, Alex Wang, Solange Bassale, Jyoti D Chouhan
INTRODUCTION: To evaluate the effectiveness of a standardized multimodal pain pathway for gender affirming orchiectomy (GAO) in adequately addressing postoperative pain while reducing the prescribing of unnecessary opioids. MATERIALS AND METHODS: A standardized discharge pain pathway for GAO +/- scrotectomy or testicular implants was implemented between May 2020 and March 2022. A retrospective analysis was performed on all consecutive patients who underwent GAO with a single surgeon...
February 2023: Canadian Journal of Urology
https://read.qxmd.com/read/36779946/surgical-treatment-for-bph-refractory-to-medication-robotic-water-jet-ablation-vs-turp-functional-outcomes-from-two-fda-clinical-trials
#9
JOURNAL ARTICLE
Alexis E Te, Christina Sze, Steven A Kaplan, Bilal Chughtai
INTRODUCTION: A common indication for benign prostate hyperplasia (BPH) therapies is failure to improve with medical therapy. However, pivotal Federal Drug Administration (FDA) registered randomized clinical trials (RCTs) for minimally invasive surgical therapies (MISTs) are designed to be compared to either sham or placebo while off medical therapy at baseline, and as an alternative to medical therapy. There are few if any RCTs reporting the MISTS efficacy in patients with true medical therapy failure...
February 2023: Canadian Journal of Urology
https://read.qxmd.com/read/36779945/legends-in-urology-v30i01
#10
JOURNAL ARTICLE
Pramod C Sogani
No abstract text is available yet for this article.
February 2023: Canadian Journal of Urology
https://read.qxmd.com/read/36779944/how-to-optimize-the-use-of-emeritus-professors
#11
EDITORIAL
Kevin R Loughlin
No abstract text is available yet for this article.
February 2023: Canadian Journal of Urology
https://read.qxmd.com/read/36495584/neuroendocrine-transformation-of-prostate-adenocarcinoma-with-corpora-cavernosa-metastases
#12
JOURNAL ARTICLE
Halle Foss, Radhika Ragam, W Kevin Kelly, Leonard G Gomella
We report the case of a 61-year-old male with metastatic prostate cancer who presented with urinary retention secondary to subdermal penile and corpora cavernosa metastases with neuroendocrine transformation of his metastatic hormone sensitive prostate cancer. We highlight the presentation, diagnosis, and management of this rare condition.
December 2022: Canadian Journal of Urology
https://read.qxmd.com/read/36495583/renal-surgery-in-patients-with-a-duplicated-inferior-vena-cava-a-case-series-and-review-of-the-literature
#13
JOURNAL ARTICLE
Christopher P Dall, Bradley R Webster, Michael W Helbig, Mark W Ball
Abnormal inferior vena cava (IVC) anatomy may present unique challenges for urologists when performing retroperitoneal surgery. Duplication of the IVC is one such anomalous variation and can be found in up to 3% of the population. Misunderstanding of the implications of this aberrant anatomy may lead to intraoperative or postoperative complications. Here, we present two cases of patients undergoing renal surgeries with duplicate IVC. We then review the embryologic origin and anatomic findings in those with abnormal IVC anatomy as well as discuss the surgical implications and considerations for urologists...
December 2022: Canadian Journal of Urology
https://read.qxmd.com/read/36495582/does-antithrombotic-use-enable-earlier-diagnosis-of-bladder-cancer-a-brief-institutional-assessment
#14
JOURNAL ARTICLE
Yash B Shah, Cassra B Clark, Andrew Shumaker, Andrew A Denisenko, Samuel Alfonsi, Zachary Prebay, Joseph Schultz, Vasil Mico, Vishal Swaminathan, Roy Wang, James R Mark, Edouard J Trabulsi, Costas D Lallas, Mark J Mann, Hanan Goldberg, Thenappan Chandrasekar
INTRODUCTION: Wallis et al (JAMA 2017) demonstrated use of antithrombotic medications (ATMs) is associated with increased prevalence of hematuria-related complications and subsequent bladder cancer diagnosis within 6 months. Stage of diagnosis was lacking in this highly publicized study. This study examined the association of ATM use on bladder cancer stage at the time of diagnosis. MATERIALS AND METHODS: We completed a retrospective chart review of patients with a bladder cancer diagnosis at our institution...
December 2022: Canadian Journal of Urology
https://read.qxmd.com/read/36495581/increasing-aggressive-prostate-cancer
#15
JOURNAL ARTICLE
Navin Shah, Vladimir Ioffe, Joshua C Chang
INTRODUCTION: To compare prostate biopsy (Pbx) characteristics, before and after the 2012 United States Preventive Services Task Force (USPSTF) prostate cancer screening guidelines in our practice. MATERIALS AND METHODS: We completed a retrospective comparative analysis of 1703 sequential patients that had a Pbx in 2010 to 2012 (3 years) with 1006 patients biopsied in 2018, 2019 and 2021 (3 years). Data from a total of 2709 Pbx was collected on patient age, race, prostate-specific antigen (PSA), digital rectal examination (DRE) and Gleason sum score (GSS)...
December 2022: Canadian Journal of Urology
https://read.qxmd.com/read/36495580/emerging-targets-in-upper-tract-urothelial-carcinomas-the-tert-gene
#16
JOURNAL ARTICLE
Andrés Ortíz Restrepo, Jeffrey S Ross, Philippe E Spiess, Andrea Necchi, Roger Li, Herney Andrés García-Perdomo
INTRODUCTION: Urothelial carcinoma (UC) is the fourth most prevalent malignancy in adults, accounting for 2.1% of cancer-related deaths. We aimed to describe the most frequent telomerase reverse transcriptase (TERT) gene mutations in this type of cancer and their relationship with the prognosis and treatment of this disease. MATERIALS AND METHODS: We performed a search strategy in Medline and Embase with the following keywords: telomerase reverse transcriptase (TERT) gene and upper tract UC...
December 2022: Canadian Journal of Urology
https://read.qxmd.com/read/36495579/thulium-versus-holmium-for-in-situ-lower-pole-laser-lithotripsy
#17
JOURNAL ARTICLE
Matthew I Buell, Akin S Amasyali, Natalie Chen, Joshua D Belle, Mohamed Keheila, Elizabeth A Baldwin, Cayde Ritchie, D Duane Baldwin
INTRODUCTION: During in situ lower pole laser lithotripsy, the dependent location may result in increased challenge fragmenting stones and a risk for stone regrowth if residual fragments remain. The purpose of this study was to compare the thulium fiber laser (TFL) with the holmium laser (HL) for in situ lower pole lithotripsy. MATERIALS AND METHODS: In a 3D printed kidney benchtop model, sixty 1 cm BegoStones were placed in the lower pole and fragmented in situ until fragments passed through a 2 x 2 mm mesh...
December 2022: Canadian Journal of Urology
https://read.qxmd.com/read/36495578/testicular-schistosomiasis-a-systematic-review-of-the-literature
#18
JOURNAL ARTICLE
Azadeh Nazemi, Jesse Persily, James S Wysock
INTRODUCTION: To consolidate reported information on presentation, diagnosis, and treatment modalities in testicular schistosomiasis (TS) to provide a reference tool for this rare disease. MATERIALS AND METHODS: A comprehensive PubMed search was performed using PRISMA guidelines, which yielded 21 articles detailing 22 cases of TS. RESULTS: Testicular schistosomiasis remains a rare disease, presenting at a variety of ages (median age 27). All reports of this condition are associated with exposure to an endemic area...
December 2022: Canadian Journal of Urology
https://read.qxmd.com/read/36495577/post-cystoscopy-infections-and-device-malfunctions-in-reprocessed-flexible-cystoscopes-in-a-national-database
#19
JOURNAL ARTICLE
Jeffrey Lee, Elie Kaplan-Marans, Dhaval Jivanji, Daniel Tennenbaum, Ariel Schulman
INTRODUCTION: Flexible cystoscopes can be multi-use devices that visually inspect genitourinary structures such as the bladder and urethra. The objective of this study is to characterize the adverse events and associated device malfunctions of reusable flexible cystoscopes and to provide information on contamination and post-procedural infections. MATERIALS AND METHODS: The Manufacturer and User Facility Device Experience (MAUDE) database was queried for all adverse events and device malfunctions related to the use of flexible cystoscopes between January 2015 and December 2020...
December 2022: Canadian Journal of Urology
https://read.qxmd.com/read/36495576/efficacy-and-safety-of-methoxyflurane-penthrox-for-pain-control-during-water-vapor-thermal-therapy-rezum-for-benign-prostatic-enlargement
#20
JOURNAL ARTICLE
Dean S Elterman, Kevin C Zorn, Naeem Bhojani, Bilal Chughtai
INTRODUCTION: The safety and efficacy of low dose methoxyflurane disposable inhaler (Penthrox) was assessed in this study of men undergoing Rezum water vapor thermal therapy (WVTT). MATERIAL AND METHODS: An open-labeled, single-center study was conducted to demonstrate the safety and efficacy of using methoxyflurane inhaler during a Rezum procedure. Patients assessed current pain intensity using a 10-point Visual Analog Scale (VAS) of Pain at 4 timepoints including (1) before any medication, (2) initially after insertion of the rigid cystoscope and before any Rezum treatment, (3) immediately after final injection of Rezum treatment and (4) at discharge...
December 2022: Canadian Journal of Urology
journal
journal
32377
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.