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Journals Canadian Urological Associatio...

Canadian Urological Association Journal

https://read.qxmd.com/read/38587982/pediatric-testicular-torsion-management-practices-a-survey-of-canadian-urologists
#1
JOURNAL ARTICLE
Wyatt MacNevin, Morgan MacDonald, Dawn L MacLellan, Daniel T Keefe
INTRODUCTION: Pediatric testicular torsion (TT) is a urologic emergency that may result in testicular loss if left untreated. Testicular salvage is dependent on prompt intervention, and thus delays in diagnosis and management may threaten testicular viability. Knowledge of real-world Canadian practice patterns for pediatric TT will allow optimization of practices based on resource availability and geographic limitations to improve care. METHODS: An electronic survey on pediatric TT management was distributed to Canadian urologists...
April 2, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38587981/an-analysis-of-benign-prostatic-hyperplasia-surgical-treatment-reimbursement-trends-across-canada-examining-provincial-changes-over-the-recent-decade-with-comparison-to-cost-of-living-changes
#2
JOURNAL ARTICLE
Anindyo Chakraborty, Dean S Elterman, Nicholas Corsi, David Bouhadana, Gregory Bailly, Premal Patel, Rowen McLellan, Liam Hickey, Daniel Costa, Matthew Andrews, Howard Evans, Connor M Forbes, Hazem Elmansy, Malek Meskawi, Naeem Bhojani, Bilal Chugtai, Kevin C Zorn
INTRODUCTION: A variety of procedures for the endoscopic surgical treatment of symptomatic benign prostatic hyperplasia (BPH) refractory to medical therapy have existed for decades. The present study examines trends in surgeon compensation for these treatments within Canada. METHODS: The physician fee schedule for BPH surgery across 10 Canadian provinces for the years 2010 and 2023 were obtained. A descriptive study examining first, the provincial reimbursement for transurethral resection of prostate (TURP) and laser ablative/enucleation surgery; second, the difference in TURP reimbursement between 2010 and 2023; and third, the annual change in TURP reimbursement juxtaposed with the annual change in the provincial Consumer Price Index (CPI) and annual salary for the working population aged 35-44...
April 2, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38587980/micro-ultrasound-for-the-detection-of-clinically-significant-prostate-cancer-in-biopsy-naive-men-with-negative-mri
#3
JOURNAL ARTICLE
Patrick Albers, Jacob Bennett, Moira Evans, Ella St Martin, Betty Wang, Stacey Broomfield, Anaïs Medina Martín, Wendy Tu, Christopher Fung, Adam Kinnaird
INTRODUCTION: Despite a negative magnetic resonance imaging (MRI), some patients may still harbor clinically significant prostate cancer (csPCa, Gleason grade group ≥2). High-resolution micro-ultrasound (microUS) is a novel imaging technology that could visualize csPCa that is missed by MRI. METHODS: This retrospective review included 1011 consecutive patients biopsied between September 2021 and July 2023 in Alberta, Canada. Among them were 103 biopsy-naive patients with negative MRI (Prostate Imaging Reporting & Data System [PI-RADS] ≤2) undergoing microUS-informed prostate biopsy (n=56) scored using Prostate Risk Identification Using Micro-ultrasound (PRI-MUS) or standard transrectal ultrasound prostate biopsy (n=47)...
April 2, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38587979/screening-and-management-of-metabolic-cardiac-and-bone-health-in-prostate-cancer-patients-on-androgen-deprivation-therapy-a-survey-of-specialized-physicians
#4
LETTER
David-Dan Nguyen, Ahmad Mousa, Laurence Klotz, Tamim Niazi, Frédéric Pouliot, Andrea Kokorovic, Luke T Lavallée, Melissa Huynh, Nathalie Lapointe, Michelle Di Risio, Christopher J D Wallis
No abstract text is available yet for this article.
April 2, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38587978/restricted-access-and-advanced-disease-in-post-pandemic-testicular-cancer
#5
JOURNAL ARTICLE
Mitchell Fagan, W C Ian Janes, Matthew Andrews, David R Harvey, Geoff M Warden, Michael K Organ, Paul Johnston
INTRODUCTION: Urologists observed reduced cancer consultations and surgeries during the SARS-CoV-2 pandemic, raising concern about treatment delays. Testicular cancer serves as a particularly sensitive marker of this phenomenon, as the clinical stage of testicular cancer at presentation is predictive of cancer-specific survival. We aimed to investigate whether COVID-related restrictions to primary care access resulted in increased incidence of metastatic germ cell testis cancer. METHODS: A retrospective chart review was conducted on all cases of testicular cancer managed surgically at our center from March 1, 2018, to February 28, 2023...
April 2, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38587977/comparison-of-outcomes-in-patients-with-and-without-neurologic-diseases-undergoing-holmium-laser-enucleation-of-the-prostate
#6
JOURNAL ARTICLE
Jenny N Guo, Mark A Assmus, Nicholas S Dean, Matthew S Lee, Clarissa Wong, Jordan Rich, Jessica Helon, Mitchell M Huang, Amy E Krambeck
INTRODUCTION: We aimed to compare holmium laser enucleation of the prostate (HoLEP) outcomes in patients with and without neurologic diseases (ND). METHODS: A prospectively maintained database of patients undergoing HoLEP from January 2021 to April 2022 was reviewed. The following NDs were included: diabetes-related neuropathy/neurogenic bladder, Parkinson's disease, dementia, cerebrovascular accident, multiple sclerosis, traumatic brain injury, transient ischemic attack, brain/spinal tumors, myasthenia gravis, spinal cord injury, and other...
April 2, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38587976/robotic-assisted-laparoscopic-partial-nephrectomy-vs-laparoscopic-and-open-partial-nephrectomy-a-single-site-two-surgeon-retrospective-cohort-study
#7
JOURNAL ARTICLE
Kaveh Masoumi-Ravandi, Ross J Mason, Ricardo A Rendon
INTRODUCTION: In 2019, our center attempted to transition all partial nephrectomies (PNs) to robotic-assisted laparoscopic PN (RALPN). The purpose of this study was to compare RALPN outcomes to laparoscopic PN (LPN) and open PN (OPN) at our institution, as there is limited literature from Canadian centers. METHODS: In this single-center, two-surgeon, retrospective cohort study, we compared RALPN outcomes during the early phase of our robotics program to OPN and LPN performed just before the introduction of RALPN...
April 2, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38587975/treatment-modalities-for-small-sized-urolithiases-and-their-impact-on-health-related-quality-of-life
#8
REVIEW
Nick Lee, Patricia Nadeau, Mohamad Baker Berjaoui, Anis Assad, Ben Chew, Kate Penniston, Naeem Bhojani
INTRODUCTION: Health-related quality of life (HRQoL) is often reduced in patients with urolithiasis. The objective of this study was to perform a systematic review to describe impact on HRQoL based on different modalities of treatment for small urolithiases with a diameter smaller or equal to 10 mm. METHODS: Electronic databases were searched with no language or date restrictions to identify studies which were included if they reported: adult patients (≥18 years old), renal or ureteral stone(s) confirmed on imagery, validated reporting of HRQoL, and stone diameter equal or smaller than 10 mm undergoing active surveillance, medical expulsive therapy (MET), shockwave lithotripsy (SWL), or ureteroscopy (URS)...
April 2, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38587974/pilot-study-to-assess-the-feasibility-of-self-administered-low-dose-methoxyflurane-for-cystoscopic-procedures
#9
JOURNAL ARTICLE
Jennifer A Locke, Sarah Neu, Joanne Lawrence, Sender Herschorn
INTRODUCTION: Methoxyflurane (MEOF) (Penthrox™) is an inhaled, self-administered, non-opioid analgesic approved by Health Canada for the short-term relief of moderate to severe acute pain associated with trauma or interventional medical procedures. In this pilot study, we evaluated the feasibility of using MEOF as an anesthetic agent in 11 patients undergoing outpatient cystoscopic procedures. METHODS: The average duration of the procedure was 24 (range 20-35) minutes and this included 10 minutes of administration time of the drug and five minutes of wait time before the procedure...
April 2, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38466868/graduating-resident-and-fellow-readiness-for-general-urologic-practice-during-the-covid-19-pandemic-a-survey-based-assessment-of-trainees-and-program-directors
#10
JOURNAL ARTICLE
Kyle Waisanen, Finn Hennig, Ellen Lutnick, Gaganjot Parmar, Daniel Baetzhold, Nathaniel Iskhakov, Kiana Saade, Matthew Peterson, Nader D Nader, Kent Chevli
INTRODUCTION: Our goal was to compare the perceived readiness of graduating urologic residents and fellows to program directors (PDs) in U.S.-based postgraduate training programs. Additionally, we set out to assess the impact of COVID-19 on postgraduation plans to pursue fellowship training. METHODS: Graduating residents, fellows, and PDs of accredited residency/fellowship programs in the U.S. were surveyed. The ranked preparedness of trainees to perform common urologic procedures was measured using a Likert scale from 1 (not comfortable) to 5 (fully proficient)...
March 1, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38466867/efficacy-and-tolerability-of-bacillus-calmette-gu%C3%A3-rin-strain-russia-for-the-treatment-of-non-muscle-invasive-bladder-cancer-analysis-of-a-prospective-registry
#11
JOURNAL ARTICLE
Sarah Flury-Sutter, Frederick Heuzeroth, Emilio Arbelaez, Lukas Bubendorf, Heike Püschel, Stefanie Hayoz, Cyrill A Rentsch
INTRODUCTION: Little is known about the efficacy and tolerability of intravesical bacillus Calmette-Guérin (BCG) strain Russia for treatment of non-muscle-invasive bladder cancer (NMIBC) in a middle- European population. METHODS: A prospective collection of outcomes of 101 BCG-naive patients with urothelial bladder carcinoma was carried out between January 2013 and October 2023 at the University Hospital Basel, Basel, Switzerland. Patients underwent BCG (ONCO-BCGSIIL, Serum Institute of India, Pune, India) induction and a maximum of three maintenance cycles within one year...
March 1, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38466866/turning-up-the-heat-surgical-simulation-of-the-moses-2-0-laser-in-an-anatomic-model
#12
JOURNAL ARTICLE
Christopher Wanderling, Aaron Saxton, Dennis Phan, Karen Doersch, Lauren Shepard, Nathan Schuler, Thomas Osinski, Scott Quarrier, Ahmed Ghazi
INTRODUCTION: With advancements in laser technology, urologists have been able to treat urinary calculi more efficiently by increasing the energy delivered to the stone. With increases in power used, there is an increase in temperatures generated during laser lithotripsy. The aim of this study was to evaluate the thermal dose and temperatures generated with four laser settings at a standardized power in a high-fidelity, anatomic model. METHODS: Using high-fidelity, 3D printed hydrogel models of a pelvicalyceal collecting system with a synthetic BegoStone implanted in the renal pelvis, surgical simulation of ureteroscopic laser lithotripsy was performed with the Moses 2...
March 1, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38466865/real-world-evaluation-of-access-driven-canadian-treatment-sequences-in-progressive-prostate-cancer-reactivate
#13
JOURNAL ARTICLE
Jenny J Ko, Lawrence Mbuagbaw, Scott Tyldesley, Jennifer Lowther, Katherine Sunderland, Catherine Royer, Mareva Faure, Corin MacPhail, Shoaib Faizi, Winson Y Cheung, Richard Lee-Ying
INTRODUCTION: The results of the phase 3 ALSYMPCA trial showed that Radium-223 (Ra-223) improves overall survival (OS) and delays onset of first symptomatic skeletal event vs. placebo in patients with metastatic castration-resistant prostate cancer (mCRPC). The purpose of the REACTIVATE study was to inform the optimal placement of Ra-233 in the treatment sequence by evaluating clinical outcomes and healthcare resource utilization using real-world data from multiple Canadian provinces...
March 1, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38466864/microbiology-of-infection-related-complications-after-transrectal-ultrasound-guided-prostate-biopsy
#14
JOURNAL ARTICLE
Cynthia T Nguyen, Alison Lew, Natasha N Pettit, Jennifer Pisano, Luke F Reynolds
INTRODUCTION: The objective of this study was to describe the incidence, microbiology, and risk factors related to infectious complications after transrectal prostate biopsies. METHODS: This was a single-center, retrospective cohort study of patients undergoing prostate biopsies. Throughout the study period, the institutional standard for antibiotic prophylaxis was cephalexin and ciprofloxacin. Due to the desire to limit fluoroquinolone use, the ciprofloxacin duration of therapy was reduced from 48 to 24 hours in the middle of the study period...
March 1, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38466863/identifying-patients-at-risk-for-depression-after-radical-cystectomy
#15
JOURNAL ARTICLE
Ziv Savin, Snir Dekalo, Liron Ben Dayan, Ofer Yossepowitch, Nicola J Mabjeesh
INTRODUCTION: We aimed to assess rates of depression in patients with bladder cancer undergoing radical cystectomy and identify its predictors. METHODS: Depressive symptoms in 42 consecutive patients were evaluated using the Beck's Depression Inventory (BDI) on the day prior to surgery, postoperative day (POD) 6, six weeks after surgery, and 12-18 months postoperatively. RESULTS: Fifteen patients (36%) presented with BDI scores ≥10 before the operation; this rate increased to 64% on POD 6 and 69% at six weeks post-surgery...
March 1, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38466862/adult-patients-treated-for-bladder-exstrophy-at-a-young-age-what-are-their-current-demands
#16
JOURNAL ARTICLE
Amélie Bazinet, Alya Filfilan, Nawel Mokhtari, Louis Lenfant, Alaa Elghoneimi, Emmanuel Chartier-Kastler
INTRODUCTION: Bladder exstrophy-epispadias complex is a rare condition that necessitates numerous surgical procedures during a patient's youth to achieve adequate urine storage and continence. This study aimed to identify the specific needs and functional challenges faced by adults who underwent pediatric bladder exstrophy reconstructions and assessing the management of these issues in an adult population. METHODS: A retrospective chart review was conducted for all bladder exstrophy complex patients who underwent surgery at a young age and were subsequently referred to our center between 2005 and 2020...
March 1, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38466861/cancer-centers-of-excellence-for-the-multidisciplinary-management-of-urologic-cancers-the-intersection-between-education-research-and-healthcare
#17
REVIEW
Daniel Andrés Nieva-Posso, Philippe E Spiess, Herney Andrés García-Perdomo
Urologic cancers are among the leading causes of morbidity and mortality in the world, representing more than 10% of the total number of new cancer cases worldwide. These complex diseases are linked to several issues related to their diagnosis, management, monitoring, and treatment - issues that require multidisciplinary solutions that encompass and manage patients as complex entities. In response to this, the so-called cancer centers of excellence (CCEs) emerged, defined as multidisciplinary institutions specialized in the diagnosis, management, monitoring, and treatment of specific diseases, including cancer...
March 1, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38648659/patient-information-resources-bridging-the-communication-gaps
#18
JOURNAL ARTICLE
Jason Izard, D Robert Siemens
No abstract text is available yet for this article.
April 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38648658/making-strides-in-pocus-training-in-urology
#19
JOURNAL ARTICLE
Nicholas R Paterson
No abstract text is available yet for this article.
April 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38648657/second-primary-cancers-following-radiotherapy-for-prostate-cancer-how-many-are-actually-due-to-the-radiotherapy
#20
JOURNAL ARTICLE
Scott C Morgan, Mark T Corkum
No abstract text is available yet for this article.
April 2024: Canadian Urological Association Journal
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