1,977 results match your criteria Canadian Journal of Urology[Journal]


How I do it: Surgically inserted transversus abdominis plane (TAP) catheters for flank incisions.

Can J Urol 2018 Dec;25(6):9623-9626

Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada.

Pain control following major abdominal surgery remains a significant barrier to patient comfort. Although thoracic epidurals have been used to provide analgesia for these surgeries, the transversus abdominis plane (TAP) block is gaining popularity. The TAP catheter insertion method has transformed over the past two decades from a blinded technique to one conducted primarily under ultrasound guidance by anesthesiologists. Read More

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December 2018
1 Read

Unilateral segmental dysplasia of the vas deferens.

Can J Urol 2018 Dec;25(6):9620-9622

Department of Urology, Oregon Health and Science University, Portland, Oregon, USA.

A healthy 35-year-old male presented for vasectomy after fathering two children. Due to difficulty palpating the left vas, the patient was taken to the operating room for scrotal exploration and vasectomy. The left vas was absent; however, a 1. Read More

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December 2018
3 Reads

Rectourethral fistula: a rare complication after HoLEP.

Can J Urol 2018 Dec;25(6):9617-9619

Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

We report a rare complication of rectourethral fistula formation 6 weeks after a 70-year-old man underwent an uneventful HoLEP procedure. Cystourethrogram confirmed the diagnosis and the patient was managed conservatively with chronic indwelling catheter placement for 6 weeks. After this, his symptoms resolved completely and a repeat cystourethrogram showed marked resolution of the fistulous tract. Read More

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December 2018
2 Reads

Giant renal angiomyolipoma in a solitary kidney.

Can J Urol 2018 Dec;25(6):9614-9616

Department of Urology, Stanford University, Stanford, California, USA.

While renal angiomyolipomas (AMLs) generally remain small and asymptomatic, larger AMLs are more common in tuberous sclerosis patients. Giant AMLs over 20 cm are a rare entity and little is known about their management. We present a unique case of a 48-year-old woman with tuberous sclerosis and a 39 cm AML arising from a solitary kidney, after undergoing nephrectomy for a prior AML. Read More

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December 2018
1 Read

Near infrared fluorescence imaging system for laparoscopic partial nephrectomy.

Can J Urol 2018 Dec;25(6):9606-9613

Department of Urology, Osaka City University Graduate School of Medicine, Osaka, Japan.

Introduction: Recently, the use of indocyanine green (ICG) with near infrared fluorescence (NIRF) imaging has emerged as an alternative technique for the real-time delineation of resection margins during partial nephrectomy (PN). We aimed to assess the feasibility of using NIRF imaging with ICG during laparoscopic partial nephrectomy (LPN) to delineate the margin between normal renal parenchyma and renal cortical tumors.

Materials And Methods: A retrospective comparison of real-time tumor margin identification and operative outcomes was conducted for 83 patients who underwent LPN with NIRF imaging (IMAGE1 system) and 74 patients who did not. Read More

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December 2018
1 Read

"Allergic-like" reaction risk in patients undergoing non-intravenous contrast urography.

Can J Urol 2018 Dec;25(6):9601-9605

Section of Urology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA.

Introduction: Though widely performed, the safety of non-intravenous contrast (NIVC) urography in patients with documented intravenous, iodinated contrast allergic like reactions (ICA) is unclear. The purpose of this study was to determine the risk of "allergic-like" reaction (ALR) events in patients with ICA undergoing NIVC urography.

Materials And Methods: Patients undergoing contrast urography at a single institution were identified between 2011-2014. Read More

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December 2018
8 Reads

Feasibility and clinical outcomes of ureteral stenting in the office procedural suite.

Can J Urol 2018 Dec;25(6):9596-9600

MD/PhD Program, Texas A & M Health Science Center College of Medicine, Temple, Texas, USA.

Introduction: Stent placement is a common procedure for addressing obstructive uropathy. However, lack of operating room (OR) availability can substantially delay this procedure. In this study, we sought to assess the feasibility, safety, and efficacy of this procedure in a clinical setting using nitrous oxide (N2O) and local anesthesia. Read More

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December 2018
3 Reads

Outcomes of a urethroplasty algorithm for fossa navicularis strictures.

Can J Urol 2018 Dec;25(6):9591-9595

Tufts University School of Medicine, Boston, Massachusetts, USA.

Introduction: There is no standardized treatment algorithm for isolated fossa navicularis strictures and treatment modality often falls to surgeon preference. We evaluated the outcomes of a standardized algorithm for fossa navicularis strictures based on stricture etiology, lumen size, and glans size to minimize the number of patients requiring a two-stage urethral reconstruction.

Materials And Methods: We retrospectively reviewed a prospectively maintained urethral reconstruction database by a single surgeon from 2011-2018. Read More

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December 2018
2 Reads

Discharge materials provided to patients with kidney stones in the emergency department may be a source of misinformation.

Can J Urol 2018 Dec;25(6):9585-9590

University of Vermont Medical Center, Burlington, Vermont, USA.

Introduction: Renal colic is commonly seen in the emergency department (ED), where the focus is on diagnosis and symptom control. Educational materials are sometimes provided upon discharge, however, no standard content has been established. We characterized the educational materials given to patients reporting to EDs in different regions across the U. Read More

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December 2018
2 Reads

Bladder irrigation after transurethral resection of superficial bladder cancer: a systematic review of the literature.

Can J Urol 2018 Dec;25(6):9579-9584

University Hospitals Cleveland Medical Center, Urology Institute, Cleveland, Ohio, USA.

Introduction: The vast majority of bladder cancer is non-muscle invasive with transurethral resection (TURBT) as the gold standard for surgical treatment. There is a high recurrence of bladder cancer post surgery, which adds to the frustration in current urologic practice. Current standard of care to further reduce bladder cancer recurrence is instillation of intravesical chemotherapy (ICT), a practice that is not routinely followed. Read More

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December 2018
8 Reads
0.905 Impact Factor

Incisional hernia after cystectomy: incidence, risk factors and anthropometric predisposition.

Can J Urol 2018 Dec;25(6):9573-9578

Department of Urology, Hahnemann University Hospital/Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.

Introduction: Postoperative incisional hernias (PIH) are an established complication of abdominal surgery with rates after radical cystectomy (RC) poorly defined. The objective of this analysis is to compare rates and risk factors of PIH after open (ORC) and robotic-assisted (RARC) cystectomy at a tertiary-care referral center.

Materials And Methods: We performed a retrospective review of patients undergoing ORC and RARC from 2000-2015 with pre and postoperative cross-sectional imaging available. Read More

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December 2018
2 Reads

Legends in Urology.

Can J Urol 2018 Dec;25(6):9570-9572

Former Chairman of the EAU Scientific Office, Professor and Past-Chairman. Department of Urology, Hospital Bichat, Paris, France.

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December 2018
1 Read

Before Ordering a Genetic Test Get to Know GINA.

Can J Urol 2018 Dec;25(6):9569

FACS, Thomas Jefferson University, Philadelphia, PA, USA.

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December 2018
1 Read

Abstracts of the Mid-Atlantic Section of the American Urological Association Annual Meeting October 4 - 7, 2018 Washington, DC.

Authors:
U A A

Can J Urol 2018 Oct;25(5):9534-9567

American Urological Association, USA.

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October 2018
1 Read

Primitive neuroectodermal tumor arising from an untreated congenital undescended testicle.

Can J Urol 2018 Oct;25(5):9530-9533

Department of Genitourinary Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.

A 26-year-old male with a personal history of schizophrenia initially presented with a 13 cm pelvic mass corresponding to a cryptorchidic testis. The patient was treated with primary and second-line chemotherapy for metastatic germ-cell tumor followed by surgical consolidation. Final pathology revealed a primitive neuroectodermal tumor (PNET) mixed with mature teratoma. Read More

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October 2018
1 Read

Epithelioid angiomyolipoma metastasis to the rectus abdominis.

Can J Urol 2018 Oct;25(5):9527-9529

Division of Urology, John H. Stroger Jr. Hospital of Cook County, Chicago, Illinois, USA.

A 37-year-old female presented with abdominal pain. An abdominal computed tomography scan demonstrated a 10 cm x 13 cm left renal mass. An open adrenal-sparing radical nephrectomy was performed. Read More

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October 2018
7 Reads

Ileal perforation in the setting of atezolizumab immunotherapy for advanced bladder cancer.

Can J Urol 2018 Oct;25(5):9525-9526

Department of Urology, University of Virginia, Charlottesville, Virginia, USA.

Atezolizumab is a promising immunotherapy for advanced urothelial carcinoma. Like other immune checkpoint inhibitors, it can produce rare immune-related adverse events (IRAEs). Here we present the recent case of a patient with metastatic bladder cancer who developed diarrhea and abdominal pain months after beginning atezolizumab therapy. Read More

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October 2018
15 Reads

Survival and secondary interventions following treatment for locally-advanced prostate cancer.

Can J Urol 2018 Oct;25(5):9516-9524

Department of Urology, MedStar Georgetown University Hospital, Washington, DC, USA.

Introduction: The utility of radical prostatectomy (RP) for locally-advanced prostate cancer remains unknown. Retrospective data has shown equivalent oncologic outcomes compared to radiation therapy (RT). RP may provide local tumor control and prevent secondary interventions from local invasion, and may decrease costs. Read More

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October 2018
25 Reads

Impact of diabetes and metformin use on prostate cancer outcome of patients treated with radiation therapy: results from a large institutional database.

Can J Urol 2018 Oct;25(5):9509-9515

Department of Radiation Oncology, University of Montreal Health Center, Montreal, Quebec, Canada.

Introduction: Conflicting data exists on the influence of metformin on prostate cancer. We investigated the importance of metformin in patients treated with radiotherapy or brachytherapy.

Materials And Methods: All patients from a large institutionalized database, treated for primary localized prostate cancer with either brachytherapy or external-beam radiotherapy ± androgen deprivation therapy were identified. Read More

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October 2018
5 Reads
0.905 Impact Factor

Laparoscopic heminephrectomy for duplex system: observed difference in outcomes between upper and lower pole resections.

Can J Urol 2018 Oct;25(5):9503-9508

The Bristol Urological Institute, Bristol, United Kingdom.

Introduction: Renal duplication is a relatively common congenital abnormality of the urinary tract, but symptomatic duplex kidney is a rare presentation in adults. Traditionally, the treatment of choice for poorly functioning moiety has been heminephrectomy. There is extensive literature detailing the outcomes of minimally invasive upper pole heminephrectomy, but comparatively little published regarding lower pole resection, especially in adult patients. Read More

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October 2018
3 Reads

Nephrostomy tube placement prior to percutaneous nephrolithotomy does not impact outcomes.

Can J Urol 2018 Oct;25(5):9497-9502

Department of Urology, Boston Medical Center, Boston, Massachusetts, USA.

Introduction: This study aims to compare outcomes of percutaneous nephrolithotomy (PCNL) performed with a nephrostomy tube placed prior to surgery versus access at the time of surgery.

Materials And Methods: Between March 2005 and August 2014, 233 PCNLs were performed. One hundred and nine of those cases underwent placement of nephrostomy tubes at least 1 day prior to surgery (Group A), and the remaining 124 cases were performed in which access was obtained at the time of PCNL (Group B). Read More

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October 2018
4 Reads

Assessment of practices in screening and treating women with bacteriuria.

Can J Urol 2018 Oct;25(5):9486-9496

Divison of Urological Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Introduction: Evidence-based screening and treatment for bacteriuria is crucial to prevent increasing antibiotic resistance. The Infectious Disease Society of America (IDSA) previously released guidelines on the management of asymptomatic bacteriuria (ASB) and uncomplicated urinary tract infections (UTIs) in women. The study's objective was to assess physicians' practices in managing women with bacteriuria relative to these guideline recommendations. Read More

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October 2018
14 Reads

Health-related quality of life after BCG or MMC induction for non-muscle invasive bladder cancer.

Can J Urol 2018 Oct;25(5):9480-9485

Urology Clinic, Verona University - Ospedale Civile Maggiore, Verona, Italy.

Introduction: To evaluate health-related quality of life (HRQoL) in patients with non-muscle invasive bladder cancer (NMIBC) during the induction phase of intravesical instillations with BCG or MMC.

Materials And Methods: HRQoL was measured by two questionnaires from EORTC (QLQ-C30 and QLQ-BLS24), stratifying results by gender, age and therapy at the start of the therapy (T0), at last instillation (T1) and at 3 months after T1 (T2). The persistence of QoL-related side effects after 3 months from the end of the induction cycle was evaluated. Read More

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October 2018
12 Reads

Cystectomy for benign disease: readmission, morbidity, and complications.

Can J Urol 2018 Oct;25(5):9473-9479

Department of Urology, University of Kentucky, Lexington, Kentucky, USA.

Introduction: We sought to elucidate outcomes and risks associated with cystectomy and urinary diversion for benign urological conditions compared to malignant conditions.

Materials And Methods: We identified patients who underwent cystectomy and urinary diversion for benign and malignant diseases through the American College of Surgeons National Surgery Quality Improvement Program database for the period 2007-2015. Patients were selected for inclusion based upon their current procedure terminology and International Classification of Disease, Ninth revision codes. Read More

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October 2018
9 Reads

Prostate Cancer: Clinical Case Scenarios.

Can J Urol 2018 Oct;25(5):9472

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October 2018
1 Read

Legends in Urology.

Authors:
Lawson Douglas

Can J Urol 2018 Oct;25(5):9469-9471

Kingston, Jamaica.

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October 2018
1 Read

Why Doesn't Everyone Want To Be A Urologist, Our Tomorrows Will Be Better Than Our Yesterdays.

Authors:
Kevin R Loughlin

Can J Urol 2018 Oct;25(5):9467-9468

Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts, USA.

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October 2018
2 Reads

Abstracts of the New England Section of the American Urological Association Annual Meeting.

Authors:
U A A

Can J Urol 2018 Aug;25(4):9433-9466

American Urological Association Hartford, Connecticut, USA.

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August 2018
1 Read

Contemporary practice patterns in the treatment of pediatric stone disease.

Can J Urol 2018 Aug;25(4):9427-9432

Department of Urology, Rutgers-Robert Wood Johnson University Hospital, New Brunswick, New Jersey, USA.

Introduction: To compare endourology versus pediatric urology exposure to pediatric stone cases during fellowship, comfortability in treating pediatric stone cases, and access to pediatric surgical equipment.

Materials And Methods: A survey was distributed to all pediatric urology fellowship programs and the Endourological Society. Age was stratified into < 12 months old, 12 months-4 years, 5-12 years, and 13-18 years. Read More

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August 2018
14 Reads

Anticipated treatment defect versus prostatic abscess: radiographic findings following transurethral convective radiofrequency-induced water vapor thermal ablation.

Can J Urol 2018 Aug;25(4):9424-9426

Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

With the increasing use of minimally invasive technologies for the treatment of benign prostatic enlargement/lower urinary tract symptoms, clinicians must become familiar with the various treatment effects and complications. Here we present a case of treatment defect after transurethral convective radiofrequency-induced water vapor thermal ablation (REZUM) radiographically identified as a prostatic abscess without consideration that the finding may have represented an anticipated treatment defect. This likely led to an unnecessary surgical procedure. Read More

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August 2018
2 Reads

Primary carcinoid tumor of the bladder.

Can J Urol 2018 Aug;25(4):9421-9423

Division of Urology, University of Colorado, Aurora, Colorado, USA.

Transitional cell carcinoma is the most common type of bladder cancer in the United States. This case report discusses the finding of primary bladder carcinoid tumor (also called well-differentiated neuroendocrine tumor) in a woman with gross hematuria. With only 15-20 reported cases, primary bladder carcinoid is rare and the approach to treatment is unclear. Read More

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August 2018
19 Reads

Is pelvic lymph node dissection necessary in patients with biopsy proven Gleason 6 prostate cancer? - analysis of the SEER database.

Can J Urol 2018 Aug;25(4):9414-9420

Department of Urology, SUNY Upstate Medical University, Syracuse, New York, USA.

Introduction: Since the advent of prostate-specific antigen (PSA) screening there has been a decreased incidence of lymph node positive disease (LND). Nevertheless, because of possible upgrading, LND is frequently performed with preoperative Gleason 6 prostate cancer. We utilized the Surveillance Epidemiology and End Results (SEER) database to evaluate the frequency of LND and preoperative variables for node positivity in contemporary patients with preoperative Gleason 6 disease. Read More

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August 2018
2 Reads

All negatives are not a negative.

Authors:
Daniel J Canter

Can J Urol 2018 Aug;25(4):9413

Department of Urology, Ochsner Health System, New Orleans, Louisiana, USA.

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August 2018
1 Read

Urinary pH and the risk of recurrence in patients with non-muscle invasive bladder cancer.

Can J Urol 2018 Aug;25(4):9407-9412

Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Introduction: To evaluate the effect of urine pH on tumor recurrence rates in patients undergoing surveillance after initial diagnosis of non-muscle invasive bladder cancer (NMIBC).

Materials And Methods: All patients diagnosed with NMIBC at a tertiary referral center from January 2004 to March 2015 were reviewed. Our primary outcome was time to first recurrence after transurethral resection of bladder tumor (TURBT). Read More

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August 2018
16 Reads

Societal costs of localized renal cancer surgery.

Can J Urol 2018 Aug;25(4):9401-9406

Division of Urology, Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

Introduction: Hospital-related costs of renal cancer surgery have been described, but the societal costs of surgery-related lost productivity are poorly understood. We estimated the societal cost of renal cancer surgery by assessing surgery-related time off work (TOW) taken by patients and their caretakers.

Materials And Methods: A total of 413 subjects who underwent partial or radical nephrectomy enrolled in an IRB-approved prospective study received an occupational survey assessing employment status, work physicality, income, surgery-related TOW, and caretaker assistance. Read More

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August 2018
21 Reads

Perioperative outcomes and complication predictors associated with open and minimally invasive nephroureterectomy.

Can J Urol 2018 Aug;25(4):9395-9400

Department of Urology, University of Miami Miller School of Medicine, Miami, Florida, USA.

Introduction: Minimally invasive nephroureterectomy (MINU) and open nephroureterectomy (ONU) have similar oncological outcomes for treatment of upper tract urothelial carcinoma (UTUC). We investigated perioperative outcomes and predictors of complications associated with MINU and ONU.

Material And Methods: Using the National Surgical Quality Improvement Program (NSQIP) database, 912 patients were identified that underwent radical nephroureterectomy for UTUC between 2005 and 2013. Read More

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August 2018
3 Reads

Preoperative factors associated with failure in unstented primary ureteroscopy for nephrolithiasis.

Can J Urol 2018 Aug;25(4):9389-9394

Division of Urology, Rush University Medical Center, Chicago, Illinois, USA.

Introduction: Primary ureteroscopy for nephrolithiasis is often completed without prior ureteral stenting. However, failure can occur due to inability to access the stone, requiring ureteral stenting for passive dilation and a second procedure. This typically results in increased morbidity due to a prolonged period of ureteral stenting and subsequent stent related symptoms. Read More

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August 2018
2 Reads

Use of the AccuVein AV400 during RARP: an infrared augmented reality device to help reduce abdominal wall hematoma.

Can J Urol 2018 Aug;25(4):9384-9388

CHUM Department of Urology, University of Montreal, Montreal, Quebec, Canada.

Introduction: Abdominal wall hematoma (AWH) is a self-resolving, yet common complication from the insertion of trocars during laparoscopic surgery. Particularly, its appearance may increase patient anxiety and may reduce overall surgical satisfaction.

Materials And Methods: In a retrospective study analyzing data from 724 robot-assisted radical prostatectomy cases (RARP), trocar insertion sites were examined on postoperative day 7 with Foley removal for AWH. Read More

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August 2018
19 Reads

Prostate cancer PET tracers: essentials for the urologist.

Can J Urol 2018 Aug;25(4):9371-9383

Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, USA.

Introduction: In the past, positron emission tomography (PET) has played a relatively limited role in prostate cancer imaging. However, in recent years, several new PET tracers have emerged, offering potential improvements in diagnostic performance for both the detection of prostate cancer metastases at initial staging and the localization of recurrent disease.

Materials And Methods: We reviewed the literature for prostate cancer PET tracers that are either being used for patient management or being evaluated in clinical research trials. Read More

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August 2018
15 Reads

Handbook of Pediatric Urology, 3rd edition.

Can J Urol 2018 Aug;25(4):9370

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August 2018
1 Read

Legends in Urology.

Authors:
Edward M Messing

Can J Urol 2018 Aug;25(4):9367-9369

Professor of Urology, Professor of Oncology and Pathology. University of Rochester School of Medicine and Dentistry Rochester, NY, USA.

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August 2018
2 Reads

Should Urology Reconsider the Routine Use of Fluoroquinolones?

Can J Urol 2018 Aug;25(4):9366

Thomas Jefferson University, Philadelphia, PA, USA.

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August 2018
1 Read

Percutaneous nephrolithotomy in an 8-week-old infant.

Can J Urol 2018 06;25(3):9363-9365

Department of Urology, Albert Einstein Medical Center, Philadelphia, Pennsylvania, USA.

We report successful percutaneous nephrolithotomy (PCNL) in an 8-week-old, 4.12 kg infant with a combined stone burden of > 2 cm in a solitary kidney. The patient was born with thoracolumbar myelomeningocele and had developed recurrent urinary tract infections. Read More

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June 2018
4 Reads

Urothelial metaplasia of the seminal vesicle and ejaculatory duct associated with crossed-fused renal ectopia and Hutch diverticulum of the bladder.

Can J Urol 2018 06;25(3):9360-9362

Department of Pathology and Laboratory Medicine, University of Calgary and Calgary Laboratory Services, Calgary, Alberta, Canada.

The presence of urothelial epithelial metaplasia in a seminal vesicle is an exceptionally rare finding. We describe a unique case of urothelial metaplasia of the seminal vesicle and ejaculatory duct, found in a radical prostatectomy specimen from a patient with complex urogenital anatomy. A 70-year-old patient with organ confined (pT2) prostatic adenocarcinoma (Gleason score 3+4 = 7) had a right-sided Hutch diverticulum and a left crossed-fused renal ectopia. Read More

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June 2018
3 Reads
0.905 Impact Factor

Synchronous, but separate, bladder and vaginal rhabdomyosarcoma: a novel genetic case report.

Can J Urol 2018 06;25(3):9357-9359

Division of Pediatric Urology, Cohen Children's Medical Center of NY, Northwell Health, Hofstra Northwell School of Medicine, Long Island, New York, USA.

Embryonal rhabdomyosarcoma is a rare cancer that often requires multimodality therapy to treat; however, these therapies can cause changes in the biology of the tumor. Several reports have documented pathologic changes but only recently have genetic changes been mapped. We present case of two separate synchronous primary rhabdomyosarcomas in a 17-month-old patient and discuss the pathophysiology and genetic changes that occur with treatment. Read More

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June 2018
4 Reads

An implementation of next generation sequencing for prevention and diagnosis of urinary tract infection in urology.

Can J Urol 2018 06;25(3):9349-9356

Central Florida Cancer Institute, Davenport; Nova Southeastern University, Fort Lauderdale, Florida, USA.

Introduction: The changing face of current infection phenotypes from planktonic to biofilm type has been developed implicating bacterial biofilms in recurrent infection. To date, no specific medical treatment exists to specifically target biofilms in the human host. Similarly, the identification of a biofilm has relied upon the analysis of tissue samples with electron microscopy or DNA identification with polymerase chain reaction (PCR) and sequencing. Read More

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June 2018
4 Reads

Biochemical recurrence after robot-assisted extended pelvic lymphadenectomy for prostate cancer.

Can J Urol 2018 06;25(3):9340-9348

Department of Surgery, Division of Urology and Urologic Oncology, City of Hope National Medical Center, Duarte, California, USA.

Introduction: Extended lymph node dissection (ELND) compared to limited lymph node dissection (LLND) at time of prostatectomy improves staging and lymph node (LN) yield. The effect on biochemical recurrence (BCR) and survival is less well understood. We sought to evaluate the benefit of robotic ELND and LLND with respect to BCR. Read More

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June 2018
16 Reads
0.905 Impact Factor

Is mesenteric defect closure needed in urologic surgery using ileum?

Can J Urol 2018 06;25(3):9334-9339

Department of Urology, Medical College of Wisconsin. Milwaukee, Wisconsin, USA.

Introduction: Classic surgical teaching advocates for closure of the mesenteric defect (MD) after bowel anastomosis but the necessity is controversial. We sought to evaluate the necessity of MD closure at the time of harvest of ileum for genitourinary reconstructive surgery (GURS) by analyzing the incidence of early and late gastrointestinal adverse events (GIAE) in patients with and without MD closure.

Materials And Methods: A retrospective review was conducted on patients undergoing urologic reconstruction with ileum to identify incidence of ileus, small bowel obstruction (SBO), gastrointestinal (GI) fistula and stoma complications. Read More

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June 2018
5 Reads

Urethral lichen sclerosus under the microscope: a survey of academic pathologists.

Can J Urol 2018 06;25(3):9328-9333

Department of Urology, University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA.

Introduction: Given the poor understanding of the pathophysiology of genital lichen sclerosus (GLS) and a lack of accepted definitive diagnostic criteria, we proposed to survey pathologists regarding their understanding of GLS. We hypothesized that significant disagreement about GLS will exist.

Materials And Methods: All urologists participating in the Trauma and Urologic Reconstruction Network of Surgeons identified genitourinary (GUP) and dermatopathologists (DP) at their respective institutions who were then invited to participate in an online survey regarding their experience with diagnosing GLS, GLS pathophysiology and its relationship to urethral stricture disease. Read More

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June 2018
9 Reads