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    2187 results match your criteria Canadian Urological Association Journal [Journal]

    1 OF 44

    Partial cystectomy for urothelial carcinoma of the bladder: Practice patterns and outcomes in the general population.
    Can Urol Assoc J 2017 Nov 1. Epub 2017 Nov 1.
    Oncology.
    Introduction: Partial cystectomy (PC) for urothelial carcinoma (UC) in selected patients may avoid the morbidity of radical cystectomy (RC). We describe utilization and outcomes of PC for UC in routine clinical practice.

    Methods: All patients with urothelial carcinoma of the bladder (UCB) undergoing PC or RC in Ontario from 1994-2008 were identified using the Ontario Cancer Registry and linked electronic records. Read More

    Telephone consultations in urology: Who, when, where, and why?
    Can Urol Assoc J 2017 Nov 1. Epub 2017 Nov 1.
    Division of Urology, CHU de Québec, Université Laval, Quebec, QC, Canada.
    Introduction: Telephone consultations are part of a strategy to allow access to medical expertise. Telephone consultations have been fee-for-services benefits in the province of Quebec since 2012.(1) Recent studies have shown that adequate communication is one of the most common means to prevent disability and death. Read More

    Validation of the French-Canadian version of the Expanded Prostate Cancer Index Composite (EPIC) in a French-Canadian population.
    Can Urol Assoc J 2017 Nov 1. Epub 2017 Nov 1.
    CHU de Québec, Université Laval Research Centre.
    Introduction: This study aims to empirically validate the French-Canadian version of the Expanded Prostate Cancer Index Composite (EPIC), a measure of health-related quality of life for prostate cancer patients.

    Methods: 251 participants completed a battery of self-report scales including the French-Canadian version of the EPIC, after having received radiation therapy or radical prostatectomy for prostate cancer.

    Results: The internal consistency for the urinary incontinence, bowel, and sexual domains of the EPIC-26 was high (Cronbach's alpha coefficients from . Read More

    The kidney cancer research priority-setting partnership: Identifying the top 10 research priorities as defined by patients, caregivers, and expert clinicians.
    Can Urol Assoc J 2017 Nov 1. Epub 2017 Nov 1.
    Departments of Surgery and Surgical Oncology (Division of Urology), Princess Margaret Cancer Centre, University Health Network, and the University of Toronto, Toronto, ON, Canada.
    It is critically important to define disease-specific research priorities to better allocate limited resources. There is growing recognition of the value of involving patients and caregivers, as well as expert clinicians in this process. To our knowledge, this has not been done this way for kidney cancer. Read More

    Preoperative nutritional factors and outcomes after radical cystectomy: A narrative review.
    Can Urol Assoc J 2017 Nov 1. Epub 2017 Nov 1.
    Department of Surgery, CHU de Québec-Université Laval, L'Hôtel-Dieu de Québec.
    Only a few nutritional factors have been identified to predict the risk of developing complications after radical cystectomy (RC). This narrative review delineates the current known effects of preoperative nutritional status factors in this context. The report highlighted the heterogeneity between study methods and results. Read More

    Complications in the 90-day postoperative period following kidney transplant and the relationship of the Charlson Comorbidity Index.
    Can Urol Assoc J 2017 Nov 1. Epub 2017 Nov 1.
    Department of Nephrology; University of Alberta, Edmonton, AB, Canada.
    Introduction: Renal transplant experiences widespread success, but little is published regarding the postoperative complications. The Charlson Comorbidity Index (CCI) is a system of mortality risk assessment. Our purpose is to assess the 90-day postoperative complications after renal transplantation. Read More

    Prostate-specific antigen testing for prostate cancer screening: A national survey of Canadian primary care physicians' opinions and practices.
    Can Urol Assoc J 2017 Nov 1. Epub 2017 Nov 1.
    Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
    Introduction: In 2014, the Canadian Task Force on Preventive Health Care (CTFPHC) recommended against routine prostate cancer screening with the prostate-specific antigen (PSA) blood test.(1) We surveyed Canadian primary care physicians (PCPs) to understand their opinions and attitudes towards prostate cancer screening in 2016.

    Methods: Twenty PCPs piloted the survey to assess its accessibility. Read More

    Can zero-hour cortical biopsy predict early graft outcomes after living donor renal transplantation?
    Can Urol Assoc J 2017 Nov 11. Epub 2017 Nov 11.
    Department of Urology, Lourdes Hospital, Kochi, India.
    Introduction: The aim of this study was to identify relevance of subclinical pathological findings in the kidneys of living donors and correlate these with early graft renal function.

    Methods: This was a prospective study on 84 living donor kidney transplant recipients over a period of two years. In all the donors, cortical wedge biopsy was taken and sent for assessment of glomerular, mesangial, and tubule status. Read More

    Efficacy of thermobalancing therapy for chronic prostatitis/chronic pelvic pain syndrome, confirmed by clinical study, may suggest etiology and pathophysiology of this disease.
    Can Urol Assoc J 2017 Nov 11. Epub 2017 Nov 11.
    Department of Urology, Yerevan State Medical University, Yerevan, Armenia.
    Introduction: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) type-III is a common disorder characterized by pelvic pain and lower urinary tract symptoms in the absence of active infection. The aim of this clinical study is to evaluate the results of thermobalancing therapy (TT) and to discus the possible etiology and pathophysiology of CP/CPPS.

    Methods: 45 patients with CP/CPPS used TT by applying therapeutic device, namely Dr Allen's therapeutic device (DATD), for six months as monotherapy. Read More

    A nationwide analysis of re-operation after kidney transplant.
    Can Urol Assoc J 2017 Nov 11. Epub 2017 Nov 11.
    Department of Surgery, Division of Transplant Surgery, Jackson Memorial Hospital/University of Miami, Miami, FL, United States.
    Introduction: We aimed to report the rate and short-term outcomes of patients undergoing reoperation following kidney transplant in the U.S.

    Methods: The ationwide Inpatient Sample (NIS) database was used to examine the clinical data of patients undergoing kidney transplant and reoperation during same the hospitalization from 2002-2012. Read More

    Comprehension and construct validity of the Visual Prostate Symptom Score (VPSS) by men with obstructive lower urinary tract symptoms in Rural Africa.
    Can Urol Assoc J 2017 Nov 11. Epub 2017 Nov 11.
    Stellenbosch Institute for Advanced Study, Wallenberg Search Centre, Marais Street, Stellenbosch, South Africa and Associate Member Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
    Introduction: The Visual Prostate Symptom Score (VPSS) is an image-based interpretation of the International Prostate Symptom Score (IPSS) intended to quantify frequency, nocturia, weak stream, and quality of life (QoL) in a literacy-independent manner.

    Methods: Ugandan men presenting with lower urinary tract symptoms (LUTS) to a rural clinic completed VPSS and IPSS independently and then with assistance. They verbally interpreted VPSS images, rated question usefulness, and suggested improvements. Read More

    Never events and hospital-acquired conditions after kidney transplant.
    Can Urol Assoc J 2017 Nov 11. Epub 2017 Nov 11.
    Department of Surgery, Division of Transplant Surgery, Jackson Memorial Hospital/University of Miami, Miami, FL, United States.
    Introduction: Never events (NE) and hospital-acquired conditions (HAC) after surgery have been designated as quality metrics in healthcare by the centres for Medicare and Medicaid Services (CMS).

    Methods: The Nationwide Inpatient Sample (NIS) database 2002-2012 was used to identify patients underwent kidney transplant. Multivariate analysis using logistic regression was used to identify outcomes and risk factors of HAC and NE after transplantation; however, we were limited by using a retrospective database missing some important variables specified for the kidney transplant, such as some operative factors, donor factors, and cold and warm ischemia times. Read More

    Does cranberry have a role in catheter-associated urinary tract infections?
    Can Urol Assoc J 2017 Nov 11. Epub 2017 Nov 11.
    Deptartment of Urology, Weill Cornell Medical College/New York Presbyterian Hospital, New York, NY, United States.
    Introduction: Catheter-associated urinary tract infections (CA-UTIs) are a prevalent and costly condition, with very few therapeutic options. We sought to evaluate the efficacy of an oral cranberry supplement on catheter-associated urinary tracts infections over a six-month period.

    Methods: Subjects with long-term indwelling catheters and recurrent symptomatic CA-UTIs were enrolled to take a once-daily cranberry supplement - an oral cranberry supplement with 36 mg of the active ingredient proanthocyanidin (PACs). Read More

    Positive surgical margin rates during the robot-assisted laparoscopic radical prostatectomy learning curve of an experienced laparoscopic surgeon.
    Can Urol Assoc J 2017 Nov 11. Epub 2017 Nov 11.
    Division of Urology, McMaster University, Hamilton, ON, Canada.
    Introduction: Since its introduction, robot-assisted laparoscopic radical prostatectomy (RARP) has gained widespread popularity, but is associated with a variable learning curve. Herein, we report the positive surgical margin (PSM) rates during the RARP learning curve of a single surgeon with significant previous laparoscopic radical prostatectomy (LRP) experience.

    Methods: We performed a prospective cohort study of the first 400 men with prostate cancer treated with RARP by a single surgeon (BS) with significant LRP experience. Read More

    The histopathological effects of intracavernosal mitomycin-C injection in a rat Peyronie's disease model.
    Can Urol Assoc J 2017 Nov 11. Epub 2017 Nov 11.
    Gulhane Training and Research Hospital, Department of Urology, Ankara, Turkey.
    Introduction: We aimed to evaluate whether or not nitomycin-C (MMC) has an anti-fibrotic effect on transforming growth factor beta (TGF-β)-induced Peyronie's disease (PD) in a rat model.

    Methods: Eighteen 12-week-old male Sprague-Dawley rats were divided into three groups: Group 1= TGF-β1 (n:7); Group 2= TGF-β1+MMC (n:7); and Group 3= Sham group (0.25 ml bovine serum albumin injected) (n:4). Read More

    Platelet to white blood cell ratio predicts 30-day postoperative infectious complications in patients undergoing radical nephrectomy for renal malignancy.
    Can Urol Assoc J 2017 Nov 11. Epub 2017 Nov 11.
    Division of Urology, Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, ON, Canada.
    Introduction: We sought to examine the relationship between preoperative platelet to white blood cell ratio (PLT/WBC), a hematologic marker of the systemic inflammatory response, and postoperative infectious complications following radical nephrectomy for localized renal cell carcinoma.

    Methods: We performed a retrospective cohort study of patients treated with radical nephrectomy for localized kidney cancer between January 1, 2005 and December 31, 2014 (n=6235) using the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database. Univariate and multivariate analyses were used to assess the association between PLT/WBC ratio and 30-day infectious complications, including surgical site infection, urinary tract infection, pneumonia, and sepsis. Read More

    An in-house Composix™-based pubovaginal sling trial for female stress urinary incontinence: Five-year comparative followup to tension-free and transobturator vaginal tapes.
    Can Urol Assoc J 2017 Aug;11(8):275-280
    Division of Urology, CHU de Québec, Université Laval, Quebec City, QC, Canada.
    Introduction: We compared the efficacy of three slings in the long-term treatment of stress urinary incontinence (SUI): tension-free vaginal tape (TVT), vaginal tape-obturator (TVT-O), and an in-house two-layered polypropylene mesh with a submicronic polytetrafluoroethylene (Composix™). Our primary endpoint was the objective measurement of continence (24-hour pad test). Secondarily, we measured the satisfaction and complication rates. Read More

    Improving access to urologists through an electronic consultation service.
    Can Urol Assoc J 2017 Aug;11(8):270-274
    Department of Urology, University of Ottawa; Ottawa, ON, Canada.
    Introduction: Access to specialist services is limited by wait times and geographic availability. Champlain Building Access to Specialist Advice (BASE) has been implemented in our service region to facilitate access to specialists by primary care providers (PCPs). Through a secure web-based system, PCPs are able to send eConsults instead of requesting a formal in-office consultation. Read More

    Does surgical delay for radical prostatectomy affect patient pathological outcome? A retrospective analysis from a Canadian cohort.
    Can Urol Assoc J 2017 Aug;11(8):265-269
    Division of Urology, Department of Surgery, Centre Hospitalier Universitaire de Montréal (CHUM), Montreal, QC, Canada.
    Introduction: We sought to assess the impact of surgical wait time (SWT) to robot-assisted radical prostatectomy (RARP) on final pathological outcome.

    Methods: A retrospective review of RARP patient records operated between 2006 and 2015 was conducted. SWT was defined as period from prostate biopsy to surgery. Read More

    Dimercaptosuccinic acid scintigraphy vs. ultrasound for renal parenchymal defects in children.
    Can Urol Assoc J 2017 Aug;11(8):260-264
    Division of Urology, Department of Surgery; CHU de Québec, Université Laval, Quebec City, QC, Canada.
    Introduction: Dimercaptosuccinic acid (DMSA) scintigraphy is the gold standard in the evaluation of renal parenchymal defects and is widely used in the pediatric population. As more recent ultrasound equipment was purchased at our tertiary pediatric centre, our objective was to evaluate if renal ultrasound (US) results are equivalent or sufficient when compared to DMSA scintigraphy in the assessment of renal anomalies.

    Methods: The charts of all 463 patients who underwent DMSA scintigraphy between January 2009 and May 2014 at our pediatric tertiary centre were reviewed. Read More

    Childhood bladder and bowel dysfunction predicts irritable bowel syndrome phenotype in adult interstitial cystitis/bladder pain syndrome patients.
    Can Urol Assoc J 2017 Aug;11(8):255-259
    Department of Urology, Queen's University, Kingston, ON, Canada.
    Introduction: Many clinicians have suggested that a history of bladder and bowel dysfunction (BBD) in childhood predisposes to the development of interstitial cystitis/bladder pain syndrome (IC/BPS) or irritable bowel syndrome (IBS) in adulthood. We hypothesized that BBD symptoms in childhood would predict the IBS-associated phenotype in adult IC/BPS patients.

    Methods: Consecutive female patients (n=190) with a diagnosis of IC/BPS were administered a modified form of a clinical BBD questionnaire (BBDQ) to capture childhood BBD-like symptoms, as well as Interstitial Cystitis Symptoms Index (ICSI), Interstitial Cystitis Problem Index (ICPI), Pelvic Pain and Urgency/Frequency (PUF) questionnaires and UPOINT categorization. Read More

    Ex-vivo ureteroscopy of deceased donor kidneys.
    Can Urol Assoc J 2017 Aug;11(8):251-253
    Department of Surgery, Divisions of Urology and Transplant, Baylor Scott & White Health/Texas A&M Health Science Centre College of Medicine, Temple, TX, United States.
    Introduction: When encountered, the ideal management of lithiasis in deceased donor kidneys is not well-defined. With advances in endourological techniques, minimally invasive treatments are becoming an increasingly viable option. We set out to describe our experience performing ex-vivo ureteroscopy on cadaveric donor kidneys, including one in which the procedure was completed on-pump. Read More

    Radical cystectomy in patients with disseminated disease: An assessment of perioperative outcomes using the National Surgical Quality Improvement Program database.
    Can Urol Assoc J 2017 Aug;11(8):244-248
    Division of Urology, Department of Surgery; Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
    Introduction: We sought to determine the effect of the presence of disseminated disease on perioperative outcomes following radical cystectomy for bladder cancer.

    Methods: We identified 4108 eligible patients who underwent radical cystectomy for bladder cancer using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database. We matched patients with disseminated cancer at the time of surgery to those without disseminated cancer using propensity scores. Read More

    An assessment of Prostate Cancer Research International: Active Surveillance (PRIAS) criteria for active surveillance of clinically low-risk prostate cancer patients.
    Can Urol Assoc J 2017 Aug;11(8):238-243
    University of Ottawa, Division of Urology, Department of Surgery, Ottawa, ON, Canada.
    Introduction: Active surveillance is a strategy to delay or prevent treatment of indolent prostate cancer. The Prostate Cancer Research International: Active Surveillance (PRIAS) criteria were developed to select patients for prostate cancer active surveillance. The objective of this study was to compare pathological findings from PRIAS-eligible and PRIAS-ineligible clinically low-risk prostate cancer patients. Read More

    Benchmarking quality for renal cancer surgery: Canadian Kidney Cancer information system (CKCis) perspective.
    Can Urol Assoc J 2017 Aug;11(8):232-237
    Division of Urology, Princess Margaret Hospital, University of Toronto, Toronto, ON; Canada.
    Introduction: There is a lack of validated quality metrics to evaluate the care of patients receiving surgery for renal cell carcinoma (RCC). To address this, the Kidney Cancer Research Network of Canada defined a list of quality indicators (QI) to assess hospital-level performance. We have case-mix adjusted these QIs to benchmark RCC surgical care at Canadian academic centres. Read More

    Case: Spontaneous regression of post-radical prostatectomy prostate-specific antigen elevation without adjuvant therapy in a patient with lymph node metastasis.
    Can Urol Assoc J 2017 Jul 11;11(7):E315-E317. Epub 2017 Jul 11.
    Department of Surgery, Division of Urology, McMaster University, Hamilton ON, Canada.
    Prostate cancer remains the most frequently diagnosed cancer among men. The combination of clinical stage, serum prostate-specific antigen (PSA), and Gleason score (biopsy) assists in predictive assessment of pathological stage and prognosis. Furthermore, pathological criteria, including Gleason score, surgical margin status, extracapsular extension, seminal vesicle invasion, and lymph node involvement, provide prognostication in patients undergoing radical prostatectomy (RP). Read More

    Case series: Bladder clot evacuation using a prostate morcellation device.
    Can Urol Assoc J 2017 Jul 11;11(7):E311-E314. Epub 2017 Jul 11.
    Division of Urology, Baylor Scott and White Health; Temple, TX, United States.
    Introduction: We sought to provide a technical update on the use of a prostate morcellator device (PMD) to manage organized blood clots of the bladder following laser prostatectomy.

    Methods: Herein, we describe our experience in using the Wolf Piranha morcellator in managing organized bladder blood clots supplemented with a retrospective chart review of the patients in whom this procedure was performed.

    Results: Six patients, all male with a mean age of 75 ± 8. Read More

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