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Can Urol Assoc J 2019 Feb 26. Epub 2019 Feb 26.

McMaster University, Hamilton, ON, Canada.

Can Urol Assoc J 2019 Feb 26. Epub 2019 Feb 26.

Department of Community Health, Mbarara University of Science and Technology, Mbarara, Uganda.

Introduction: The recognized association between erectile dysfunction (ED) with lower urinary tract symptoms (LUTS) from high-income countries is unreported from Africa. Authentic figures on prevalence of ED and LUTS from Africa are scarce in the literature. This study was conducted to quantify sexual function and satisfaction among Ugandan men in relation to LUTS severity. Read More

Can Urol Assoc J 2019 Feb 26. Epub 2019 Feb 26.

Department of Urology, Chonbuk National University Medical School, and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju, Republic of Korea.

Introduction: We aimed to evaluate the effect of preoperative urethral dilatation during holmium laser enucleation of the prostate (HoLEP) on the prevention of urethral stricture.

Methods: A total of 72 patients without urethral stricture underwent HoLEP for benign prostatic hyperplasia (BPH). Recruited patients were randomly divided into two groups (groups A and B). Read More

Can Urol Assoc J 2019 Feb 26. Epub 2019 Feb 26.

Department of Urology, The Second Affiliated Hospital of Anhui Medical University, China.

Can Urol Assoc J 2019 Feb 26. Epub 2019 Feb 26.

Department of Urology, Queen's University, ON, Canada.

Can Urol Assoc J 2019 Feb 26. Epub 2019 Feb 26.

Department of Surgery, Division of Urology, Western University, London, ON, Canada.

Introduction: We aimed to evaluate the impact of thrombo-embolic-deterrent + intermittent pneumatic compression (TED + IPC) vs. muscle pump activator (MPA) on incisional wound healing in kidney and simultaneous pancreas- kidney (SPK) transplant recipients.

Methods: We conducted a single-centre, randomized controlled trial in which 104 patients (kidney n=94; SPK n=10) were randomly assigned to wear TED + IPC (n= 52) or MPA (n=52) for the first six days following surgery. Read More

Can Urol Assoc J 2019 02 26. Epub 2019 Feb 26.

Urology Department, Connolly Hospital, Blanchardstown, Dublin, Ireland.

Nephron-sparing surgery (NSS) is the treatment of choice for T1 renal cell carcinoma (RCC). Since the first robotic assisted partial nephrectomy (RAPN) was performed in 2004, NSS is being implemented with increasing frequency. RAPN will likely become the gold standard procedure for T1 RCC due to improved dexterity, enhanced visualization, shorter learning curve, quicker recovery time, and shortened warm ischemic time. Read More

Can Urol Assoc J 2019 Feb 26. Epub 2019 Feb 26.

Department of Urology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.

Introduction: Ureteral stricture (US) in the kidney transplant recipient is a rare complication that can lead to morbidity and graft loss. Risk factor recognition is crucial in the prevention and management of this entity. Delayed graft function (DGF), as defined by the need for dialysis in the first week after transplantation, has been proposed as a risk factor in previous studies. Read More

Can Urol Assoc J 2019 Feb 26. Epub 2019 Feb 26.

Acerus Pharmaceuticals Corporation, Mississauga, ON, Canada.

Introduction: Natesto, testosterone nasal gel (TNG) is an intranasal testosterone therapy (TTh) used to restore testosterone levels and improve symptoms of hypogonadism. Treatment requires application two (bid) or three (tid) times daily. The Treatment Satisfaction Questionnaire for Medication (TSQM) and a Patient Preference and Use (PPU) Questionnaire were used to obtain patient feedback on the use of TNG and compare to experience with topical TTh. Read More

Can Urol Assoc J 2019 Feb 26. Epub 2019 Feb 26.

Section of Urology, Department of Surgery, University of Manitoba, Winnipeg, MB, Canada.

Can Urol Assoc J 2019 Feb 22. Epub 2019 Feb 22.

Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada.

Can Urol Assoc J 2019 Jan 31. Epub 2019 Jan 31.

Department of Urology, McGill University Health Centre, Montreal, QC, Canada.

Can Urol Assoc J 2019 Feb 7. Epub 2019 Feb 7.

University of Western Ontario, London, ON, Canada.

Can Urol Assoc J 2019 Jan 21. Epub 2019 Jan 21.

Division of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.

Can Urol Assoc J 2019 Jan 21. Epub 2019 Jan 21.

Department of Urology, Sakarya University, Education and Research Hospital, Sakarya, Turkey.

Introduction: The objective of this study was to investigate the disease course after direct vision internal urethrotomy (DVIU) for short anterior urethral strictures.

Methods: We retrospectively analyzed 94 patients who underwent DVIU of the anterior urethra. Patients' age, etiology, length and localization of the strictures, total number of DVIU procedures, comorbidities, and other data were evaluated. Read More

Can Urol Assoc J 2019 Jan 21. Epub 2019 Jan 21.

Division of Urology, Department of Surgery, Université Laval, CHU de Québec, Hôpital St-François d'Assise, Quebec City, QC, Canada.

Can Urol Assoc J 2019 Jan 21. Epub 2019 Jan 21.

Division of Urology, Department of Surgery, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.

Introduction: Ureteropelvic junction obstruction (UPJO) is a condition characterized by partial or complete obstruction of urine transport from the renal pelvis to the ureter and can present with intermittent flank pain, recurrent urinary tract infections, renal stones, or renal dysfunction. While historically, open pyeloplasty was the gold standard for surgical management, laparoscopic methods to repair UPJO have largely taken over as the preferred approach for adolescent and adult patients. Despite near universal adoption of laparoscopic pyeloplasty among Canadian urologists, it remains a technically complex procedure and considerable variability exists in the procedural steps performed. Read More

Can Urol Assoc J 2019 Jan 21. Epub 2019 Jan 21.

Division of Urology, Department of Surgical Oncology, Princess Margaret Cancer Centre, University Health Network and the University of Toronto, Toronto, ON, Canada.

Introduction: Upper tract urothelial carcinoma (UTUC) accounts for <5% of all urothelial cancers. We aimed to ascertain the clinical differences between UTUC tumours presenting de novo (DnUTUC) and those presenting secondary (SUTUC) following a bladder cancer diagnosis.

Methods: Our institutional database was queried for all UTUC patients who were surgically treated with radical nephroureterectomy or ureterectomy between 2003 and 2017. Read More

Can Urol Assoc J 2019 Jan 21. Epub 2019 Jan 21.

Department of Surgery, Division of Urology, University of Saskatchewan, Saskatoon, SK, Canada.

Introduction: Irreversible electroporation (IRE) is a novel technology used in the minimally invasive treatment of small solid organ tumours. Currently, there is a paucity of literature studying treatment of small renal masses (SRMs) with IRE. Our pilot study is the first case series in Canada to use IRE in the treatment of SRMs. Read More

Can Urol Assoc J 2019 Jan 21. Epub 2019 Jan 21.

Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Introduction: The aim of this study was to detect circulating tumour cells (CTCs) in patients with advanced renal cell carcinoma (RCC) using a novel CTC detection platform. Furthermore, we evaluated the clinical outcomes associated with a CTC-positive status.

Methods: A total of 34 patients with advanced RCC (stage III or IV) were prospectively enrolled, and 104 peripheral blood samples were analyzed for the presence of CTCs at various time points. Read More

Can Urol Assoc J 2019 Jan 21. Epub 2019 Jan 21.

Queen's University, Kingston, ON, Canada.

Introduction: The importance of developing inter-professional communication and leadership skills among residents is well-recognized; however, formal tools to assess these skills are lacking. The goal of our study was to assess the leader and communicator roles in graduating urology residents using a validated self-assessment form developed for business students that focuses on inter-professional skills.

Methods: Chief residents (n=36) were evaluated with surveys of communication and leadership skills. Read More

Can Urol Assoc J 2019 Jan 21. Epub 2019 Jan 21.

Division of Urology, The Ottawa Hospital, Ottawa, ON, Canada.

Introduction: In a competency-based approach to resident education, a component of training should focus on skills needed for the transition from residency to independent practice. The ability to run an outpatient clinic represents one such skill. Resident-run clinics (RRC) have been implemented in family medicine programs to allow residents to practice this skill, and have enhanced learning while providing excellent patient satisfaction. Read More

Can Urol Assoc J 2019 Feb;13(2):E30

Président de l'AUC.

Can Urol Assoc J 2019 Feb;13(2):71-72

Community Urologist, Oakville, ON, Canada.

Can Urol Assoc J 2019 Feb;13(2):51-52

Queen's University, Kingston, ON, Canada.

Can Urol Assoc J 2019 Feb;13(2):43-44

Faculty of Health Sciences, Department of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.

Can Urol Assoc J 2019 Feb;13(2):38

Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL, United States.

Can Urol Assoc J 2019 Feb;13(2):29-31

Division of Cancer Care and Epidemiology, Queen's Cancer Research Institute, Kingston, ON, Canada.

Can Urol Assoc J 2019 Feb;13(2):15-23

Department of Surgery (Urology) and Oncology, McMaster University, Hamilton, ON, Canada.

Can Urol Assoc J 2019 Feb;13(2):13

CUA President.

Can Urol Assoc J 2019 Feb;13(2):7-8

Department of Urology, Queen's University, Kingston, ON, Canada; CUAJ Editor-in-Chief.

Can Urol Assoc J 2019 Apr 14;13(4):105-114. Epub 2018 Dec 14.

Department of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.

Can Urol Assoc J 2018 Dec 3. Epub 2018 Dec 3.

Department of Urology, Queen's University Kingston, ON, Canada.

Introduction: The natural history of small renal masses has been well defined, leading to the recommendation of active surveillance in some patients with limited life expectancy. However, this information is less clear for large renal masses (LRM), leading to ambiguity for management in the older, comorbid patient. The objective of this study was to define the natural history, including the growth rate and metastatic risk, of LRM in order to better counsel patients regarding active surveillance. Read More

Can Urol Assoc J 2018 Dec 3. Epub 2018 Dec 3.

Division of Urology, Sunnybrook Health Sciences Centre, University of Toronto, ON, Canada.

Introduction: We sought to examine the costs related to treatment and treatment-related complications for patients treated with surgery or radiation for localized prostate cancer.

Methods: We performed a population-based, retrospective cohort study of men who underwent open radical prostatectomy or radiation from 2004-2009 in Ontario, Canada. Costs, including initial treatment and inpatient hospitalization, emergency room visit, outpatient consultation, physician billings, and medication costs, were determined for five years following treatment using a validated costing algorithm. Read More

Can Urol Assoc J 2019 Apr 3;13(4):133-141. Epub 2018 Dec 3.

Department of Urology, Houston Methodist Hospital, Houston, TX, United States.

Introduction: Baseline urodynamic characterization in patients with neurogenic lower urinary tract dysfunction (NLUTD) allows detection of unsafe storage and voiding pressures and optimization of these parameters through medical or surgical intervention. Surveillance urodynamics (sUDS) studies are performed in the ambulatory setting after baseline characterization, with the goal of monitoring bladder function. How often this study should be performed and the circumstances that should prompt repeated studies are unknown. Read More

Can Urol Assoc J 2018 Dec 3. Epub 2018 Dec 3.

Department of Surgery, Division of Urology, University of Western Ontario, London, ON, Canada.

Introduction: Small cell carcinoma of the bladder (SmCC) is a rare and aggressive genitourinary malignancy. The paucity of clinical trials and outcome data provide no standard treatment guidelines. Accordingly, patient prognosis is poor. Read More

Can Urol Assoc J 2018 Dec 3. Epub 2018 Dec 3.

Department of Urology, McGill University Health Centre, Montreal, QC, Canada.

Introduction: We aimed to compare efficacy, safety, and cost of disposables of the DrillCut morcellator with the VersaCut morcellator after holmium laser enucleation of the prostate (HoLEP).

Methods: After obtaining ethical approval, consecutive patients undergoing HoLEP for symptomatic benign prostatic hyperplasia were randomized to have their enucleated prostates morcellated by either Karl Storz DrillCut or Lumenis VersaCut morcellators. All procedures were performed by two experienced urologists. Read More

Can Urol Assoc J 2018 Dec 3. Epub 2018 Dec 3.

McMaster University, Hamilton, ON, Canada.

Introduction: We performed a meta-analysis of the current literature to assess the association of caudal block and postoperative complication rates following hypospadias repair.

Methods: A Systematic literature search was conducted on October 2017. Five reviewers independently screened, identified, and evaluated comparative studies assessing postoperative outcomes following hypospadias repair with and without caudal block. Read More

Can Urol Assoc J 2018 Dec 3. Epub 2018 Dec 3.

Department of Urology, Queen's University, Kingston, ON, Canada.

Introduction: The urologist's role in the management of patients with spinal cord injury (SCI) is to prevent upper tract damage and renal failure while facilitating acceptable means for urine elimination. Residency provides the framework to manage SCI patients. The purpose of this study was to determine the surveillance practices of chief urology residents in high SCI patients (T4/5 and above) and their confidence in managing this patient population. Read More

Can Urol Assoc J 2018 Dec 3. Epub 2018 Dec 3.

Division of Urology, University of Alberta, Edmonton, AB, Canada.

Introduction: We aimed to determine if there is a correlation between International Prostate Symptom scores (IPSS) and 24-hour urine collection volumes, as patients experiencing lower urinary tract symptoms (LUTS) may have impaired ability to increase fluid intake for stone prevention.

Methods: We conducted a single-centre, retrospective review was performed of stone-formers presenting from 2014-2016. Inclusion criteria were completion of an IPSS questionnaire and a 24-hour urine collection. Read More

Can Urol Assoc J 2018 12 3. Epub 2018 Dec 3.

Division of Urology, University Health Network, Toronto, ON, Canada.

Introduction: The present descriptive analysis carried out by a pan-Canadian panel of expert healthcare practitioners (HCPs) summarizes best practices for erectile rehabilitation following prostate cancer (PCa) treatment. This algorithm was designed to support an online sexual health and rehabilitation e-clinic (SHARe-Clinic), which provides biomedical guidance and supportive care to Canadian men recovering from PCa treatment. The implications of the algorithm may be used inform clinical practice in community settings. Read More

Can Urol Assoc J 2018 Nov 20. Epub 2018 Nov 20.

University of Alberta, Edmonton, AB, Canada.

Can Urol Assoc J 2018 Nov 20. Epub 2018 Nov 20.

School of Public Health, University of Saskatchewan, Saskatoon, SK, Canada.

Introduction: The purpose of this research is to gather, collate, and identify key factors commonly studied in localized prostate cancer (LPC) treatment decision-making in Canada and the U.S.

Methods: This scoping review uses five databases (Medline, EMBASE, CINAHL, AMED, and PsycInfo) to identify relevant articles using a list of inclusion and exclusion criteria applied by two reviewers. Read More

Can Urol Assoc J 2018 Nov 20. Epub 2018 Nov 20.

Department of Medicine, Faculty of Education, Western University, London, ON, Canada.

Introduction: The Royal College of Physicians and Surgeons of Canada has begun implementing Competence by Design (CBD). However, it is unclear how much urology trainees and faculty know about CBD, their attitudes towards this change, and their willingness to embrace and participate in this new model of training.

Methods: This cross-sectional study was conducted through an online survey, which was administered to all trainees and faculty at Canadian urology programs prior to the implementation of CBD. Read More

Can Urol Assoc J 2018 Nov 20. Epub 2018 Nov 20.

Department of Urology, Peking University First Hospital, Institute of Urology and National Urological Cancer Center, Peking University, Peking University, Beijing, China.

Introduction: We aimed to compare oncological outcomes by surgery type (segmental ureterectomy [SU] vs. radical nephroureterectomy [RNU]) in a large cohort of patients with upper tract urothelial carcinoma (UTUC) of the distal ureter.

Methods: We performed a retrospective analysis of 219 patients with UTUC of the distal ureter among 931 patients with UTUC who underwent SU and RNU. Read More

Can Urol Assoc J 2018 Nov 20. Epub 2018 Nov 20.

Department of Microbiology and Immunology, Western University, London, ON, Canada.

Introduction: Patients suffering from chronic kidney disease (CKD) experience a number of associated comorbidities, including anemia. Relative deficiency in renal erythropoietin (EPO) production is thought to be a primary cause of anemia. Interestingly, CKD patients display low levels of hydrogen sulfide (HS), an endogenously derived renal oxygen sensor. Read More

Can Urol Assoc J 2018 Nov 20. Epub 2018 Nov 20.

Division of Urology, Taipei Tzu Chi Hospital, the Buddhist Tzu Chi Medical Foundation; School of Medicine, Budhist Tzu Chi University, Hualien, Taiwan.

Can Urol Assoc J 2018 Nov 20. Epub 2018 Nov 20.

Center for Surgery and Health Economics, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.

Introduction: Postoperative readmissions following radical cystectomy (RC) have gained attention in the past decade. Postoperative and post-discharge complications play a role in readmission rates; however, our ability to predict readmissions remains poor.

Methods: Using the National Surgical Quality Improvement Program database, we identified patients with bladder cancer undergoing RC from 2013-2015. Read More

Can Urol Assoc J 2018 Nov 20. Epub 2018 Nov 20.

Department of Surgery, Division of Urology, University of Ottawa, Ottawa, ON, Canada.

Can Urol Assoc J 2018 Nov 5. Epub 2018 Nov 5.

Division of Urology, Department of Surgery, Western University, London, ON, Canada.