Correction of data.
- Authors:
Can Urol Assoc J 2017 Aug 15;11(8):E325. Epub 2017 Aug 15.
[This corrects the article on p. E214 in vol. 10, PMID: 28255411. Read More
Search our Database of Scientific Publications and Authors
A rare case of suspected perineal nodular induration.
- Authors:
- Michael S Floyd,
- Ahmad M Omar,
- Altaf Q Khattak
Can Urol Assoc J 2017 Aug;11(8):288
Department of Reconstructive Urology, Whiston Hospital, St. Helens & Knowsley Hospital NHS Trust, Liverpool, United Kingdom.
Implications of prostate-specific antigen screening guidelines on clinical practice at a Canadian regional community hospital.
- Authors:
- Todd M Webster,
- Erika Lau,
- Ken J Newell
Can Urol Assoc J 2017 Aug;11(8):283-286
Department of Pathology; Grey Bruce Health Services, Owen Sound, ON, Canada.
Stress urinary incontinence treatment: Focus should be on identifying best candidates for surgical success in the first place.
- Authors:
- Shawna Johnston
Can Urol Assoc J 2017 Aug;11(8):281-282
Department of Obstetrics and Gynecology, Queen's University, Kingston, ON, Canada.
An in-house Composix™-based pubovaginal sling trial for female stress urinary incontinence: Five-year comparative followup to tension-free and transobturator vaginal tapes.
- Authors:
- Tal Ben-Zvi,
- Katherine Moore,
- Nadim Haidar,
- Mireille Gregoire
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.
- Authors:
- Luke Witherspoon,
- Clare Liddy,
- Amir Afkham,
- Erin Keely,
- John Mahoney
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.
- Authors:
- Marc Zanaty,
- Mansour Alnazari,
- Kelsey Lawson,
- Mounsif Azizi,
- Emad Rajih,
- Abdullah Alenizi,
- Pierre-Alain Hueber,
- Malek Meskawi,
- Cedric Lebacle,
- Thierry Lebeau,
- Serge Benayoun,
- Pierre I Karakiewicz,
- Assaad El-Hakim,
- Kevin C Zorn
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
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.
- Authors:
- Maryse Marceau-Grimard,
- Audrey Marion,
- Christian Côté,
- Stephane Bolduc,
- Marcel Dumont,
- Katherine Moore
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
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
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
The transplant urologist's toolbox: Back-table ureteroscopy.
- Authors:
- Thomas B McGregor
Can Urol Assoc J 2017 Aug;11(8):254
Department of Urology, Queen's University, Kingston, ON, Canada.
Ex-vivo ureteroscopy of deceased donor kidneys.
- Authors:
- Graham L Machen,
- Preston A Milburn,
- Patrick S Lowry,
- Jacqueline A Lappin,
- Debra K Doherty,
- Marawan M El Tayeb
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
Taking it to the HILT: High-intensity local treatment with radical cystectomy for metastatic bladder cancer.
- Authors:
- Adrian S Fairey,
- Niels-Erik Jacobsen
Can Urol Assoc J 2017 Aug;11(8):249-250
University of Alberta, Edmonton, AB, Canada.
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
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.
- Authors:
- Vitor da Silva,
- Ilias Cagiannos,
- Luke T Lavallée,
- Ranjeeta Mallick,
- Kelsey Witiuk,
- Sonya Cnossen,
- James A Eastham,
- Dean A Fergusson,
- Chris Morash,
- Rodney H Breau
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.
- Authors:
- Keith A Lawson,
- Olli Saarela,
- Zhihui Liu,
- Luke T Lavallée,
- Rodney H Breau,
- Lori Wood,
- Michael A S Jewett,
- Anil Kapoor,
- Simon Tanguay,
- Ronald B Moore,
- Ricardo Rendon,
- Frederic Pouliot,
- Peter C Black,
- Jun Kawakami,
- Darrel Drachenberg,
- Antonio Finelli
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
CUA-AUA International Fellows Program: Boston 2017.
- Authors:
- Kyle Lehmann
Can Urol Assoc J 2017 Aug;11(8):231
Dalhousie University, Halifax, NS, Canada.
CUA-AUA International Fellows Program: Boston 2017.
- Authors:
- Nathan Colin Wong
Can Urol Assoc J 2017 Aug;11(8):230
McMaster University, Hamilton, ON, Canada.
Exploring the business of urology: Influence management and political skills.
Can Urol Assoc J 2017 Aug;11(8):227-229
Department of Surgery, Division of Urology, McMaster University, Hamilton, ON; Canada.
Volunteerism is the heart and soul of the CUA.
- Authors:
- Gerald B Brock
Can Urol Assoc J 2017 Aug;11(8):225
CUA President.
Benchmarking our urological care: It's just the beginning.
- Authors:
- D Robert Siemens,
- Christopher M Booth
Can Urol Assoc J 2017 Aug;11(8):223-224
Department of Oncology, Queen's University, Kingston, ON, Canada.
Correction to author list.
- Authors:
Can Urol Assoc J 2017 Jul 11;11(7):E323. Epub 2017 Jul 11.
[This corrects the article on p. E142 in vol. 11, PMID: 28503229. Read More
Techniques: Utility of a 3D printed bladder model for teaching minimally invasive urethrovesical anastomosis.
Can Urol Assoc J 2017 Jul 11;11(7):E321-E322. Epub 2017 Jul 11.
McMaster University, Hamilton ON; Canada.
Case: Incidental 18F-fluorodeoxyglucose-positron emission tomography/computed tomography prostate uptake: How should these patients be managed?
- Authors:
- Anne Couture,
- Mounsif Azizi,
- Daniel Taussky,
- Michael McCormack
Can Urol Assoc J 2017 Jul 11;11(7):E318-E320. Epub 2017 Jul 11.
Université de Montréal, Centre hospitalier universitaire de Montréal (CHUM), Montreal, QC, Canada.
Case: Spontaneous regression of post-radical prostatectomy prostate-specific antigen elevation without adjuvant therapy in a patient with lymph node metastasis.
- Authors:
- Taehyoung Lee,
- Yanbo Guo,
- Saahil Vij,
- Rahul Bansal,
- Nathan C Wong,
- Bobby Shayegan
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.
- Authors:
- Karen M Doersch,
- Andrew F Navetta,
- Erin T Bird,
- Marawan M El Tayeb
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
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
Case series: Transplantation of kidneys from donors with renal artery aneurysm.
- Authors:
- Mahmoud Alameddine,
- Zhobin Moghadamyeghaneh,
- Giselle Guerra,
- Mahmoud Morsi,
- Mohammed Osman,
- V J Chia,
- George W Burke,
- Linda Chen,
- Rodrigo Vianna,
- Ian Zheng,
- Javier González,
- Gaetano Ciancio
Can Urol Assoc J 2017 Jul 11;11(7):E307-E310. Epub 2017 Jul 11.
Department of Transplant Surgery, University of Miami Miller School of Medicine, Miami, FL, United States.
Introduction: With the present disparity between organ availability and recipient demands, we reported our experience in transplanting kidneys with renal artery aneurysm after back-table reconstruction.
Methods: Four patients were identified. The repair consisted of excision of the aneurysm with ostial closure, and for one of the cases, an ovarian vein patch was used. Read More
Methods: Four patients were identified. The repair consisted of excision of the aneurysm with ostial closure, and for one of the cases, an ovarian vein patch was used. Read More
A prospective audit on the effect of training and educational workshops on the incidence of urethral catheterization injuries.
- Authors:
- Nikita R Bhatt,
- Niall F Davis,
- Mark R Quinlan,
- Robert J Flynn,
- T E D McDermott,
- Rustom P Manecksha,
- John A Thornhill
Can Urol Assoc J 2017 Jul 11;11(7):E302-E306. Epub 2017 Jul 11.
Department of Urology, Tallaght Hospital, Dublin, Ireland.
Introduction: The incidence of iatrogenic urethral catheterization (UC) injuries is approximately 0.3%. Resultant complications are associated with patient morbidity and unnecessary healthcare costs. Read More
Ischemic priapism: Can eosinophil count and platelet functions be positive predictive factors in etiopathogenesis.
- Authors:
- Mehmet Giray Sönmez,
- Cengiz Kara,
- Adnan Karaibrahimoğlu,
- Leyla Öztürk Sönmez,
- Yunus Emre Göğer,
- Mehmet Balasar,
- Hakki Hakan Taşkapu,
- Mehmet Mesut Pişkin,
- Ahmet Öztürk,
- Mehmet Kilinç
Can Urol Assoc J 2017 Jul 11;11(7):E297-E301. Epub 2017 Jul 11.
Department of Urology, Meram Medical Faculty, Necmettin Erbakan University, Konya; Turkey.
Introduction: We evaluated the relation between ischemic priapism (IP) and blood count parameters in IP patients. We especially wanted to examine the contribution of eosinophil count (EC), platelet count (PC), and mean platelet volume (MPV) values, which are suspected predictive parameters for vascular endothelium damage and venoocclusive pathogenesis and etiopathogenesis, particularly in IP.
Methods: A total of 40 IP patients fulfilled the study criteria. Read More
Methods: A total of 40 IP patients fulfilled the study criteria. Read More
Conservative treatment of upper urinary tract carcinoma: Long-term results.
- Authors:
- Andrea Orosa Andrada,
- Inés Laso García,
- Fernando Arias Fúnez,
- Francisco Donis Canet,
- Gemma Duque Ruiz,
- Victoria Gómez Dos Santos,
- Francisco Javier Burgos Revilla
Can Urol Assoc J 2017 Jul 11;11(7):E291-E296. Epub 2017 Jul 11.
Department of Urology, Ramón y Cajal University Hospital, Madrid, Spain.
Introduction: We sought to assess the long-term results of conservative treatment for upper urinary tract carcinoma (UUTC) with regard to tumour recurrence and preservation of renal unit.
Methods: From October 1987 to January 2014, 65 patients (median age 68 years) were diagnosed with UUTC and underwent endoscopic and open surgical techniques. Thirteen patients had bilateral disease and one had a single kidney. Read More
Methods: From October 1987 to January 2014, 65 patients (median age 68 years) were diagnosed with UUTC and underwent endoscopic and open surgical techniques. Thirteen patients had bilateral disease and one had a single kidney. Read More
The role of urinary cytology when diagnostic workup is suspicious for upper tract urothelial carcinoma but tumour biopsy is nonconfirmatory.
- Authors:
- David Horovitz,
- Yifan Meng,
- Jean V Joseph,
- Changyong Feng,
- Guan Wu,
- Hani Rashid,
- Edward M Messing
Can Urol Assoc J 2017 Jul 11;11(7):E285-E290. Epub 2017 Jul 11.
Department of Urology, University of Rochester Medical Centre; Rochester, NY, United States.
Introduction: We sought to determine the value of obtaining preoperative urinary cytology when diagnostic workup of an upper tract mass is suspicious for upper tract urothelial carcinoma (UTUC), but biopsy fails to confirm the diagnosis.
Methods: Using billing code data, 239 patients were identified as having undergone radical nephroureterectomy (RNU) by 16 urologists from September 29, 1998 to July 31, 2015. Of this group, 19 adult patients had a presumed preoperative diagnosis of UTUC in a native kidney, at least three months of followup, no history of concurrent radical cystectomy with RNU, and negative/non-diagnostic tissue biopsy. Read More
Methods: Using billing code data, 239 patients were identified as having undergone radical nephroureterectomy (RNU) by 16 urologists from September 29, 1998 to July 31, 2015. Of this group, 19 adult patients had a presumed preoperative diagnosis of UTUC in a native kidney, at least three months of followup, no history of concurrent radical cystectomy with RNU, and negative/non-diagnostic tissue biopsy. Read More
Salvage prostatectomy for post-radiation adenocarcinoma with treatment effect: Pathological and oncological outcomes.
- Authors:
- Michael J Metcalfe,
- Patricia Troncoso,
- Charles C Guo,
- Hsiang-Chun Chen,
- Yasar Bozkurt,
- John F Ward,
- Louis L Pisters
Can Urol Assoc J 2017 Jul 11;11(7):E277-E284. Epub 2017 Jul 11.
Department of Urology; University of Texas MD Anderson Cancer Centre, Houston, TX, United States.
Introduction: Prostate biopsies following localized radiation therapy for prostate cancer often demonstrate residual prostatic carcinoma with treatment effect (CTE). The final oncological outcome of prostatic CTE is currently uncertain. We studied the pathological and oncological outcomes for a large cohort of patients who had CTE on post-radiation therapy biopsy and subsequently underwent salvage radical prostatectomy (SRP). Read More
Retrograde leak point pressure measurement improves outcomes of the Virtue male sling for postprostatectomy incontinence.
- Authors:
- Michael W Sourial,
- Patrick O Richard,
- Julie Morisset,
- Mazen Jundi,
- Le Mai Tu
Can Urol Assoc J 2017 Jul 11;11(7):E271-E276. Epub 2017 Jul 11.
Division of Urology, Department of Surgery, Faculté de Médecine et Science de la Santé, Université de Sherbrooke, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC; Canada.
Introduction: We aimed to compare the efficacy of two different sling tensioning approaches, and to report our experience, including safety and impact on quality of life (QoL) of the Virtue(®) male sling for the treatment of postprostatectomy incontinence (PPI).
Methods: From our prospectively maintained database, we retrospectively identified all men treated with the Virtue male sling for PPI between March 2009 and February 2014 by two urologists in two institutions. Baseline demographic data and the sling tensioning method were abstracted from the database. Read More
Methods: From our prospectively maintained database, we retrospectively identified all men treated with the Virtue male sling for PPI between March 2009 and February 2014 by two urologists in two institutions. Baseline demographic data and the sling tensioning method were abstracted from the database. Read More
Evolving attitudes toward robotic surgery among Canadian urology residents.
Can Urol Assoc J 2017 Jul 11;11(7):E266-E270. Epub 2017 Jul 11.
Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Introduction: Robotic-assisted laparoscopic surgery (RAS) has not been adopted as rapidly or widely in Canada as in the U.S. In 2011, Canadian urology residents felt that RAS represented an expanding field that could potentially negatively impact their training. Read More
Early clamp release during laparoscopic partial nephrectomy: Implications for preservation of renal function.
- Authors:
- Jeffrey Campbell,
- Garson Chan,
- Patrick P Luke
Can Urol Assoc J 2017 Jul 11;11(7):E261-E265. Epub 2017 Jul 11.
Schulich School of Medicine and Dentistry and Department of Surgery, Division of Urology, Western University, London, ON, Canada.
Introduction: Intraoperative warm ischemic time (WIT), associated with hilar clamping during partial nephrectomy (PN), is an established modifiable risk factor for renal dysfunction. We assessed early clamp release (ECR) as a strategy to reduce WIT and assess its impact on renal function and bleeding.
Methods: We retrospectively assessed patients who underwent minimally invasive PN by a single surgeon at our centre since December 2011. Read More
Methods: We retrospectively assessed patients who underwent minimally invasive PN by a single surgeon at our centre since December 2011. Read More
Canadian Urological Association-Pediatric Urologists of Canada (CUA-PUC) guideline for the diagnosis, management, and followup of cryptorchidism.
- Authors:
- Luis H Braga,
- Armando J Lorenzo,
- Rodrigo L P Romao
Can Urol Assoc J 2017 Jul 11;11(7):E251-E260. Epub 2017 Jul 11.
Division of Urology, IWK Health Centre and Dalhousie University, Halifax, NS; Canada.
Taking the first steps in establishing recommendations for testosterone monitoring in men with prostate cancer on androgen-deprivation therapy.
- Authors:
- Alvaro Morales
Can Urol Assoc J 2017 Jun;11(6):210-211
Department of Urology, Queen's University, Kingston, ON, Canada.
The paper by Shayegan et al in this issue of CUAJ represents an important initial step in establishing recommendations for hormonal monitoring in men with prostate cancer on androgen-deprivation therapy (ADT). As with most subjects related to the actions of testosterone, the survey adds to the controversies, but also opens the opportunity to explore several of the concerns relevant to the hormonal management of prostate cancer. Read More
Testosterone monitoring for men with advanced prostate cancer: Review of current practices and a survey of Canadian physicians.
- Authors:
- Bobby Shayegan,
- Frédéric Pouliot,
- Alan So,
- John Fernandes,
- Joseph Macri
Can Urol Assoc J 2017 Jun;11(6):204-209
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, ON.
Androgen-deprivation therapy (ADT) is a standard of care in the treatment of advanced prostate cancer; however, testosterone monitoring practices for men undergoing ADT vary across Canada. Although a testosterone level of 1.7 nmol/L or lower has historically been defined as the accepted castrate level, newer assays with improved sensitivity have shown that both medical and surgical castration can suppress testosterone levels to below 0. Read More
Are renal tumour scoring systems better than clinical judgement at predicting partial nephrectomy complexity?
- Authors:
- Ravi M Kumar,
- Luke T Lavallée,
- Darren Desantis,
- Sonya Cnossen,
- Ranjeeta Mallick,
- Ilias Cagiannos,
- Chris Morash,
- Rodney H Breau
Can Urol Assoc J 2017 Jun;11(6):199-203
Division of Urology, Department of Surgery, The Ottawa Hospital, University of Ottawa.
Introduction: We aimed to determine how renal tumour scoring systems, such as RENAL, PADUA, and Centrality (C)-index, compare to clinical judgement at predicting time required for tumour removal and kidney reconstruction during partial nephrectomy.
Methods: A consecutive cohort of partial nephrectomy patients treated at The Ottawa Hospital, a tertiary care uro-oncological centre, was retrospectively reviewed. Preoperative axial images were reviewed by four experienced urological oncologists who independently rated the complexity of a partial nephrectomy from 1-10 to generate a clinical judgement score. Read More
Methods: A consecutive cohort of partial nephrectomy patients treated at The Ottawa Hospital, a tertiary care uro-oncological centre, was retrospectively reviewed. Preoperative axial images were reviewed by four experienced urological oncologists who independently rated the complexity of a partial nephrectomy from 1-10 to generate a clinical judgement score. Read More
Randomized, controlled trial of laser vs. bipolar plasma vaporization treatment of benign prostatic hyperplasia.
Can Urol Assoc J 2017 Jun;11(6):194-198
Department of Urology, Queen's University, Kingston, ON, Canada.
Introduction: Prostate vaporization technology is becoming a standard of care for treatment of moderate, symptomatic benign prostatic hyperplasia (BPH). We compared two transurethral prostate vaporization technologies with respect to cost, efficiency, efficacy, safety, and surgical team satisfaction.
Methods: Fifty-five patients meeting standardized symptom criteria for BPH were randomized to either Olympus Plasma Button(TM) or Biolitec EVOLVE(®) diode laser vaporization. Read More
Methods: Fifty-five patients meeting standardized symptom criteria for BPH were randomized to either Olympus Plasma Button(TM) or Biolitec EVOLVE(®) diode laser vaporization. Read More
Pathology review impacts clinical management of patients with T1-T2 bladder cancer.
- Authors:
- Samer L Traboulsi,
- Fadi Brimo,
- Yutong Yang,
- Chelsea Maedler,
- Noémie Prévost,
- Simon Tanguay,
- Armen G Aprikian,
- Wassim Kassouf
Can Urol Assoc J 2017 Jun;11(6):188-193
Division of Urology, McGill University Health Centre, Montreal, QC, Canada.
Introduction: We sought to evaluate the contemporary role of a pathology review on management implications of patients with bladder cancer.
Methods: A total of 98 consecutive specimens from transurethral resections in patients with suspected bladder tumours were reviewed at our institution by genitourinary pathologist. Patients were classified into risk groups according to pathology reports obtained before and after review. Read More
Methods: A total of 98 consecutive specimens from transurethral resections in patients with suspected bladder tumours were reviewed at our institution by genitourinary pathologist. Patients were classified into risk groups according to pathology reports obtained before and after review. Read More
Positive surgical margins during partial nephrectomy for renal cell carcinoma: Results from Canadian Kidney Cancer information system (CKCis) collaborative.
- Authors:
- Rahul K Bansal,
- Simon Tanguay,
- Antonio Finelli,
- Ricardo Rendon,
- Ronald B Moore,
- Rodney H Breau,
- Louis Lacombe,
- Peter C Black,
- Jun Kawakami,
- Darrel Drachenberg,
- Stephen Pautler,
- Olli Saarela,
- Zhihui Liu,
- Michael A S Jewett,
- Anil Kapoor
Can Urol Assoc J 2017 Jun;11(6):182-187
Division of Urology, McMaster University, Hamilton, ON; Canada.
Introduction: We sought to determine the incidence, risk factors, and prognosis for patients with positive surgical margin (PSM) during partial nephrectomy (PN) for renal cell carcinoma (RCC).
Methods: From the Canadian Kidney Cancer information system (CKCis) database, a historical cohort of PN patients with PSM were identified and compared to negative surgical margin (NSM). Risk factors for PSM were examined through multivariable logistic regression. Read More
Methods: From the Canadian Kidney Cancer information system (CKCis) database, a historical cohort of PN patients with PSM were identified and compared to negative surgical margin (NSM). Risk factors for PSM were examined through multivariable logistic regression. Read More
Contemporary cost-consequence analysis of blue light cystoscopy with hexaminolevulinate in non-muscle-invasive bladder cancer.
- Authors:
- Zachary Klaassen,
- Kathy Li,
- Wassim Kassouf,
- Peter C Black,
- Alice Dragomir,
- Girish S Kulkarni
Can Urol Assoc J 2017 Jun;11(6):173-181
Division of Urology, Departments of Surgery and Surgical Oncology, Princess Margaret Cancer Centre, University Health Network and the University of Toronto, Toronto, ON.
Introduction: Previous studies have suggested cost-savings using blue light cystoscopy (BLC) with hexaminolevulinate (HAL) compared to white light cystoscopy (WLC) during transurethral resection of bladder tumour (TURBT) for non-muscle-invasive bladder cancer (NMIBC), secondary to improvements in recurrence and progression rates; however, these studies have used 'best case scenario' recurrence rate probabilities, thus decreasing generalizability of the findings. The objective of this study was to perform a contemporary cost-effectiveness assessment of BLC compared to WLC at the time of TURBT.
Methods: A decision and cost-effectiveness model with a five-year time horizon following initial TURBT was used. Read More
Methods: A decision and cost-effectiveness model with a five-year time horizon following initial TURBT was used. Read More
In search of the perfect model.
- Authors:
- Blayne Welk
Can Urol Assoc J 2017 Jun;11(6):172
Department of Surgery, Western University, London, ON, Canada.
The value of complementing administrative data with abstracted information on smoking and obesity: A study in kidney cancer.
- Authors:
- Madhur Nayan,
- Robert J Hamilton,
- Antonio Finelli,
- Peter C Austin,
- Girish S Kulkarni,
- David N Juurlink
Can Urol Assoc J 2017 Jun;11(6):167-171
Department of Internal Medicine, Sunnybrook Health Sciences Centre, University of Toronto; Toronto, ON, Canada.
Introduction: Variables, such as smoking and obesity, are rarely available in administrative databases. We explored the added value of including these data in an administrative database study evaluating the association of statin use with survival in kidney cancer.
Methods: We linked administrative data with chart-abstracted data on smoking and obesity for 808 patients undergoing nephrectomy for kidney cancer. Read More
Methods: We linked administrative data with chart-abstracted data on smoking and obesity for 808 patients undergoing nephrectomy for kidney cancer. Read More
Exploring the business of urology: Change management.
- Authors:
- J Stuart Oake,
- Timothy O Davies,
- Anne-Marie Houle,
- Darren Beiko
Can Urol Assoc J 2017 Jun;11(6):163-166
Department of Urology, Queen's University, Kingston, ON; Canada.
Pursuing fellowship training: There are no traffic jams along the extra mile.
- Authors:
- Zachary Klaassen
Can Urol Assoc J 2017 Jun;11(6):161-162
Department of Surgery, Division of Urology, University Health Network, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Global implementation of advanced urological care: Policy implementation research.
- Authors:
- Lynn Stothers,
- Andrew Macnab
Can Urol Assoc J 2017 Jun;11(6):157-160
Fellow, Stellenbosch Institute for Advanced Study (STIAS), Wallenberg Research at Stellenbosch University, Stellenbosch 7600, South Africa and Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Introduction: In high-resource countries, modern treatments for urological diseases have led to significant reductions in mortality and morbidity; however, the benefits of modern treatment have yet to reach the majority of people worldwide. As attention is focused on improving urological care in the global community, policy and implementation research (PIR) offers a platform for effective organization and engagement.
Methods: We have compiled a photo essay to illustrate the fundamental components of PIR. Read More
Methods: We have compiled a photo essay to illustrate the fundamental components of PIR. Read More