The Canadian journal of urology最新文献

{"title":"Beckwith-Wiedemann syndrome and medullary sponge kidney: a case report of two rare but related entities.","authors":"Alberto Zambudio-Munuera, María Del Carmen Cano-Garcia, Africa Navarro-Garcia, Jose Luis Martin-Rodriguez, Miguel Angel Arrabal-Polo","doi":"10.32604/cju.2026.077945","DOIUrl":"10.32604/cju.2026.077945","url":null,"abstract":"<p><strong>Background: </strong>Beckwith-Wiedemann syndrome (BWS) is a congenital overgrowth disorder that may be associated with renal abnormalities, although benign renal manifestations presenting in adulthood are less well characterized.</p><p><strong>Case description: </strong>We report the case of a 20-year-old woman with genetically confirmed BWS who was diagnosed with medullary sponge kidney (MSK) during adulthood after imaging evaluation for suspected renal abnormalities. Contrast-enhanced computed tomography and intravenous urography demonstrated characteristic medullary collecting duct dilatation with nephrocalcinosis, consistent with MSK, associated with hypercalciuria and hypocitraturia. Medical management with thiazide diuretics and potassium citrate achieved metabolic control and stable imaging findings.</p><p><strong>Conclusion: </strong>This case highlights the importance of considering MSK in patients with BWS and underscores the role of appropriate imaging and metabolic evaluation for accurate diagnosis and long-term management.</p>","PeriodicalId":520500,"journal":{"name":"The Canadian journal of urology","volume":"33 4","pages":"999-1005"},"PeriodicalIF":0.0,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"External validation of the heidenreich criteria for patients with post-chemotherapy residual masses of non-seminomatous germ cell tumor.","authors":"Francesco Claps, Miguel Ramírez-Backhaus, Álvaro Gómez-Ferrer, Juan Manuel Mascarós, Argimiro Collado Serra, Augusto Wong, Ana Calatrava Fons, Miguel Ángel Climent, Antonio Amodeo, Angelo Porreca, Jose Rubio-Briones","doi":"10.32604/cju.2025.070162","DOIUrl":"10.32604/cju.2025.070162","url":null,"abstract":"<p><strong>Objectives: </strong>Residual Disease after adjuvant chemotherapy for non-seminomatous germ cell tumor (NSGCT) poses a significant clinical challenge and difficulties in tailored management. This study aimed to externally validate the Heidenreich criteria among patients eligible for unilateral post-chemotherapy retroperitoneal lymph node dissection (PC-RPLND) for residual masses of NSGCT.</p><p><strong>Methods: </strong>For validation, these criteria were retrospectively applied in 23 patients undergoing PC-RPLND for residual masses of NSGCTs. In patients qualified for unilateral-modified PC-RPLND according to the Heidenreich criteria but treated with fully bilateral dissection, pathological reports were evaluated to identify teratoma or active cancer cells inside the contralateral field. Patients treated with unilateral-modified PC-RPLND were followed to identify relapse within the contralateral field.</p><p><strong>Results: </strong>Of those 23 patients included, 6 (26.1%) and 17 (73.9%) patients could have been treated with unilateral-modified or fully bilateral template dissection, according to the Heidenreich algorithm, respectively. Within a median follow-up of 85.4 months (IQR, 49.0-165.4), 4 (17.4%) and 2 (8.7%) retroperitoneal and distant recurrences occurred, respectively. Among these, 2 patients (40.0%) were treated with fully bilateral template resection. One patient (4.3%) experienced both distant and retroperitoneal recurrence. Of the 6 patients with an indication for a unilateral-modified PC-RPLND, one patient (16.7%) presented an in-field retroperitoneal recurrence. No recurrences were observed in the contralateral field when the unilateral-modified template dissection would have been performed according to the Heidenreich criteria.</p><p><strong>Conclusions: </strong>The retrospective application of the Heidenreich criteria in our cohort correctly classified our patients, facilitating a tailored selection for sparing a surgical procedure without interfering with oncological outcomes and potentially minimizing early and late complications.</p>","PeriodicalId":520500,"journal":{"name":"The Canadian journal of urology","volume":"33 3","pages":"593-602"},"PeriodicalIF":0.0,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unraveling the bidirectional association between mental disorders and prostatitis: insights from a genetic perspective.","authors":"Guancan Liang, Jian Pan, Ruixiang Dai, Ziyi Lin, Xunbao Wang, Teng Hou, Zhicheng Luo, Xiaoming Wang","doi":"10.32604/cju.2026.074252","DOIUrl":"https://doi.org/10.32604/cju.2026.074252","url":null,"abstract":"<p><strong>Background: </strong>The causal link between mental illness and prostatitis remains inconclusive, largely due to heterogeneity and potential confounders. This study explored the causal link between mental illness and prostatitis in men using Mendelian randomization (MR), and offered recommendations for enhancing future research.</p><p><strong>Methods: </strong>Publicly accessible genome-wide association study (GWAS) data were accessed via the IEU OpenGWAS platform and FinnGen database for this research. The inverse variance weighted (IVW) approach served as the primary Mendelian randomization analysis, while MR-Egger, weighted median, weighted mode, and simple mode methods were additionally applied to evaluate potential relationships between prostatitis and four psychiatric disorders (schizophrenia, depression, bipolar disorder, and anxiety).</p><p><strong>Results: </strong>The analysis indicated a significant causal association between depression and prostatitis (OR = 1766.294, p = 0.01), whereas no evidence of a causal relationship was observed for schizophrenia, bipolar disorder, or anxiety with prostatitis (p > 0.05). In the reverse-direction MR analysis, prostatitis showed no evidence of a causal effect on psychiatric disorders. Further sensitivity analyses did not reveal pleiotropy or heterogeneity, and leave-one-out analyses indicated that the overall results were not significantly affected by any single instrumental variable. Sensitivity analyses provided no indication of pleiotropy or heterogeneity, and leave-one-out testing suggested that the overall results remained stable regardless of the exclusion of any single instrumental variable.</p><p><strong>Conclusion: </strong>The present study provides genetic evidence that depression may increase the risk of prostatitis, highlighting the need for early preventive strategies. Additional studies are needed to clarify the mechanisms connecting depression and prostatitis in men.</p>","PeriodicalId":520500,"journal":{"name":"The Canadian journal of urology","volume":"33 3","pages":"563-571"},"PeriodicalIF":0.0,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Making Rounds: Our Profession's Finest Tradition.","authors":"Kevin R Loughlin","doi":"10.32604/cju.2026.078441","DOIUrl":"https://doi.org/10.32604/cju.2026.078441","url":null,"abstract":"","PeriodicalId":520500,"journal":{"name":"The Canadian journal of urology","volume":"33 3","pages":"497-498"},"PeriodicalIF":0.0,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of manual detorsion in the treatment of testicular torsion: systematic review and meta-analysis.","authors":"Sinan Kılıç","doi":"10.32604/cju.2025.072049","DOIUrl":"10.32604/cju.2025.072049","url":null,"abstract":"<p><strong>Objectives: </strong>Testicular torsion is the most common surgical cause of an acute scrotum. Manuel detorsion renewed attention as a practical initial treatment, particularly in the COVID-19 pandemic. This study aims to systematically review and meta-analyze the current literature to determine whether manual detorsion offers a viable alternative to immediate surgery in improving testicular salvage rates.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted in accordance with PRISMA guidelines and registered with PROSPERO (CRD420251039489). Studies including ≥30 male patients comparing manual detorsion and surgical exploration were included. Searches were performed in PubMed/MEDLINE, Scopus, TR Index, and Web of Science. Risk of bias was assessed using a predefined scoring system based on methodology, sample size, and follow-up objectivity. Data were synthesized using RevMan 5.4 to calculate pooled risk ratios.</p><p><strong>Results: </strong>Eight retrospective studies involving a total of 670 patients were included. Patients were divided into a manual detorsion group (G1, n = 394) and a surgical exploration group (G2, n = 316). Success rates of manual detorsion ranged from 15% to 76%, while orchiectomy rates were lower in G1 (0% to 10.3%) compared to G2 (0% to 43.8%). The pooled success rate of manual detorsion was 75.7%. Although orchiectomy rates appeared numerically lower in the manual detorsion group (3.8% vs. 29.2%), the pooled analysis did not demonstrate a statistically significant overall difference between the two groups (risk ratio [RR] = 1.23; 95% CI: 0.82-1.84; p = 0.31).</p><p><strong>Conclusion: </strong>Manual detorsion appears time-saving and effective maneuver. To our knowledge, this is the first meta-analysis focused exclusively on manual detorsion, and it supports its consideration as an initial management strategy in selected clinical scenarios.</p>","PeriodicalId":520500,"journal":{"name":"The Canadian journal of urology","volume":"33 3","pages":"505-514"},"PeriodicalIF":0.0,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evolution toward early stent removal and reduced antibiotic prophylaxis post-cystectomy.","authors":"Jessica L Wenzel, Wesley H Chou, Eric J Robinson, Solange Bassale, Paul Jones, Sudhir Isharwal, Christopher L Amling, Kamran P Sajadi, Jen-Jane Liu","doi":"10.32604/cju.2025.071079","DOIUrl":"10.32604/cju.2025.071079","url":null,"abstract":"<p><strong>Background: </strong>The ideal duration of ureteral stents in cystectomy is unknown, with trends toward earlier removal or foregoing them altogether. To reduce the duration of indwelling stents and antibiotics, we modified the cystectomy pathway at our institution from ~2 weeks of stenting with 30 days of antibiotic prophylaxis to stent removal before discharge with prophylaxis ending one day after stent removal. We evaluated rates of urinary tract infection (UTI) and urine leak in cystectomy patients after these changes.</p><p><strong>Methods: </strong>We performed a retrospective review of patients undergoing cystectomy with ileal conduit diversion at our institution from 2016-2022. Patients were stratified into early vs. late stent removal (postoperative day [POD] ≤5 or >5). Primary outcomes were the 30-day rate of UTI (positive urine culture with symptoms requiring antibiotics) and urine leak (postoperative drain creatinine measurement ≥2× serum creatinine).</p><p><strong>Results: </strong>Of 228 patients, 19% had early stent removal. Mean stent removal was POD 4 vs. 18 days in the early vs. late group. The early stent removal group had shorter antibiotic exposure (8.2 vs. 21.9 days, p < 0.001). No differences between the early vs. late stent removal groups were seen for postoperative UTI (9.3 vs. 10.8%, p = 0.77), urine leak (2.3% vs. 2.2%, p = 0.96), or readmission rates (9.3 vs. 11.4%, p = 0.69). No difference in the rate of hydronephrosis on postoperative imaging was noted between the two groups.</p><p><strong>Conclusions: </strong>Iterative decreases in ureteral stent duration as part of a quality improvement initiative enabled reduced postoperative antibiotic exposure without increasing adverse outcomes, including UTI, urine leak, or postoperative hydronephrosis.</p>","PeriodicalId":520500,"journal":{"name":"The Canadian journal of urology","volume":"33 3","pages":"649-656"},"PeriodicalIF":0.0,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraurethral cross-linked hyaluronic acid/dextranomer (DEXSUI®) injection versus mid-urethral sling for stress urinary incontinence: a comparative short-term outcome analysis.","authors":"Mehmet Adıyeke, Suna Yıldırım Karaca, S Anil Ari, Rüyam Ercenk, Mücahit Furkan Balci, İbrahim Karaca","doi":"10.32604/cju.2026.074502","DOIUrl":"10.32604/cju.2026.074502","url":null,"abstract":"<p><strong>Objectives: </strong>Stress urinary incontinence (SUI) is a prevalent condition that impairs quality of life; while midurethral sling (MUS) surgery is the standard treatment, intraurethral bulking injection offers a minimally invasive alternative. This study aimed to compare the efficacy and safety of intraurethral cross-linked hyaluronic acid/dextranomer (CLHA/Dx, DEXSUI®) injection with midurethral sling surgery in the treatment of stress urinary incontinence in women.</p><p><strong>Methods: </strong>This retrospective study included women who presented with stress urinary incontinence to İzmir Bakırçay University, Çiğli Training and Research Hospital between January 2024 and June 2025. Patients underwent either midurethral sling surgery or intraurethral CLHA/Dx (DEXSUI®) injection. Exclusion criteria included urge incontinence, urinary tract infection, and BMI > 35 kg/m². Quality of life was assessed using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Urogenital Distress Inventory-6 (UDI-6), and Incontinence Quality of Life Questionnaire (I-QOL) questionnaires. Treatment success was defined by Patient Global Impression of Improvement (PGI)-I scores.</p><p><strong>Results: </strong>Midurethral sling (MUS) was associated with significantly longer operative time (30.5 ± 7.8 vs. 11.4 ± 4.3 min, p < 0.001) and longer hospital stay (median 1 vs. 0 day, p < 0.001). At 1-month follow-up, complete dryness rates were similar (82.4% vs. 79.4%, p = 0.76). Both groups demonstrated significant improvement in ICIQ-SF, UDI-6, and Incontinence Quality of Life Questionnaire (I-QOL) scores compared with baseline (all p < 0.05), with slightly greater improvement observed in the MUS group; between-group differences were not statistically significant. Subgroup analysis by stress urinary incontinence (SUI) severity revealed consistently high dryness rates across mild, moderate, and severe categories, without significant intergroup differences.</p><p><strong>Conclusions: </strong>Intraurethral CLHA/Dx injection achieved clinical outcomes comparable to MUS, offering a less invasive alternative for SUI treatment.</p>","PeriodicalId":520500,"journal":{"name":"The Canadian journal of urology","volume":"33 3","pages":"611-621"},"PeriodicalIF":0.0,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the utilization of genetic counseling and testing among patients with prostate cancer.","authors":"Ernest A Morton, Reza Lahiji, Elizabeth Chu, William Luke, Vivian I Anyaeche, Dattatraya Patil, Akanksha Mehta, Shreyas S Joshi, Taylor A Goodstein, Valentina Grajales, Mohammad Hajiha","doi":"10.32604/cju.2026.073853","DOIUrl":"10.32604/cju.2026.073853","url":null,"abstract":"<p><strong>Objectives: </strong>Prostate cancer (PCa) progression is influenced by a myriad of germline and/or somatic variants estimated to occur in 4.6%-11.8% of patients. Identified pathogenic variants may carry implications for treatment selection and prognosis. Despite the importance of genetic testing, referrals to counselling remain underutilized by urologists. This study aimed to understand referral patterns, testing uptake, and genetic results among men with PCa at a single large academic center.</p><p><strong>Methods: </strong>Records from 2010 to 2022 at Emory University were reviewed to identify men undergoing prostate biopsy and subsequent genetic counselling (CPT 96040). Referrals were confirmed as PCa-related and assessed against contemporaneous National Comprehensive Cancer Network (NCCN) criteria. Referral origin, genetic testing completion rates, and results were collected. Descriptive statistics summarized relevant results.</p><p><strong>Results: </strong>Of the 6995 prostate biopsies performed over the study period, only 70 of these patients saw a genetic counselor, of whom 49/70 (70%) were referred for PCa between 2010 and 2022, all meeting contemporary criteria for testing. Indications included high-risk disease (36.7%), metastatic disease at presentation (20.4%), and family history/ancestry (42.9%). Referrals increased from 0 prior to 2015 to 12 in 2022. Most originated from medical oncology (44.9%) or self-referral (12.2%), with urologists accounting for only 6.1%. Of those referred, 45 (91.8%) underwent genetic testing; 62.2% had negative results, 24.4% variants of unknown significance (VUS), and 4.4% tested positive for PCa-related pathogenic variants.</p><p><strong>Conclusions: </strong>Although referrals increased over time with guideline evolution, urologists accounted for a minority of referrals. While most results were negative or uncertain, pathogenic variants likely carried therapeutic significance. Addressing barriers to referral and improving integration of genetic services into urologic practice may help improve PCa care.</p>","PeriodicalId":520500,"journal":{"name":"The Canadian journal of urology","volume":"33 3","pages":"545-553"},"PeriodicalIF":0.0,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical evaluation and related factor analysis of intrarenal pressure using a Chinese-made disposable pressure-measuring flexible ureteroscope.","authors":"Yubao Liu, Haifeng Song, Zheng Xu, Weiguo Hu, Bo Xiao, Gang Zhang, Boxing Su, Bixiao Wang, Jianxing Li","doi":"10.32604/cju.2025.070417","DOIUrl":"10.32604/cju.2025.070417","url":null,"abstract":"<p><strong>Objective: </strong>The pressure fluctuations during retrograde intrarenal surgery (RIRS) can cause related complications, so precise monitoring and control of intrarenal pressure (IRP) play an important role. This study aimed to assess the clinical value of a Chinese-made disposable pressure-measuring flexible ureteroscope in monitoring IRP during RIRS for upper urinary tract stones <2 cm, and analyze factors affecting IRP.</p><p><strong>Methods: </strong>In this prospective single-arm study, 35 patients (38 renal units) underwent RIRS. Mean age was 42.3 ± 6.1 years, body mass index (BMI) 24.2 ± 2.6 kg/m², and maximum stone diameter 1.6 ± 0.4 cm. Stones were located in the ureter (21.1%), kidney and ureter (15.8%), or kidney only (63.2%). IRP threshold was 30 mmHg; irrigation used gravity or low-pressure pump. Ureteral access sheath (UAS) size (Fr11-13 or Fr12-14) was selected based on ureteroscopy. Outcomes included safe IRP (<30 mmHg), high/maximum IRP, cumulative time above threshold, influencing factors, infection markers, fever incidence, operative time, stone-free rate, and Visual Analogue Scale (VAS) score.</p><p><strong>Results: </strong>All procedures succeeded. Mean safe IRP was 10.9 ± 3.4 mmHg, high IRP 63.6 ± 13.5 mmHg, and maximum IRP 181.2 ± 50.5 mmHg. Mean cumulative time above threshold was 485.2 ± 61.3 s. Low-position UAS placement led to significantly higher high IRP, maximum IRP, and longer high-pressure time compared to conventional placement (all p < 0.05). UAS size did not significantly affect IRP. Postoperative infection markers showed no difference between mean IRP subgroups (0-30 mmHg vs. 30-60 mmHg). Overweight patients had higher mean IRP than normal BMI patients (26.1 ± 4.2 vs. 15.9 ± 5.7 mmHg, p < 0.05). Postoperative fever occurred in 3 cases (8.6%), all with high IRP and prolonged high-pressure exposure. Operative time averaged 45.2 ± 8.3 min, stone-free rate was 92.1%, and mean VAS score was 2.52 ± 0.21. No major complications occurred.</p><p><strong>Conclusions: </strong>The disposable pressure-measuring flexible ureteroscope enables real-time IRP monitoring during RIRS, allowing surgical strategy adjustments to improve safety. Low UAS position and high BMI are risk factors for elevated IRP.</p>","PeriodicalId":520500,"journal":{"name":"The Canadian journal of urology","volume":"33 3","pages":"685-692"},"PeriodicalIF":0.0,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Penile ring strangulation injury, what to do when the bolt cutters don't work: a case report.","authors":"Nicole Handa, Matthew T Hudnall, Channa Amarasekera","doi":"10.32604/cju.2025.070415","DOIUrl":"10.32604/cju.2025.070415","url":null,"abstract":"<p><strong>Background: </strong>Penile constriction rings are most used for sexual pleasure and the management of sexual dysfunction. However, they pose a risk of injury and can be challenging to remove when strangulation occurs.</p><p><strong>Case description: </strong>We present a case of a patient with urinary retention and a strangulation injury from a penile constriction ring present for 19 h before initial presentation. Multiple attempts to remove the penile ring were unsuccessful, and ultimately, operative management was required.</p><p><strong>Conclusions: </strong>We describe an effective technique for the removal of a stainless-steel penile constriction ring using a Stryker 505 power revision drill with a metal cutting wheel, with good functional outcomes.</p>","PeriodicalId":520500,"journal":{"name":"The Canadian journal of urology","volume":"33 3","pages":"719-722"},"PeriodicalIF":0.0,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}