Canadian Journal of Urology最新文献_第7页

Mullerianosis of the urinary bladder: a case report. 膀胱穆勒氏病：病例报告。

IF 1.5 4区医学

Canadian Journal of Urology Pub Date : 2024-02-01

Grace Helene Wegrzyn, Melissa Kilianek, Suzanne Iwaz, Patricia Vidal, Ryan W Dobbs

引用次数: 0

Impact of COVID-19 pandemic on ambulatory urologic oncology surgeries. COVID-19 大流行对非住院泌尿肿瘤外科手术的影响。

IF 1.5 4区医学

Canadian Journal of Urology Pub Date : 2023-12-01

Zhiyu Qian, Jamie Ye, David F Friedlander, Mara Koelker, Muhieddine Labban, Bjoern Langbein, Cheryl Chang-Rong Chen, Mark A Preston, Timothy Clinton, Matthew Mossanen, Firas Abdollah, Stuart R Lipsitz, Adam S Kibel, Quoc-Dien Trinh, Alexander P Cole

{"title":"Impact of COVID-19 pandemic on ambulatory urologic oncology surgeries.","authors":"Zhiyu Qian, Jamie Ye, David F Friedlander, Mara Koelker, Muhieddine Labban, Bjoern Langbein, Cheryl Chang-Rong Chen, Mark A Preston, Timothy Clinton, Matthew Mossanen, Firas Abdollah, Stuart R Lipsitz, Adam S Kibel, Quoc-Dien Trinh, Alexander P Cole","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Robot-assisted laparoscopic prostatectomy (RALP) and transurethral resection of bladder tumor (TURBT) are two common surgeries for prostate and bladder cancer. We aim to assess the trends in the site of care for RALP and TURBT before and after the COVID outbreak.Materials and methods: We identified adults who underwent RALP and TURBT within the California Healthcare Cost and Utilization Project State Inpatient Database and the State Ambulatory Surgery Database between 2018 and 2020. Multivariable analysis and spline analysis with a knot at COVID outbreak were performed to investigate the time trend and factors associated with ambulatory RALP and TURBT.Results: Among 17,386 RALPs, 6,774 (39.0%) were ambulatory. Among 25,070 TURBTs, 21,573 (86.0%) were ambulatory. Pre-COVID, 33.5% of RALP and 85.3% and TURBT were ambulatory, which increased to 53.8% and 88.0% post-COVID (both p < 0.001). In multivariable model, RALP and TURBT performed after outbreak in March 2020 were more likely ambulatory (OR 2.31, p < 0.0001; OR 1.25, p < 0.0001). There was an overall increasing trend in use of ambulatory RALP both pre- and post-COVID, with no significant change of trend at the time of outbreak (p = 0.642). TURBT exhibited an increased shift towards ambulatory sites post-COVID (p < 0.0001).Conclusions: We found a shift towards ambulatory RALP and TURBT following COVID outbreak. There was a large increase in ambulatory RALP post-COVID, but the trend of change was not significantly different pre- and post-COVID - possibly due to a pre-existing trend towards ambulatory RALP which predated the pandemic.","PeriodicalId":56323,"journal":{"name":"Canadian Journal of Urology","volume":"30 6","pages":"11714-11723"},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The value of residency program characteristics changes throughout urology training. 在整个泌尿外科培训过程中，住院医师培训项目的特点价值会发生变化。

IF 1.5 4区医学

Canadian Journal of Urology Pub Date : 2023-12-01

John R Heard, Karl-Ray Jeune, John M Masterson, Peris R Castaneda, Andrew G Winer, Andrew L Freedman

{"title":"The value of residency program characteristics changes throughout urology training.","authors":"John R Heard, Karl-Ray Jeune, John M Masterson, Peris R Castaneda, Andrew G Winer, Andrew L Freedman","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The purpose of this study was to determine which characteristics of urology residency programs are most highly valued by medical students and residents, and how these change during training.Materials and methods: We distributed a survey to urology residents and medical students interested in urology via program director email and social media. The survey collected demographic data, future career plans, and asked respondents to rank the relative importance of six categories of residency program characteristics and specific characteristics within each category.Results: Among the six categories of residency characteristics, resident experience was ranked most important by both medical students and residents, followed by geography and clinical experience which were tied. Medical students ranked clinic experience and formal mentorship with greater importance while residents placed higher value on the active role of clinical faculty and help from advanced practice providers. Trainees planning for an academic career ranked research experiences and resident diversity as more important than those entering private practice.Conclusions: Residents and medical students mostly agreed on the relative importance of residency program characteristics. The differences observed suggest that as trainees gain experience they place greater importance on informal relationships with faculty and value characteristics that enhance surgical training such as support from advanced practice providers and less time in clinic. These findings may guide programs on what information to include on their websites and presentations.","PeriodicalId":56323,"journal":{"name":"Canadian Journal of Urology","volume":"30 6","pages":"11724-11731"},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Legends in Urology V30I06. 泌尿外科传奇 V30I06。

IF 1.5 4区医学

Canadian Journal of Urology Pub Date : 2023-12-01

Herbert Lepor

引用次数: 0

Re: Pentosan polysulfate and a pigmentary maculopathy: causation versus correlation? 关于多硫酸戊聚糖和色素性黄斑病变：因果关系还是相关关系？

IF 1.5 4区医学

Canadian Journal of Urology Pub Date : 2023-12-01

Robert J Evans, Raymond Xu

{"title":"Re: Pentosan polysulfate and a pigmentary maculopathy: causation versus correlation?","authors":"Robert J Evans, Raymond Xu","doi":"","DOIUrl":"","url":null,"abstract":"How should a conscientious physician advise patients with Interstitial Cystitis /Bladder Pain Syndrome (IC/BPS) when they want to know if taking Pentosan Polysulfate Sodium (PPS) will lead to loss of vision? Ever since the initial report from Pearce et al in 2018 suggesting that PPS usage can lead to the development of pigmented maculopathy (PM), my patients have been inundated with solicitations from attorneys looking to sign up clients for class action lawsuits.1 While there have been additional reports suggesting a relationship between PPS exposure and the development of PM, Ludwig et al found that there was no difference in the rate of macular disease between patients with documented IC/BPS who had taken PPS and those with IC/BPS with no history of PPS use.2 The large size of Ludwig's study certainly suggests that PPS may not cause PM to develop, and if the rate of PM in the IC population is higher than in controls, it may be due to the disease itself and not from the medication. In this manuscript, Proctor clearly describes the immune inflammatory response that is responsible for the development of the bladder damage seen with IC/BPS. Also, he describes how inflammatory mediators can enter the blood stream and might be a potential cause for the development of PM.3 This is a thought-provoking hypothesis that demands further evaluation. I have prescribed PPS since its approval and have many patients who feel it is an essential part of their IC treatment regimen. There is no other prescription medication that functions in the same fashion. I require them to follow the FDA recommendations for annual eye exams to look for PM development. I also advise patients that as they improve, we will discuss dose reduction and even discontinuation if their IC symptoms have abated. By following these suggestions, one should be able to continue to prescribe PPS for appropriate patients while carefully monitoring them for PM. I found this article extremely informative and will refer to it when counseling patients about IC/BPS and PPS.","PeriodicalId":56323,"journal":{"name":"Canadian Journal of Urology","volume":"30 6","pages":"11740"},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pentosan polysulfate and a pigmentary maculopathy: causation versus correlation? 多硫酸戊聚糖与色素性黄斑病变：因果关系还是相关关系？

IF 1.5 4区医学

Canadian Journal of Urology Pub Date : 2023-12-01

Jeffrey G Proctor

{"title":"Pentosan polysulfate and a pigmentary maculopathy: causation versus correlation?","authors":"Jeffrey G Proctor","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Interstitial cystitis (IC) is a chronic disease with urinary tract symptoms and pain. Pentosan polysulfate (PPS) is the only U.S. Food and Drug Administration approved oral medication for the treatment of IC pain and symptoms. Recently, articles described a pigmentary maculopathy in IC patients on long term PPS therapy. Currently, there is no definitive study directly linking PPS as the cause of the pigmentary maculopathy. The aim of this review is to evaluate if PPS is the causative factor of the pigmentary maculopathy or if PPS use is only associated with the pigmentary maculopathy.Materials and methods: A comprehensive review of peer reviewed journals using the search terms IC, maculopathy, mast cells, immune inflammatory components, Tamm-Horsfall protein, cations and tight junctions was performed to examine the pathophysiology and role of chronic inflammation in IC and known retinal maculopathies.Results: Chronic inflammatory cells have been reported in age-related macular degeneration choroid blood vessels and in bladder submucosal and detrusor layers in IC patients. Studies in IC and maculopathies demonstrate a significant milieu of activated chronic inflammatory and immunologic responses that cause a more \"leaky\" epithelium and a subsequent cascade of inflammatory events that results in the pathological changes seen in these two conditions.Conclusions: After an analysis of the literature describing a pigmentary maculopathy in IC patients on long term PPS, a causal relationship does not appear to be present. An alternate model is proposed postulating that the causative factor for the pigmentary maculopathy is the underlying inflammatory state associated with IC and not PPS use.","PeriodicalId":56323,"journal":{"name":"Canadian Journal of Urology","volume":"30 6","pages":"11732-11739"},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Peri-prostatic nerve block using Clarius EC7 HD₃ handheld ultrasound guidance. 使用 Clarius EC7 HD₃手持超声引导进行睾丸周围神经阻滞。

IF 1.5 4区医学

Canadian Journal of Urology Pub Date : 2023-12-01

Aalya Hamouda, Ahmed Ibrahim, Nicholas Corsi, Dean S Elterman, Bilal Chughtai, Naeem Bhojani, Kevin C Zorn

{"title":"Peri-prostatic nerve block using Clarius EC7 HD₃ handheld ultrasound guidance.","authors":"Aalya Hamouda, Ahmed Ibrahim, Nicholas Corsi, Dean S Elterman, Bilal Chughtai, Naeem Bhojani, Kevin C Zorn","doi":"","DOIUrl":"","url":null,"abstract":"Transrectal ultrasound (TRUS) is a common modality used during urological procedures that require real-time visualization of the prostate, such as prostate biopsy and peri-prostatic nerve blocks (PNB) for surgical procedures. Current practice for TRUS-guided PNB requires use of costly, fixed, and non-portable ultrasound machinery that can often limit workflow. The Clarius endocavity EC7 probe, a digital, handheld and pocket-sized endocavity ultrasound (US) device, is an alternative, portable technology which was recently shown to accurately visualize and measure prostate dimensions and volume. Moreover, in recent years, there has been a renaissance of office-based treatments for minimally invasive surgical therapies (MIST) for the treatment of benign prostate hyperplasia (BPH). More specifically, the Rezūm procedure has been demonstrated to offer men a short, outpatient therapy with excellent 5-year outcomes in durability and preservation of antegrade ejaculation. While other anesthetic techniques have been described for Rezūm, including inhaled methoxyflurane (Penthrox), nitrous oxide, IV sedation and general anesthesia (which often mandate the presence of an anesthesiology team), US-guided local blocks offer the urologist an independent method for pain management. While most urologists may not have direct access to expensive, cart-based ultrasound systems, point of care ultrasound (POCUS) technology, such as Clarius (Vancouver, BC, Canada) and Butterfly (Butterfly Network, Inc, Guilford, CT, USA), can provide high-resolution imaging in combination with smart phone technology. Herein, we sought to describe the technique for using Clarius EC7 for TRUS-guided PNB and its use in urological application with the Rezūm BPH procedure.","PeriodicalId":56323,"journal":{"name":"Canadian Journal of Urology","volume":"30 6","pages":"11741-11746"},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recurring cystitis cystica and cystitis glandularis masquerading as urothelial carcinoma. 伪装成尿路上皮癌的复发性膀胱炎和腺性膀胱炎。

IF 1.5 4区医学

Canadian Journal of Urology Pub Date : 2023-12-01

Kerith R Wang, Rishabh K Simhal, Gabriel G Dinatale, Li Li, Thenappan Chandrasekar

引用次数: 0

The Left Shift in Drugs for Advanced Prostate Cancer. 晚期前列腺癌药物的左移。

IF 1.5 4区医学

Canadian Journal of Urology Pub Date : 2023-12-01

Leonard G Gomella

引用次数: 0

Bladder metastasis from inflammatory breast cancer presenting with hematuria and hydronephrosis. 伴有血尿和肾积水的炎性乳腺癌膀胱转移。