Recurring cystitis cystica and cystitis glandularis masquerading as urothelial carcinoma
We report a rare case of cystitis cystica and glandularis mimicking low-grade urothelial carcinoma that was found incidentally and treated with resection and fulguration via transurethral resection of bladder tumor (TURBT). When early recurrence was found on surveillance cystoscopy 3 months later, the patient was treated with repeat TURBT and intravesical gemcitabine. Surveillance cystoscopy 4 months later revealed cystitis cystica and cystitis glandularis yet again. We highlight the diagnosis and management of multiple early recurrences of cystitis cystica in this patient, particularly our treatment with gemcitabine and c...
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: Kerith R Wang Rishabh K Simhal Gabriel G Dinatale Li Li Thenappan Chandrasekar Source Type: research

How I Do It: Transcutaneous tibial nerve stimulation TENSI+ system
Can J Urol. 2023 Dec;30(6):11756-11761.ABSTRACTOveractive bladder (OAB) is a common condition that significantly impacts the quality of life (QoL), well-being and daily functioning for both men and women. Among various treatments, peripheral tibial nerve stimulation (PTNS) emerges as an effective third-line treatment for OAB symptoms, with options for either a percutaneous approach (P-PTNS) or by transcutaneous delivery (T-PTNS). Recent studies have shown negligible differences between P-PTNS and T-PTNS efficacy in alleviating urinary urgency and frequency and QoL improvement and, overall no difference in efficacy over ant...
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: Jean-Nicolas Cornu Hashim Hashim Frank Van Der Aa Cosimo De Nunzio Valentina Garcia Perez Roseanne Ferreira Dean S Elterman Source Type: research

The Left Shift in Drugs for Advanced Prostate Cancer
Can J Urol. 2023 Dec;30(6):11708-11709.NO ABSTRACTPMID:38104326 (Source: Canadian Journal of Urology)
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: Leonard G Gomella Source Type: research

Legends in Urology V30I06
Can J Urol. 2023 Dec;30(6):11710-11712.NO ABSTRACTPMID:38104327 (Source: Canadian Journal of Urology)
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: Herbert Lepor Source Type: research

Impact of COVID-19 pandemic on ambulatory urologic oncology surgeries
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.PMID:38104328 (Source: Canadian Journal of Urology)
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology 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 Abdullah Stuart R Lipsitz Adam S Kibel Quoc-Dien Trinh Alexander P Cole Source Type: research

The value of residency program characteristics changes throughout urology training
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.PMID:38104329 (Source: Canadian Journal of Urology)
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: John R Heard Karl-Ray Jeune John M Masterson Peris R Castaneda Andrew G Winer Andrew L Freedman Source Type: research

Pentosan polysulfate and a pigmentary maculopathy: causation versus correlation?
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.PMID:38104330 (Source: Canadian Journal of Urology)
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: Jeffrey G Proctor Source Type: research

Re: Pentosan polysulfate and a pigmentary maculopathy: causation versus correlation?
Can J Urol. 2023 Dec;30(6):11740.ABSTRACTHow 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, Ludw...
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: Robert J Evans Raymond Xu Source Type: research

Peri-prostatic nerve block using Clarius EC7 HD ₃ handheld ultrasound guidance
Can J Urol. 2023 Dec;30(6):11741-11746.ABSTRACTTransrectal 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 dimen...
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: Aalya Hamouda Ahmed Ibrahim Nicholas Corsi Dean S Elterman Bilal Chughtai Naeem Bhojani Kevin C Zorn Source Type: research

Bladder metastasis from inflammatory breast cancer presenting with hematuria and hydronephrosis
We report a rare case of a 56-year-old Ukrainian female with inflammatory breast cancer (IBC) who underwent neoadjuvant chemoradiation and left radical mastectomy with her clinical course complicated by disease recurrence with bone and bladder metastases 2.5 years after her initial diagnosis. We highlight the presentation and diagnosis of genitourinary involvement of metastatic IBC, which has not previously been described in the literature.PMID:38104333 (Source: Canadian Journal of Urology)
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: Halle E Foss Jessica Bulafka Nneamaka Nwaoduah Mihir S Shah Source Type: research

Recurring cystitis cystica and cystitis glandularis masquerading as urothelial carcinoma
We report a rare case of cystitis cystica and glandularis mimicking low-grade urothelial carcinoma that was found incidentally and treated with resection and fulguration via transurethral resection of bladder tumor (TURBT). When early recurrence was found on surveillance cystoscopy 3 months later, the patient was treated with repeat TURBT and intravesical gemcitabine. Surveillance cystoscopy 4 months later revealed cystitis cystica and cystitis glandularis yet again. We highlight the diagnosis and management of multiple early recurrences of cystitis cystica in this patient, particularly our treatment with gemcitabine and c...
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: Kerith R Wang Rishabh K Simhal Gabriel G Dinatale Li Li Thenappan Chandrasekar Source Type: research

How I Do It: Transcutaneous tibial nerve stimulation TENSI+ system
Can J Urol. 2023 Dec;30(6):11756-11761.ABSTRACTOveractive bladder (OAB) is a common condition that significantly impacts the quality of life (QoL), well-being and daily functioning for both men and women. Among various treatments, peripheral tibial nerve stimulation (PTNS) emerges as an effective third-line treatment for OAB symptoms, with options for either a percutaneous approach (P-PTNS) or by transcutaneous delivery (T-PTNS). Recent studies have shown negligible differences between P-PTNS and T-PTNS efficacy in alleviating urinary urgency and frequency and QoL improvement and, overall no difference in efficacy over ant...
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: Jean-Nicolas Cornu Hashim Hashim Frank Van Der Aa Cosimo De Nunzio Valentina Garcia Perez Roseanne Ferreira Dean S Elterman Source Type: research

The Left Shift in Drugs for Advanced Prostate Cancer
Can J Urol. 2023 Dec;30(6):11708-11709.NO ABSTRACTPMID:38104326 (Source: Canadian Journal of Urology)
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: Leonard G Gomella Source Type: research

Legends in Urology V30I06
Can J Urol. 2023 Dec;30(6):11710-11712.NO ABSTRACTPMID:38104327 (Source: Canadian Journal of Urology)
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology Authors: Herbert Lepor Source Type: research

Impact of COVID-19 pandemic on ambulatory urologic oncology surgeries
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.PMID:38104328 (Source: Canadian Journal of Urology)
Source: Canadian Journal of Urology - December 17, 2023 Category: Urology & Nephrology 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 Abdullah Stuart R Lipsitz Adam S Kibel Quoc-Dien Trinh Alexander P Cole Source Type: research