CUA 2018: Urologic Conditions in Nonagenarians

Halifax, Nova Scotia ( The Canadian populations is rapidly aging with centenarians comprising the fast-growing age group nationally. Sparse urological research exists on nonagenarians or centenarians. A study from United Kingdom of nonagenarian urology inpatients found the most common diagnoses to be hematuria and lower urinary tract symptoms (LUTS) and these patients had significantly longer and more complicated hospital stays than their younger counterparts (Pridgeon et al, 2016). 

CUA 2018: Surveillance Post-Radio Frequency Ablation For Small Renal Masses: Recurrence and Follow-Up

Halifax, Nova Scotia ( Small renal masses (SRMs) are a particularly worrisome condition that affects patients at a high volume worldwide and have actually increased in prevalence due to increases quality of imaging technologies. These tumors, usually less than 4 cm in diameter, are particularly daunting due to the possibility of them being renal cell carcinoma (RCC) and becoming metastatic. Typically, partial nephrectomy is the gold standard for the treatment of SRMs. However, an increase of radio frequency ablation (RFA) has emerged as a less invasive alternative to surgery.

CUA 2018: Functional Outcomes And Post-Operative Complications In Elderly Patients Undergoing Robotic-Assisted Radical Prostatectomy

Halifax, Nova Scotia ( Robotic-assisted radical prostatectomy (RARP), though extremely beneficial for oncological treatment, is known for producing postoperative complications such as urinary incontinence and impotence. These morbidities have the innate ability of significantly lowering quality of life in men who receive this treatment modality. At the University of Montreal, Kevin Zorn, MD, and his team of clinical urologists set out to determine the functional and perioperative outcomes as well as postoperative complications in elderly patients following RARP for prostate cancer. 

CUA 2018: Impact Of The Rocco Stitch On Early Return To Continence Following Robot-Assisted Radical Prostatectomy: Results Of A Prospective, Longitudinal, Randomized Controlled Trial

Halifax, Nova Scotia ( It is extremely well known in the urologic field that prostate cancer is one of the most detrimental cancers that affect males worldwide. One of the most common treatments for this particular disease, robot-assisted radical prostatectomy (RARP), is particularly effective as a cancer management modality, but it is linked with certain postoperative complications such as urinary incontinence (UI). UI has been characterized as having a significant negative impact on patient-reported, health-related quality of life. It has been previously shown that UI is caused by the insufficiency of the urethral sphincter’s structural integrity, which is greatly reduced following RARP. Currently, there have been several surgical techniques described for urethrovesical anastomosis (UVA) following ablation of the prostate. One of the more popular techniques, the posterior reconstruction of the Denonvilliers’ musculofascial plate, often known as the “Rocco stitch”, has received mixed reviews from practicing urologists on the effect of urinary continence rates.

CUA 2018: Duration of Antibiotic Therapy for Obstructive Infected Urinary Stones: An Analysis of Patients in a Tertiary Care Centre

Halifax, Nova Scotia ( The American Urological Association (AUA) and European guidelines recommend that infected urinary stone removal be undertaken only once the infection has been adequately treated, but the optimal duration of antibiotics in these cases is not defined. 

This was a retrospective observational study of patients admitted with obstructive infected kidney stone(s) at The Ottawa Hospital (TOH), Ontario, Canada.

CUA 2018: External Shock Wave Therapy for Pelvic Pain in Men: A Long Term Treatment Option

Halifax, Nova Scotia ( Chronic pelvic pain syndrome (CPPS) is a frequent outpatient urological diagnosis with increasing incidence, reported around 15% especially younger generations and all ethnic origins. It affects around 50% of men throughout their lifetime and can cause urinary and erectile dysfunction if left untreated affecting their quality of life. Currently, there is a lack of guidelines for the management of CPPS. 

CUA 2018: Validation of Real-time, Intraoperative, Surgical Competence Assessments Linked to Clinically Relevant Patient Outcomes: A Model of Competency Assessment in Urology

Halifax, Nova Scotia ( Despite significant progress in the objective evaluation of technical skill in the simulation skills lab, intraoperative assessment of surgical proficiency remains largely subjective and invalidated. For the graduating urology resident, there are objective assessments of knowledge, provided by licensing exams from the American Board of Urology or the Royal College of Physicians & Surgeons of Canada, with subjective assessment of technical skill based on opinions of the surgical faculty. For the experienced surgeon, knowledge may be based on continuing medical education credits, with limited, if any, assessment of technical skill. The linkage between objective evaluations of intraoperative surgical competence and real patient outcomes have rarely (if ever) been systematically reported.

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