Canadian Urological Association Journal

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Authors Connor Roque Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada Yool Ko Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada Maximilian G.

License You, the Author(s), assign your copyright in and to the Article to the Canadian Urological Association.

License You, the Author(s), assign your copyright in and to the Article to the Canadian Urological Association.

License You, the Author(s), assign your copyright in and to the Article to the Canadian Urological Association.

License You, the Author(s), assign your copyright in and to the Article to the Canadian Urological Association.

INTRODUCTION: Transrectal ultrasound (TRUS)-guided prostate biopsy is often associated with significant discomfort, particularly in patients with underlying anorectal conditions. Conventional local anesthesia techniques, including periprostatic nerve block — widely regarded as the gold standard — may be insufficient for adequate pain control in this patient population, thereby limiting the feasibility and tolerability of the procedure.

Abstract INTRODUCTION: Even small quantities of prescribed opioids for acute postoperative pain can lead to addiction, hinder recovery, and be unnecessary. This study evaluated whether an opioid-free postoperative pathway following reconstructive urologic surgery increased pain-related patient communication. METHODS: An opioid-free postoperative protocol was implemented at our institution in 2019.

INTRODUCTION: While holmium:YAG for laser lithotripsy remains the gold standard, the thulium fibre laser (TFL) has gained traction as a tool in urolithiasis management. The objective of this study was to review its adoption and use as a clinically effective laser lithotrite. METHODS: We performed a scoping review for articles on TFL for lithotripsy according to Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR).

INTRODUCTION: This study aimed to identify preoperative predictors of incidental prostate cancer (iPCa) in patients undergoing holmium laser enucleation of the prostate (HoLEP) for benign prostatic hyperplasia (BPH) and to evaluate subsequent followup strategies. METHODS: We retrospectively analyzed 571 patients who underwent HoLEP by a single surgeon between 2020 and 2024 and who attended at least one postoperative followup visit at our tertiary center.