Ashley Cox

• Professor (Assistant) at Dalhousie University

Aims To evaluate the long‐term outcomes of sacral neuromodulation (SNM), and patient characteristics that may predict long‐term success or complications. Methods A single‐center retrospective cohort study was performed of all patients who underwent SNM testing and implantation. Outcome results, resolution of symptoms, and device removal were repor...

According to ICI 2017 imaging of the upper urinary tract upper urinary tract (UUT) is indicated in cases of NLUTD and urinary incontinence with high risk of renal damage (due to high storage and/or voiding detrusor pressure, e.g., myelodysplasia, spinal cord injury) [1]. There is however no general consensus how frequently this evaluation has been...

PurposeTo review the available data on non-surgical management for neurogenic bladder in patients with spinal cord injury (SCI). Before the introduction of urinary catheters and antibiotics, neurogenic bladder was one of the main culprits for death in those patients with SCI. Currently, the management of neurogenic bladder is focused in improving q...

Aim To systematically assess all available evidence on efficacy and safety of catheterization for treating neurogenic lower urinary tract dysfunction (NLUTD) in patients with multiple sclerosis (MS). Methods This systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement....

Introduction: There is limited research on why females do or do not choose a career in urology. Considering the increasing proportion of female medical students, we assessed for trends in female applicants to urology programs in Canada and their post-residency career choices. Methods: Data from the Canadian Residency Matching Service (CaRMS) was...

Introduction We assessed the practices of urologists and gynecologists who manage stress urinary incontinence surgically to examine the impact of the FDA (U.S. Food and Drug Administration) and/or Health Canada statements on pelvic floor mesh. We also determined how urologists and gynecologists manage recurrent stress urinary incontinence and compl...

Objective: To establish the time to development of urological issues over time in adult spina bifida patients. Methods: Retrospective study of adult patients attending a multidisciplinary adult spina bifida clinic from 2000 to 2013. Patient age, sex, number of clinic visits and length of f/u were recorded. For each unique visit, presence of symp...

Objectives: To describe the rate of OAB and storage lower urinary tract symptoms (LUTS) following RP and determine if subsequent radiation increases the risk of OAB. Methods: We reviewed all patients who underwent open RP at our tertiary care institution from January 2006 to June 2011. Primary outcomes were the proportion of patients with new OA...

Purpose of review: The 5-year and 15-year life expectancy following the treatment of localized prostate cancer is excellent. Patients may develop rare but devastating complications following the surgery for prostate cancer. The purpose of this review is to summarize the available literature to date surrounding the management of the incontinent pat...

Many surgical options exist for women with stress urinary incontinence (SUI). The traditional gold standards of Burch retropubic colposuspension and pubovaginal slings are still appropriate treatment options for some patients, but randomized controlled trials have demonstrated that synthetic midurethral slings are just as effective as these traditi...

Pelvic organ prolapse (POP) is a common disorder estimated to affect 15%-30% of women over the age of 50 years. About 11% of women will require surgery by the age of 80 years and there is an estimated 30% rate of prolapse recurrence. In an attempt to improve surgical outcomes, biologic grafts and synthetic meshes have been implemented in the repair...

Transitioning care of patients with spina bifida to adult centers poses a challenge. We sought patient and parent perspectives on the transition process at our center and correlated these perspectives with medical outcomes. Patients who attended the adult spina bifida clinic at our institution were invited to complete SF-36®, the Ambulatory Care Ex...

Adrenal myelolipomas are benign neoplasms consisting of hematopoietic cellular elements and adipose tissue. They are uncommon, found in 0.4% to 1% of the population at autopsy. Extra-adrenal myelolipomas (EM) are extremely rare with fewer than 50 cases reported. We describe the first case of bilateral EM of the renal sinus. They are difficult to di...

The majority of immunosuppressive agents used to prevent rejection in transplant patients have also been shown to increase malignancy risk. Renal transplant patients are dependent upon their solitary allograft kidney in order to remain dialysis free, and the discovery of a primary malignancy within the allograft poses a therapeutic dilemma. We desc...

Transplantation of organs is a well-known and accepted life-saving procedure for end-stage kidney, liver, heart and lung diseases. The insufficient number of donor organs limits the application of this technique and leads to unnecessary loss of life. Experimental techniques such as xenotransplantation are extremely important to determine new method...