Publications Print Warren CJ, Payne NG, Edmonds VS, Voleti SS, Choudry MM, Punjani N, Abdul-Muhsin HM, Humphreys MR. Quality of Chatbot Information Related to Benign Prostatic Hyperplasia. Prostate. 2025 Feb; 85 (2):175-180 Epub 2024 Nov 08 View PubMed Warren CJ, Mauler D, Butterfield D 3rd, Wymer K, Khan A, Humphreys MR, Tyson MD, Punjani N. A Tale of 102,726 Messages: Characterizing the Modern Urologist's Portal Message Burden After Common Urologic Surgeries. Urol Pract. 2025 Jan; 12 (1):26-33 Epub 2024 Oct 09 View PubMed Gu C, Belarmino A, Kenfield SA, Nolte D, Civello D, Smith JF, Honig S, Mehta A, Punjani N, Lerner LB. Postvasectomy Semen Analysis Compliance With Utilization of a Mail-In Semen Analysis Kit. J Urol. 2024 Dec; 212 (6):899-906 Epub 2024 Aug 02 View PubMed Gaffney CD, Punjani N, Brant A, Fainberg J, Voleti SS, Zheng X, Sedrakyan A, Garrett KA, Kashanian JA. Erectile dysfunction is an underdiagnosed consequence of low anterior resection and abdominoperineal resection for colorectal cancer. Updates Surg. 2024 Dec; 76 (8):2787-2794 Epub 2024 Nov 20 View PubMed Warren CJ, Voleti SS, Stevens V, Brown SJ, Schroeder M, Yee C, Punjani N, Stern K. PubMed-indexed Research Productivity of Urology Applicants and Residents: Does Medical Student Research Productivity Predict Resident Research or Pursuit of an Academic Career? Urology. 2024 Oct 10 [Epub ahead of print] View PubMed Warren CJ, Edmonds VS, Payne NG, Voletti S, Wu SY, Colquitt J, Sadeghi-Nejad H, Punjani N. Prompt matters: evaluation of large language model chatbot responses related to Peyronie's disease. Sex Med. 2024 Aug; 12 (4):qfae055 Epub 2024 Sept 09 View PubMed Chaudhary HS, Zeidman E, Punjani N, Tashman Y. Sleep-related painful erections treated with sodium oxybate. J Clin Sleep Med. 2024 Jul 1; 20 (7):1209-1211 View PubMed Salazar JE, Park DE, Punjani N, Pham T, Aziz M, Kigozi G, Gray RH, Kiboneka SD, Goldstein M, Li PS, Lee R, Liu CM. Comparison of the penile microbiome in infant male circumcision: Mogen clamp versus Shangring. EBioMedicine. 2024 Jul; 105:105216 Epub 2024 June 25 View PubMed Punjani N, Marinaro JA, Kang C, Gal J, Rippon B, Jotwani R, Weinberg R, Schlegel PN. Gabapentin for Postoperative Pain Control and Opioid Reduction in Scrotal Surgery: A Randomized Controlled Clinical Trial. J Urol. 2024 May; 211 (5):658-666 Epub 2024 Feb 21 View PubMed Ofori E, Solis A, Punjani N. The Association among Hypothalamic Subnits, Gonadotropic and Sex Hormone Plasmas Levels in Alzheimer's Disease. Brain Sci. 2024 Mar 14; 14 (3) View PubMed Kang C, Punjani N, Kashanian JA, Schlegel PN. Age, Sperm Retrieval, and Testicular Histology in Klinefelter Syndrome. J Urol. 2024 Jan; 211 (1):163-169 Epub 2023 Oct 24 View PubMed Marinaro JA, Punjani N, Gal J, Mielnik A, Schlegel PN. Sperm production is stable over time for men with azoospermia factor c Y-chromosome microdeletions. Fertil Steril 2024 Jan; 121 (1):117-120 Epub 2023 Sept 17 View PubMed Marinaro JA, Brant A, Kang C, Punjani N, Xie P, Zaninovic N, Palermo GD, Rosenwaks Z, Schlegel PN. Successful cryptozoospermia management with multiple semen specimen collection. Fertil Steril. 2023 Nov; 120 (5):996-1003 Epub 2023 July 28 View PubMed Brant A, Basourakos SP, Lewicki P, Kang C, Marinaro J, Punjani N, Kashanian JA. Real-world practice in Peyronie's disease management: Results from a national survey of urologists. Andrology. 2023 Oct; 11 (7):1320-1325 Epub 2023 Mar 14 View PubMed Voleti SS, Warren CJ, Parker NR, Stanton M, Khan AA, Noland SS, Punjani N. Excision of recurrent penile schwannoma with neurovascular bundle sparing: A novel surgical approach. Urol Case Rep. 2023 Sep; 50:102458 Epub 2023 June 12 View PubMed Basourakos SP, Nang QG, Ballman KV, Al Awamlh OAH, Punjani N, Ho K, Barone MA, Awori QD, Ouma D, Oketch J, Christensen AE, Hellar A, Makokha M, Isangu A, Salim R, Lija J, Gray RH, Kiboneka S, Anok A, Kigozi G, Nakabuye R, Ddamulira C, Mulooki A, Odiya S, Nazziwa R, Goldstein M, Li PS, Lee RK. ShangRing versus Mogen clamp for early infant male circumcision in eastern sub-Saharan Africa: a multicentre, non-inferiority, adaptive, randomised controlled trial. Lancet Glob Health. 2022 Oct; 10 (10):e1514-e1522 View PubMed Brant A, Punjani N, Zaninovic N, Palermo GD, Rosenwaks Z, Schlegel PN. Effects of Chemo- and Radiation Therapy on Microsurgical Testicular Sperm Extraction for Men with Nonobstructive Azoospermia. J Urol. 2022 Sep; 208 (3):676-683 Epub 2022 May 02 View PubMed Punjani N, Alawamlh OA, Kim SJ, Salter CA, Wald G, Feliciano M, Williams N, Dudley V, Goldstein M. Changes in Semen Analysis over Time: A Temporal Trend Analysis of 20 Years of Subfertile Non-Azoospermic Men. World J Mens Health. 2022 Jun 13 Epub 2022 June 13 View PubMed Punjani N, Romanski PA, Bortoletto P, Kang C, Spandorfer S, Kashanian JA. The use of fresh compared to frozen ejaculated sperm has no impact on fresh embryo transfer cycle reproductive outcomes. J Assist Reprod Genet. 2022 Jun; 39 (6):1409-1414 Epub 2022 May 05 View PubMed Chu KY, Ory J, Punjani N, Nassau DE, Israeli J, Kashanian JA, Ramasamy R. Utility of evaluating semen samples from adolescents with Klinefelter Syndrome for cryopreservation: A multi-institution evaluation. J Pediatr Urol. 2022 Jun; 18 (3):288.e1-288.e5 Epub 2022 Apr 20 View PubMed Punjani N, Bortoletto P, Romanski PA, Kashanian J, Spandorfer S. Advancing paternal age does not negatively impact fresh embryo transfer cycle outcomes. Reprod Biomed Online. 2022 Apr 29 [Epub ahead of print] View PubMed Punjani N, Basourakos SP, Nang QG, Lee RK, Goldstein M, Alukal JP, Li PS. Genitourinary Infections Related to Circumcision and the Potential Impact on Male Infertility. World J Mens Health. 2022 Apr; 40 (2):179-190 Epub 2021 May 18 View PubMed Ha AS, Han DS, Wallace BK, Miles C, Raup V, Punjani N, Badalato GM, Alukal JP. A population-based analysis of predictors of penile surgical intervention among inpatients with acute priapism. Int J Impot Res. 2022 Mar 8 Epub 2022 Mar 08 View PubMed Aboukhshaba A, Punjani N, Doukakis S, Zaninovic N, Palermo G, Schlegel PN. Testicular sperm characteristics in men with nonobstructive azoospermia and their impact on intracytoplasmic sperm injection outcome. Fertil Steril. 2022 Mar; 117 (3):522-527 Epub 2021 Oct 19 View PubMed Punjani N, Goldstein M. Vasectomy: is the apparent decline real or not? Nat Rev Urol 2022 Feb; 19 (2):69-70 View PubMed Punjani N, Flannigan R. Androgens and COVID-19: exploring the role of testosterone replacement therapy. Int J Impot Res. 2022 Jan 30 [Epub ahead of print] View PubMed Kang C, Punjani N, Lee RK, Li PS, Goldstein M. Effect of varicoceles on spermatogenesis. Semin Cell Dev Biol. 2022 Jan; 121:114-124 Epub 2021 May 06 View PubMed Wald G, Punjani N, Gaffney C, Goldstein M, Kashanian JA. Impact of testicular delivery and vasal vein ligation on clinical outcomes in men undergoing microsurgical varicocelectomy. Int Urol Nephrol. 2021 Dec; 53 (12):2453-2458 Epub 2021 Oct 18 View PubMed Aboukhshaba A, Punjani N, Doukakis S, Schlegel PN. Anti-Mullerian hormone level as a predictor of sperm retrieval with microdissection testicular sperm extraction in nonobstructive azoospermia. Andrologia. 2021 Dec; 53 (11):e14220 Epub 2021 Aug 22 View PubMed Punjani N, Kang C, Flannigan R, Bach P, Altemus M, Kocsis JH, Wu A, Pierce H, Schlegel PN. Impact of duloxetine on male fertility: A randomised controlled clinical trial. Andrologia. 2021 Nov; 53 (10):e14207 Epub 2021 Aug 09 View PubMed Punjani N, Monteiro L, Sullivan JF, Flores J, Ortega Y, Matsushita K, Choi JM, Elterman D, Akin O, Nelson CJ, Sandhu JS, Mulhall JP. The Anatomical Relationships in the Space of Retzius for Penile Implants: An MRI Analysis. J Sex Med. 2021 Nov; 18 (11):1830-1834 Epub 2021 Sept 20 View PubMed Punjani N, Flannigan R, Kang C, Khani F, Schlegel PN. Quantifying Heterogeneity of Testicular Histopathology in Men with Nonobstructive Azoospermia. J Urol. 2021 Nov; 206 (5):1268-1275 Epub 2021 June 29 View PubMed Ha AS, Wallace BK, Miles C, Raup V, Punjani N, Badalato GM, Alukal JP. Exploring the Use of Exchange Transfusion in the Surgical Management of Priapism in Sickle Cell Disease: A Population-Based Analysis. J Sex Med. 2021 Oct; 18 (10):1788-1796 View PubMed Punjani N, Wald G, Al-Hussein Alawamlh O, Dudley V, Goldstein M. Standing Ultrasound Adds Clinical Utility for the Diagnosis of Varicoceles. J Urol. 2021 Oct; 206 (4):1001-1008 Epub 2021 May 25 View PubMed Punjani N, Kang C, Lee RK, Goldstein M, Li PS. Technological Advancements in Male Infertility Microsurgery. J Clin Med. 2021 Sep 20; 10 (18) Epub 2021 Sept 20 View PubMed Punjani N, Wald G, Gaffney CD, Goldstein M, Kashanian JA. Predictors of varicocele-associated pain and its impact on semen parameters following microsurgical repair. Andrologia. 2021 Sep; 53 (8):e14121 Epub 2021 June 12 View PubMed Basourakos S, Lewicki PJ, Punjani N, Gaffney C, Fantus J, Schlegel PN, Brannigan R, Shoag JE, Halpern JA. Practice patterns of vasal reconstruction in a large United States cohort Andrologia. 2021; 53(11). Epub 2021 Jan 11. Punjani N, Bernie H, Salter C, Flores J, Benfante N, Mulhall JP. The Utilization and Impact of Aromatase Inhibitor Therapy in Men With Elevated Estradiol Levels on Testosterone Therapy. Sex Med. 2021 Aug; 9 (4):100378 Epub 2021 June 03 View PubMed Gaffney CD, Fainberg J, Punjani N, Aboukhshaba A, Pierce H, Patel N, Zheng X, Sun T, Sedrakyan A, Kashanian JA. Immune Deficiency Does Not Increase Inflatable Penile Prosthesis Reoperation Rates. J Sex Med. 2021 Aug; 18 (8):1427-1433 Epub 2021 July 22 View PubMed Punjani N, Nascimento B, Salter C, Flores J, Miranda E, Terrier J, Taniguchi H, Jenkins L, Mulhall JP. Predictors of Pursuing Intralesional Xiaflex in Peyronie's Disease Patients. J Sex Med. 2021 Jul; 18 (7):1258-1264 Epub 2021 July 03 View PubMed Stern N, Punjani N, Brock G. Management of Patients With Normal Physical Exams and Ultrasound Evidence of Isolated Septal and Punctate Penile Scarring. Sex Med. 2021 Jun; 9 (3):100346 Epub 2021 May 30 View PubMed Punjani N, Wald G, Al-Hussein Alwamlh O, Feliciano M, Dudley V, Goldstein M. Optimal timing for repeat semen analysis during male infertility evaluation. F S Rep. 2021 Jun; 2 (2):172-175 Epub 2021 June 18 View PubMed Wald G, Punjani N, Hayden R, Feliciano M, Dudley V, Goldstein M. Assessing the clinical value of the Kruger strict morphology criteria over the World Health Organization fourth edition criteria. F S Rep. 2021 Jun; 2 (2):176-180 Epub 2021 Apr 19 View PubMed Punjani N, Andrusier M, Hayden R, Goldstein M. Home Testing Does Not Improve Post-Vasectomy Semen Analysis Compliance Urology Practice. 2021; 8(3):337-40. Patel DP, Punjani N, Guo J, Alukal JP, Li PS, Hotaling JM. The impact of SARS-CoV-2 and COVID-19 on male reproduction and men's health. Fertil Steril. 2021 Apr; 115 (4):813-823 Epub 2021 Jan 01 View PubMed Punjani N, Nascimento B, Salter C, Miranda E, Terrier J, Taniguchi H, Jenkins L, Mulhall JP. Predictors of Depression in Men With Peyronie's Disease Seeking Evaluation. J Sex Med. 2021 Apr; 18 (4):783-788 Epub 2021 Mar 10 View PubMed Kang C, Punjani N, Schlegel PN. Reproductive Chances of Men with Azoospermia Due to Spermatogenic Dysfunction. J Clin Med. 2021 Mar 31; 10 (7) View PubMed Punjani N, Kang C, Schlegel PN. Two Decades from the Introduction of Microdissection Testicular Sperm Extraction: How This Surgical Technique Has Improved the Management of NOA. J Clin Med. 2021 Mar 29; 10 (7) View PubMed Punjani N, Kang C, Lamb DJ, Schlegel PN. Current updates and future perspectives in the evaluation of azoospermia: A systematic review. Arab J Urol. 2021; 19 (3):206-214 Epub 2021 July 22 View PubMed Lewicki P, Arenas-Gallo C, Basourakos SP, Punjani N, Venkat S, Scherr DS, Hu JC, Shoag JE. Changes in Urologic Operative Practice at the Beginning of the COVID-19 Pandemic in a Large, National Cohort. Front Oncol. 2021; 11:684787 Epub 2021 May 07 View PubMed Ocampo JMF, Lavery JA, Huang Y, Paul D, Paniagua-Avila A, Punjani N. Student Perspectives From a COVID-19 Epicenter: Bridging Educational Training and Public Health Practice. Am J Public Health 2021 Jan; 111 (1):71-73 View PubMed Punjani N, Di Pierdomenico A, Goldenberg L, Brock G, Flannigan R. Men's health in Canada: A national survey of urologists. Can Urol Assoc J 2021 Jan; 15 (1):E70-E73 View PubMed Punjani N, Kang C, Schlegel PN. Clinical implications of Y chromosome microdeletions among infertile men. Best Pract Res Clin Endocrinol Metab. 2020 Dec; 34 (6):101471 Epub 2020 Nov 05 View PubMed Punjani N, Lamb DJ. Canary in the Coal Mine? Male Infertility as a Marker of Overall Health. Annu Rev Genet. 2020 Nov 23; 54:465-486 View PubMed Punjani N, Kang C, Lamb DJ. Genetic implications of male-reproductive-health-associated comorbidities. Turk J Urol. 2020 Oct 30 [Epub ahead of print] View PubMed Punjani N, Ha A, Caputo J, Wang V, Wiechmann L, Chiasson MA, Li P, Hotaling J, Walsh T, Alukal J. Outcome Disparities Among Men and Women With COVID-19: An Analysis of the New York City Population Cohort. J Drugs Dermatol. 2020 Oct 1; 19 (10):960-967 View PubMed Punjani N, Chan E, Chan G, Abed H, Campbell J, Brock G. Single perineal incision for artificial urinary sphincter: analysis of technique, outcomes, and experience. Transl Androl Urol. 2020 Oct; 9 (5):1912-1919 View PubMed Punjani N, Lamb DJ. Male infertility and genitourinary birth defects: there is more than meets the eye. Fertil Steril. 2020 Aug; 114 (2):209-218 View PubMed Kasabwala K, Flannigan R, Punjani N, Black N, Goldenberg L. Classifying health behaviors of Canadian men as requisite for making recommendations for targeted interventions The Health and Fitness Journal of Canada. 2020; 13(2):16-29. Clark R, Fan S, Navaratnam R, Punjani N, Power N. To clamp or not to clamp? Early venous and arterial vascular control improves blood loss in open radical prostatectomy Western University Medical Journal. 2020; 88(2):9-11. Punjani N, Nayan M, Jarvi K, Lo K, Lau S, Grober ED. The effect of ethnicity on semen analysis and hormones in the infertile patient. Can Urol Assoc J. 2020 Feb; 14 (2):31-35 Epub 2019 July 23 View PubMed Chan EP, Punjani N, Campbell JD, Abed H, Brock G. Indications for Penile Prosthesis Revision: Lessons Learned to Limit Technical Causes of Reoperation. J Sex Med. 2019 Sep; 16 (9):1444-1450 Epub 2019 July 11 View PubMed Punjani N, Flannigan R, Black N, Rachert J, Goldenberg L. Predictors of Unhealthy Alcohol Consumption Behavior in Canadian Men August 2019 International Journal of Men’s Social and Community Health. 2019; 2:1. Punjani N, McClure JA, Lanting B, Welk B. Is there an increased risk of an infected prosthetic joint after cystoscopy or transurethral prostatectomy? Can Urol Assoc J 2019 Jun; 13 (6):209-211 View PubMed Flannigan RK, Oliffe JL, McCreary DR, Punjani N, Kasabwala K, Black N, Rachert J, Goldenberg LS. Composite health behaviour classifier as the basis for targeted interventions and global comparisons in men's health. Can Urol Assoc J. 2019 Apr; 13 (4):125-132 Epub 2018 Sept 27 View PubMed Nayan M, Punjani N, Juurlink DN, Finelli A, Austin PC, Kulkarni GS, Uleryk E, Hamilton RJ. Metformin Use and Kidney Cancer Survival Outcomes: A Systematic Review and Meta-Analysis. Am J Clin Oncol. 2019 Mar; 42 (3):275-284 View PubMed Williams HA, Punjani N, Khan O, Power NE. The oncological outcomes of small cell carcinoma of the bladder. Can Urol Assoc J. 2018 Dec 3; 260-265 Epub 2018 Dec 03 View PubMed Punjani N, McGarry P, Brock G. Successful Use of an Inflatable Penile Prosthesis for the Treatment of Distal Deficiency of the Tunica Albuginea and Cavernous Tissue. Sex Med. 2018 Dec; 6 (4):356-359 Epub 2018 Aug 02 View PubMed Leao R, Nayan M, Punjani N, Jewett MAS, Fadaak K, Garisto J, Lewin J, Atenafu EG, Sweet J, Anson-Cartwright L, Bostrom P, Chung P, Warde P, Bedard PL, Bagrodia A, Freifeld Y, Power N, Winquist E, Hamilton RJ. A New Model to Predict Benign Histology in Residual Retroperitoneal Masses After Chemotherapy in Nonseminoma. Eur Urol Focus. 2018 Dec; 4 (6):995-1001 Epub 2018 Feb 07 View PubMed Punjani N, Flannigan R, Oliffe JL, McCreary DR, Black N, Goldenberg SL. Unhealthy Behaviors Among Canadian Men Are Predictors of Comorbidities: Implications for Clinical Practice. Am J Mens Health. 2018 Nov; 12 (6):2183-2193 Epub 2018 Sept 15 View PubMed Punjani N, Lanting B, McClure JA, Winick-Ng J, Welk B. The Impact of Common Urologic Complications on the Risk of a Periprosthetic Joint Infection. J Bone Joint Surg Am. 2018 Sep 5; 100 (17):1517-1523 View PubMed Punjani N, Stern N, Brock G. Characterization of Septal and Punctate Scarring in Peyronie's Disease. Urology. 2018 Aug; 118:87-91 Epub 2018 May 22 View PubMed Nayan M, Punjani N, Grober E, Lo K, Jarvi K. The use of assisted reproductive technology before male factor infertility evaluation. Transl Androl Urol. 2018 Aug; 7 (4):678-685 View PubMed Gan AML, Plantinga P, Punjani N, Hussey A, Power N. Images - Well-differentiated papillary mesothelioma of the tunica vaginalis. Can Urol Assoc J. 2018 May 14 [Epub ahead of print] View PubMed Punjani N, Clark R, Izawa J, Chin J, Pautler SE, Power N. The impact of patient-, disease-, and treatment-related factors on survival in patients with adrenocortical carcinoma. Can Urol Assoc J. 2018 Apr; 12 (4):98-103 Epub 2017 Dec 22 View PubMed Nguyen LN, Head L, Witiuk K, Punjani N, Mallick R, Cnossen S, Fergusson DA, Cagiannos I, Lavallee LT, Morash C, Breau RH. The Risks and Benefits of Cavernous Neurovascular Bundle Sparing during Radical Prostatectomy: A Systematic Review and Meta-Analysis. J Urol. 2017 Oct; 198 (4):760-769 Epub 2017 Mar 09 View PubMed Dadgostar A, Bigder M, Punjani N, Lozo S, Chahal V, Kavanagh A. Does preoperative depression predict post-operative surgical pain: A systematic review. Int J Surg. 2017 May; 41:162-173 Epub 2017 Mar 27 View PubMed Punjani N, Winick-Ng J, Welk B. Postoperative Urinary Retention and Urinary Tract Infections Predict Midurethral Sling Mesh Complications. Urology. 2017 Jan; 99:42-48 Epub 2016 Oct 20 View PubMed Nayan M, Punjani N, Juurlink DN, Finelli A, Austin PC, Kulkarni GS, Uleryk E, Hamilton RJ. Statin use and kidney cancer survival outcomes: A systematic review and meta-analysis. Cancer Treat Rev. 2017 Jan; 52:105-116 Epub 2016 Nov 27 View PubMed Punjani N, Power N, Vanhie JJ, Winquist E. Validation of a prediction model for avoiding post-chemotherapy retroperitoneal lymphadenectomy in patients with metastatic nonseminomatous germ cell cancer. Can Urol Assoc J. 2016 Aug; 10 (7-8):260-263 View PubMed Punjani N, Power N, Winquist E. Re: Yvonne Vergouwe, Ewout W. Steyerberg, Richard S. Foster, et al. Predicting Retroperitoneal Histology in Postchemotherapy Testicular Germ Cell Cancer: A Model Update and Multicentre Validation with More Than 1000 Patients. Eur Urol 2007;51:424-32. Eur Urol 2016 Aug; 70 (2):e43-4 Epub 2015 Dec 22 View PubMed Punjani N, Winquist E, Power N. Do retroperitoneal extragonadal germ cell tumours exist? Can Urol Assoc J. 2015 Nov-Dec; 9 (11-12):381-4 Epub 2015 Dec 14 View PubMed Breau RH, Kokolo MB, Punjani N, Cagiannos I, Beck A, Niznick N, Buenaventura C, Cowan J, Knoll G, Momoli F, Morash C, Ruzicka M, Schachkina S, Tinmouth A, Xie HY, Fergusson DA. The effects of lysine analogs during pelvic surgery: a systematic review and meta-analysis. Transfus Med Rev. 2014 Jul; 28 (3):145-55 Epub 2014 May 18 View PubMed Punjani N, Lavallee LT, Momoli F, Fergusson D, Witiuk K, Mallick R, Morash C, Cagiannos I, Breau RH. Blood transfusion and hemostatic agents used during radical cystectomy. Can Urol Assoc J. 2013 May-Jun; 7 (5-6):E275-80 View PubMed von Roretz C, Lian XJ, Macri AM, Punjani N, Clair E, Drouin O, Dormoy-Raclet V, Ma JF, Gallouzi IE. Apoptotic-induced cleavage shifts HuR from being a promoter of survival to an activator of caspase-mediated apoptosis. Cell Death Differ. 2013 Jan; 20 (1):154-68 Epub 2012 Sept 07 View PubMed PST-20536910 Home Publications