• Afshar, Kourosh


    Investigator, BC Children's Hospital
    Associate Professor, Department of Urologic Sciences, UBC
    Associate Chief of Surgery, BC Children's Hospital
    Co-lead, Clinical Practice, Outcomes and Innovation, BC Children's Hospital

    Degrees / Designations
    MD, MHSc (clin.Epi), FRCSC
    Primary Area of Research
    Evidence to Innovation
    Secondary Area(s) of Research
    Lab Phone
    Maria Chaperon
    Assistant Phone
    Mailing Address

    BC Children's Hospital
    Room KO-134
    4480 Oak Street
    Vancouver, BC V6H 3V4

    Affiliate Websites
    Research Areas
    • Clinical trials
    • Innovative use of advanced technology in surgery
    • Clinimetrics
    • Pediatric renal transplant
    • Bladder dysfunction and neurogenic bladder
    • Surgical safety and quality of care

    I am a pediatric urologists and clinical epidemiologist. My focus is evidence based clinical research in field of pediatric urology and surgical safety.

    Current Projects
    1. Afshar K, Shadgan B, Nigro M: Use of NIRS in diagnosis of Testicular Torsion
    2. Afshar K: Metanalysis of varicocelectomy in children
    3. Afshar K, Skarsgard E: Use of WHO Z score to predict post surgical complications:
    4. Afshar K., MacNeily A., Fazeli MS: Effect of Diaphragmatic breathing on Bladder and Bowel Dysfunction.: A pilot randomized Controlled trial
    5. Afshar K, Locke J; Toilet training and antenatal hydronephrosis 
    6. Afshar K, L. Stothers, A.McNabb: Use of Near Infra-Red Spectroscopy in pediatric lower urinary tact: Development of Objective Criteria 
    Selected Publications

    Steinbok P, MacNeily AE, Hengel AR, Afshar K, Landgraf JM, Hader W, Pugh J. Filum Section for Urinary Incontinence in Children with Occult Tethered Cord Syndrome: A Randomized, Controlled Pilot Study. J Urol. 2016 Apr;195(4 Pt 2):1183-8. doi: 10.1016/j.juro.2015.09.082. Epub 2016 Feb 28. PubMed PMID: 26926544.

    Fazeli MS, Collet JP, MacNeily AE, Afshar K. Cardiac Autonomic Nervous System Activity in Children with Bladder and Bowel Dysfunction. J Urol. 2016 Apr;195(4 Pt 2):1245-9. doi: 10.1016/j.juro.2015.11.020. Epub 2016 Feb 28. PubMed PMID: 26926551.

    Afshar K, Jafari S, Marks AJ, Eftekhari A, MacNeily AE. Nonsteroidal anti-inflammatory drugs (NSAIDs) and non-opioids for acute renal colic. Cochrane Database Syst Rev. 2015 Jun 29;6:CD006027. doi: 10.1002/14651858.CD006027.pub2. PubMed PMID: 26120804.

    Kiddoo D, Sawatzky B, Bascu CD, Dharamsi N, Afshar K, Moore KN. Randomized Crossover Trial of Single Use Hydrophilic Coated vs Multiple Use Polyvinylchloride Catheters for Intermittent Catheterization to Determine Incidence of Urinary Infection. J Urol. 2015 Jul;194(1):174-9. doi: 10.1016/j.juro.2014.12.096. Epub 2015 Jan 10. PubMed PMID: 25584995. 

    Metcalfe MJ, Afshar K, So AI, Jones EC, Gilks BC, Black PC. A standardized protocol for identifying and counting lymph nodes harvested by pelvic lymph node dissection at the time of radical cystectomy. Can Urol Assoc J. 2015 Sep-Oct;9(9-10):337-42. doi: 10.5489/cuaj.2796. PubMed PMID: 26644808; PubMed Central PMCID: PMC4662397.

    Fazeli MS, Lin Y, Nikoo N, Jaggumantri S, Collet JP, Afshar K. Biofeedback for Nonneuropathic Daytime Voiding Disorders in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Urol. 2014 Jul 27. pii: S0022- 5347(14)04048-8. doi: 10.1016/j.juro.2014.07.097. [Epub ahead of print]

    Skarsgard ED, Bedford J, Chan T, Whyte S, Afshar K. ACS national surgical quality improvement program: targeting quality improvement in Canadian  pediatric surgery. J Pediatr Surg. 2014 May; 49(5):682-7. doi: 10.1016/j.jpedsurg.2014.02.047. Epub 2014 Feb 22.

    Hoag NA, MacNeily AE, Abdi H, Figueroa V, Afshar K. VURD syndrome--does it really preserve long-term renal function? J Urol. 2014 May; 191 (5 Suppl):1523-6. doi: 10.1016/j.juro.2013.09.062. Epub 2014 Mar 26.

    Kajbafzadeh AM, Sabetkish S, Tourchi A, Amirizadeh N, Afshar K, Abolghasemi H, Elmi A, Talab SS, Eshghi P, Mohseni MJ. The application of tissue-engineered preputial matrix and fibrin sealant for urethral reconstruction in rabbit model. Int Urol Nephrol. 2014 Aug;46(8):1573-80. doi: 10.1007/s11255-014-0684-3. Epub 2014 Mar 12.

    Yong M, Afshar K, Macneily A, Arneja JS. Management of pediatric penile keloid. Can Urol Assoc J. 2013 Sep-Oct;7(9-10):E618-20.  doi: 10.5489/cuaj.408.

    Zhu J, Hoag NA, Gustafson P, Afshar K, Macneily AE. Pediatric bladder neuroblastoma: Case report and literature review. Can Urol Assoc J. 2013  Sep-Oct; 7(9-10):E609-11. doi: 10.5489/cuaj.183.

    Robinson M, Macneily A, Afshar K, McInnes C, Lennox P, Carr N, Skarlicki D, Masterson J,  Arneja J.    Leadership in Canadian urology: what is the right stuff? J Surg Educ. 2013 Sep-Oct;70(5):606- 12. doi: .1016/j.jsurg.2013.04.013. Epub 2013 May 31.

    Hoag NA, Afshar K, Youssef D, Masterson JS, Murphy J, Macneily AE. Cystic intratesticular lesions in pediatric patients.  J Pediatr Surg. 2013 Aug;48(8):1773-7. doi: 10.1016/j.jpedsurg.2012.10.049. 

    Tran H, Kavanagh A, Steinbok P, Afshar K: Pelvic dural ectasia leading to bilateral ureteric obstruction in the pediatric patient. Can Urol Assoc J. 2013 Jan-Feb;7(1-2):E115-7. doi: 10.5489/cuaj.251.

    Kavanagh A, Afshar K, Scott H, MacNeily AE.  Bladder neck closure in conjunction with      enterocystoplasty and Mitrofanoff diversion for complex incontinence: closing the door for good. J Urol. 2012 Oct;188(4 Suppl):1561-5. doi: 10.1016/j.juro.2012.02.027. Epub 2012 Aug 19.

    Hennessey KK, Williams AR, Afshar K, Macneily AE.: Duplicate publications: A sample of redundancy in the Journal of Urology. Can Urol Assoc J. 2012 Jun;6(3):177-80. doi: 10.5489/cuaj.11265. . co- design, Data collection, analysis and co-writing the manuscript.

    Jafari S, Buxton JA, Afshar K, Copes R, Baharlou S Tattooing and risk of hepatitis B: a systematic review and meta-analysis. Can J Public Health. 2012 May-Jun;103(3):207-12. co- design, Data collection, analysis and co-writing the manuscript.

    Metcalfe CB, Macneily AE, Afshar K.: Reliability assessment of international grading system for vesicoureteral reflux. J Urol. 2012 Oct;188(4 Suppl):1490-2. doi: 10.1016/j.juro.2012.02.015. Epub 2012 Aug 18.  Design, Data collection, analysis and co-writing the manuscript.

    Hoag NA, Mamut A, Afshar K, Amling C, Mickelson JJ, Macneily AE.: Trends in urology   resident exposure to minimally invasive surgery for index procedures: a tale of two countries. J Surg Educ. 2012 Sep-Oct;69(5):670-5. doi: 10.1016/j.jsurg.2012.04.007. Epub 2012 May 9. Co-design, Data collection, analysis and co-writing the manuscript.

    Afshar K, Stothers L, Scott H, MacNeily AE.: Cranberry juice for the prevention of pediatric urinary tract infection: a randomized controlled trial. J Urol. 2012 Oct;188(4 Suppl):1584-7. doi: 10.1016/j.juro.2012.02.031. Epub 2012 Aug 19. Co-design, Data collection, analysis and co-writing the manuscript.

    Abughosh Z, Margolick J, Goldenberg SL, Taylor SA, Afshar K, Lange D, Bowie WR, Roscoe D, Machan L, Black PC. A Prospective Randomized Trial of Povidone-Iodine Prophylactic Cleansing of the Rectum Prior to Transrectal Ultrasound-Guided Prostate Biopsy. J Urol. 2012 Oct 2. pii: S0022-5347(12)05130-0. doi: 10.1016/j.juro.2012.09.121.   Co-design, Data collection, analysis and co-writing the manuscript.

    Macnab AJ, Shadgan B, Stothers L, Afshar K.: Ambulant monitoring of bladder oxygenation and hemodynamics using wireless near-infrared spectroscopy., Can Urol Assoc J. 2012 Jan 24:1-7. doi: 10.5489/cuaj.11060. co- design, Data collection, analysis and co-writing the manuscript

    Honours & Awards

    Awards for Teaching:

    Department of Urologic Sciences Undergraduate Teacher of the Year  2014-15 

    Department of Urologic Sciences Undergraduate Teacher of the Year  2009-10

    Department of Urologic Sciences 2009 Merit award

    Awards for Scholarship:

    First prize: American Urological Association / Society for Pediatric Urology 2015 : Treatment Of Persistent Urinary Incontinence In Children With Possible Occult Tethered Cord Syndrome With Section Of The Filum Terminale: A Randomized Controlled Pilot Study 

    Best reviewer Award Journal of Urology, American Urological Association 2015

    Best reviewer Award Journal of Urology, American Urological Association 2013

    First Prize, Clinical Research Poster, Canadian Association of Pediatric Health Centers, Oct. 2012

    STELLA Award for Advanced Surgical Learning BC Children’s Hospital 2009

    First Prize for Clinical Paper, American Academy of Pediatric, Section on Urology Boston, MA 2008 (Most Prestigious Clinical Award in Pediatric Urology)

    2008 Canadian Urological Association Essay Prize: Hennessey K, Afshar K, MacNeily A: Top 100 Cited Urology Papers 

    2008 WAFMR/WSCI Subspecialty Award: Chew B, Masson R, Afshar K: Is ESWL associated with development of Diabetes Mellitus? 

    STELLA Award for advanced surgical learning: Department of Pediatric Surgery BCCH, Nov.2007

    Dietary Interventions in Hypercalciuria: Best Paper Award Northwest Urological Society, Spokane, WA 2006

    Randomized Clinical Trials in Pediatric Urology: Room for Improvement: Best Paper Award Northwest Urological Society, Portland, Oregon Dec 2005

    Canadian Urological Association Scholarship (June 2004)

    Robson Award for Best Basic Science Research, University of Toronto (2004)

    M. Etminan Award of Clinical Epidemiology, University of Toronto

    First Rank in National Examination for Senior Urology Residents of Canada, QUEST, London, ON (2002)

    Northwest Urological Society Conqueror Award, Vancouver, BC (2001).

    Northwest Urological Society Award For Excellent Paper Presentation, Seattle, WA (2000)

    American Urological Association In Service Examination: Ranked 100% (1998) & 96% (2001)

    Iranian Ministry of Health Award for Outstanding Graduating Specialist (1995)

    Tehran University Award and Scholarship for “Top 3%” Graduates (1991)

    Research Group Members
    Dr. S. Jaffari – Research assistant
    Dr. S. Welk – Urology resident
    Dr. J. Michelson – Urology resident
    Dr. M. Sakhshi – Research assistant