Open Access

EDITORIAL

Laurence H. Klotz
Canadian Journal of Urology, Vol.10, No.3, pp. 1819-1820, 2003
Abstract This article has no abstract. More >

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Open Access

ARTICLE

Ithaar H. Derweesh, Andrew C. Novick
Canadian Journal of Urology, Vol.10, No.3, pp. 1871-1879, 2003
Abstract ith further advances in the technology of non-invasive imaging modalities as well as their utilization, diagnosis of incidental renal tumors has increased considerably. A large proportion of these renal tumors have been small (<4 cm) masses, for which nephron sparing surgery has been proven to be effective for. The trend toward minimally invasive options in the management of renal tumors has prompted interest in energy-based ablation techniques as a possible alternative to radical or partial nephrectomy in select patients. This article will review the natural history of small renal neoplasms and the emerging modalities of More >

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Open Access

ARTICLE

R. A. McLellan, C. G. French, D. G. Bell
Canadian Journal of Urology, Vol.10, No.3, pp. 1880-1884, 2003
Abstract Introduction: Bladder cancer is the most common malignant tumor of the urinary system. Tobacco smoking has been implicated as a major risk factor for the development of bladder cancer and Nova Scotia has some of the highest smoking rates in Canada. We examined trends in the incidence of bladder cancer in Nova Scotia between 1980 and 1999.
Materials and methods: Data on incident cases of bladder cancer diagnosed in Nova Scotia over a twenty-year period (1980–1999) were obtained from the Nova Scotia Cancer Registry. The age-standardized incidence and mortality due to bladder cancer was calculated for both… More >

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ARTICLE

Andrew E. MacNeily, Chris Nguan, Kent Haden, S. Larry Goldenberg
Canadian Journal of Urology, Vol.10, No.3, pp. 1885-1890, 2003
Abstract Introduction: There currently is no simple and reliable mechanism for Residency program directors to assess how well their trainees are being exposed to all spheres of their specialty. We report on the use of hand-held personal digital assistants (PDAs) to document all clinical and academic activities of urology residents at one academic institution.
Materials and methods: Software was developed to create customized pick lists allowing residents to record all activities on their individual PDAs. Categories included Adult Ambulatory, Pediatric Ambulatory, Adult Operative, Pediatric Operative, and Academic. Activities were subcategorized into detailed pick lists and time-tracking fields. Residents… More >

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ARTICLE

Robert K. Nam¹, Michael A. S. Jewett¹, Murray D. Krahn², Michael A. Robinette¹, John Tsihlias¹, Ants Toi³, Minnie Ho¹, Andrew Evans⁴, Joan Sweet⁴, John Trachtenberg¹
Canadian Journal of Urology, Vol.10, No.3, pp. 1891-1898, 2003
Abstract Background: In Canada, waiting times for cancer care have been increasing, particularly for patients with genitourinary malignancies. We examined whether delay from diagnosis for patients undergoing surgery for clinically localized prostate cancer affects cancer cure rates.
Methods: We conducted a historical cohort study among 645 patients who underwent radical prostatectomy between 1987 and 1997, using biochemical recurrence (PSA elevation) and metastasis as endpoints. We examined whether patients who underwent surgery ≥3 months (delayed surgery group) from the date of diagnosis had reduced recurrence-free survival, compared to patients who had surgery <3 months (early surgery group) from the… More >

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ARTICLE

L. Fazio, H. Razvi, J. L. Chin
Canadian Journal of Urology, Vol.10, No.3, pp. 1899-1904, 2003
Abstract Objective: Horseshoe kidney is one of the most common congenital anomalies of renal structure. Not infrequently, surgical management of both benign and malignant disorders is required in patients with horseshoe kidney due to the susceptibility to certain conditions. The literature suggests a greater proclivity to certain renal tumors with this anomaly. We present three cases of malignancy in horseshoe kidneys. The unique technical challenges presented by these cases and the surgical approaches are discussed.
Methods: Three patients with tumors involving horseshoe kidneys are reviewed and their management discussed.
Results: Two patients were found to have renal cell carcinoma… More >

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RESIDENT’S CORNER

Todd M. Webster, Ronald G. Gerridzen
Canadian Journal of Urology, Vol.10, No.3, pp. 1905-1909, 2003
Abstract Introduction: Numerous management strategies are available for stress urinary incontinence, a significant problem for many women. The pubovaginal sling (PVS) with rectus fascia has proven efficacy with minimal morbidity. Historically, patients were admitted for an average of 4 days at the Ottawa Hospital. Since November 2001, patients have spent one night in hospital thereby cutting their total length of stay to less than 24 hours. This study assesses the feasibility of this approach.
Materials and methods: Ethics approval was obtained. All patient charts were reviewed retrospectively. Exclusion criteria included women booked for combined procedures or patient refusal.… More >

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CASE REPORT

Daniel J. Caruso, Murali K. Ankem, John Riordan, Joseph G. Barone
Canadian Journal of Urology, Vol.10, No.3, pp. 1910-1911, 2003
Abstract Prune Belly Syndrome developed urinary ascites secondary to forniceal rupture. Treatment consisted of bilateral cutaneous pyelostomies. Even though most children with Prune Belly Syndrome respond to lower urinary tract drainage, a cutaneous pyelostomy may be necessary when the ureters are tortuous and do not drain adequately following bladder decompression. More >

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CASE REPORT

Jonathan E. Chan, Anil Kapoor
Canadian Journal of Urology, Vol.10, No.3, pp. 1912-1913, 2003
Abstract Herpes zoster (HZ) infection has been reported as a rare cause of acute urinary retention. HZ infection involving sacral, thoracolumbar, and rarely high thoracic dermatomes is believed to occasionally cause motor and sensory neuropathy of the bladder. This is specifically achieved by the interruption of the detrusor reflex causing subsequent bladder atonia. As the course and management of this entity is quite benign, HZ should remain a diagnostic consideration in the management of urinary retention. We report a case of acute urinary retention of approximately 2.5 liters associated with HZ infection and review the proposed More >

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