Home / Journals / CJU / Vol.10, No.3, 2003
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  • Open AccessOpen Access

    EDITORIAL

    Timely access to cancer surgery

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

  • Open AccessOpen Access

    ARTICLE

    Small renal tumors: natural history, observation strategies and emerging modalities of energy based tumor ablation

    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 >

  • Open AccessOpen Access

    ARTICLE

    Trends in the incidence of bladder cancer in Nova Scotia: a twenty-year perspective

    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 >

  • Open AccessOpen Access

    ARTICLE

    Implementation of a PDA based program to quantify Urology resident in-training experience

    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 >

  • Open AccessOpen Access

    ARTICLE

    Delay in surgical therapy for clinically localized prostate cancer and biochemical recurrence after radical prostatectomy

    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 >

  • Open AccessOpen Access

    ARTICLE

    Malignancy in horseshoe kidneys: review and discussion of surgical implications

    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 >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Gone in 24 hours: the feasibility of performing pubovaginal sling surgery with an overnight hospital stay

    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 >

  • Open AccessOpen Access

    CASE REPORT

    Urinary ascites secondary to forniceal rupture in a child with the Prune Belly Syndrome

    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 >

  • Open AccessOpen Access

    CASE REPORT

    Herpes zoster infection: a rare cause of acute urinary retention

    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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