Open Access

EDITORIAL

Laurence H. Klotz
Canadian Journal of Urology, Vol.11, No.2, pp. 2169-2170, 2004
Abstract This article has no abstract. More >

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ARTICLE

Ed Tse, Russell Knaus
Canadian Journal of Urology, Vol.11, No.2, pp. 2172-2185, 2004
Abstract Purpose: Since Guillonneau and Vallancien reintroduced transperitoneal laparoscopic radical prostatectomy in 1998, several other medical institutions in Europe have published their series and confirmed that laparoscopic radical prostatectomy (LRP) is a feasible and reproducible approach to the management of clinically localized prostate cancer; however, there have been few reports from North American medical institutions. We now report the results of our first 200 consecutive cases of LRP in a Canadian Medical Institution.
Materials and method: From February 2000 until April 2003, laparoscopic radical prostatectomy was performed on 200 out of 205 surgical candidates for radical prostatectomy. There… More >

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ARTICLE

J. Curtis Nickel¹, Fred Saad²
Canadian Journal of Urology, Vol.11, No.2, pp. 2186-2193, 2004
Abstract The 2003 American Urological Association (AUA) guideline on management of benign prostatic hyperplasia (BPH) was released at the AUA annual meeting in Chicago, April 2003 and the diagnosis and treatment recommendations were published later in 2003. It is likely that the 2003 AUA guideline on the management of BPH will have a profound effect on clinical urologic practice in the USA, but its influence on Canadian urological practice will be different because of our socialized medical system, manpower issues, availability of expensive technology and our unique Canadian perspective. The authors review the 2003 AUA guideline More >

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ARTICLE

Scott Bagnell¹, Richard Choo^1,2, Laurence H. Klotz^1,2, Suman Chaterjee¹
Canadian Journal of Urology, Vol.11, No.2, pp. 2194-2199, 2004
Abstract Objective: To evaluate the practice patterns of Canadian urologists in the management of stage I testicular seminoma.
Methods: A survey was conducted with a three-page questionnaire among Canadian urologists between July and November 2002.
Results: The overall response rate was 48%. The total number of completed and partially completed questionnaires was 198 and 212, respectively. Ninety-four responders described their practice as university-affiliated teaching centre, while 118 reported community-based or private practice. All ordered CT abdomen/pelvis with either chest x-ray or CT scan of chest for staging investigation. Only 1% would order a lymphangiogram. About one third would not… More >

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ARTICLE

F. Dunet¹, Ch. Pfister¹, M. Deghmani², Y. Meunier², G. Demeilliers-Pfister², Ph. Grise¹
Canadian Journal of Urology, Vol.11, No.2, pp. 2200-2204, 2004
Abstract Objectives: Improvement of radical prostatectomy surgical technique remains an objective for urological practice. The aim of this study was to evaluate the potential benefit of intra and postoperative epidural versus general anesthesia alone.
Material and methods: The authors retrospectively analyzed 62 consecutive cases of patients who underwent radical retropubic prostatectomy over a 2-year period. The mean age was 65.5 years (51-75). Two groups were selected: group I = 19 patients, who received epidural anesthesia in association with general anesthesia and group II = 43 patients with general anesthesia alone. Both groups were similar for ASA score, Body… More >

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CASE REPORT

Mark A. Lomaga¹, Charles Hayter²
Canadian Journal of Urology, Vol.11, No.2, pp. 2205-2206, 2004
Abstract We report a case of a 73 year-old male diagnosed with T1 N0 M0 prostate cancer, Gleason score 7, undergoing a course of radical radiotherapy using 7600 cGY delivered in 38 fractions. Several hours after receiving his 27th fraction, he reported experiencing a painful penile erection lasting more than 6 hours. A history and several investigations were conducted to determine the etiology of this adverse event. Although several possible etiologies were considered, the two most likely possibilities were direct prostate-irradiation and/or his use of alfuzosin, a novel alpha 1-adrenergic antagonist. A literature search revealed one More >

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HOW I DO IT

J. Paul Whelan, Joshua D. Wiesenthal
Canadian Journal of Urology, Vol.11, No.2, pp. 2207-2209, 2004
Abstract Laparoscopic pyeloplasty is rapidly becoming the gold standard in the repair of adults with uretero-pelvic junction obstruction. Renal calculi are a recognized complication of uretero-pelvic junction obstruction and their presence has often been used to justify percutaneous nephrolithotomy and endopyelotomy as primary treatment. Stones developing secondary to uretero-pelvic junction obstruction have been removed through simultaneous laparoscopic pyeloplasty and pyelolithotomy, but with rigid laparoscopic instruments access is limited to the renal pelvis. As exemplified within this report, endourologic techniques such as flexible ureteroscopy can be combined with laparoscopic pyeloplasty to deal with complex stone disease and More >

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RESIDENT’S CORNER

Jeff Warren, John G. Pike, Michael P. Leonard
Canadian Journal of Urology, Vol.11, No.2, pp. 2210-2215, 2004
Abstract Introduction: Posterior urethral valves (PUV) are the most common cause of male pediatric obstructive uropathy. Recent advancements in antenatal ultrasound and endoscopy have altered the presentation and management of PUV. Herein we describe the presentation, management and outcome of PUV patients in Eastern Ontario/Western Quebec over the last 3 decades. A comparison analysis of those cases identified pre and post widespread utilization of antenatal ultrasound diagnosis was performed to discern the clinical evolution of PUV with respect to long-term outcome.
Methods: Retrospective systematic chart review of all PUV cases diagnosed and treated at the Children's Hospital of… More >

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RESIDENT’S CORNER

Robert Sabbagh, Michael Mc Cormack, François Péloquin, Raymond Faucher, Jean-Paul Perreault, Paul Perrotte, Pierre I. Karakiewicz, Fred Saad
Canadian Journal of Urology, Vol.11, No.2, pp. 2216-2219, 2004
Abstract Purpose: To compare the incidence of infection between a 1 day and a 3 day antibiotic prophylaxis regimen for transrectal ultrasound (TRUS) guided prostate biopsy in a prospective, randomized open-label trial.
Materials and methods: TRUS examination was performed in the left lateral decubitus position using a Brüel and Kjaer 7 MHz rectal probe. Biopsies were carried out with an 18 gauge Tru-cut needle fired by the hand-held Biopsy gun. An average of eight core biopsies (range 6 to 12) was taken. From May 15, 2000 to May 16, 2001, 363 patients were enrolled in this study. Patients… More >

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RESIDENT’S CORNER

O. Nazif, A. E. MacNeily
Canadian Journal of Urology, Vol.11, No.2, pp. 2220-2222, 2004
Abstract Bladder agenesis is an extremely rare congenital anomaly. We report a case of bladder agenesis in a newborn girl with a prolapsing ectopic ureter and solitary dysplastic kidney. The classification of this disorder and the management of this patient are reviewed. More >

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RESIDENT’S CORNER

Peter D. Metcalfe¹, Rekha Gupta², Richard W. Norman¹
Canadian Journal of Urology, Vol.11, No.2, pp. 2223-2225, 2004
Abstract We report a 75-year old woman with clinical, laboratory and imaging characteristics suggestive of a malignant left adrenal pheochromocytoma with invasion of the tail of the pancreas. The mass involving the tail of the pancreas and the left adrenal was excised Detailed histological diagnosis revealed that the lesion was a rare exocrine tumor of the pancreas. More >

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