Open Access

EDITORIAL

Laurence H. Klotz
Canadian Journal of Urology, Vol.12, No.2, pp. 2564-2565, 2005
Abstract This article has no abstract. More >

View

43

Download

36

Open Access

ARTICLE

D. Robert Siemens¹, Karleen M. Schulze², William J. Mackillop², Michael D. Brundage², Patti A. Groome²
Canadian Journal of Urology, Vol.12, No.2, pp. 2568-2574, 2005
Abstract Introduction and objective: Despite the high incidence of prostate cancer in Canada, there is currently limited information describing how these patients are being managed. The aim of this study was to review the surgical waiting times for radical prostatectomy in Ontario, utilizing existing population-based cancer databases, and to describe factors associated with prolonged waiting times.
Methods: This is a retrospective, population-based, observational study of men diagnosed with prostate cancer in Ontario between 1980 and 2000. The sources of data include the Ontario Cancer Registry linked to hospital discharge data, as well as census data from Statistics Canada.… More >

View

33

Download

26

Open Access

ARTICLE

D. Scott Ernst¹, Penny Brasher², Peter M. Venner³, Piotr Czaykowski⁴, Malcolm J. Moore⁵, Leonard Reyno⁶, Eric Winquist¹, Roanne Segal⁷, Desiree Hao⁸
Canadian Journal of Urology, Vol.12, No.2, pp. 2575-2580, 2005
Abstract Objective: We evaluate the impact of surveillance programs on the outcome of men with clinical stage 1 NSGCT following orchidectomy.
Patients and methods: A retrospective review of 197 patients with a minimum of 2 years follow-up at seven cancer centres was conducted. Histological characteristics of the primary tumor were recorded for each patient. Surveillance protocols consisted of clinical assessments, chest X-rays, serum beta HCG (βHCG), alpha fetoprotein (αFP), and abdominopelvic CT. All clinic visits and test completions were tracked. In accordance with each centre's specific surveillance protocol, patient compliance was defined as missing no more than two assessments/year.
… More >

View

40

Download

27

Open Access

ARTICLE

H. Schulte-Baukloh, F. Thalau, B. Stürzebecher, H. H. Knispel
Canadian Journal of Urology, Vol.12, No.2, pp. 2581-2587, 2005
Abstract Objective: The opponents of the In-Tac™ bone anchor system note the risk of a high rate of wound infection and osteitis pubis. We evaluated whether there is a difference in the outcome of the use of two different sling materials – polyethylene and fascia lata – with regard to wound infection, and analyzed the incidence of osteitis pubis further in a larger series.
Material and methods: A total of 61 women (mean age = 65.4 years) were treated for stress urinary incontinence (SUI) type II and III using the In-Tac™ bone anchor system. In 15 of 61… More >

View

41

Download

29

Open Access

ARTICLE

Pierre I Karakiewicz, Jean-Baptiste Lattouf, Paul Perrotte, Luc Valiquette, François Bénard, Michael McCormack, Catherine Ménard, Thierry Lebeau, Serge Benayoun, Alvaro Ramirez, Simon Ouaknine, Fred Saad
Canadian Journal of Urology, Vol.12, No.2, pp. 2588-2592, 2005
Abstract Objective: The accuracy of 1997 Partin Tables' lymph node invasion (LNI) predictions exhibits important variability in different testing populations. We explored the LNI predictive accuracy in radical prostatectomy (RP) patients from Montreal, Canada. Moreover, we assessed the extent of change in predictive accuracy related to a modification of PSA coding from categorical to continuous.
Methods: We used pretreatment serum PSA, clinical stage, and biopsy Gleason sum from 537 men treated with RP to compare predicted and observed rates of LNI. Accuracy was quantified with receiver-operating characteristics curves.
Results: Accuracy was 0.760 in 369 evaluable patients, when categorically coded More >

View

41

Download

32

Open Access

ARTICLE

Tom Pickles¹, S. Larry Goldenberg², Gary Steinhoff¹
Canadian Journal of Urology, Vol.12, No.2, pp. 2593-2597, 2005
Abstract Introduction and objective: High-Intensity Focused Ultrasound (HIFU) is a technology that has moved from being used for benign prostate disease to the treatment of prostate cancer. A technology review was undertaken to guide patients and physicians as to its suitability.
Method: An evidence-based review of published papers in the English language, with additional material from internet and other sources.
Results and conclusions: Only case series have been published; there are no randomized studies. The quality of evidence is poor, with no reports having longer follow-up than a mean of 2 years, with median follow-ups substantially shorter. Efficacy outcomes are More >

View

36

Download

28

Open Access

RESIDENT’S CORNER

Thomas B. McGregor¹, John G. Pike², Michael P. Leonard²
Canadian Journal of Urology, Vol.12, No.2, pp. 2598-2602, 2005
Abstract Introduction: Phimosis is defined as the inability to retract the foreskin. Differentiating between physiological phimosis and pathological phimosis is important, as the former is managed conservatively and the latter requires surgical intervention. Referrals of patients with physiological phimosis to urology clinics may create anxiety regarding the need for surgery amongst patients and parents, while unnecessarily expanding the waiting list for specialty assessment.
Objectives: To determine the ability of referring physicians to differentiate physiological from pathological phimosis, and to see whether there is any difference in this ability between generalists versus specialists.
Materials and methods: A retrospective chart review… More >

View

45

Download

27

Open Access

RESIDENT’S CORNER

Chiu Yen M. Chang¹, Ken Reddy², Katherine Chorneyko³, Anil Kapoor¹
Canadian Journal of Urology, Vol.12, No.2, pp. 2603-2606, 2005
Abstract Primary small cell carcinoma of the ureter is a rare clinico-pathological entity. We present a report of primary ureteric small cell carcinoma and pathological correlates. More >

View

48

Download

28

Open Access

RESIDENT’S CORNER

Michael Eng¹, Liam Taylor², Marja Verhoef², Scott Ernst³, Bryan Donnelly⁴
Canadian Journal of Urology, Vol.12, No.2, pp. 2607-2613, 2005
Abstract Background: To date, few two-arm active treatment randomized control trials (RCTs) have compared prostate cancer therapies.
Objective: To examine the difference and similarities between the reasons for accepting and declining participation in a two-arm active treatment RCT comparing external beam radiation therapy (EBRT) versus cryotherapy.
Methods: Eleven men with prostate cancer, selected purposively, participated in a 30-minute post-treatment semi-structured interview. Interviews were transcribed verbatim, coded and analyzed for patterns with the assistance of the text management (TM) software (NVivo).
Results: RCT accepters participated principally with the hope of being randomized into the cryotherapy treatment arm. Consequently, randomization into the More >

View

40

Download

30

Open Access

RESIDENT’S CORNER

Kevin C. Zorn, Philippe E. Spiess, Jõao Luiz Pippi Salle, Roman Jednak
Canadian Journal of Urology, Vol.12, No.2, pp. 2614-2615, 2005
Abstract Introduction: We present the first reported case demonstrating an association of mucocolpos and bladder exstrophy.
Materials: A term baby girl presented with bladder exstrophy and underwent a successful primary bladder closure and ureteral reimplantation. Subsequently, she presented with a fluid-filled pelvic mass which was found to be a mucocolpos.
Results: Surgical drainage of the collection was required.
Conclusion: Mucocolpos should be considered in the differential diagnosis of a pelvic mass in a patient with bladder exstrophy. More >

View

35

Download

34