Home / Journals / CJU / Vol.12, No.2, 2005
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  • Open AccessOpen Access

    EDITORIAL

    The Junket Bubble

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

  • Open AccessOpen Access

    ARTICLE

    A population-based study of the waiting times for prostatectomy in Ontario

    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 >

  • Open AccessOpen Access

    ARTICLE

    Compliance and outcome of patients with stage 1 non-seminomatous germ cell tumors (NSGCT) managed with surveillance programs in seven Canadian centres

    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 >

  • Open AccessOpen Access

    ARTICLE

    Pubovaginal bone anchor fixation with polyethylene versus fascia lata slings in the treatment of female stress incontinence:sling material and processing are predominant factors in success

    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 >

  • Open AccessOpen Access

    ARTICLE

    Validation of 1997 Partin Tables’ lymph node invasion predictions in men treated with radical prostatectomy in Montreal Quebec

    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 >

  • Open AccessOpen Access

    ARTICLE

    Technology review: High-Intensity Focused Ultrasound for prostate cancer

    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 >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Phimosis – a diagnostic dilemma?

    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 >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Primary small cell carcinoma of the ureter

    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 >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Understanding participation in a trial comparing cryotherapy and radiation treatment

    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 >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Mucocolpos associated with bladder exstrophy: a case report

    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 >

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