Open Access

EDITORIAL

Laurence H. Klotz
Canadian Journal of Urology, Vol.12, No.5, pp. 2806-2806, 2005
Abstract This article has no abstract. More >

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ARTICLE

Anna R. Gagliardi¹, Neil Fleshner², Bernard Langer³, Hartley Stern³, Adalsteinn D. Brown⁴
Canadian Journal of Urology, Vol.12, No.5, pp. 2808-2815, 2005
Abstract Objectives: There is evidence of variation in both the processes and outcomes of prostate cancer care, resulting in possible harm to patients and increased costs to the health system. Care could be improved by first identifying critical, measurable indicators that correlate with quality of care. This work was conducted to develop indicators of prostate cancer care using a modified three-step Delphi approach.
Methods: A 17-member multidisciplinary panel reviewed potential indicators extracted from the medical literature through two consecutive rounds of rating followed by consensus discussion. The panel then prioritized the indicators selected in the previous two rounds.
Results:… More >

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ARTICLE

P. I. Karakiewicz¹, P. Perrotte², L. Valiquette², F. Benard², M. McCormack², C. Menard², M. McNaughton Collins³, J. C. Nickel⁴
Canadian Journal of Urology, Vol.12, No.5, pp. 2816-2823, 2005
Abstract Introduction: The NIH Chronic Prostatitis Symptom Index (CPSI) is recommended in the clinical evaluation of men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). However, its use is not possible in French speakers, as it has not been validated in this population. We performed a linguistic validation of the CPSI.
Methods: Linguistic translation followed the forward-backward-forward technique and relied on professional medical translators, bilingual health professionals, and patient input. Along with the SF-12, the translated version was administered to a convenience sample of men presenting for pre-vasectomy visits (controls) and to consecutive patients with established CP/CPPS (cases). Men… More >

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ARTICLE

Anthony Cook¹, Antoine Khoury¹, Darius Bagli¹, Gordon A. McLorie², Alaa El-Ghoneimi³, Walid A. Farhat¹
Canadian Journal of Urology, Vol.12, No.5, pp. 2824-2828, 2005
Abstract Introduction and objectives: We previously reported the successful attainment of laparoscopic skills in a group of practicing pediatric urologists without previous formal laparoscopic training. During the mentorship period, the four urologists (trainees A, B, C, and D) performed a number of renal retroperitoneal laparoscopic procedures (RRLP) under the tutelage of an expert mentor. Specifically, trainee A performed or assisted in 8 RRLP while trainees B, C, and D performed/assisted in 10, 7, or 18 RRLP, respectively. Herein we assessed the outcome of this training program and practice pattern of this same group of urologists.
Methods: Following the… More >

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ARTICLE

Chiu Yen M. Chang¹, Azim Gangji², Katherine Chorneyko³, Anil Kapoor¹
Canadian Journal of Urology, Vol.12, No.5, pp. 2829-2836, 2005
Abstract Objectives: BK polyomavirus (BKV) disease in renal transplant recipients has become an increasingly problematic clinical entity. Complications of BKV disease lead to chronic allograft nephropathy and ultimately loss in greater than 50% of cases. We reviewed our experience with BKV disease over a 5-year period.
Patients and methods: We performed 155 cadaveric and 168 live-related transplants between January 2000 and June 2005. During this period, seven patients had biopsy-confirmed BKV disease, which compromised the renal function of six cadaveric and one live-related renal transplant recipients. BKV was suspected as a potential cause of renal function deterioration after… More >

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CASE REPORT

Gilles Molgat, Marjan Afrouzian, Kiril Trpkov
Canadian Journal of Urology, Vol.12, No.5, pp. 2837-2840, 2005
Abstract Renal medullary carcinoma is rare and extremely aggressive neoplasm that typically affects young patients of African decent who demonstrate sickle cell trait or disease. Since the original description in 1995, only few cases have been reported outside the United States. A 29 year-old Canadian male of Afro-Caribbean decent with sickle cell trait developed right-sided hemiparesis due to brain infarct. During the clinical work-up, a 3 cm renal tumor was detected in a horseshoe kidney. The patient died suddenly 2 weeks after the presentation of massive non-neoplastic pulmonary thromboembolism, confirmed at autopsy. The final diagnosis of More >

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Open Access

CASE REPORT

Wigdan Al-Sukhni, Ami Grunbaum, Neil Fleshner
Canadian Journal of Urology, Vol.12, No.5, pp. 2841-2842, 2005
Abstract Essiac is a popular complementary and alternative medicine (CAM) that is utilized by many cancer patients in North America. Much anecdotal reporting exists about its cancer-fighting qualities, but so far no clinical trials have been preformed to validate those claims. We describe here the case of a 64-year-old man whose hormone-refractory prostate cancer responded well to Essiac tea. More >

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HOW I DO IT

Ahmad H. Bani-Hani, Matthew T. Gettman
Canadian Journal of Urology, Vol.12, No.5, pp. 2843-2845, 2005
Abstract Introduction and objective: Cost containment during techniques of laparoscopic radical prostatectomy remains an ongoing concern. We present a cost-effective alternative technique of specimen extraction using a surgical glove.
Materials and methods: We describe an alternative technique of prostate removal using a surgical glove in seven patients who underwent laparoscopic radical prostatectomy using a robotic-assisted technique.
Results: The glove extraction technique was successful in all seven patients for which the method was attempted without complication.
Conclusion: Similar to commercially available devices, a surgical glove provides a reliable straightforward means of specimen extraction during laparoscopic radical prostatectomy. More >

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RESIDENT’S CORNER

Luis Antonio Guerra¹, John Pike¹, Guido Filler², Kristin Udjus³, Joseph de Nanassy⁴, Michael Leonard¹
Canadian Journal of Urology, Vol.12, No.5, pp. 2846-2848, 2005
Abstract Eosinophilic cystitis (EC) is an uncommon form of bladder inflammation. It is a rare disorder in children and fewer than 25 cases have been described in the literature. We report a case of eosinophilic cystitis mimicking a bladder tumor in a 3 year-old girl with symptoms of urinary frequency. The diagnosis was confirmed with pathology and she underwent clinical treatment with corticosteroids. More >

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RESIDENT’S CORNER

David E. Rapp, Mark B. Lyon, Marcelo A. Orvieto, Gregory P. Zagaja
Canadian Journal of Urology, Vol.12, No.5, pp. 2849-2855, 2005
Abstract Introduction and objective: The classical approach to the undergraduate medical clerkship has several limitations, including variability of clinical exposure and method of examination. As a result, the clerkship experience does not ensure exposure to and reinforcement of the fundamental concepts of a given specialty.
Materials and methods: This article reviews the classic approach to clerkship education within the undergraduate medical education. Specific attention is placed on clinical exposure and clerkship examination.
Results: We describe the introduction of the Core Learning Objective (CLO) educational model at the University of Chicago Section of Urology. This model is designed to provide an More >

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RESIDENT’S CORNER

Philippe E. Spiess¹, Wassim Kassouf¹, Khoday Tukaram¹, Indrojit Roy²
Canadian Journal of Urology, Vol.12, No.5, pp. 2856-2858, 2005
Abstract We present the case of an 83-year-old female presenting with an umbilical mass measuring 2 cm x 3 cm. This patient had an extensive prior history of transitional cell carcinoma of the bladder. A fine needle aspiration of this umbilical mass confirmed this to be metastatic transitional cell carcinoma and the diagnostic workup demonstrated the presence of invasive bladder cancer with metastatic liver lesions. More >

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