Home / Journals / CJU / Vol.12, No.5, 2005
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  • Open AccessOpen Access

    EDITORIAL

    Heuristics in education and clinical practice in urology

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

  • Open AccessOpen Access

    ARTICLE

    Development of prostate cancer quality indicators: a modified Delphi approach

    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 >

  • Open AccessOpen Access

    ARTICLE

    French-Canadian linguistic validation of the NIH Chronic Prostatitis Symptom Index

    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 >

  • Open AccessOpen Access

    ARTICLE

    The development of laparoscopic surgical skills in pediatric urologists: longterm outcome of a mentorship-training model

    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 >

  • Open AccessOpen Access

    ARTICLE

    Urological manifestations of BK polyomavirus in renal transplant recipients

    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 >

  • Open AccessOpen Access

    CASE REPORT

    Renal medullary carcinoma as an incidental finding in a horseshoe kidney: case report and literature review

    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 >

  • Open AccessOpen Access

    CASE REPORT

    Remission of hormone-refractory prostate cancer attributed to Essiac

    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 >

  • Open AccessOpen Access

    HOW I DO IT

    Specimen extraction with a surgical glove during laparoscopic radical prostatectomy

    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 >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Pseudo-tumoral eosinophilic cystitis in a 3 year-old girl

    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 >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    The core learning objectives education model: an approach to the teaching of core concepts in the clinical clerkship

    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 >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Metastatic umbilical mass from transitional cell carcinoma of the bladder

    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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