Home / Journals / CJU / Vol.12, No.6, 2005
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  • Open AccessOpen Access

    EDITORIAL

    Seeing is believing: Image guided therapy in Urology

    Laurence H. Klotz
    Canadian Journal of Urology, Vol.12, No.6, pp. 2870-2870, 2005
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    ARTICLE

    Validation of prostate cancer index and SF-12 short forms


    Canadian Journal of Urology, Vol.12, No.6, pp. 2873-2879, 2005
    Abstract Background: Assessment of prostate cancer (PCa) specific and generic health-related quality-of-life (HRQOL) is frequently omitted due to several obstacles, such as respondent burden and infrastructure-related limitations. We attempted to reduce the number of items of two commonly used HRQOL assessment tools, namely the UCLA PCa Index (PCI) and the RAND SF-12, with the intent of generating the most parsimonious, yet psychometrically valid and reliable HRQOL assessment tool.
    Methods: The PCI and SF-12 were administered to 2415 radical prostatectomy patients, and re-tested in a convenience sample of 35 men with PCa. Multivariate linear regression models defined the most… More >

  • Open AccessOpen Access

    ARTICLE

    Holmium laser cystolithotripsy in children: initial experience

    Prem A. Ramakrishnan, Mohammed Medhat, Younis H. Al-Bulushi, K. P. Gopakumar, Venkat P. Sampige, Salim S. Al-Busaidy
    Canadian Journal of Urology, Vol.12, No.6, pp. 2880-2886, 2005
    Abstract Introduction: Management of vesical calculi in children poses an interesting challenge to the urologist. The treatment options currently available include open surgery, transurethral pneumatic cystolithotripsy, percutaneous suprapubic cystolithotomy and shockwave lithotripsy (SWL). Holmium:YAG (Ho:YAG) laser cystolithotripsy represents a novel modality of treatment that is minimally invasive.
    Materials and methods: From July 1999 to January 2003 we treated 23 children with vesical calculi using transurethral Ho:YAG laser lithotripsy. The indications for cystolithotripsy were stone size ≤4 cm (N=19), or multiple stones with combined stone burden ≤4 cm (N=4). The mean patient age was 7.8 (range 2-12) years and… More >

  • Open AccessOpen Access

    ARTICLE

    Partial nephrectomy for renal cell carcinoma in long-term renal allografts: operative and postoperative considerations

    Ashley Cox, Christopher Y. Nguan, Patrick P. W. Luke
    Canadian Journal of Urology, Vol.12, No.6, pp. 2887-2890, 2005
    Abstract The majority of immunosuppressive agents used to prevent rejection in transplant patients have also been shown to increase malignancy risk. Renal transplant patients are dependent upon their solitary allograft kidneys in order to remain dialysis free, and the discovery of a primary malignancy within the allograft poses a therapeutic dilemma. We describe two cases of primary renal allograft malignancies and discuss nephron-preserving surgical treatment. Furthermore, we discuss the potential anti-tumor role of the immunosuppressive agent sirolimus in the treatment of these complex patients. More >

  • Open AccessOpen Access

    HOW I DO IT

    Laparoscopic simple prostatectomy

    Brian D. M. Blew, Luke M. Fazio, Kenneth Pace, R. John D’A. Honey
    Canadian Journal of Urology, Vol.12, No.6, pp. 2891-2894, 2005
    Abstract Classically, surgical options for very large prostate glands, not amenable to transurethral resection, include suprapubic or retropubic simple prostatectomy and Holmium laser enucleation of the prostate (HoLEP). We present a case managed with a laparoscopic simple prostatectomy. Technical considerations are discussed as well as possible advantages of this approach including decreased blood loss, faster patient recovery and improved visualization. More >

  • Open AccessOpen Access

    CASE REPORT

    Percutaneous sequential bacillus CalmetteGuèrin and mitomycin C for panurothelial carcinomatosis

    Savino M. Di Stasi, Antonella Giannantoni, Robert L. Stephen*, Luigi Storti, Francesco Attisani, Andrea De Carolis, Guido Virgili
    Canadian Journal of Urology, Vol.12, No.6, pp. 2895-2898, 2005
    Abstract A 59 year old male presented with a 4 month history of lower urinary tract symptoms.
    Exhaustive urological investigations revealed papillary tumors and carcinoma in situ extending from the prostatic urethra, throughout the bladder, up both ureters and into the renal pelves.
    Tumors were resected where possible and then bacillus Calmette-Guèrin (BCG) and mitomycin C (MMC) were infused sequentially through bilateral nephrostomy tubes for a total of six BCG and three MMC instillations.
    Follow up 1 month post treatment demonstrated a complete response which persisted for 2 years. Then there appeared a solitary papillomatous recurrence in the More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    An epidural abscess following transrectal ultrasound-guided biopsies of the prostate

    Vincent Fradet, Michael McCormack, Paul Perrotte, Pierre Karakiewicz, Fred Saad
    Canadian Journal of Urology, Vol.12, No.6, pp. 2899-2900, 2005
    Abstract We report the occurrence of an epidural abscess following TRUS-guided prostate biopsies, which highlights the fact that severe complications may occur with this technique in spite of antibiotic prophylaxis. Ciprofloxacin-resistant Escherichia coli is a frequent cause of fever following TRUS-guided prostate biopsies as was the case in our patient. Early suspicion of the presence of ciprofloxacin-resistant Escherichia coli may help avoid serious complications in these patients. More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Xanthogranulomatous pyelonephritis in a 1-year old boy

    Derek P. Ottem, Andrew E. MacNeily, Iain W. McAuley
    Canadian Journal of Urology, Vol.12, No.6, pp. 2901-2903, 2005
    Abstract Xanthogranulomatous pyelonephritis (XGP) is a rare, chronic inflammatory lesion of the kidney associated with both chronic infection and obstruction. Most common in middle-aged females, it is important to recognize in children because it may be confused with childhood renal malignancies particularly Wilms’ tumor. We report a case of a 1-year old male with antenatally detected and postnatally confirmed hydronephrosis. Further investigation revealed a left incomplete duplex collecting system with obstructing lower pole stones, pelvicaliectasis and widespread foci of calcification. He underwent a left nephroureterectomy with the pathological report noting XGP. More >

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