Open Access

EDITORIAL

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

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Open Access

ARTICLE

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 >

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Open Access

ARTICLE

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 >

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Open Access

ARTICLE

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 >

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Open Access

HOW I DO IT

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 >

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Open Access

CASE REPORT

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 >

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Open Access

RESIDENT’S CORNER

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 >

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Open Access

RESIDENT’S CORNER

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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