Open Access

EDITORIAL

Laurence H. Klotz
Canadian Journal of Urology, Vol.13, No.3, pp. 3059-3059, 2006
Abstract This article has no abstract. More >

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ARTICLE

Karen Psooy
Canadian Journal of Urology, Vol.13, No.3, pp. 3120-3126, 2006
Abstract Objective: To determine how to counsel parents of young children with a solitary kidney in a manner compliant with the recommendations of the American Academy of Pediatrics (AAP).
Methods: As per the AAP recommendations, the relevant information required to provide a “Qualified Yes” to involvement in contact/collision sports was obtained through a PubMed^TM search and local inquiries. Questions specifically addressed were:
• Available published information on risks of participation
• Availability of effective protective equipment that is acceptable to the athlete
• Whether the sport can be modified to allow safer participation.
Results: Pediatric renal trauma can result from sporting… More >

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Open Access

ARTICLE

Jacques Corcos¹, Jerzy Gajewski², Diane Heritz³, Allan Patrick⁴, Ian Reid⁵, Erik Schick⁶, Lynn Stothers⁷
Canadian Journal of Urology, Vol.13, No.3, pp. 3127-3138, 2006
Abstract Objective: To develop the first Canadian guidelines for the management of adult urinary incontinence (UI).
Method: Following a mandate of the Canadian Urological Association, six Canadian urologists collaborated to produce these guidelines after having extensively reviewed existing foreign guidelines and literature from 1966 to June 2005.
Results: The terminology proposed by the standardization committee of the International Continence Society (ICS) is recommended. Basic evaluation must include a history, physical examination, evaluation of post void residual volume, urinalysis and voiding diary. A more detailed evaluation is recommended for complex cases or if initial management fails. As non-pharmacological treatments,… More >

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ARTICLE

Pauline T. Truong¹, Eric Berthelet¹, Junella C. Lee¹, Ross Petersen¹, Jan T. W. Lim¹, Catherine A. Gaul², Howard Pai¹, Paul Blood¹, Charles M. Ludgate¹
Canadian Journal of Urology, Vol.13, No.3, pp. 3139-3146, 2006
Abstract Objective: To prospectively evaluate the prevalence and severity of fatigue and its impact on quality of life (QOL) during and after radical external beam radiotherapy (RT) for prostate cancer.
Method and materials: Twenty-eight men with prostate cancer undergoing RT over 6-8 consecutive weeks were prospectively accrued. The Brief Fatigue Inventory (BFI), a validated fatigue assessment tool, was administered at five time points: baseline (week 1), middle of RT (week 3-4), end of RT (last week of RT), and follow-up (median 6.5 weeks after RT). The BFI contained nine questions, each using 0-10 ratings to quantify fatigue severity… More >

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ARTICLE

Kenneth T. Pace, Daniela Ghiculete, Melanie Harju, R. John Honey
Canadian Journal of Urology, Vol.13, No.3, pp. 3147-3152, 2006
Abstract Introduction: The optimal method of acquiring laparoscopic skills has not been determined. We sought to examine the current status of urologic laparoscopy and how practicing urologists acquired the skills needed to perform laparoscopic procedures.
Methods: A mail questionnaire regarding laparoscopic practices and training was sent to 480 members of the Canadian Urological Association (CUA) using standard Dillman survey methodology.
Results: Three hundred (62.5%) urologists responded to the questionnaire; 56.5% practiced in the community and 41.1% in an academic setting. There were 59.9% who had completed some form of fellowship training. Recent graduates (who finished residency after 1995) were… More >

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HOW I DO IT

Androniki Kanaroglou, Hassan Razvi
Canadian Journal of Urology, Vol.13, No.3, pp. 3153-3155, 2006
Abstract Two morbidly obese males weighing 159 kg and 184 kg underwent percutaneous nephrolithotomy (PCNL) for large, symptomatic renal stones. To avoid anesthetic complications and cardiorespiratory compromise in the prone position, the procedures were performed under IV sedation with local anesthesia. The risks of PCNL in this patient population are reviewed, and the technique employed to mitigate the risks in these two cases is described. More >

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HOW I DO IT

Kishore Visvanathan¹, Jeff Warren²
Canadian Journal of Urology, Vol.13, No.3, pp. 3156-3157, 2006
Abstract Changing chronic ureteral stents in patients with kidney transplants may be technically difficult because of the site of ureterocystostomy. The technique described simplifies this procedure. More >

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Open Access

RESIDENT’S CORNER

Jason P. Izard¹, Richard D. Sowery¹, Melanie T. Jaeger², D. Robert Siemens¹
Canadian Journal of Urology, Vol.13, No.3, pp. 3158-3163, 2006
Abstract Introduction and objectives: Peri-operative bladder management after major arthroplasty procedures remains controversial. The purpose of this study was to assess the risk of urological complications in those patients undergoing hip or knee joint replacement. As well, we identified those factors that may affect the likelihood of developing complications.
Methods: Two hundred and twenty-one consecutive patients receiving a total knee or hip arthroplasty were reviewed. The outcomes measured were prolonged urinary retention, as well as urinary tract infections and the development of a septic prosthesis. Statistical significance of any predisposing factors identified was determined using a two-tailed Fisher… More >

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RESIDENT’S CORNER

Kevin C. Zorn, Philippe E. Spiess, Phillip L. Ross, Yosh Taguchi, Armen G. Aprikian
Canadian Journal of Urology, Vol.13, No.3, pp. 3164-3168, 2006
Abstract Purpose: The Royal College of Physicians and Surgeons of Canada (RCPSC) and The American Accreditation Council for Graduate Medical Education (ACGME) general objectives mandate that all residents be competent to independently perform select surgical procedures. Unfortunately, no objective standardized measures presently exist for surgical training assessment. Operative logs have been implemented to quantify the number of cases the resident has been exposed to, however, these do not assess their degree of involvement or aptitude. An analysis of what exactly a resident performs, and how well, per case may assist in measuring their training progress. Herein, we… More >

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