Open Access

EDITORIAL

Gabriel P. Haas
Canadian Journal of Urology, Vol.14, No.4, pp. 3598-3598, 2007
Abstract This article has no abstract. More >

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REVIEW

Joel M. H. Teichman¹, Robert Moldwin²
Canadian Journal of Urology, Vol.14, No.4, pp. 3599-3607, 2007
Abstract Introduction: Interstitial cystitis (IC) is a potentially severe and debilitating condition of the bladder. Numerous factors have been implicated in its pathogenesis.
Materials and methods: A literature review was conducted on the following topics: urothelium, mucosal lining, interstitial cystitis, bladder, and glycosaminoglycans.
Results: A commonly proposed cause for IC is a defect or alteration in the bladder surface leading to increased permeability to noxious urinary solutes and ultimately to tissue inflammation and neurogenic upregulation. Support for this concept is drawn from studies of the structure, function, and composition of the bladder surface. The cause(s) of this alteration More >

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REVIEW

George Rodrigues^1,2, Michael Lock¹, David D’Souza¹
Canadian Journal of Urology, Vol.14, No.4, pp. 3608-3615, 2007
Abstract The use of radiation therapy in the radical treatment of prostate cancer can lead to potential acute and long-term toxicity and health-related quality-of-life (HRQoL) changes. Ongoing investigation into dose-escalation, dose-per-fraction escalation, new radiation treatment technology/ paradigms, and novel systemic therapy may have either positive and/or negative effects on normal tissue toxicity/ HRQoL. Herein, common toxicity scales and HRQoL instruments that attempt to describe the deleterious effects of prostate radiation therapy are reviewed. More >

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Open Access

ARTICLE

Canadian Journal of Urology, Vol.14, No.4, pp. 3616-3620, 2007
Abstract Objective: The current standard of care for radiographically identified enhancing renal lesions is surgical removal. However, some of these lesions prove to be benign and did not truly warrant extirpation. Mass size has been traditionally described as a parameter to predict the malignant potential. We compiled our experience with surgically treated renal masses and correlated lesion size with final pathology.
Materials and methods: We performed a retrospective analysis of extirpative renal surgery and resultant renal mass pathology from 1998-January 2006. Nephrectomies performed for non-malignant disease or transitional cell carcinomas were excluded. Renal tumors were staged by the… More >

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ARTICLE

Eric Berthelet¹, Tom Pickles², Pauline T. Truong¹, Mitchell Liu³, Howard H. Pai¹, Winkle B. Kwan³, Jan T.W. Lim¹
Canadian Journal of Urology, Vol.14, No.4, pp. 3621-3627, 2007
Abstract Purpose: To evaluate the optimal duration of androgen deprivation therapy (ADT) in patients with prostate cancer treated with external beam radiotherapy (EBRT), who present with PSA levels >20 ng/mL.
Materials and methods: A total of 307 patients presenting with a PSA >20 ng/ml were treated with EBRT and ADT. The cohort was divided into four groups according to the duration of ADT: Group 1 received <6 months (n=71), group 2 received 6-12 months (n=80), group 3 received 12-24 months (n=72), and group 4 received >24 months (n=84) of ADT. The endpoints analyzed were biochemical control (bNED), overall… More >

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ARTICLE

Frederick P. Mendiola, Kevin C. Zorn, Ofer N. Gofrit, Albert A. Mikhail, Marcelo A. Orvieto, Lambda P. Msezane, Gary D. Steinberg
Canadian Journal of Urology, Vol.14, No.4, pp. 3628-3634, 2007
Abstract Introduction: Radical cystectomy (RC) with urinary diversion remains as one of the more complex urological procedures despite considerable progress in surgical technique. Increasing patient age, along with associated age-related comorbidities, may portend a poor outcome in those undergoing such complicated surgical procedures. Herein, we report our experience with radical cystectomy in the elderly population.
Methods: We retrospectively reviewed our RC results from 1995 to 2003. Patients ≥80 years old were included in this analysis. Perioperative outcomes, as well as overall and disease-free survival were evaluated.
Results: A total of 517 patients underwent RC with urinary diversion during… More >

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MINIMALLY INVASIVE AND ROBOTIC SURGERY

Rajesh G. Laungani, Sanjeev Kaul, Fred Muhletaler, Ketan K. Badani, James Peabody, Mani Menon
Canadian Journal of Urology, Vol.14, No.4, pp. 3635-3639, 2007
Abstract Objective: Several investigators have noted that previous inguinal hernia repair with or without the use of prosthetic mesh might be a relative contraindication for open or laparoscopic radical prostatectomy due to the presence of adhesions and the difficulty of tissue dissection. We aimed to evaluate the impact of previous hernia repair on the performance and feasibility of robotic prostatectomy.
Materials and methods: We performed a retrospective analysis of 354 patients who underwent robotic prostatectomy at our institution. The three patient groups were: 292 patients who had no prior hernia repair (group 1), 50 patients who had prior… More >

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MINIMALLY INVASIVE AND ROBOTIC SURGERY

Danny M. Rabah
Canadian Journal of Urology, Vol.14, No.4, pp. 3640-3642, 2007
Abstract The traditional treatment of choice for urachal carcinoma has been either an open radical cystectomy or the more recently accepted extended partial cystectomy and umbilectomy. Recently a laparoscopic technique has been reported. We report for the first time a robot-assisted technique for an extended partial cystectomy with en bloc umbilectomy for the management of urachal carcinoma in a 49-year-old man. More >

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CASE REPORT

Mustafa Sofikerim¹, İbrahim Gülmez¹, Fatma Tokat², Özlem Er³, İnci Gülmez⁴
Canadian Journal of Urology, Vol.14, No.4, pp. 3643-3645, 2007
Abstract We report a case of epidermoid-cell carcinoma of the lung that developed a metastatic lesion in the penis.A 50-year-old male patient was admitted to our hospital with bloody sputum and cough. He had a left pneumectomy and was diagnosed with epidermoid carcinoma of the lung at stage IIB (T2N1M0). He was started on an adjuvant chemotherapy protocol consisting of cisplatin and paclitaxel. He was admitted to our urology clinic with obstructive symptoms during urination and pain during penile erection.Physical examination revealed a firm, 3 cm x 2 cm palpable mass on the radix of his More >

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CASE REPORT

Stephanie H. Chen, Vladimir Mouraviev, Janice M. Mayes, Thomas J. Polascik
Canadian Journal of Urology, Vol.14, No.4, pp. 3646-3648, 2007
Abstract Prostatic abscess is a rare and potentially life-threatening disease when left untreated. We report the first case of a man who developed a prostatic abscess as a long-term complication of cryoablation for primary prostate cancer. Timely diagnosis with non-contrast computed tomography (CT) scan, retrograde CT cystogram to ensure no bladder involvement, percutaneous drainage under CT-guidance, and antibiotic treatment sensitive to the causative organism were crucial for prompt recovery. More >

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CASE REPORT

E. Brambilla, A. A. Heck, J. G. Cao, G. T. Toniazzo, L. Petteffi
Canadian Journal of Urology, Vol.14, No.4, pp. 3649-3650, 2007
Abstract Renal infiltration of colon adenocarcinoma is a rare event. The authors present the case report of a 52-year-old female who had a high carcinoembryonic antigen level 18 months after right hemicolectomy and a chemotherapy regimen to treat transverse colon adenocarcinoma. The patient presented with cancer reccurrence after 12 months, and underwent a paraaortic lymphadenoctomy and a second adjuvant chemotherapy with the folfox regimen. Abdomen computerized tomography revealed two solid masses in the right kidney, without evidence of any other metastatic sites. A nephrectomy was performed in the right kidney followed by adjuvant chemotherapy. More >

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RESIDENT’S CORNER

Adam E. Perlmutter¹, Lawrence Roberts², Hesam Farivar-Mohseni¹, Stanley Zaslau¹
Canadian Journal of Urology, Vol.14, No.4, pp. 3651-3652, 2007
Abstract Acute onset of pain, swelling, and ecchymosis of the penis during sexual intercourse indicate a penile fracture until proven otherwise. However, there have been few case reports of isolated injuries to the dorsal penile artery or dorsal vein mimicking a penile fracture. Presented herein is a rare case of a patient who ruptured his superficial dorsal vein during intercourse. More >

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RESIDENT’S CORNER

Glenn M. Cannon, Jr.¹, Marc C. Smaldone¹, David L. Paterson²
Canadian Journal of Urology, Vol.14, No.4, pp. 3653-3655, 2007
Abstract Extended-spectrum beta-lactamase (ESBL) producing organisms are resistant to penicillins, cephalosporins, aminoglycosides, trimethoprim-sulfamethoxazole, aztreonam, and most fluoroquinolones. We report a case of a 72-year-old man who developed septic shock with an ESBL organism after a transrectal ultrasound (TRUS)-guided prostate biopsy despite having received fluoroquinolone prophylaxis. The patient recovered with intravenous ertapenem. Fluoroquinolone-resistant bacteria are increasing in prevalence. This needs to be recognized when the antibiotic choice for pre-procedure prophylaxis is made. More >

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RESIDENT’S CORNER

Naser M. Al-Awadhi¹, Nabeel Al-Brahim¹, Mahmoud S. Ahmad¹, Encho Yordanov²
Canadian Journal of Urology, Vol.14, No.4, pp. 3656-3659, 2007
Abstract Background: A condom catheter is a commonly used drainage system for incontinent patients. However, it is associated with different complications including infection and erosion. One very rare complication that has been recognized is the development of giant fibroepithelial polyps in the penis; to date, to the best of our knowledge, seven cases have been reported in the literature. We report a new case of giant fibroepithelial polyp associated with long-term condom catheter use.
Case summary: A 43-year-old incontinent man who had been using a condom catheter for 14 years following a motor vehicle accident presented with a… More >

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EDITORIAL

Jack Barkin
Canadian Journal of Urology, Vol.14, No.4, pp. 3660-3661, 2007
Abstract This article has no abstract. More >

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CLINICAL TRIALS

Mary Mackenzie, George Rodrigues, Eric Winquist
Canadian Journal of Urology, Vol.14, No.4, pp. 3662-3667, 2007
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