Home / Journals / CJU / Vol.15, No.2, 2008
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  • Open AccessOpen Access

    EDITORIAL

    Legends and New Techniques in Urology: What great expectations are made of

    Gabriel P. Haas
    Canadian Journal of Urology, Vol.15, No.2, pp. 3950-3950, 2008
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    Alvaro Morales
    Canadian Journal of Urology, Vol.15, No.2, pp. 3951-3953, 2008
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    REVIEW

    Treatment options for metastatic renal cell carcinoma: a review

    Uzma Athar, Teresa C. Gentile
    Canadian Journal of Urology, Vol.15, No.2, pp. 3954-3966, 2008
    Abstract Metastatic renal cell carcinoma (RCC) has a poor overall survival. Localized RCC remains a surgical disease. About 20%-30% patients who present with limited disease at the time of nephrectomy develop metastasis. The median time to relapse after nephrectomy is 15-18 months. The maximum numbers of relapses are within the first 3 years. In metastatic RCC, immunotherapy is effective in a relatively small percentage of patients but is very toxic. In recent years, there has been an improved understanding of the biology of RCC. This has lead to the development of various agents that target ligands More >

  • Open AccessOpen Access

    REVIEW

    The importance of determining the aggressiveness of prostate cancer using serum and tissue molecular markers

    Elijah O. Kehinde1, May Al Maghrebi2, Jehoram T. Anim3
    Canadian Journal of Urology, Vol.15, No.2, pp. 3967-3974, 2008
    Abstract Incidental prostate cancer (PCa) has been demonstrated at autopsy in about 80% of men aged 80 years and above and also in 10%-15% of younger men aged 30-50 years in the United States. These data imply a wide variation in aggressiveness of prostate cancer, from indolent tumors to aggressive cancers that kill the patients. The use of prostate specific antigen (PSA) in screening for PCa may detect even indolent disease for which radical prostatectomy may not be necessary. Currently available criteria such as histological grade, PSA level, stage of the disease do not always predict… More >

  • Open AccessOpen Access

    ARTICLE

    Time to treatment of prostate cancer through the Calgary Prostate Institute rapid access clinic

    Alex G. Kavanagh, Jay C. Lee, Bryan Donnelly
    Canadian Journal of Urology, Vol.15, No.2, pp. 3975-3979, 2008
    Abstract Purpose: To determine the wait time between initial referral, biopsy, diagnosis and individual treatment modalities of prostate cancer treatment through the Calgary Prostate Institute rapid access clinic (RAC) and compare to historical data estimates in Alberta and to suggested standards. Biopsy rate, rate of confirmed prostate cancer and the distribution of treatment modality for patients seen through the RAC is included.
    Materials and methods: A non-consented, retrospective chart review of 1103 patients from the Calgary Health Region referred to the RAC between September 2005 and August 2006 was completed.
    Results: Patients experienced a median wait time of 21… More >

  • Open AccessOpen Access

    ARTICLE

    Radiofrequency ablation for T1a tumors in a solitary kidney: promising intermediate oncologic and renal function outcomes

    Jay D. Raman1, James Thomas1, Steven M. Lucas1, Karim Bensalah1, Yair Lotan1, Clayton Trimmer2, Jeffrey A. Cadeddu1
    Canadian Journal of Urology, Vol.15, No.2, pp. 3980-3985, 2008
    Abstract Objective: The experience with radiofrequency ablation (RFA) in solitary kidneys is limited in numbers and follow-up. Therefore, we report our oncologic and renal function outcomes of RFA for T1a tumors in patients with a solitary kidney.
    Methods: From April 2000 to August 2007, 242 patients were treated with RFA for renal cortical masses. Sixteen patients with localized tumors ≤ 4 cm in a solitary kidney were identified. Clinical and radiographic data were reviewed to assess indications, complications, disease recurrence, and renal function.
    Results: Twenty-one renal masses were ablated in 16 patients with a solitary kidney. The mean patient… More >

  • Open AccessOpen Access

    ARTICLE

    Routine postoperative chest radiography is not needed after flank incisions with eleventh rib resection

    Ali Fuat Atmaca, Ziya Akbulut, Serkan Altinova, Alper Çaglayan, Mehmet Tuzlali, M. Derya Balbay
    Canadian Journal of Urology, Vol.15, No.2, pp. 3986-3989, 2008
    Abstract Introduction: We wanted to determine whether routine postoperative chest radiography is needed after surgery with eleventh rib resection.
    Materials and methods: Data on 80 patients who underwent radical or partial nephrectomy, nephroureterectomy or adrenalectomy through 82 flank incisions with eleventh rib resection were collected and analyzed retrospectively.
    Results: Radical and partial nephrectomies, nephroureterectomies and adrenalectomies were done through 47, 20, 6 and 9 flank incisions in 80 patients, respectively. Among these, one patient underwent a partial nephrectomy and subsequent contralateral radical nephrectomy, and another patient underwent simultaneous bilateral adrenalectomies. The intrapleural space was entered accidentally in 16… More >

  • Open AccessOpen Access

    ARTICLE

    Erectile function following unilateral cavernosal nerve replacement

    Gregory R. Hanson, Lester S. Borden, Jr., Doug D. Backous, Stephen W. Bayles, John M. Corman
    Canadian Journal of Urology, Vol.15, No.2, pp. 3990-3993, 2008
    Abstract Introduction: With nerve-sparing techniques, patients undergoing a radical prostatectomy may avoid the morbidity of erectile dysfunction. Certain patients who are not candidates for nerve-sparing procedures may be eligible for nerve interposition grafts. While bilateral cavernosal nerve grafting after radical prostatectomy has shown efficacy, the effect of unilateral nerve grafting following prostatectomy remains unclear. We evaluate a large group of patients who underwent a unilateral cavernosal nerve replacement.
    Methods: Forty patients underwent unilateral nerve sparing surgery with concomitant contralateral cavernosal nerve replacement. Patients were selected for this procedure based upon preoperative nomogram risk assessment, endorectal MRI evidence… More >

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    MINIMALLY INVASIVE AND ROBOTIC SURGERY

    The addition of robotic surgery to an established laparoscopic radical prostatectomy program: effect on positive surgical margins

    Edouard J. Trabulsi1, Robert A. Linden1, Leonard G. Gomella1, Davis E. McGinnis2, Stephen E. Strup3, Costas D. Lallas1
    Canadian Journal of Urology, Vol.15, No.2, pp. 3994-3999, 2008
    Abstract Purpose: The addition of robotic assistance with the da Vinci surgical system for performing laparoscopic radical prostatectomy has been reported to improve surgical outcomes. In order to evaluate the benefit of robotic assistance to improve cancer control in a center with an established laparoscopic radical prostatectomy program, we evaluated the incidence of positive surgical margins in both transperitoneal laparoscopic (LRP) and robotically assisted laparoscopic radical prostatectomy (RALP).
    Materials and methods: We performed an Institutional Review Board (IRB) approved, retrospective review of 247 men with clinically localized prostate cancer treated with either a LRP or a RALP from… More >

  • Open AccessOpen Access

    HOW I DO IT

    Hydrodissection for preservation of neurovascular bundle during robot-assisted radical prostatectomy*

    Khurshid A. Guru1,2, Adam E. Perlmutter1, Zubair M. Butt1, James O. Peabody3
    Canadian Journal of Urology, Vol.15, No.2, pp. 4000-4003, 2008
    Abstract Introduction: To describe a technique that may facilitate neurovascular bundle preservation during robot-assisted radical prostatectomy.
    Materials and methods: From December 2007 to January 2008, 10 patients underwent robot-assisted radical prostatectomy with bilateral nerve preservation. Hydrodissection of the neurovascular bundle was performed by injecting a 1:10000 epinephrine solution diluted in 0.9% normal saline into the lateral prostatic pedicle with an injection cannula needle (Wolf®). Operative time, blood loss and margin status were assessed when this new technique was utilized. Erectile function status will be analyzed in the future.
    Results: Ten potent patients underwent bilateral nerve-sparing robot-assisted radical prostatectomy… More >

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    HOW I DO IT

    The surgical technique and early postoperative complications of the Gynecare Prolift pelvic floor repair system

    Alvaro Lucioni, David E. Rapp, Edward M. Gong, William S. Reynolds, Paula A. Fedunok, Gregory T. Bales
    Canadian Journal of Urology, Vol.15, No.2, pp. 4004-4008, 2008
    Abstract Introduction: The Gynecare Prolift pelvic floor repair system (GPS) comprises a synthetic mesh placed via a transvaginal, transobturator approach. We present our technique focusing on the safety and feasibility of the GPS.
    Materials and methods: GPS candidates are evaluated in the office with a full history, physical examination, urinalysis and when appropriate, urodynamic evaluation. Patients were offered total vaginal vault prolapse repair or isolated anterior repair dependent of site of defect. Follow-up comprised a full history, physical examination, and global assessment of subjective satisfaction (2 and 6 weeks, 6 months postoperative). Concentration was placed on intraoperative and More >

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    CASE REPORT

    A rare case of urinary bladder leiomyosarcoma accompanied by prostate cancer

    Apostolos P. Labanaris1, Vahudin Zugor2, Bernd Meyer1, Sven Scheuering1, Sami Takriti1, Reinhard Kühn1
    Canadian Journal of Urology, Vol.15, No.2, pp. 4009-4011, 2008
    Abstract Non-urothelial neoplasms of the bladder account for less than 5% of all bladder tumors. Sarcoma constitutes the most usual mesenchymal malignancy of the bladder, with leiomyosarcomas being the most common type of sarcoma in adults. A coexistence of this rare tumor with another malignancy has not been reported, to our knowledge. This report demonstrates a case of high-grade bladder leiomyosarcoma cancer with prostate cancer in a 72-yearold patient. The most striking features of this case include the rapid disease progression that confirms the highly aggressive nature of this uncommon disease. More >

  • Open AccessOpen Access

    CASE REPORT

    Renal angiomyolipoma with intravascular extension into the inferior vena cava: a case report and review of the literature

    George R. Schade, Ofer N. Gofrit, Kevin C. Zorn
    Canadian Journal of Urology, Vol.15, No.2, pp. 4012-4015, 2008
    Abstract A 42-year-old woman with tuberous sclerosis (TS)presented with acute right-sided flank pain. Imaging studies demonstrated numerous bilateral renal angiomyolipomas (AML), the largest located within the right upper pole, extending into the venous system to the level of the infra-hepatic inferior vena cava (IVC).Intravascular extension of AML is quite rare, however,may potentially result in fatal complications if not appropriately treated. We present a case report and a description of the surgical management, and provide a review of the literature concerning this rare finding. More >

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    CASE REPORT

    Synchronous renal cell carcinoma and adrenocortical carcinoma: a rare case report and clinicopathologic approach

    Prashant Jani1, Ahmed Lotfy Nasr2, Dina El Demellawy1
    Canadian Journal of Urology, Vol.15, No.2, pp. 4016-4019, 2008
    Abstract A case of synchronous adrenocortical carcinoma (ACC) and renal cell carcinoma (RCC) has not yet been described in the English medical literature, to our knowledge. We report a first such case of adrenocortical and renal cell carcinomas occurring simultaneously in a 53-year-old male. He presented with history of vague abdominal pain. Ultrasound followed by a computed tomography (CT) scan and a magnetic resonance imaging (MRI) examination revealed a 6.4 cm left adrenal mass and a 3.5 cm right renal mass. The patient had complaints of gastroparesis manifesting with constant nausea as well as intermittent abdominal More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Massive scrotal hematoma following transfemoral cardiac catheterization

    Anil A. Thomas1, Ryan Hedgepeth1, Timur P. Sarac2, Sandip P. Vasavada1
    Canadian Journal of Urology, Vol.15, No.2, pp. 4020-4023, 2008
    Abstract Scrotal hematoma is a rare and unusual complication of transfemoral cardiac catheterization. We describe the case of a 43-year-old man who presented with a delayed retroperitoneal hemorrhage and massive scrotal hematoma following cardiac catheterization. Emergent groin exploration was performed with ligation of the inferior epigastric artery and evacuation of the scrotal hematoma. Urological sequelae from transfemoral arterial access are rare. However, scrotal hematoma may occur if bleeding occurs between anatomic fascial planes. More >

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    RESIDENT’S CORNER

    Bladder diverticulum arising adjacent to an ectopic ureter presenting as a cystic mass

    Anil A. Thomas1, Ryan Hedgepeth1, Timur P. Sarac2, Sandip P. Vasavada1
    Canadian Journal of Urology, Vol.15, No.2, pp. 4024-4026, 2008
    Abstract Acquired bladder diverticula due to bladder outlet obstruction are not uncommon in the adult male population. Congenital diverticula originate adjacent to the trigone and are rarely diagnosed in adults. We report an unusual case of a diverticulum arising adjacent to an ectopic ureter located on the left lateral wall near the dome of the bladder. Although the diverticulum appeared to be congenital, its large size was likely a result of high pressure voiding. The patient underwent a transurethral resection of the prostate to reduce his bladder outlet obstruction, and subsequently underwent an open diverticulectomy. More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Malignant melanoma of the prostate: a case report

    Jean Wong, Gilbert J. Wise, Bradly Clark
    Canadian Journal of Urology, Vol.15, No.2, pp. 4027-4029, 2008
    Abstract Primary genitourinary melanoma accounts for less than 1% of all cases of melanoma. Melanoma of prostatic origin is extremely rare. These patients are difficult to diagnose and carry a very poor prognosis. Aggressive surgical resection is the current treatment standard. We report a case of primary malignant melanoma of the prostate found during transurethral resection of the prostate. More >

  • Open AccessOpen Access

    CLINICAL TRIALS

    Office based non-oncology urology trials

    Richard W. Casey1, Jack Barkin2
    Canadian Journal of Urology, Vol.15, No.2, pp. 4030-4033, 2008
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    CLINICAL TRIALS

    Open clinical uro-oncology trials in Canada

    Mary J. Mackenzie, Eric Winquist, George Rodrigues
    Canadian Journal of Urology, Vol.15, No.2, pp. 4034-4042, 2008
    Abstract This article has no abstract. More >

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