Open Access

EDITORIAL

Gabriel P. Haas
Canadian Journal of Urology, Vol.15, No.3, pp. 4043-4043, 2008
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LEGENDS IN UROLOGY

E. David Crawford
Canadian Journal of Urology, Vol.15, No.3, pp. 4044-4046, 2008
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REVIEW

J. C. Trussell, James C. Brien
Canadian Journal of Urology, Vol.15, No.3, pp. 4047-4055, 2008
Abstract Purpose: Peyronie's disease is characterized by plaque formation within the tunica albuginea of the penile corpora cavernosa. The exact etiology of Peyronie's is uncertain at this time, and multiple treatment options exist. Following a literature review, a treatment algorithm has been developed to streamline decisions for both medical and surgical intervention.
Methods: A review of the Medline literature published between 1940 and 2008 was performed looking at the history, pathophysiology, medical and surgical treatments for Peyronie's disease.
Results: The current standard is to treat Peyronie's with expectant medical management or by adding oral, topical, or injected medicines to… More >

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ARTICLE

Charnita M. Zeigler-Johnson¹, Hanna Rennert², R. Devi Mittal³, Mohamed Jalloh⁴, Rajeev Sachdeva⁵, S. Bruce Malkowicz¹, Anil Mandhani³, B. Mittal³, Serigne M. Gueye⁴, Timothy R. Rebbeck¹
Canadian Journal of Urology, Vol.15, No.3, pp. 4056-4064, 2008
Abstract Introduction: Prostate cancer is common around the world, but rates of advanced disease differ substantially by race and geography. Although a major health issue, little is known about prostate cancer presentation in West Africa and India compared to the United States (US).
Objective: The aim of this study was to compare prostate tumor characteristics in four populations of men from the US, Senegal and India.
Materials and methods: We recruited prostate cancer patients from four hospital-based populations. The sample included 338 African-Americans, 1265 European-Americans, 122 Asian Indians, and 72 Senegalese. Questionnaire and medical record data were collected on… More >

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ARTICLE

M. Gail Woodbury¹, Keith C. Hayes², Heather K. Askes²
Canadian Journal of Urology, Vol.15, No.3, pp. 4065-4071, 2008
Abstract Objective: To identify intermittent catheterization (IC) practices and factors associated with urinary tract infection (UTI) in community-dwelling people living with spinal cord injury (SCI) in Canada.
Study design: A national survey employing a 36-item self-report questionnaire that was mailed to members of the Canadian Paraplegic Association (CPA).
Results: There were 912 respondents with SCI of either traumatic or nontraumatic etiology. Fifty-five percent of the respondents used IC. The mean age of users (47 ± 14 years) was significantly younger than non-users (53 ± 13 years) and a greater percentage of males (57%) than females (50%) used IC. Of… More >

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ARTICLE

John B. Malcolm¹, Ithaar H. Derweesh^1,2, E. Keith Brightbill¹, Reza Mehrazin¹, Christopher J. DiBlasio¹, Robert W. Wake^1,2
Canadian Journal of Urology, Vol.15, No.3, pp. 4072-4077, 2008
Abstract Introduction: Percutaneous nephrolithotomy (PCNL) has become an option for treatment of renal stone disease, though no clearly defined algorithm exists for selection of patients suitable to tubeless PCNL. We investigated our experience with tubeless PCNL to evaluate its safety and efficacy for cases of complex renal calculi.
Patients and methods: Retrospective review of all tubeless PCNLs performed for complex renal calculus disease (bilateral stones, partial/complete staghorn, infundibular stenosis/calyceal diverticulum, pre-existing renal insufficiency) between January 2001 and January 2006. All patients had a ureteral stent placed in an antegrade fashion following stone treatment, and a foley catheter remained… More >

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EDITORIAL COMMENT

Hassan Razvi
Canadian Journal of Urology, Vol.15, No.3, pp. 4076-4076, 2008
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ARTICLE

Ericka Wiebe¹, George Rodrigues^1,2, Michael Lock¹, David D’Souza¹, Larry Stitt²
Canadian Journal of Urology, Vol.15, No.3, pp. 4078-4083, 2008
Abstract Introduction: The optimal management of prostate cancer patients presenting with prostate specific antigen (PSA) levels greater than 50 ng/ml is controversial. The purpose of this study was to investigate factors associated with overall survival and biochemical outcome in a high-risk prostate cancer population with PSA > 50.0 ng/ml at time of diagnosis, and no clinical or radiological evidence of metastatic disease.
Materials and methods: A single institution chart review was conducted at the London Regional Cancer Program on 138 patients who presented with PSA levels greater than 50 ng/ml. Forty-eight (34.8%) of these patients had no clinical… More >

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ARTICLE

Lynn Stothers, Derek Wilkie, Pat Lieblich, Penny Wilson
Canadian Journal of Urology, Vol.15, No.3, pp. 4084-4090, 2008
Abstract Background: This paper describes the process of adopting the Canadian Continence Foundation's urban/academic model of continence care in the development of British Columbia's Bladder Care Centre, using a process that can serve as a model for other jurisdictions across Canada and internationally.
Method: A multidisciplinary Working Group assessed the existing system, analyzed local and national statistics, and reviewed the literature on urinary incontinence and models of health care. Following approval from university and hospital authorities, continence services were reorganized including changing infrastructure, altering the location of multidisciplinary services and restructuring of funding and resource allocation. The process… More >

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ARTICLE

Alvaro Lucioni, Marcelo A. Orvieto, Kevin C. Zorn, Tamara Lotan, Edward M. Gong, Gary D. Steinberg, Arieh L. Shalhav
Canadian Journal of Urology, Vol.15, No.3, pp. 4091-4096, 2008
Abstract Introduction: The argon beam coagulator (ABC) is used in combination with other hemostatic agents and suture renorrhaphy to obtain hemostasis after laparoscopic partial nephrectomy. We performed a pilot study evaluating the efficacy of the ABC-alone in obtaining hemostasis during laparoscopic heminephrectomy (LHN) in a porcine model.
Methods: Eight pigs (4 small (30 kg-40 kg) and 4 large (70 kg-80 kg)), underwent bilateral LHN. Hemostasis then was obtained by using the ABC at 120W as a single modality. The collecting system was not repaired. The hilum was unclamped and the renal defect observed for 20 minutes with pneumoperitoneum… More >

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MINIMALLY INVASIVE AND ROBOTIC SURGERY

Mario F. Chammas Jr.¹, Fernando J. Kim¹, Aurelio Barbarino², Nicolas Hubert³, Benoît Feuillu³, Alain Coissard⁴, Jacques Hubert³
Canadian Journal of Urology, Vol.15, No.3, pp. 4097-4100, 2008
Abstract Objectives: To evaluate the feasibility and safety of robot-assisted laparoscopic partial cystectomy for the treatment of rectal and bladder endometriosis.
Materials and methods: A 23-year-old female with history of infertility and pelvic pain was found to have a 4 cm bladder mass and rectal nodule on pelvic ultrasonography. Patient denied any other genitourinary symptoms. Cystoscopy and bladder mass biopsy revealed endometriosis. After failure to suppressive hormonal medical therapy a partial cystectomy and resection of a rectal lesion was performed with robotic assistance (da Vinci). The procedure included excision of an ovarian cyst and several peritoneal endometrioid implants.
Results: More >

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MINIMALLY INVASIVE AND ROBOTIC SURGERY

Bertram Yuh¹, Rajesh Laungani², Adam Perlmutter³, Daniel Eun², James O. Peabody², James L. Mohler³, Hans Stricker², Khurshid A. Guru³
Canadian Journal of Urology, Vol.15, No.3, pp. 4101-4105, 2008
Abstract Introduction/objective: Simple prostatectomy continues to be an effective surgical option for patients with symptomatic high volume benign prostatic hyperplasia. Recent trends towards minimally invasive urologic surgery, in particular for prostate cancer, have created surgical alternatives with additional potential benefits. We report on the feasibility of robot-assisted retropubic prostatectomy.
Materials and methods: This series consists of three cases of simple prostatectomy performed through a robot-assisted retropubic (Millin) approach at two institutions. All patients had preoperative bothersome lower urinary tract symptoms with two patients presenting in urinary retention. Average preoperative transrectal ultrasound estimated prostate volume exceeded 300 cm³. All patients… More >

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CASE REPORT

Yoh Matsuoka^1,2, Makoto Hirokawa¹, Kimio Chiba¹, Takafumi Hashiba¹, Takeshi Tomoda¹, Shimpei Sugiura¹
Canadian Journal of Urology, Vol.15, No.3, pp. 4106-4108, 2008
Abstract We report a rare case of sarcomatoid carcinoma of the urinary bladder which showed both of biphasic and monophasic phenotypes through its clinical course. A 64 year-old man presented with gross hematuria and interrupted voiding. Radiological examination demonstrated a pedunculated tumor in the bladder with no distant metastases. Pathological diagnosis of transurethral resection revealed biphasic sarcomatoid carcinoma, pT1, composed of squamous cell carcinoma component and spindle cell component. The disease had repeated local recurrences and partial and total cystectomies were performed consequently. The recurrent tumors were monophasic sarcomatoid carcinoma purely composed of spindle cell component. More >

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CASE REPORT

David B. Samadi¹, Bilal Chughtai², Ardavan Akhavan³, Khurshid Guru⁴, Jamil Rehman⁵
Canadian Journal of Urology, Vol.15, No.3, pp. 4109-4111, 2008
Abstract Primary soft tissue sarcomas of the genitourinary tract are rarely seen, especially in the seminal vesicle. While sarcomas have been reported in the seminal vesicle, this is the fi rst report of a smooth muscle neoplasm, of uncertain malignant potential, involving the seminal vesicle. The fi nding was incidental, following robotic-assisted radical retropubic prostatectomy for prostate cancer. To our knowledge, this is also the fi rst report of a primary seminal vesicle tumor found following radical prostatectomy. A clinical case review and a brief review of the literature are presented. More >

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RESIDENT’S CORNER

Brendan C. Dickson¹, John R. Srigley², Aaron F. Pollett³, Martin E. Blackstein⁴, John D. Honey⁵, Jonathan W. Juco⁶
Canadian Journal of Urology, Vol.15, No.3, pp. 4112-4114, 2008
Abstract The interstitial cells of Cajal have been identifi ed in locations beyond the gastrointestinal tract, including the prostate, uterus and bladder. Indeed, there are reports of primary gastrointestinal stromal tumor (GIST) arising from each of these sites. We report the case of a 72-year-old male who presented with benign prostatic hypertrophy and was diagnosed on retropubic prostatectomy as having a GIST. While the initial clinical and radiologic impression was that of a primary prostatic GIST, subsequent imaging ultimately revealed a small rectal extension as the source of the lesion. The purpose of our report is More >

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RESIDENT’S CORNER

Bruce L. Jacobs, Marc C. Smaldone, Kartik Prabhakaran, Stephen V. Jackman
Canadian Journal of Urology, Vol.15, No.3, pp. 4115-4117, 2008
Abstract The kidney is the most commonly injured urologic organ, with most injuries occurring unilaterally. We report a rare case of synchronous bilateral renal hematomas in an 87-year-old restrained driver involved in a motor vehicle accident and briefl y review the management of renal trauma, including the indications for operative intervention. This case demonstrates that in select cases bilateral renal injuries can be managed conservatively. More >

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RESIDENT’S CORNER

Anis Aziz, Alain Maillette
Canadian Journal of Urology, Vol.15, No.3, pp. 4118-4121, 2008
Abstract Emphysematous cystitis is a rare disease that is usually caused by aerobic bacteria. The clinical course can vary from asymptomatic cystitis to fulminant sepsis. We present a case of a 68-year-old man with emphysematous cystitis with sepsis where early diagnosis and conservative treatment led to a favorable outcome. More >

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EDITORIAL COMMENT

Stanley Zaslau
Canadian Journal of Urology, Vol.15, No.3, pp. 4121-4121, 2008
Abstract This article has no abstract. More >

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RESIDENT’S CORNER

Jason Rothman¹, Richard E. Greenberg², William I. Jaffe¹
Canadian Journal of Urology, Vol.15, No.3, pp. 4122-4124, 2008
Abstract Extragonadal germ cell tumors are extremely rare and account for only 3%-5% of all germ cell tumors. These tumors are rarely associated with metachronous primary testicular germ cell tumors. We report the fourth case of a primary germ cell tumor occurring after the treatment of a primary CNS germ cell tumor in a 27-year-old male with embryonal cell carcinoma of the testicle 9 years after the treatment of a germ cell tumor of the pineal gland. This represents the fi rst case of a non-seminomatous germ cell tumor of the testicle after a CNS germ More >

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