Open Access

GUEST EDITORIAL

Richard J. Macchia
Canadian Journal of Urology, Vol.15, No.4, pp. 4139-4139, 2008
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LEGENDS IN UROLOGY

Jack L. Sales
Canadian Journal of Urology, Vol.15, No.4, pp. 4140-4142, 2008
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DIFFICULT CONCEPTS MADE SIMPLE

Alireza Moinzadeh
Canadian Journal of Urology, Vol.15, No.4, pp. 4143-4146, 2008
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ARTICLE

Eric Winquist, Mary J. Mackenzie, George Rodrigues
Canadian Journal of Urology, Vol.15, No.4, pp. 4147-4152, 2008
Abstract Introduction: Given the improved therapeutic efficacy and acceptable side effect profile with current cryotechnology, we wish to better understand the attitudes of community urologists expressing interest in this treatment modality toward the adoption of cryotherapy in their practice.
Methods: A retrospective survey was conducted with information gathered on 50 responding physicians who attended a cryosurgery workshop between February 2004 and September 2006. Specifics such as demographics and professional background, reasons for interest in cryosurgery, and the current status of cryosurgery in the physicians' practice were collected and analyzed using SPSS, version 14 (Chicago, IL).
Results: Of the responding… More >

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ARTICLE

Jason W. Anast, Ted A. Skolarus, Yan Yan, Carl G. Klutke
Canadian Journal of Urology, Vol.15, No.4, pp. 4153-4157, 2008
Abstract Objective: The transobturator sling (TOS) is safe and effective for the treatment of female stress urinary incontinence (SUI). Controversy exists regarding its efficacy in patients with low valsalva leak point pressure (VLPP), a marker of intrinsic sphincter deficiency (ISD). We review our experience of TOS in the treatment of women with SUI and low VLPP.
Methods: Patients diagnosed with stress or mixed incontinence treated with TOS were identified by retrospective review. All procedures were performed with local anesthesia and intravenous sedation. Stress incontinence and VLPP were determined preoperatively with urodynamic testing. Chart review identified demographics, perioperative variables,… More >

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ARTICLE

Stanley Zaslau, Dale R. Riggs, Adam E. Perlmutter, Barbara J. Jackson, Jill Osborne, Stanley J. Kandzari
Canadian Journal of Urology, Vol.15, No.4, pp. 4158-4162, 2008
Abstract Introduction/objective: The degree of sexual dysfunction in patients with painful bladder syndrome (PBS) across their lifespan has not been previously documented.
Material and methods: The Female Sexual Function Index (FSFI) is a research tool to measure the degree of clinical female sexual dysfunction (FSD). This 19-item questionnaire evaluates FSD in six domains: desire, arousal, lubrication, orgasm, satisfaction, and pain. This study used the FSFI with the additional variables of age, geographical location, and current medications. The participants were not blinded to the fact that this study was examining the link between PBS and FSD. Each question in… More >

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ARTICLE

Amy E. Krambeck¹, Michael A. Farrell², Matthew R. Callstrom², Thomas D. Atwell², J. William Charboneau², George K. Chow¹, David S. DiMarco¹, David E. Patterson¹
Canadian Journal of Urology, Vol.15, No.4, pp. 4163-4168, 2008
Abstract Objectives: Radiofrequency ablation (RFA) is a minimally invasive therapy aimed at maximal preservation of renal function in the nonsurgical renal mass patient. We evaluate our experience with RFA of renal tumors in the solitary kidney.
Patients and methods: A retrospective review of all patients with a solitary kidney treated with RFA for renal mass was performed. Two radiologists reviewed all images. From December 2001 to June 2006, 55 renal tumors were treated with RFA in 30 patients with a solitary kidney. Percutaneous approach was used in 44 tumors (26 patients) and intraoperative open approach in 11 tumors… More >

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EDITORIAL COMMENT

John G. Pattaras
Canadian Journal of Urology, Vol.15, No.4, pp. 4168-4168, 2008
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ARTICLE

K. Isen¹, V. Utku¹, I. Atılgan², Y. Kutun³
Canadian Journal of Urology, Vol.15, No.4, pp. 4169-4173, 2008
Abstract Objective: There is no consensus on diagnosis and treatment of paraurethral cyst which is a rare benign cystic neoplasm. We present our experience to describe diagnosis and management of paraurethral cysts in adult women.
Materials and methods: Ten women were diagnosed with paraurethral cysts. Cysto-urethroscopy was performed on all patients to rule out urethral diverticulum just before surgery. All patients underwent surgical excision. Symptoms, parity, diagnostic tests, complications, recurrence and histologic examination of the cysts wall were analyzed in all patients.
Results: The presenting symptoms were sensation of a mass, dyspareunia, and dysuria. All of the patients were… More >

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ARTICLE

Thomas J. Guzzo¹, Alexander Kutikov², Daniel J. Canter², John E. Tomaszewski³, Laurie Magerfleish², Keith VanArsdalen², Alan J. Wein², S. Bruce Malkowicz²
Canadian Journal of Urology, Vol.15, No.4, pp. 4174-4179, 2008
Abstract Objectives: The natural history of high grade prostatic intraepithelial neoplasia (HGPIN) is incompletely understood limiting evidence based recommendations regarding screening and repeat biopsy intervals. Our objective was to evaluate the natural history of HGPIN to better assess the time frame to disease progression and the pathological findings at the time of progression to cancer.
Methods and materials: We retrospectively reviewed 74 consecutive patients with an initial diagnosis of HGPIN. The number and timing of all biopsies leading to the diagnosis of cancer were assessed. Clinical and pathological features of those patients with eventual disease progression were evaluated.
Results:… More >

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EDITORIAL COMMENT

Gabriel P. Haas
Canadian Journal of Urology, Vol.15, No.4, pp. 4179-4179, 2008
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MINIMALLY INVASIVE AND ROBOTIC SURGERY

Jamil Rehman¹, Bilal Chughtai², Khurshid Guru³, Sardar A. Khan¹, Howard L. Adler¹, Fredrick Miller⁴
Canadian Journal of Urology, Vol.15, No.4, pp. 4180-4183, 2008
Abstract Wilm’s tumor, or nephroblastoma, is a common renal tumor among children. Few cases of Wilm’s tumor have been reported in women during pregnancy. The authors present a rare case of a pregnant female, who underwent laparoscopic excision of a large Wilm’s tumor. The authors have also provided a review of the current literature. More >

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MINIMALLY INVASIVE AND ROBOTIC SURGERY

James R. Johannes¹, Cataldo Doria², Costas D. Lallas¹
Canadian Journal of Urology, Vol.15, No.4, pp. 4184-4187, 2008
Abstract Introduction/objective: To describe a novel management approach to patients presenting for living renal donation who have a suspicious renal mass or cyst and review the current literature for the management of renal allografts containing masses.
Materials and methods: We retrospectively reviewed the preoperative, intraoperative, and postoperative records of both the donor and recipient for pertinent imaging, laboratory results, and complications. We also performed a Medline search to review the world literature of such cases, using the key words that we have listed for this article.
Results: In our reported case, an angiomyolipoma (AML) was confirmed intraoperatively in the… More >

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CASE REPORT

A. L. Aguilar-Shea, A. M. Molino-González, C. Gallardo-Mayo, J. M. Pedradas-Navas
Canadian Journal of Urology, Vol.15, No.4, pp. 4188-4190, 2008
Abstract Spinal epidural abscess is an infectious disorder with high morbidity and mortality rates, which is often associated with delayed diagnosis. We report a case of a 73-year-old man with cervical pyogenic spondylodiscitis complicated with epidural abscess following a prostatic biopsy. Clinical presentation included fever, malaise, neck rigidity in all axes, minor paresis of the right arm, and gait ataxia. A cervical vertebral magnetic resonance imaging (MRI) scan showed pyogenic spondylodiscitis with an epidural abscess. Blood, urine, and cerebrospinal fl uid cultures were sterile. The patient was treated with intravenous vancomycin, metronidazole, and ceftazidime for 4 More >

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RESIDENT’S CORNER

Elena Gimenez¹, Jay D. Raman¹, Michael Lieberman², E. Darracott Vaughan Jr.¹
Canadian Journal of Urology, Vol.15, No.4, pp. 4191-4193, 2008
Abstract We report a case of a cutaneous renocolic fi stula in a patient with staghorn calculus and diverticulitis. The most common origins of renocolic fistula are primary renal diseases including xanthogranulomatous pyelonephritis, trauma, malignancy or tuberculosis. While diverticulitis has rarely been associated with renocolic fi stula, previous instances of fi stulae have been noted in patients with simultaneous kidney disease. Infl ammation resulting from kidney disease may place patients with colonic diverticulitis at higher risk for developing renocolic or cutaneous renocolic fi stulas. More >

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RESIDENT’S CORNER

Matthew J. Maurice¹, Joshua J. Meeks¹, Norm D. Smith^1,2
Canadian Journal of Urology, Vol.15, No.4, pp. 4194-4195, 2008
Abstract Patients with neurogenic bladder (NGB) from spinal cord injury (SCI) are at increased risk for developing bladder cancer. The choice of urinary diversion in patients with NGB and bladder cancer remains controversial and is dependent on patient preference, manual dexterity, social support, and renal function. We describe the outcome of a man with NGB from SCI who developed bladder cancer, underwent cystectomy with creation of an orthotopic neobladder, and now voids by Valsalva. To our knowledge, we report the fi rst successful use of an orthotopic neobladder in a patient with NGB after radical cystectomy More >

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RESIDENT’S CORNER

Wesley M. White, Steven A. Morris, Frederick A. Klein, W. Bedford Waters
Canadian Journal of Urology, Vol.15, No.4, pp. 4196-4199, 2008
Abstract We present the case of a 61-year-old female who underwent extracorporeal shock wave lithotripsy (ESWL) treatment of a 12 mm left ureteropelvic junction stone. Following an uneventful and successful treatment, the patient was discharged. The patient re-presented to the emergency room 24 hours later with abdominal pain and hypotension. CT of the abdomen revealed a shattered spleen necessitating emergent removal. The patient recovered without difficulty. Although splenic rupture following shock wave lithotripsy (SWL) has been reported previously, this case represents the only published report of splenic rupture with use of a third generation electromagnetic lithotripter. More >

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ABSTRACT

Canadian Journal of Urology, Vol.15, No.4, pp. 4200-4218, 2008
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CLINICAL TRIALS

Richard W. Casey¹, Jack Barkin²
Canadian Journal of Urology, Vol.15, No.4, pp. 4219-4222, 2008
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CLINICAL TRIALS

Mary J. Mackenzie, George Rodrigues, Eric Winquist
Canadian Journal of Urology, Vol.15, No.4, pp. 4223-4228, 2008
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