Home / Journals / CJU / Vol.16, No.2, 2009
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  • Open AccessOpen Access

    EDITORIAL

    Pearls of our Practice

    Gabriel P. Haas
    Canadian Journal of Urology, Vol.16, No.2, pp. 4532-4532, 2009
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    E. Darracott Vaughan, Jr.
    Canadian Journal of Urology, Vol.16, No.2, pp. 4533-4535, 2009
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    ARTICLE

    Assessment of patient outcomes following submucosal injection of triamcinolone for treatment of Hunner’s ulcer subtype interstitial cystitis

    Michael Cox1, John J. Klutke2, Carl G. Klutke1
    Canadian Journal of Urology, Vol.16, No.2, pp. 4536-4540, 2009
    Abstract Introduction and objective: Hunner's ulcer subtype interstitial cystitis (IC) is characterized by the presence of circumscribed inflammatory ulcerations in the bladder wall identified during endoscopic examination of individuals with irritative voiding symptoms and pelvic pain. We present our experience with management of this subgroup with intralesional submucosal injection of corticosteroid.
    Methods: Prospective analysis of patients presenting with Hunner's ulcer subtype IC was performed between November 2006 and April 2008. All patients underwent flexible cystoscopy and biopsy confirming the presence of Hunner's ulcer(s). Under general anesthesia, 10 ml of triamcinolone acetonide (40 mg/ml) was injected in 0.5 ml… More >

  • Open AccessOpen Access

    ARTICLE

    Does neoadjuvant hormone therapy improve outcome in prostate cancer patients receiving radiotherapy after radical prostatectomy?

    Howard Huaihan Pai1,5, Brenna Eldridge2, Darcy Bishop3, Abraham Alexander1,5, Mary Lesperance4, Paul Blood1,5, Jan Lim1,5, Charles Ludgate1,5
    Canadian Journal of Urology, Vol.16, No.2, pp. 4541-4552, 2009
    Abstract Purpose: To assess outcome and predictive factors in men with prostate cancer who receive post radical prostatectomy (RP) radiotherapy (RT) either in the adjuvant or salvage setting, with or without neoadjuvant androgen deprivation therapy (NADT).
    Methods: A retrospective analysis was performed on 175 patients with clinically localized prostate cancer treated with RP who subsequently received RT (dose range 50 Gy-68 Gy). Twenty-two patients received adjuvant RT (ART), 57 received NADT + ART, 15 received salvage RT (SRT), and 81 received NADT + SRT. Outcome was assessed by biochemical disease-free survival (BDFS), prostate cancer specific survival and overall… More >

  • Open AccessOpen Access

    ARTICLE

    Predictors of positive surgical margins after radical perineal prostatectomy

    Manlio A. Goetzl1, Ron Krebill2, Tomas L. Griebling1,3, J. Brantley Thrasher1
    Canadian Journal of Urology, Vol.16, No.2, pp. 4553-4557, 2009
    Abstract Introduction/objective: Margin positivity has been a well described adverse prognostic factor in patients undergoing radical prostatectomy. Previous studies with regards to predictors of margin positivity after prostatectomy have primarily focused on the retropubic or robotic approach. We sought to examine the predictors of margin positivity in a contemporary series of men undergoing radical perineal prostatectomy (RPP).
    Materials and methods: We reviewed the records of 103 patients who underwent RPP at our institution from July 1998 until May 2008. A positive surgical margin (PSM) was defined as the presence of cancer cells at the inked margin of the… More >

  • Open AccessOpen Access

    ARTICLE

    Complexed prostate specifi c antigen: better test in the diagnosis of prostate cancer for the clinically relevant 2.5-4 ng/ml total PSA range

    Nilgun Mutlu1, Levent N. Türkeri2, Faruk Yencilek3, Aslan Demir2, Kaya Emerk4
    Canadian Journal of Urology, Vol.16, No.2, pp. 4558-4567, 2009
    Abstract Background: Data on utilizing complexed prostate specific antigen (cPSA) offering increased diagnostic performance over other available clinical parameters in diagnosis of prostate cancer is still controversial. Our objective was to determine diagnostic performance of cPSA compared to total prostate specific antigen (tPSA) and corresponding ratios for possible routine application.
    Methods: In a prospective study including overall 315 consecutive men, 177 patients with suspicious digital rectal examination, and/or tPSA value ≥ 2.5 ng/ml underwent prostate biopsy. Serum samples for tPSA, cPSA and free PSA were analyzed using automated chemiluminometric technology.
    Results: Area under the curve (AUC) for cPSA, although… More >

  • Open AccessOpen Access

    ARTICLE

    Fracture of the penis: a radiological or clinical diagnosis? A case series and literature review

    Mayank Mohan Agarwal1, Shrawan K. Singh1, Darshan Kumar Sharma1, Priyadarshi Ranjan1, Santosh Kumar1, Vaddi Chandramohan2, Nitin Gupta1, Naveen C. Acharya1, Vidur Bhalla3, Ravimohan Mavuduru1, Arup K. Mandal1
    Canadian Journal of Urology, Vol.16, No.2, pp. 4568-4575, 2009
    Abstract Introduction: Fracture of the penis is rare and needs a surgeon's attention for appropriate management. The exact role of diagnostic investigations has not been established. We studied the role of these investigations and the results of surgery.
    Case series: Seventeen patients with median age of 36 years (range, 27-72 years) presented to us between 2002 and 2007 with suspected fracture of the penis. The mode of injury was sexual intercourse (15 patients), masturbation (1 patient), and rolling over in bed (1 patient). The median time from injury to presentation was 10 hours (range, 1-144 hours). Clinical evaluation… More >

  • Open AccessOpen Access

    ARTICLE

    Female circumcision: history, medical and psychological complications, and initiatives to eradicate this practice

    Gaurang Shah1, Luay Susan1, Jean Furcroy2
    Canadian Journal of Urology, Vol.16, No.2, pp. 4576-4579, 2009
    Abstract Female circumcision — a procedure where the parts of the female genitals are removed, which is also known as female genital cutting (FGC) or female genital mutilation (FGM) — continues to be practiced in more than 28 African countries. It is estimated that 80-100 million women have been circumcised. We performed a review of the literature to examine the history of female circumcision, its medical and psychological consequences, and government and non-government educational initiatives that are currently being taken to eradicate this practice. More >

  • Open AccessOpen Access

    MINIMALLY INVASIVE AND ROBOTIC SURGERY

    Anovel and ergonomic patient position for laparoscopic kidney surgery

    George L. Martin, Rafael N. Nunez, Aaron D. Martin, Paul E. Andrews, Erik P. Castle
    Canadian Journal of Urology, Vol.16, No.2, pp. 4580-4583, 2009
    Abstract Introduction: Flank positioning with the patient's ipsilateral arm elevated over the head on an arm board is often used during laparoscopic kidney surgery. There have been reports of brachial plexus neuropraxia, rhabdomyolysis and other complications related to this positioning. Herein we describe our modified positioning technique for laparoscopic renal surgery.
    Method: Beginning in November 2003, all patients undergoing laparoscopic renal surgery have been positioned in the 30 degree modified flank position. The ipsilateral arm is not elevated on an arm board but lies in an ergonomic "sling" position with the elbow flexed slightly greater than 90 degrees.… More >

  • Open AccessOpen Access

    HISTORY OF UROLOGY

    The “infertility” of Catherine de Medici and its infl uence on 16th century France

    Jennifer Gordetsky, Ronald Rabinowitz, Jeanne O’Brien
    Canadian Journal of Urology, Vol.16, No.2, pp. 4584-4588, 2009
    Abstract Objective: Catherine de Medici, queen consort of King Henry II of France, was a powerful woman at a time when power for her sex was determined by fecundity. A decade-long history of infertility might have placed her at risk for condemnation, but her husband's known urologic abnormalities played in her favor. This presentation will address the penile deformity of her husband, Henry II, and how this likely played a crucial role in her eventual rise to power, the interventions undertaken with regard to her purported infertility, and the historical ramifications when Catherine de Medici went on… More >

  • Open AccessOpen Access

    CASE REPORT

    Tuberculous epididymitis following intravesical Bacillus Calmette-Guérin immunotherapy

    Nathan Hoag1, Peter J. Pommerville1, Pamela C. Kibsey2, Douglas J. Cavers3, Richard J. Eddy4
    Canadian Journal of Urology, Vol.16, No.2, pp. 4589-4591, 2009
    Abstract Intravesical Bacillus Calmette-Guérin (BCG) is widely used as an adjuvant therapy in the treatment of superfi cial bladder cancer. BCG is administered as a live, attenuated form of Mycobacterium bovis, and acts as an immunomodulary agent to delay tumor progression. BCG is generally well tolerated, though localized and systemic infectious complications may occur. A literature search revealed that tuberculous epididymitis is a rarely reported complication of intravesical BCG therapy. We report the case of an 82-year-old male who developed tuberculous epididymitis while undergoing intravesical BCG treatment for transitional cell carcinoma of the bladder. Right orchiectomy More >

  • Open AccessOpen Access

    CASE REPORT

    Giant retrovesical epithelioid hemangioendothelioma presenting with acute urinary retention: a case report

    Santosh Kumar1, Kim Vaiphei2, Benu Panigrahy1, Naveen Acharya1, Saurav Pandya1
    Canadian Journal of Urology, Vol.16, No.2, pp. 4592-4595, 2009
    Abstract Epithelioid hemangioendothelioma (EH) is a very rare vascular tumor of intermediate biological behavior. It can arise from various sites including bone, liver, spleen, pleura, lung, skin, or soft tissue. We report a case of a 24-year-old man who presented with a history of acute urinary retention and a palpable lump in the lower abdomen. Imaging showed a large pelvic mass displaying heterogeneous texture with solid and cystic components compressing and displacing adjacent structures. The patient underwent exploratory laparotomy with excision of the pelvic mass. Histopathological examination confi rmed the diagnosis of EH. Pelvic soft tissue More >

  • Open AccessOpen Access

    CASE REPORT

    Staged minimally invasive treatment of inflammatory abdominal aortic aneurysm and renal cell carcinoma

    John G. Pattaras1, Ross Milner2
    Canadian Journal of Urology, Vol.16, No.2, pp. 4596-4598, 2009
    Abstract Introduction: Laparoscopic radical nephrectomy has become an international standard of care for medium to large renal tumors. Endovascular aneurysm repair (EVAR) has been accepted as a reasonable alternative to open abdominal aortic aneurysm (AAA) repair. We report a case of minimally invasive management of two potentially lethal diseases in a single hospitalization.
    Patient and methods: The patient is a 76-year-old male who was found to have an incidental finding of an AAA and an enhancing 9 cm left central renal mass. He was deemed to be an appropriate candidate for endovascular AAA repair and laparoscopic nephrectomy based… More >

  • Open AccessOpen Access

    CASE REPORT

    Hypofractionated radiotherapy with concomitant sunitinib – is there a radiosensitizing effect?

    Daniel Taussky1, Denis Soulières2
    Canadian Journal of Urology, Vol.16, No.2, pp. 4599-4600, 2009
    Abstract We present a case of a patient with metastatic renal cell cancer (RCC) treated with hypofractionated radiotherapy while being treated with sunitinib. He received a single dose of 8 Gy of external beam radiation to a metastatic mass of several centimeters diameter in the right lateral ribs, followed by a second identical dose. Clinically, the patient achieved a nearly complete disappearance of the mass. We discuss the possible synergy between tyrosine kinase receptor inhibitors (TKRIs) and radiotherapy and the importance of dose fractionation. More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Wolffi an duct derivative anomalies: technical considerations when encountered during robot-assisted radical prostatectomy

    Sujeet S. Acharya, Mohan S. Gundeti, Gregory P. Zagaja, Arieh L. Shalhav, Kevin C. Zorn
    Canadian Journal of Urology, Vol.16, No.2, pp. 4601-4606, 2009
    Abstract Background: Although malformations of the genitourinary tract are typically identified during childhood, they can remain silent until incidental detection in evaluation and treatment of other pathologies during adulthood. The advent of the minimally invasive era in urologic surgery has given rise to unique challenges in the surgical management of anomalies of the genitourinary tract.
    Objective: This article reviews the embryology of anomalies of Wolffian duct (WD) derivatives with specific attention to the seminal vesicles, vas deferens, ureter, and kidneys. This is followed by a discussion of the history of the laparoscopic approach to WD derivative anomalies. Finally,… More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Case of a concurrent renal mass and extragonadal retroperitoneal teratoma

    Sapan N. Ambani1, Bruce L. Jacobs1, Aleksandr M. Perepletchikov2, Ronald L. Hrebinko, Jr.1
    Canadian Journal of Urology, Vol.16, No.2, pp. 4607-4610, 2009
    Abstract The presentation of a synchronous renal cell carcinoma (RCC) and germ cell tumor (GCT) is rare. We report the case of a 57 year-old male who presented with a right renal mass and retroperitoneal lymphadenopathy. He underwent a successful right partial nephrectomy and retroperitoneal lymph node dissection, and the subsequent pathology revealed a stage I clear cell RCC and a retroperitoneal teratoma with a component of benign prostatic tissue. We briefl y discuss the rarity of this occurrence, the pathological features that helped support this diagnosis, and the likely etiologies of these synchronous lesions. More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Synchronous metastatic renal cell carcinoma to the genitourinary tract: two rare case reports and a review of the literature

    W. A. Mayer1, M. J. Resnick1, D. Canter1, P. Ramchandani2, A. Kutikov1, J. F. Harryhill1, V. L. Carpiniello1, T. J. Guzzo3
    Canadian Journal of Urology, Vol.16, No.2, pp. 4611-4614, 2009
    Abstract Synchronous metastasis of renal cell carcinoma (RCC) to the ureter or the bladder represents an extremely rare event. We report one case of synchronous metastasis of RCC to the ipsilateral ureter and one case of solitary synchronous metastasis of RCC to the urinary bladder. We review the literature and discuss possible mechanisms of dissemination. We discuss the surgical management of metastases from RCC as well as the surgical options in the treatment of these rare occurrences. More >

  • Open AccessOpen Access

    CLINICAL TRIALS

    Offi ce based urology trials

    Richard W. Casey1, Jack Barkin2
    Canadian Journal of Urology, Vol.16, No.2, pp. 4615-4616, 2009
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    CLINICAL TRIALS

    Open clinical uro-oncology trials in Canada

    Eric Winquist, Mary J. Mackenzie, George Rodrigues
    Canadian Journal of Urology, Vol.16, No.2, pp. 4617-4623, 2009
    Abstract This article has no abstract. More >

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