Home / Journals / CJU / Vol.16, No.4, 2009
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  • Open AccessOpen Access

    EDITORIAL

    Perspectives on the epidemiology of prostate cancer

    Ching Y. Wang
    Canadian Journal of Urology, Vol.16, No.4, pp. 4713-4713, 2009
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    A. Barry Belman
    Canadian Journal of Urology, Vol.16, No.4, pp. 4714-4715, 2009
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    ARTICLE

    Comparison of epidural and intravenous patient controlled analgesia in patients undergoing radical cystectomy

    Paul Toren1, Salima Ladak2, Clement Ma3, Stuart McCluskey2, Neil Fleshner1
    Canadian Journal of Urology, Vol.16, No.4, pp. 4716-4720, 2009
    Abstract Objective: Postoperative analgesia is an important factor influencing surgical outcomes. We aimed to evaluate the role of patient controlled epidural analgesia (PCEA) versus intravenous (IV) patient controlled analgesia (PCA) in patients undergoing radical cystectomy.
    Methods: We reviewed data from consecutive patients who had a radical cystectomy at our institution between 2003 and 2007 to evaluate the effect of either PCEA or IV PCA on the patients' postoperative pain--the primary outcome--as well as secondary outcomes including time to begin eating solid food, time to ambulation, and length of hospital stay. The patients received either hydromorphone or morphine via… More >

  • Open AccessOpen Access

    ARTICLE

    Total prostatectomy and lymph node dissection may be done safely without pelvic drainage: an extended experience of over 600 cases

    Nasheer Sachedina, Rosely De Los Santos, Murugesan Manoharan, Mark S. Soloway
    Canadian Journal of Urology, Vol.16, No.4, pp. 4721-4725, 2009
    Abstract Objectives: Routine placement of a pelvic drain may be avoided after total prostatectomy, traditionally known as "radical retropubic prostatectomy", with lymph node dissection (TP/LND). From our experience with 846 patients, we contend that patient safety and efficacy is not compromised by selectively omitting a pelvic drain.
    Materials and methods: TP/LND was performed in 846 patients with clinically localized prostate adenocarcinoma. Patient demographics, clinical and pathological data were recorded and relevant data was analyzed. After the prostate was removed and the anastomotic sutures tied, saline was instilled into the bladder through the urethral catheter. If there was no… More >

  • Open AccessOpen Access

    ARTICLE

    Prognostic significance of periodic acid-Schiff-positive patterns in clear cell renal cell carcinoma

    Amalia A. Vartanian, Eugenia V. Stepanova, Sergey L. Gutorov, Elico Sh. Solomko, Irina N. Grigorieva, Irina N. Sokolova, Anatoly Yu. Baryshnikov, Mikhail R. Lichinitser
    Canadian Journal of Urology, Vol.16, No.4, pp. 4726-4732, 2009
    Abstract Background: The ability of aggressive tumors to form nonendothelial tumor cell-lined microvascular channels is known as "vasculogenic mimicry" (VM). VM channels are revealed as periodic acid-Schiff (PAS)-positive patterns, and in some tumors their presence predicts clinical outcomes.
    Objective: We aimed to study VM channels in clear cell renal cell carcinoma (cRCC) tumors and explore their prognostic significance and relationship to other suggested prognostic factors such as thymidine phosphorylase (TP) and vascular endothelial growth factor (VEGF) expression.
    Methods: We retrospectively studied 45 patients who had undergone radical nephrectomy for clinically confined cRCC (stage T2-T3N0M0) at the Russian Cancer Research… More >

  • Open AccessOpen Access

    ARTICLE

    Charlson comorbidity index and success of extracorporeal shock wave lithotripsy

    Katherine C. Hubert1, Mandeep Singh1,*, Esther H. Zhou2, Grace Delos Santos1, Mark D. Stovsky1
    Canadian Journal of Urology, Vol.16, No.4, pp. 4733-4735, 2009
    Abstract Introduction/objective: We examined the potential correlation between Charlson comorbidity index (CCI) and stone free rate after extracorporeal shock wave lithotripsy (ESWL).
    Materials and methods: Two hundred twenty-six adult patients were treated with 241 ESWL procedures for a renal or ureteral stone(s) over a 3 year period. Age, race, comorbidities, CCI, stone size and location, number of shocks and power level were determined. Treatment efficacies were evaluated at a mean of 56.1 days after each ESWL with computed tomography, abdominal x-ray, intravenous pyleography and/or renal ultrasound. Multivariate logistic regression analysis was performed.
    Results: There was no correlation between CCI… More >

  • Open AccessOpen Access

    MINIMALLY INVASIVE AND ROBOTIC SURGERY

    Current status of robot-assisted surgery in urology: a multi-national survey of 297 urologic surgeons

    Khurshid A. Guru1,2, Abid Hussain2, Rameela Chandrasekhar2, Pamela Piacente2, Marlene Bienko2, Mark Glasgow4, Willie Underwood1,2, Gregory Wilding3, James L. Mohler1,2, Mani Menon5, James O. Peabody5
    Canadian Journal of Urology, Vol.16, No.4, pp. 4736-4741, 2009
    Abstract Purpose: The surgical robot is becoming an important tool for performance of minimally invasive surgical procedures around the world. We surveyed opinions about and utilization of robot-assisted surgery among urologic surgeons from 44 countries.
    Material and methods: A total of 297 surveys were completed from September to November 2008 by participating urologic surgeons polled at various national and international urologic meetings. The survey evaluated surgeon background, personal experience with minimally invasive surgery, institutional status regarding robotic surgery surgeons' attitudes towards robot-assisted surgery, in general, and prostate, bladder and kidney oncologic procedures, specifically.
    Results: Two hundred ninety-seven participants completed… More >

  • Open AccessOpen Access

    EDITORIAL COMMENT

    Current status of robot-assisted surgery in urology: a multi-national survey of 297 urologic surgeons

    Michael Large, Kevin C. Zorn
    Canadian Journal of Urology, Vol.16, No.4, pp. 4741-4741, 2009
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    MINIMALLY INVASIVE AND ROBOTIC SURGERY

    Continued improvement of perioperative, pathological and continence outcomes during 700 robot-assisted radical prostatectomies

    Kevin C. Zorn, Mark A. Wille, Alan E. Thong, Mark H. Katz, Sergey A. Shikanov, Aria Razmaria, Ofer N. Gofrit, Gregory P. Zagaja, Arieh L. Shalhav
    Canadian Journal of Urology, Vol.16, No.4, pp. 4742-4749, 2009
    Abstract Background: Several robot-assisted radical prostatectomy (RARP) series have reviewed the impact of the initial learning curve on perioperative outcomes. However, little is known about the impact of experience on urinary and sexual outcomes. Herein, we review the perioperative, pathological and functional outcomes of our initial 700 consecutive procedures with at least 1 year follow up.
    Methods: From 2003-2006, 700 consecutive men underwent RARP at a single, academic institution. Perioperative data and pathologic outcomes were prospectively collected. Validated, UCLA-PCI-SF36v2 quality-of-life questionnaires were also obtained at 1, 3, 6 and 12 months following surgery. Outcomes between groups (cases 1-300,… More >

  • Open AccessOpen Access

    EDITORIAL COMMENT

    Continued improvement of perioperative, pathological and continence outcomes during 700 robot-assisted radical prostatectomies

    David Canes
    Canadian Journal of Urology, Vol.16, No.4, pp. 4749-4749, 2009
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    CASE REPORT

    Loss of structural integrity of a coil based ureteral stent

    Danielle D. Sweeney, Matthew H. Hayn, Daniel Ricchiuti, Stephen V. Jackman
    Canadian Journal of Urology, Vol.16, No.4, pp. 4750-4752, 2009
    Abstract We present the fi rst reported complication of the Silhouette, (Applied Medical, Santa Margarita, CA) 4 Fr. soft, nitinol coil-reinforced double-J ureteral stent, that is specifi cally related to its unique construct and design. These novel ureteral stents were placed in a medically unstable patient with bilateral partially obstructing proximal ureteral calculi. At the time of ureteroscopy, it was noted that a mild to moderate amount of encrustation was present on the distal curl of the ureteral stent. Upon removal of the stent, resistance was encountered and disintegration and fragmentation of the stent was noted. More >

  • Open AccessOpen Access

    EDITORIAL COMMENT

    EDITORIAL COMMENT

    Jay D. Raman
    Canadian Journal of Urology, Vol.16, No.4, pp. 4752-4752, 2009
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    CASE REPORT

    Enteric type urachal adenocarcinoma: a case report

    Dina El Demellawy1, Ahmed Nasr2, Salem Alowami3, Nicholas Escott1
    Canadian Journal of Urology, Vol.16, No.4, pp. 4753-4756, 2009
    Abstract Urachal pathology is rare. The most frequently reported lesion is urachal adenocarcinoma. The pathogenesis of urachal adenocarcinoma is unknown. We report a case of a 55-year-old man who presented with microscopic hematuria. Clinical work up showed a tumor involving the urinary bladder with extravesical extension. Masses or tumors involving other organs were excluded. Partial cystectomy revealed a distended bladder wall with the formation of a cystically dilated mass fi lled with mucoid material. Microscopic examination showed enteric type adenocarcinoma with abundant mucin formation. The neoplastic urachal epithelium showed features of colonic differentiation as evidenced by More >

  • Open AccessOpen Access

    CASE REPORT

    An unusual penpal: case report and literature review of posterior urethral injuries secondary to foreign body insertion

    J. C. Forde, R. G. Casey, R. Grainger
    Canadian Journal of Urology, Vol.16, No.4, pp. 4757-4759, 2009
    Abstract We report the case of a 57-year-old male who attended the emergency department after inserting a ballpoint pen into his urethra 24 hours earlier during a sexual encounter. Rigid cystoscopy was performed and confirmed the foreign body to have caused a partial rupture of the posterior urethra. It was subsequently removed using a combination of graspers and stone retrieval baskets. Self insertion of foreign bodies into the urethra is often as a result of psychiatric disturbance, alcohol intoxication or as a means of sexual gratification. Posterior urethral injuries are more commonly associated with pelvic trauma More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Granulocytic sarcoma of the adrenal gland

    Bilal Chughtai1, David Samadi2, Khurshid A. Guru3, Zelik Frischer4, Jamil Rehman4
    Canadian Journal of Urology, Vol.16, No.4, pp. 4760-4761, 2009
    Abstract We report a case of primary granulocytic sarcoma (GS) of the left adrenal gland, with no evidence of hematologic involvement. To our knowledge, this is the fi rst case of granulocytic sarcoma of the adrenal gland. More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Leiomyoma of the urinary bladder presenting as urinary retention in the female

    Susan E. Saunders, Jacob Matthew Conjeski, Stanley Zaslau, Jim Williams, Stanley J. Kandzari
    Canadian Journal of Urology, Vol.16, No.4, pp. 4762-4764, 2009
    Abstract A case of leiomyoma of the urinary bladder, a rare benign tumor, in a 56-year-old female fi rst seen with bilateral fl ank pain radiating to both groins, is reported. Examination showed a well developed female with obesity (260 pounds) and elevated blood pressure (132/90 mmHg). Evaluation with ultrasound, cystoscopy, urodynamics, and cytology contributed to the diagnosis of urinary bladder leiomyoma. Ultrasound detected a mass in the urinary bladder, and it was confi rmed by cystoscopy to be a 5 cm to 6 cm bladder mass on the anterior bladder wall. The mass was prolapsing More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Nutcracker syndrome in a 20-year-old patient treated with intravascular stent placement: a case report

    Louis-Olivier Gagnon1, Yves Ponsot1, Andrew Benko2, Le Mai Tu1
    Canadian Journal of Urology, Vol.16, No.4, pp. 4765-4769, 2009
    Abstract Introduction: Nutcracker syndrome (NCS) is a rare condition characterized by the entrapment of the left renal vein (LRV) between the superior mesenteric artery (SMA) and the aorta. It was first described in 1950 and the term nutcracker was attributed by de Schepper in 1972.
    Clinical case: A 20-year-old female patient was admitted to the urology department with a history of hematuria and left flank pain. Basic hematuria investigation was inconclusive. Further investigation revealed a nutcracker syndrome on retrograde phlebography. Surveillance was the option first chosen. Three years later and after several symptomatic episodes, an intravascular stenting procedure… More >

  • Open AccessOpen Access

    EDITORIAL COMMENT

    EDITORIAL COMMENT

    Stanley Zaslau
    Canadian Journal of Urology, Vol.16, No.4, pp. 4769-4769, 2009
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Transperitoneal laparoscopic radical and partial nephrectomy in patients with cirrhosis: report of three cases

    Matthew H. Hayn, Timothy D. Averch, Stephen V. Jackman
    Canadian Journal of Urology, Vol.16, No.4, pp. 4770-4773, 2009
    Abstract Introduction: Surgical stress in patients with liver disease is associated with hepatorenal syndrome, coagulopathy, encephalopathy, sepsis, ARDS, and abnormalities of volume and electrolytes. These risks as well as the surgical difficulties associated with portal hypertension, varices, ascites, and thrombocytopenia limit the treatment options available to cirrhotic patients with renal masses. The decreased stress of laparoscopy may benefit patients with significant liver disease.
    Methods: We performed a retrospective chart review of three patients with cirrhosis and renal masses who underwent laparoscopic renal surgery.
    Results: The mean patient age was 56 years old. Two patients had Child-Pugh class B cirrhosis… More >

  • Open AccessOpen Access

    ABSTRACT

    Mid-Atlantic Section of the American Urological Association 67th Annual Meeting Abstracts - October 1-4, 2009


    Canadian Journal of Urology, Vol.16, No.4, pp. 4774-4792, 2009
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    CLINICAL TRIALS

    Offi ce based urology trials

    Richard W. Casey1, Jack Barkin2
    Canadian Journal of Urology, Vol.16, No.4, pp. 4793-4794, 2009
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    CLINICAL TRIALS

    Open clinical uro-oncology trials in Canada

    George Rodrigues, Eric Winquist, Mary J. Mackenzie
    Canadian Journal of Urology, Vol.16, No.4, pp. 4795-4800, 2009
    Abstract This article has no abstract. More >

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