Open Access

EDITORIAL

Leonard G. Gomella
Canadian Journal of Urology, Vol.18, No.1, pp. 5500-5500, 2011
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LEGENDS IN UROLOGY

Guy Vallancien
Canadian Journal of Urology, Vol.18, No.1, pp. 5501-5503, 2011
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REVIEW

Arnaldo Mendez, Mohamad Sawan
Canadian Journal of Urology, Vol.18, No.1, pp. 5504-5516, 2011
Abstract Chronic monitoring of bladder volume can improve the clinical diagnosis and the choice of therapeutic approach for patients suffering from urinary dysfunction. It can also be employed to notify patients or healthcare personnel when the bladder should be emptied. An early warning can be triggered either when functional bladder capacity is reached or when an abnormally high postvoiding residual volume remains in the bladder after an unfinished voiding. Currently, neuroprosthetic implants are used in the treatment of refractory patients with overactive bladder, with urgency-frequency or with voiding complications. These implants can further enhance their performance, More >

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ARTICLE

Francesca Vita¹, Salvatore Siracusano², Rita Abbate¹, Stefano Ciciliato², Violetta Borelli¹, Maria Rosa Soranzo¹, Giuliano Zabucchi¹
Canadian Journal of Urology, Vol.18, No.1, pp. 5517-5523, 2011
Abstract Introduction: Bacillus Calmette-Guérin (BCG) is used to treat high risk superficial bladder cancer, but its anti-tumor effect remains incompletely defined. Recently a role for polymophonuclear (PMN) neutrophils has been suggested. To investigate the role of granulocytes, we monitored the activation state of these cells in the urine of BCG-treated patients.
Materials and methods: Ten patients with stage T1, grade 3 (T1G3) transitional cell carcinoma received an 8 week course of BCG after undergoing transurethral resection of the bladder. Cytological and enzymatic analyses of urine samples collected before and 2 hours after the physiological expulsion of BCG were… More >

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ARTICLE

Matthew McIntyre¹, Avi Weiss², Amy Wahlquist¹, Thomas Keane¹, Harry Clarke¹, Stephen Savage¹
Canadian Journal of Urology, Vol.18, No.1, pp. 5524-5528, 2011
Abstract Introduction: Penile cancer is rare, often presenting in later stages. We sought to determine if factors potentially related to access to care were associated with worse outcomes.
Methods: We performed a retrospective review of all patients with the diagnosis of penile cancer over a 14 year period at the only tertiary referral center in the state. We collected data on multiple factors potentially associated with access to care.
Results: Fifty-fve patients with penile cancer were identifed. The average age was 57 years. Of the 55 patients, 23 patients (42%) had private insurance carriers, 16 (29%) had Medicare/Medicaid, 13… More >

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EDITORIAL COMMENT

Paul K. Hegarty
Canadian Journal of Urology, Vol.18, No.1, pp. 5528-5528, 2011
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ARTICLE

Jacobo Arce, Josep M. Gaya, Jorge Huguet, Oscar Rodriguez, Joan Palou, Humberto Villavicencio
Canadian Journal of Urology, Vol.18, No.1, pp. 5529-5536, 2011
Abstract Objectives: To determine which patients may benefit from prostate-sparing surgery and which factors are predictive of invasive prostatic involvement.
Materials and methods: A total of 717 men underwent radical cystoprostatectomy (RC) for bladder transitional cell carcinoma (TCC) between 1978 and 2002. Analysis of prostatic urethral involvement by transitional cell carcinoma (pTCC) and of invasive prostatic involvement by TCC was performed according to recurrence, presence of carcinoma in situ (CIS) and multifocality, previous intravesical chemotherapy, grade, stage and location of bladder tumor, presence of CIS in precystectomy transurethral resection (TUR) and indication for RC.
Results: pTCC was present in… More >

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EDITORIAL COMMENT

Bob Djavan
Canadian Journal of Urology, Vol.18, No.1, pp. 5536-5536, 2011
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ARTICLE

John B. Calhoun, Todd D. Merchen, James A. Brown
Canadian Journal of Urology, Vol.18, No.1, pp. 5537-5541, 2011
Abstract Introduction: Surgical volume correlates with improved outcomes for some complex urologic procedures. We reviewed the outcomes of a lower volume practice (1-2 cases per year) experience with radical nephrectomy with infra/retrohepatic vena caval thrombectomy (RNCT).
Methods: We retrospectively reviewed 10 patients who underwent RNCT performed by a single surgeon at a single state institution over 7 years (2002-2009). Patient demographics, presenting symptoms, preoperative imaging, intraoperative findings, pathology, hospital course, outcomes, level of caval involvement, renal artery embolization, liver mobilization, blood loss, transfusion requirements and follow up times were recorded.
Results: Median patient BMI (n=8) was 25.7 (18.3-31.9). Eight… More >

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EDITORIAL COMMENT

Kevin R. Loughlin
Canadian Journal of Urology, Vol.18, No.1, pp. 5541-5541, 2011
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ARTICLE

Abdulkader Alobaidy, Abdulla Al-Naimi, Khalid Assadiq, Haidar Alkhafaji, Abdulla Al-Ansari, Ahmed A. Shokeir
Canadian Journal of Urology, Vol.18, No.1, pp. 5542-5547, 2011
Abstract Objective: To identify the risk factors of unfavorable results of percutaneous nephrolithotomy (PCNL).
Patients and methods: A total of 602 patients were subjected to 616 PCNL procedures. Patients were divided into two groups according to the results of treatment. Group 1 with favorable results includes patients who became stone free after a single PCNL procedure without major complications. Group 2 with unfavorable results includes three subgroups: a) Patients who developed major complications, b) Those who required second major intervention to complete stone removal, and c) Patients with residual stones > 4 mm at 3 month. Risk factors… More >

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EDITORIAL COMMENT

Khaled Shahrour, Timothy D. Averch
Canadian Journal of Urology, Vol.18, No.1, pp. 5547-5547, 2011
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MINIMALLY INVASIVE AND ROBOTIC SURGERY

Jamil Rehman¹, Mattia N. Sangalli², Khurshid Guru³, Geert de Naeyer², Peter Schatteman², Paul Carpentier², Alexander Mottrie²
Canadian Journal of Urology, Vol.18, No.1, pp. 5548-5556, 2011
Abstract Objective: Several recent preliminary reports have demonstrated that Robot-Assisted Cystectomy with total intracorporeal Ileal Conduit (RACIC) is a feasible option over the open technique. We report our stepwise surgical procedure of robotic total intracorporeal ileal conduit urinary diversion, technical consideration, development, refinements and initial experience. Only the ileal conduit urinary diversion is described with no emphasis on the cystectomy's steps.
Methods: Between February 2008 and September 2009, nine patients underwent RACIC for muscle invasive transitional cell carcinoma (TCC). The entire procedure, including radical cystoprostatectomy, extended pelvic node dissection (ePLND), ileal conduit urinary diversion (Bricker) including isolation of… More >

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RESIDENT’S CORNER

Luke Frederick, Aaron D. Benson, Patrick H. McKenna
Canadian Journal of Urology, Vol.18, No.1, pp. 5557-5559, 2011
Abstract Urethral duplication is a very rare congenital anomaly. Urethral duplication is seen most commonly in the sagittal plane. We report a rare case of complete urethral duplication in the coronal plane with no other associated anomalies. Surgical correction of this coronal urethral duplication resulted in a normal-appearing penis and good functional outcome with a single midline urethral meatus and urinary stream. More >

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EDITORIAL COMMENT

Ahmad Bani-Hani
Canadian Journal of Urology, Vol.18, No.1, pp. 5559-5559, 2011
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RESIDENT’S CORNER

Zurab Davili¹, Zahi Makhuli¹, Christopher Hartman¹, Rong Rong²
Canadian Journal of Urology, Vol.18, No.1, pp. 5560-5563, 2011
Abstract We report a case of a 46-year-old male who presented to the outpatient urology clinic with an incidental bladder mass. Office cystoscopy revealed two synchronous tumors of different morphology. Endoscopic resection was performed to remove the smaller, papillary tumor, of which pathology revealed Ta, Grade 1 urothelial carcinoma. A second open resection was performed to remove the second tumor, a benign leiomyoma. More >

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RESIDENT’S CORNER

Robert J. Hartman Jr., Brian T. Helfand, Daniel P. Dalton
Canadian Journal of Urology, Vol.18, No.1, pp. 5564-5567, 2011
Abstract Introduction: Osseous metaplasia is a rare histologic feature not often associated with renal cell carcinoma; there are only 14 reported cases and just four associated with the clear cell variant. We report the case of a 48-year-old female who presented with diffuse abdominal pain.
Materials and methods: We reviewed the case of woman who underwent a robotic assisted partial nephrectomy for an enhancing renal mass. Histologic analyses and immunostains were reviewed by multiple pathologists.
Results: CT imaging revealed a 1.8 cm irregular enhancing exophytic mass with calcifications. The patient subsequently underwent robotic assisted laparoscopic partial nephrectomy. The final More >

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RESIDENT’S CORNER

Tin C. Ngo¹, Curtis J. Clark¹, Gary Zhao², Jeffrey H. Reese³
Canadian Journal of Urology, Vol.18, No.1, pp. 5568-5569, 2011
Abstract Although Wilms’ tumor is the most common primary renal malignancy in children, it is exceedingly rare in adults and has an estimated incidence of less than 0.2 cases per million. Little is known about the biology of this tumor in adults and clinicians have had to rely on pediatric treatment protocols. Overall, prognosis is worse in adults, though like in children, unfavorable histology and higher stage at presentation confer a worse prognosis. More >

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CLINICAL TRIALS

Richard W. Casey¹, Jack Barkin²
Canadian Journal of Urology, Vol.18, No.1, pp. 5570-5573, 2011
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CLINICAL TRIALS

George Rodrigues, Eric Winquist
Canadian Journal of Urology, Vol.18, No.1, pp. 5574-5580, 2011
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