Open Access

EDITORIAL

Jack Barkin
Canadian Journal of Urology, Vol.19, No.2, pp. 6155-6155, 2012
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LEGENDS IN UROLOGY

Datta G. Wagle
Canadian Journal of Urology, Vol.19, No.2, pp. 6156-6157, 2012
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LEGENDS IN UROLOGY

Fray F. Marshall
Canadian Journal of Urology, Vol.19, No.2, pp. 6158-6159, 2012
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REVIEW

Chad Morley, Aimee Rogers, Stanley Zaslau
Canadian Journal of Urology, Vol.19, No.2, pp. 6160-6164, 2012
Abstract Introduction: Post-vasectomy pain syndrome (PVPS), defined as chronic epididymal pain that is continuous or recurrent in the absence of proven epididymal or testicular infection, has become more common as the number of vasectomies performed rises. With more than four million vasectomies performed annually, the prevention and treatment of this condition becomes more important. Multiple theories have been proposed as a potential etiology of this condition, and along with this have come multiple modalities of treatment. With the uncertainty surrounding the etiology of this syndrome, the aims of treatment are varied and are described and analyzed in… More >

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ARTICLE

Perakaa Sethukavalan¹, Patrick Cheung^1,2, Colin I. Tang^3,4, Harvey Quon^1,2, Gerard Morton^1,2, Robert Nam^1,2, D. Andrew Loblaw^1,2
Canadian Journal of Urology, Vol.19, No.2, pp. 6165-6169, 2012
Abstract Introduction: To estimate the out-of-pocket costs for patients undergoing external beam radiotherapy (EBRT) for prostate cancer and calculate the patient-related savings of being treated with a 5-fraction versus a standard 39-fraction approach.
Materials and methods: Seventy patients accrued to the pHART3 (n = 84) study were analyzed for out-of-pocket patient costs as a result of undergoing treatment. All costs are in Canadian dollars. Using the postal code of the patient's residence, the distance between the hospital and patient home was found using Google Maps. The Canada Revenue Agency automobile allowance rate was then applied to determine the… More >

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ARTICLE

Nora G. Lee¹, Hui Xue², Lori B. Lerner³
Canadian Journal of Urology, Vol.19, No.2, pp. 6170-6175, 2012
Abstract Introduction: Surgical management of benign prostatic hyperplasia (BPH) has changed over the past 15 years with newer techniques emerging such as laser therapy that can be used with anticoagulation, an increasing issue with modern patients. We sought to evaluate current trends in procedure utilization based on age, location, type of practice, and experience. We also hoped to determine what factors influence surgeons' decisions to choose or reject particular surgical techniques.
Methods and materials: A 90-item on-line survey was sent via electronic mail to the American Urological Association (AUA), Veterans Administration, Society for Government Service Urologists, and Endourological… More >

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EDITORIAL COMMENT

Pierre-Alain Hueber, Kevin C. Zorn
Canadian Journal of Urology, Vol.19, No.2, pp. 6176-6177, 2012
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ARTICLE

Jeffrey M. Woldrich¹, Jonathan L. Silberstein¹, Sidney L. Saltzstein², Ithaar H. Derweesh¹, Tracy M. Downs³
Canadian Journal of Urology, Vol.19, No.2, pp. 6178-6182, 2012
Abstract Introduction: Penile Kaposi's sarcoma (PKS) is a rare and poorly characterized disease. Kaposi's sarcoma is common in HIV disease and is an AIDS-defining illness. This study aimed to review epidemiologic characteristics and changes in the incidence of PKS using a total population-based database.
Materials and methods: Data from the California Cancer Registry (CCR) were reviewed for the years 1988-2004, identifying all cases of penile cancer. Tumors were classified by histology and stage. Annual age-adjusted incidence and actuarial survival rates were calculated for the overall population and subdivided histology.
Results: From 1988-2004, 2870 cases of penile cancer were identified.… More >

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EDITORIAL COMMENT

Paul K. Hegarty
Canadian Journal of Urology, Vol.19, No.2, pp. 6182-6182, 2012
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ARTICLE

Ashley B. King¹, Jeff P. Wolters¹, Adam P. Klausner¹, David E. Rapp^1,2
Canadian Journal of Urology, Vol.19, No.2, pp. 6183-6187, 2012
Abstract Introduction: Investigation suggests the involvement of afferent actions in the pathophysiology of urinary incontinence. Current diagnostic modalities do not allow for the accurate identification of sensory dysfunction. We previously reported urodynamic derivatives that may be useful in assessing bladder sensation. We sought to further investigate these derivatives by assessing for a relationship with 3-day bladder diary.
Materials and methods: Subset analysis was performed in patients without stress urinary incontinence (SUI) attempting to isolate patients with urgency symptoms.
Results: No association was demonstrated between bladder diary parameters and urodynamic derivatives (r coefficient range (-0.06 to 0.08)(p > 0.05)). However,… More >

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ARTICLE

Mark D. Tyson¹, Erik P. Castle¹, Paul E. Andrews¹, Raymond L. Heilman², Adyr A. Moss², David C. Mulligan², Kunam S. Reddy²
Canadian Journal of Urology, Vol.19, No.2, pp. 6188-6192, 2012
Abstract Introduction: To identify the incidence of and risk factors for ureteral stricture formation in laparoscopically procured living donor kidney transplantation (LLDKT).
Materials and methods: An IRB approved retrospective review of our institution's living donor database was performed. Patients were divided into two cohorts, those with ureteral strictures requiring procedural intervention and those without evidence of ureteral strictures. Analysis was limited to those patients with at least one year of follow up.
Results: Of the 584 LLDKT's performed at our institution since June 1999, 510 had at least 1 year of follow up. Four hundred and ninety-six patients had… More >

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MINIMALLY INVASIVE AND ROBOTIC SURGERY

Bertram Yuh, Shantel Muldrew, Anita Menchaca, Wesley Yip, Clayton Lau, Timothy Wilson, David Josephson
Canadian Journal of Urology, Vol.19, No.2, pp. 6193-6200, 2012
Abstract Introduction: As more centers develop robotic proficiency, progressing to a successful robot-assisted partial nephrectomy (RAPN) program depends on a number of factors. We describe our technique, results, and analysis of program setup for RAPN.
Materials and methods: Between 2005 and 2011, 92 RAPNs were performed following maturation of a robotic prostatectomy program. Operating rooms and supply rooms were outfitted for efficient robotic throughput. Tilepro and intraoperative ultrasound were used for all cases. Training and experiential learning for surgeons, anesthesia and nursing staff was a high priority. An onsite robotic technician helped troubleshoot, prepare the room and staff… More >

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RESIDENT’S CORNER

Yachao Zhang, Timothy Byler, Steve Landas, Margaret Ekroth, Oleg Shapiro
Canadian Journal of Urology, Vol.19, No.2, pp. 6201-6203, 2012
Abstract A 29-year-old man presented with a right testicular mass. Serum tumor markers were within normal limits. When compared to a previous computed tomography (CT) scan, a new 4 cm presacral mass was present. He underwent radical right inguinal orchiectomy that demonstrated a mature teratoma and seminomatous components. The patient received four cycles of chemotherapy. Over the courseofchemotherapy,themassgrewinsizeandtherefore he underwent retroperitoneal lymph node dissection. Pathology confrmed it to be a teratoma with negative retroperitoneal lymph nodes. The unusual presentation of an isolated metastasis to the presacral region raises the question of altered lymphatic drainage. More >

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RESIDENT’S CORNER

Yves Collin¹, Anne Méziat-Burdin², Robert Sabbagh³
Canadian Journal of Urology, Vol.19, No.2, pp. 6204-6206, 2012
Abstract Laparoscopic indications are still growing due to the acquisition and development of new skills and expertise in the laparoscopic field. We report the first case of a successful transperitoneal right radical nephrectomy after intraperitoneal hyperthermic chemotherapy in a 56-year-old female who previously underwent multiple abdominal surgeries for appendicular adenocarcinoma with pseudomyxoma peritonei. In patients with multiples previous abdominal surgeries and intraperitoneal chemotherapy, transperitoneal laparoscopic surgeries are feasible in experienced hands. However, patient safety is paramount and conversion to open surgery should always be considered in case of complications. More >

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RESIDENT’S CORNER

Christina P. Carpenter¹, Lily N. Daniali², Neel P. Shah¹, Mark Granick², Mark L. Jordan¹
Canadian Journal of Urology, Vol.19, No.2, pp. 6207-6210, 2012
Abstract Reconstruction of large urethral defects is a complex problem for which no standardized surgical guidelines exist due to the lack of clinical trials demonstrating definitively the superiority of one technique over another. AlloDerm has been used in other surgical specialties with success, however, its utility in urologic surgery and, more specifically, for urethral reconstruction has been limited. In this case report, we demonstrate its application in a single-staged closure of a significant anterior urethral defect following distal penile necrosis secondary to an extruded penile prosthesis in a diabetic patient. More >

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HOW I DO IT

Daniel J. Canter, Kenneth Ogan, Viraj A. Master
Canadian Journal of Urology, Vol.19, No.2, pp. 6211-6216, 2012
Abstract The current treatment standard of care for patients who present de novo or with a recurrent bladder tumor is transurethral resection of the bladder tumor (TURBT) using monopolar or bipolar electrocautery in the form of a 90-degree loop electrode, which has been used since its introduction in 1952. This intervention, accomplished transurethrally, is both diagnostic and potentially therapeutic for patients with bladder cancer, especially for low grade, non muscle-invasive bladder tumors. Although usually safe and sufficient, this technique can create technical challenges, especially in the dynamically changing spherical space of the bladder. Bipolar energy has… More >

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HOW I DO IT

Jack Barkin¹, Jonathan Giddens², Peter Incze³, Richard Casey³, Stephen Richardson⁴, Steven Gange⁴
Canadian Journal of Urology, Vol.19, No.2, pp. 6217-6222, 2012
Abstract Many men with benign prostatic hyperplasia (BPH) forgo therapy because they are dissatisfied with current treatment options. While surgical resection and ablation using many different forms of energy remain the reference standard for BPH treatment, many men seek a less invasive technique that will improve symptoms without risking the complications associated with tissue removal. The Prostatic Urethral Lift opens the prostatic urethra using UroLift (NeoTract Inc., Pleasanton, CA, USA) permanent implants that are delivered under cystoscopic visualization. The implants literally "hold open" the lateral prostatic lobes, creating a passage through the obstructed prostatic urethra. Voiding More >

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HOW I DO IT

Brian D. Rosenthal¹, Joseph V. DiTrolio²
Canadian Journal of Urology, Vol.19, No.2, pp. 6223-6226, 2012
Abstract The 980 nm/1470 nm diode laser represents the latest in laser technology for photovaporization of the prostate. Surgeons have already used this device in both inpatient and outpatient (office and ASC) setting to produce transurethral resection of the prostate (TURP) like lesions—albeit with fewer complications than traditional methods. The objective of this article is to report the techniques we used to demonstrate its efficacy and safety of the Evolve Dual (biolitec Inc., East Longmeadow, MA, USA) system in an outpatient surgery type setting. More >

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HOW I DO IT

J. Ryan Mark, Francisco Gelpi-Hammerschmidt, Edouard J. Trabulsi, Leonard G. Gomella
Canadian Journal of Urology, Vol.19, No.2, pp. 6227-6231, 2012
Abstract In patients with non-muscle invasive bladder cancer, fluorescence cystoscopy can improve the detection and ablation of bladder tumors. In this paper we describe the technique and practical aspects of hexaminolevulinate (HAL) fluorescence cystoscopy, also known as “blue light cystoscopy”. More >

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CLINICAL TRIALS

Eric Winquist, George Rodrigues
Canadian Journal of Urology, Vol.19, No.2, pp. 6232-6237, 2012
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