Home / Journals / CJU / Vol.21, No.2, 2014
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  • Open AccessOpen Access

    EDITORIAL

    The Era that Ends the Error: The Age of Patient Safety

    Timothy D. Averch
    Canadian Journal of Urology, Vol.21, No.2, pp. 7175-7175, 2014
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    Ralph W. de Vere White
    Canadian Journal of Urology, Vol.21, No.2, pp. 7176-7178, 2014
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    REVIEW

    A review of urinary fistulae in Crohn’s disease

    Gregory Wade1, Stanley Zaslau2, Robert Jansen2
    Canadian Journal of Urology, Vol.21, No.2, pp. 7179-7184, 2014
    Abstract Introduction: Urinary fistulae develop as abnormal connections between the gastrointestinal (GI) and genitourinary (GU) tracts, and occur in multiple disease processes including diverticulitis, malignancy, and Crohn’s disease. Crohn’s disease is now the most common cause of fistula formation between the ileum and bladder and the third most common cause of fistulae between the colon and the bladder. Few articles provide a comprehensive review of this process.
    Materials and methods: We performed a PubMed search using such terms as “fistula” and “Crohn’s disease” and/or “enterovesical fistula.” We reviewed references from selected papers and relevant articles were used for… More >

  • Open AccessOpen Access

    MEETING REVIEW

    Highlights of the 34th Annual Ralph E. Hopkins at Jackson Hole Seminars (JHS) on February 7-12, 2014, Jackson Hole, WY, USA

    Rodrigo Donalisio da Silva, Mary Beth Schulte, Roberto Miano, Diedra Gustafson, Leticia Nogueira, Fernando J. Kim
    Canadian Journal of Urology, Vol.21, No.2, pp. 7185-7187, 2014
    Abstract The prestigious Jackson Hole Seminars (JHS) successfully gathered several world leaders in academic urology and urologists in private practice for a unique scientific experience in Wyoming, USA. Unfortunately, this year Dr. Ralph Hopkins’ seat was empty but his spirit continue to be the driving force for the meeting’s excellence and friendship. The JHS has pioneered the concept of a Critique Panel comprised of previous speakers that would discuss in depth the presentations of the faculty chosen by the scientific board of the JHS. The 2014 JHS featured Dr. Fernando J. Kim, the President of JHS, More >

  • Open AccessOpen Access

    ARTICLE

    Success rates of patients with poor emptying on clean intermittent catheterization

    Andrew A. Di Pierdomenico, Sidney B. Radomski
    Canadian Journal of Urology, Vol.21, No.2, pp. 7188-7193, 2014
    Abstract Introduction: Clean intermittent catheterization (CIC) theoretically reduces incontinence, urinary tract infections (UTIs) and lower urinary tract symptoms (LUTS) in the face of poor emptying. It is unclear whether all patients realize these benefits or if CIC is only helpful for some.
    Materials and methods: A retrospective review of 321 patients all of whom underwent urodynamic study prior to starting CIC for impaired emptying. Success was considered to be no incontinence, no UTIs, and no LUTS while performing CIC. Patients who did not meet these criteria or who stopped CIC for whatever reason were classified as failures.
    More >

  • Open AccessOpen Access

    COMMENTARY

    The Lapides legacy: 42 years and cathing

    Adam P. Klausner
    Canadian Journal of Urology, Vol.21, No.2, pp. 7194-7194, 2014
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    ARTICLE

    An online UPOINT tool for phenotyping patients with chronic prostatitis

    Christine N. Tran1, Jianbo Li2, Daniel A. Shoskes1
    Canadian Journal of Urology, Vol.21, No.2, pp. 7195-7200, 2014
    Abstract Introduction: To evaluate the clinical phenotypes of patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) using a web based online tool and to compare these clinical features with patients evaluated in a tertiary referral clinic.
    Materials and methods: Data was collected from 720 men who gave complete online responses on a website which determines the UPOINT clinical phenotype in CP/CPPS and measures symptom severity with the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI). This was compared to phenotype and symptom severity of 220 patients evaluated in person at a tertiary referral clinic.
    Results: The web-based cohort… More >

  • Open AccessOpen Access

    ARTICLE

    Contemporary management of penile cancer: greater than 15 year MSKCC experience

    Kelvin A. Moses1, Andrew Winer1, John P. Sfakianos1, Stephen A. Poon1, Matthew Kent2, Melanie Bernstein1, Paul Russo1, Guido Dalbagni1
    Canadian Journal of Urology, Vol.21, No.2, pp. 7201-7206, 2014
    Abstract Introduction: Penile cancer is a rare malignancy, and few guidelines are available to define treatment paradigms. For greater understanding of the natural history of surgically treated penile cancer, we analyzed the experience at our institution.
    Materials and methods: Using an institutional database, we identified 127 patients treated for squamous cell carcinoma of the penis from 1995-2011. Cancer-specific survival (CSS) was calculated using the Kaplan-Meier method. Survival data were compared using the log-rank test. The difference in risk of cancer-specific death by lymph node status and histological grade was determined by univariate Cox regression analysis.
    Results: Five… More >

  • Open AccessOpen Access

    ARTICLE

    Is retrograde intrarenal surgery for the treatment of renal stones with diameters exceeding 2 cm still a hazard?

    Guido Giusti1, Silvia Proietti1, Lorenzo G. Luciani2, Roberto Peschechera1, Antonella Giannantoni3, Gianluigi Taverna1, Giuseppe Sortino1,4, Pierpaolo Graziotti1
    Canadian Journal of Urology, Vol.21, No.2, pp. 7207-7212, 2014
    Abstract Introduction: Major kidney stones have traditionally been treated with percutaneous nephrolithotomy. However, retrograde intrarenal surgery (RIRS), which until a few years ago was considered inappropriate for this purpose, is becoming a viable, attractive alternative. The aim of the current study was to assess the efficacy and safety of RIRS combined with holmium laser lithotripsy for the treatment of stones >2 cm in diameter in a large series of patients, reporting complications according to the Clavien-Dindo classification.
    Materials and methods: By retrospective analysis, we identified a total of 162 patients who were affected by stones greater than… More >

  • Open AccessOpen Access

    ARTICLE

    A comparative analysis of prostate cancer pre-treatment characteristics stratified by age

    Navin Shah1, Vladimir Ioffe2, Anish Kapur3
    Canadian Journal of Urology, Vol.21, No.2, pp. 7213-7216, 2014
    Abstract Introduction: To compare the pretreatment characteristics of prostate cancer, prostate-specific antigen (PSA), digital rectal examination (DRE) and Gleason sum score (GSS) by the American Urological Association (AUA) stratified age groups, <55, 55-69 and ≥70 years old.
    Materials and methods: A retrospective analysis of 402 sequential prostate cancer patients, who had transrectal ultrasound guided 12 core prostate biopsy for either elevated PSA (over 2.5 ng/mL) or positive DRE or both during a three year period, 2010 to 2012. There were 36 patients <55 years, 226 patients 55 to 69 years and 140 patients ≥70 years (range 44-78… More >

  • Open AccessOpen Access

    ARTICLE

    Randomized, double-blind, placebo controlled pilot study of intradetrusor injections of onabotulinumtoxinA for the treatment of refractory overactive bladder persisting following surgical management of benign prostatic hyperplasia

    Bilal Chughtai1, Claire Dunphy1, Richard Lee1, Daniel Lee1, Seema Sheth1, Leonard Marks2, Steven A. Kaplan1, Alexis E. Te1
    Canadian Journal of Urology, Vol.21, No.2, pp. 7217-7221, 2014
    Abstract Introduction: We assessed the efficacy of onabotulinumtoxinA (Botox, Allergan Inc., Irvine, CA, USA) in patients with refractory overactive bladder (OAB) after treatment for benign prostatic hyperplasia (BPH).
    Materials and methods: This was a two-center, randomized, double-blinded pilot study conducted in patients with OAB secondary to bladder outlet obstruction (BOO), refractory to anticholinergic medication and persistent for greater than 3 months after surgical intervention to relieve obstruction, with an International Prostate Symptom Score (IPSS) >12. Patients were randomized in 1:1 fashion to either 200 units of onabotulinumtoxinA versus placebo. Fifteen patients received onabotulinumtoxinA versus 13 who received… More >

  • Open AccessOpen Access

    ARTICLE

    Multi-institutional outcomes and cost effectiveness of using alvimopan to lower gastrointestinal morbidity after cystectomy and urinary diversion

    Anup Vora, Daniel Marchalik, Hanaa Nissim, Keith Kowalczyk, Gaurav Bandi, Kevin McGeagh, John Lynch, Krishnan Venkatesan, Reza Ghasemian, Jonathan Hwang, Mohan Verghese
    Canadian Journal of Urology, Vol.21, No.2, pp. 7222-7227, 2014
    Abstract Introduction: Radical cystectomy is associated with significant morbidity and cost, with rates of gastrointestinal complications as high as 30%. Alvimopan is a mu opioid receptor antagonist that has been shown in randomized-control trials to accelerate gastrointestinal recovery in patients undergoing bowel resection with primary anastamosis. We report our experience with gastrointestinal recovery for patients undergoing cystectomy with urinary diversion treated with alvimopan and cost benefit associated.
    Materials and methods: Between January 2008 and October 2012, 80 patients underwent radical cystectomy with urinary diversion at two institutions. Forty-two patients in our study did not receive alvimopan preoperatively.… More >

  • Open AccessOpen Access

    ARTICLE

    The role of preoperative prostatic urethral biopsy in clinical decision-making at the time of radical cystectomy

    Josep M. Gaya1,2, Justin Matulay1, Gina M. Badalato1, Dara D. Holder1, Gregory Hruby1, James McKiernan1
    Canadian Journal of Urology, Vol.21, No.2, pp. 7228-7233, 2014
    Abstract Introduction: Involvement of the prostatic urethra by bladder cancer directly impacts prognosis, risk of urethral recurrence, and timing of radical cystectomy (RC); it also affects the type of urinary diversion chosen. Both cold cup biopsies and transurethral (TUR) loop biopsies have been used to evaluate the status of the prostatic urethra. We report our 20 year experience with preoperative and intraoperative prostatic urethral biopsies to determine relative efficacy and associated treatment implications.
    Materials and methods: The Columbia University urologic oncology database was reviewed and yielded 234 men who underwent preoperative endoscopic biopsies of the prostatic urethra… More >

  • Open AccessOpen Access

    ARTICLE

    Vasectomy as a reversible form of contraception for select patients

    Mary K. Samplaski1, Ariande Daniel2, Keith Jarvi1,2,3
    Canadian Journal of Urology, Vol.21, No.2, pp. 7234-7240, 2014
    Abstract Introduction: To provide an effective form of birth control, men may choose a reversible or permanent form of contraception. Vasectomy is presently offered as a permanent option for male contraception. We have had patients who were interested in vasectomy and reversal as a temporary birth control option. The purpose of this paper is to determine if vasectomy should be offered for selected couples as a temporary form of contraception and under which circumstances.
    Materials and methods: A literature review was conducted to determine the available reversible contraceptive options, risks, failure rates and contraindications to each, and… More >

  • Open AccessOpen Access

    PEDIATRIC UROLOGY

    Distal hypospadias repair using only glans wing mobilization and approximation

    John M. Lacy1, Lauren N. Hendrix1, Campbell Grant2, Ali M. Ziada1
    Canadian Journal of Urology, Vol.21, No.2, pp. 7241-7245, 2014
    Abstract Introduction: Since its first description in 1994, tubularized incised plate (TIP) technique has become the most commonly performed hypospadias procedure and involves incision of the urethral plate with subsequent tubularization. Glans wings are then developed to cover the neourethra, thereby creating a cosmetically appealing repair. In some distal hypospadias cases, mobilization and approximation of glans wings is sufficient to create a normal appearing urethral meatus.
    Materials and methods: A retrospective chart review of all pediatric urology patients who underwent hypospadias repair by a single surgeon at the University of Kentucky between July 1, 2010 and April… More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Novel management approach to connecting tube erosion of artificial urinary sphincter

    Akwasi A. Boateng, Mahmoud A. Mohamed, Ayman E. Mahdy
    Canadian Journal of Urology, Vol.21, No.2, pp. 7246-7247, 2014
    Abstract Artificial urinary sphincter (AUS) erosion often involve the urethral cuff and is managed by complete or partial device removal. Abdominal wall erosion of AUS tubing has not been previously reported and its management is unknown. We report tube erosion (TE) of AUS successfully managed without device explant. An 81-year-old male with AUS for post-prostatectomy incontinence presented with TE at the site of inguinal incision without signs or symptoms of infection. The exposed tube was reduced and wound was closed after copious antibiotic solution irrigation. No complications were noted at 2 month follow up. AUS-TE can More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Radiographical resolution of renal lymphangiomatosis following cardiac transplantation

    Rick C. Slater, Uzoma Iheagwara, Mang L. Chen
    Canadian Journal of Urology, Vol.21, No.2, pp. 7248-7250, 2014
    Abstract Renal lymphangiomatosis is a disease characterized by abnormal formation of perirenal lymphatic vessels that fail to communicate with other retroperitoneal lymphatics; as a result, perirenal lymphatics dilate and form cysts. While typically an asymptomatic incidental finding, renal lymphangiomatosis rarely presents as flank or abdominal pain, ascites, impaired renal function, hypertension, hematuria, or proteinuria. Here we present the first known case of renal lymphangiomatosis found to spontaneously resolve following cardiac transplantation. More >

  • Open AccessOpen Access

    HOW I DO IT

    How I do it: prostate cryoablation (PCry)

    Rodrigo Donalisio da Silva, Paulo Jaworski, Diedra Gustafson, Leticia Nogueira, Wilson Molina, Fernando J. Kim
    Canadian Journal of Urology, Vol.21, No.2, pp. 7251-7254, 2014
    Abstract Prostate cryoablation (PCry) is a well-established minimally invasive therapy for the treatment of prostate cancer. Unfortunately, PCry still carries the stigma of a high rate recto-urethral fistula procedure but with the advent of argon/helium gas technology, urethral warmer and high quality transrectal ultrasound imaging, complications decreased and efficacy increased. The Denver Health Medical Center’s technique in prostate cryoablation is described as follows. More >

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