Home / Journals / CJU / Vol.21, No.5, 2014
Special Issues
Table of Content
  • Open AccessOpen Access

    EDITORIAL

    Public reporting of individual surgeons’outcomes in the UK

    Francis X. Keeley
    Canadian Journal of Urology, Vol.21, No.5, pp. 7429-7429, 2014
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    James E. Montie
    Canadian Journal of Urology, Vol.21, No.5, pp. 7430-7432, 2014
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    REVIEW

    The role of cystectomy for non-malignant bladder conditions: a review

    Julio T. Chong1, MaryEllen T. Dolat2, Adam P. Klausner2, Ema Dragoescu3, Lance J. Hampton2
    Canadian Journal of Urology, Vol.21, No.5, pp. 7433-7441, 2014
    Abstract Introduction: Few studies have adequately addressed the indications, efficacy, and quality-of-life for cystectomy performed for non-malignant bladder conditions. Patients with debilitating non-malignant bladder conditions who have failed all previous conservative therapies may undergo various forms of cystectomy, including partial, simple or radical cystectomy. We provide a review of the current literature and recommendations for cystectomy for various non-malignant bladder conditions.
    Materials and methods: A systematic review of MEDLINE was conducted to find prospective and retrospective studies using the keywords "cystectomy", "benign", and "non-malignant". Articles were reviewed and triaged, background articles were added as supplements, leaving a… More >

  • Open AccessOpen Access

    ARTICLE

    Variant prostate carcinoma and elevated serum CA-125

    Mehmet Asim Bilen1, Adriana Reyes2, Deb Bhowmick1,3, April Maa1,4, Robert Bast, Jr5, Louis L. Pisters6, Sue-Hwa Lin7, Christopher J. Logothetis1, Shi-Ming Tu1
    Canadian Journal of Urology, Vol.21, No.5, pp. 7442-7448, 2014
    Abstract Introduction: About 10% of tumors derived from nongynecologic, noncoelomic tissues react with the OC125 antibody. Some patients with advanced prostate cancer were found to have elevated serum CA-125 level.
    Materials and methods: We examined the clinical history of 11 patients with castration resistant prostate cancer and an elevated serum CA-125 level. Pathological review and immunohistochemical staining were performed on tumors from eight of these patients.
    Results: Patients with advanced prostate cancer and an elevated serum CA-125 level responded to androgen ablative therapy (median duration, 27 months). They were predisposed to develop persistent or recurrent urinary symptoms… More >

  • Open AccessOpen Access

    ARTICLE

    Utility of smartphone camera in patient management in urology

    Abhinav Sidana1,*, Selaiman Noori2,*, Nilesh Patil1
    Canadian Journal of Urology, Vol.21, No.5, pp. 7449-7453, 2014
    Abstract Introduction: To describe the utility of the smartphone camera in patient management in urology.
    Materials and methods: Clinical scenarios were collected retrospectively in which photographs that were taken on smartphone and transmitted by multimedia messaging service (MMS) served an important role in making a diagnosis and/or helped in the self-monitoring of urologic issues by patients.
    Results: Scenario 1 – a 39-year-old male that presented to the emergency room (ER) with scrotal pain, bruising, and swelling 1 day after bilateral vasectomy. The on call urologist requested that the ER physician send a photograph of the wound using… More >

  • Open AccessOpen Access

    ARTICLE

    Conventional and diffusion-weighted MRI features in diagnosis of metastatic lymphadenopathy in bladder cancer

    Daniel A. Wollin1, Fang-Ming Deng2, William C. Huang1, James S. Babb3, Andrew B. Rosenkrantz3
    Canadian Journal of Urology, Vol.21, No.5, pp. 7454-7459, 2014
    Abstract Introduction: To compare qualitative and quantitative imaging features from conventional and diffusion-weighted (DW) magnetic resonance imaging (MRI) in detection of metastatic pelvic lymph nodes in bladder cancer patients undergoing cystectomy.
    Materials and methods: Thirty-six patients who had undergone cystectomy for bladder cancer with preoperative MRI with DWI sequence prior to surgery were included. Imaging features on conventional and DW-MRI were compared with histopathology at cystectomy.
    Results: Nodal features associated with metastatic lymphadenopathy were short axis (AUC = 0.85, p < 0.001; when SA > 5 mm: sensitivity = 88%, specificity = 75%), long axis (AUC =… More >

  • Open AccessOpen Access

    ARTICLE

    Urodynamic characterization of lower urinary tract symptoms in women less than 40 years of age

    Asha E. Jamzadeh1, Donghua Xie1, Melissa A. Laudano1, Dean S. Elterman1, Stephan Seklehner1,2, Lucien Shtromvaser3, Richard Lee1, Steven A. Kaplan1, Alexis E. Te1, Renuka Tyagi1, Bilal Chughtai1
    Canadian Journal of Urology, Vol.21, No.5, pp. 7460-7464, 2014
    Abstract Introduction: Lower urinary tract symptoms (LUTS) in young women is becoming a more recognized urologic issue that can arise from many causes, each with their own management strategy. The purpose of this study was to determine the rates of various etiologies for LUTS in women under 40 years of age.
    Materials and methods: Video urodynamic studies (VUDS) were performed in 70 women age 40 years or less with LUTS for greater than 6 months between March 2005 and June 2012 at Weill Cornell Medical College. Patients with culture-proven bacterial urinary tract infections, pelvic organ prolapse greater than… More >

  • Open AccessOpen Access

    ARTICLE

    High submuscular versus space of Retzius placement of inflatable penile prosthesis reservoirs: results of a surgeon survey

    Timothy J. Tausch1, Allen F. Morey1, Lee C. Zhao1, Paul Knoll1, Jay Simhan1, J. Francis Scott1, James R. Flemons1, Steven K. Wilson2
    Canadian Journal of Urology, Vol.21, No.5, pp. 7465-7469, 2014
    Abstract Introduction: High submuscular (HSM) inflatable penile prosthesis (IPP) reservoir insertion is a new technique that involves placing the reservoir high beneath the muscles of the abdominal wall. We queried a variety of surgeons to assess their impressions of how HSM reservoir placement compares with traditional space of Retzius (SOR) placement.
    Materials and methods: A nationwide group of urologists trained in HSM reservoir placement was surveyed to assess preferences and concerns compared to SOR placement. Using a Likert scale survey, we compared HSM to traditional SOR placement with regard to ease of implementation, surgical preference, and patient safety.… More >

  • Open AccessOpen Access

    ARTICLE

    Comparison of a single center, academic surgeon real-world experience with three percutaneous nephrolithotomy lithotripters

    Miriam Hadj-Moussa1, Kenneth G. Nepple2, James A. Brown1,*
    Canadian Journal of Urology, Vol.21, No.5, pp. 7470-7474, 2014
    Abstract Introduction: We compared a single surgeon, single-institution experience with the Wolf Ultrasonic Model #2167.05 (Richard Wolf Medical Instruments Co., Vernon Hills, IL, USA), Lithoclast Ultra (Boston Scientific, Natick, MA, USA), and CyberWand (Gyrus/ACMI, Southborough, MA, USA) lithotripters for percutaneous nephrolithotomy (PCNL). We assessed each lithotripter's performance and durability.
    Materials and methods: We conducted a retrospective chart review on 70 sequential PCNLs. Treatments were split into three cohorts based on the type of lithotripter used: Wolf (August 2003 to February 2004), Lithoclast (March 2004 to November 2008), or CyberWand (December 2008 to October 2009). Operative time, repeat… More >

  • Open AccessOpen Access

    ARTICLE

    Repetitive percutaneous epididymal sperm aspirations (PESA’s) resulted in asthenospermia and significant inflammation

    Yachao Zhang1, Kazim R. Chohan2,3, Steve K. Landas3,4, Jay E. Reeder4, J.C. Trussell4
    Canadian Journal of Urology, Vol.21, No.5, pp. 7475-7478, 2014
    Abstract Introduction: In obstructive azoospermia, choosing a sperm retrieval method for intracytoplasmic sperm injection (ICSI) depends on the preference and expertise of both the urologist and the reproductive endocrinologist. Generally, a percutaneous epididymal sperm aspiration (PESA) is attempted first. Not uncommonly, multiple PESA's are necessary. This study utilizes a rat model to provide an understanding of sperm parameter and histological changes resulting from repetitive PESA procedures.
    Materials and methods: A cohort of 30 male Wistar rats of reproductive age (68-73 days) was divided into three groups of 10 (G1-G3). All three groups underwent a left epididymal head… More >

  • Open AccessOpen Access

    ARTICLE

    Predictors of positive surgical margins after radical prostatectomy at a single institution: preoperative and pathologic factors, and the impact of surgeon variability and technique on incidence and location

    Costas D. Lallas1, Yomi Fashola1, Robert B. Den2, Francisco Gelpi-Hammerschmidt1, Anne E. Calvaresi1, Peter McCue3, Ruth Birbe3, Leonard G. Gomella1, Edouard J. Trabulsi1
    Canadian Journal of Urology, Vol.21, No.5, pp. 7479-7486, 2014
    Abstract Introduction: To identify and assess predictive factors for positive surgical margins (PSM) in patients undergoing radical prostatectomy (RP).
    Materials and methods: An Institution Review Board (IRB) approved retrospective review of 1751 patients that underwent RP from March 2000 to June 2013 was performed. Identified were 1740 patients whom had not received neoadjuvant therapy; these were used for the purpose of this analysis. Univariate and multivariate analysis were performed to determine factors associated with and predictive of PSMs, divided into preoperative and pathological. Variables analyzed include age, body mass index (BMI), race, surgeon, surgical modality, pathologic T-stage and… More >

  • Open AccessOpen Access

    ARTICLE

    Perioperative outcomes for laparoscopic radical nephrectomies performed on ≥ 10 cm tumors

    Simon Ouellet, Michel Carmel, Arold Martel, Robert Sabbagh
    Canadian Journal of Urology, Vol.21, No.5, pp. 7487-7495, 2014
    Abstract Introduction: The role of laparoscopic radical nephrectomy (LRN) in the management of very large renal masses has yet to be determined. Moreover, no studies have considered the total size of the specimen removed. We report our experience managing renal masses ≥ 10 cm with transperitoneal LRN.
    Materials and methods: We retrospectively reviewed cases of LRN performed in the context of renal masses from 2006 to 2012 at our institution. LRNs were divided into two groups; tumors 10 cm or larger (n = 24) and tumors smaller than 10 cm (n = 124). Patient demographics, tumor characteristics, operative… More >

  • Open AccessOpen Access

    ARTICLE

    Temporal trends and racial disparities in global prostate cancer prevalence

    Timothy R. Rebbeck1, Gabriel P. Haas2
    Canadian Journal of Urology, Vol.21, No.5, pp. 7496-7506, 2014
    Abstract Introduction: To inform historical trends and racial disparities in prostate cancer across time and geography.
    Materials and methods: Data from 58 autopsy studies of latent prostate cancer from 1898–2013 were identified and analyzed accounting for histopathological methods, which may have varied over time.
    Results: Prostate cancer is most prevalent in African descent men, less prevalent in European descent men, and least prevalent in Asian descent men. Fifty percent of Asian men have latent prostate tumors by 90. This 50% prevalence is reached by age 80 in Caucasians, and by age 60 in African descent men. While men are… More >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Simultaneous cuff revision and placement of an AdVance male sling for persistent post-prostatectomy urinary incontinence initially managed with AMS 800 artificial urinary sphincter

    Thomas W. Fuller, Benjamin T. Ristau, Ronald M. Benoit
    Canadian Journal of Urology, Vol.21, No.5, pp. 7507-7509, 2014
    Abstract Placement of an artificial urinary sphincter (AUS) remains the gold standard for treatment of stress urinary incontinence after radical prostatectomy. Persistent or recurrent incontinence after AUS placement can occur. Options then include cuff revision or placement of a retrourethral transobturator sling (RTS), among other alternatives. This report describes simultaneous cuff revision and placement of a RTS for management of refractory stress urinary incontinence after radical prostatectomy. This approach obviates the need for additional procedures if one approach fails. This is especially valuable for patients averse to operative intervention and those at high risk for general More >

  • Open AccessOpen Access

    PEDIATRIC UROLOGY

    Multicystic dysplastic kidney: is an initial voiding cystourethrogram necessary?

    Adam C. Calaway1, Benjamin Whittam1, Konrad M. Szymanski1, Rosalia Misseri1, Martin Kaefer1, Richard C. Rink1, Boaz Karymazn2, Mark P. Cain1
    Canadian Journal of Urology, Vol.21, No.5, pp. 7510-7514, 2014
    Abstract Introduction: Traditionally, a voiding cystourethrogram (VCUG) has been obtained in patients diagnosed with multicystic dysplastic kidney (MCDK) because of published vesicoureteral reflux (VUR) rates between 10%–20%. However, with the diagnosis and treatment of low grade VUR undergoing significant changes, we questioned the utility of obtaining a VCUG in healthy patients with a MCDK. We reviewed our experience to see how many of the patients with documented VUR required surgical intervention.
    Materials and methods: We performed a retrospective review of children diagnosed with unilateral MCDK from 2002 to 2012 who also underwent a VCUG.
    Results: A total of 133… More >

  • Open AccessOpen Access

    COMMENTARY

    Voiding cystourethrogram in multicystic dysplastic kidney: the pendulum has swung

    Ariella A. Friedman, Lane S. Palmer
    Canadian Journal of Urology, Vol.21, No.5, pp. 7515-7515, 2014
    Abstract This article has no abstract. More >

Per Page:

Share Link