Open Access

EDITORIAL

Timothy D. Averch
Canadian Journal of Urology, Vol.23, No.3, pp. 8260-8260, 2016
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LEGENDS IN UROLOGY

Paul F. Schellhammer
Canadian Journal of Urology, Vol.23, No.3, pp. 8261-8264, 2016
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Open Access

REVIEW

Nicole E. Tuong¹, Adam P. Klausner², Lance J. Hampton²
Canadian Journal of Urology, Vol.23, No.3, pp. 8265-8270, 2016
Abstract Introduction: Cerebrovascular accidents, or strokes, are a common cause of morbidity and mortality in the United States. Urinary incontinence is a prevalent morbidity experienced by post-stroke patients that is associated with long term disability and institutionalization effects on these patients.
Materials and methods: An extensive literature review was conducted using multiple academic search engines using the keywords: "stroke," "CVA," "urinary incontinence," "urodynamics," "pharmacologic treatments," and "conservative treatments." Articles were reviewed and summarized to explain incidence, assessment, and treatments of urinary incontinence in post-stroke individuals.
Results: Twenty-eight percent to seventy-nine percent of stroke survivors experience urinary incontinence with detrusor… More >

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ARTICLE

Patrick A. Kenney¹, Cayce B. Nawaf¹, Mahmoud Mustafa², Sijin Wen³, Matthew F. Wszolek⁴, Curtis A. Pettaway⁵, John F. Ward⁵, John W. Davis⁵, Louis L. Pisters⁵
Canadian Journal of Urology, Vol.23, No.3, pp. 8271-8277, 2016
Abstract Introduction: To describe immediate perioperative outcomes of robot-assisted laparoscopic salvage radical prostatectomy for recurrent cancer following radiation therapy, and compare outcomes to a contemporary open surgical cohort.
Materials and methods: A total of 39 patients underwent salvage radical prostatectomy with pelvic lymphadenectomy (20 robotic, 19 open) for local recurrence following radiation therapy at a single institution between 2007 and 2011. Intraoperative parameters, postoperative complications, and oncological outcomes were recorded. Wilcoxon rank-sum test and Fisher's exact test were used for comparison of continuous and categorical variables respectively. Mean values of numeric variables are reported with standard deviation.
Results: The… More >

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COMMENTARY

John Phillips
Canadian Journal of Urology, Vol.23, No.3, pp. 8278-8278, 2016
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ARTICLE

Swati Yanamadala¹, Benjamin I. Chung¹, Tina M. Hernandez-Boussard²
Canadian Journal of Urology, Vol.23, No.3, pp. 8279-8284, 2016
Abstract Introduction: Prostate cancer is an extremely prevalent cause of morbidity and mortality among American men. Several different treatments exist, but differences in utilization between these treatments are not well understood.
Materials and methods: We performed an observational study using administrative datasets linked to hospital survey data, which included non-metastatic prostate cancer patients receiving robot-assisted radical prostatectomy (RARP) or open radical prostatectomy (ORP) in California, Florida, or New York from 2009-2011. We developed two hierarchical regression models with fixed effect accounting for hospital clustering and physician clustering to determine factors associated with utilization of RARP versus ORP at… More >

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ARTICLE

Turgay Ebiloglu¹, Yasin Aydogmus¹, Engin Kaya², Ender Oral¹, Omer Kaplan¹, Yusuf Kibar²
Canadian Journal of Urology, Vol.23, No.3, pp. 8285-8290, 2016
Abstract Introduction: To evaluate the effect of physical activity on varicocele pain and how different varicocelectomy techniques relieve this pain.
Materials and methods: Between November 2012 and January 2015, a total of 64 patients with left groin pain and clinical varicocele were enrolled in this study. A visual analogue scale (VAS) classifying the pain in ten scores was used to assess the severity of pain before and after beginning continuous physical activity, and after operations. Patients were randomly divided into three groups. Group 1 had open sub-inguinal varicocelectomy, Group 2 had loupe-assisted sub-inguinal varicocelectomy and Group 3 had… More >

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ARTICLE

Jordan A. Siegel, Lee Zhao, Isamu Tachibana, Scott Carlson, Timothy J. Tausch, Alexandra K. Klein, Alex Vanni, Thomas Rozanski, Allen F. Morey
Canadian Journal of Urology, Vol.23, No.3, pp. 8291-8295, 2016
Abstract Introduction: To present a series of patients who underwent surgical treatment for massive localized lymphedema (MLL) of the male genitalia and explore the utility of the LigaSure hemostatic vessel sealing device (VSD) for resection of advanced cases.
Materials and methods: Although conservative and microsurgical treatments have been reported, MLL of the male genitalia requires open surgical resection with primary reconstruction. We reviewed our prospectively maintained database of all lymphedema excisions performed between January 2007 and December 2014 comparing resection with Bovie electrocautery to resection with the LigaSure VSD. Our analysis focused on any significant differences in rate… More >

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HOW I DO IT

Thomas McGregor¹, Tadeuz Kroczak¹, Chun Huang¹, Joshua Koulack²
Canadian Journal of Urology, Vol.23, No.3, pp. 8296-8300, 2016
Abstract Ureteric stricture is the most common urologic complication following renal transplantation. Initial treatment should consist of endoscopic management; however, patients that fail endoscopic management or strictures that are not amenable to endoscopic management are appropriate candidates for open surgical repair. In this manuscript, we describe the steps and surgical technique we use to manage complicated ureteric strictures refractory to endoscopic management at our center. Ureteric re-implant with the use of a Boari flap is a safe, effective, and definitive option for repair of ureteric strictures following renal transplantation. This approach provides excellent long-term outcomes in More >

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HOW I DO IT

Tu D. Dan¹, Laura Doyle¹, Amar J. Raval², Andrew Pridjian², Leonard G. Gomella², Robert B. Den¹
Canadian Journal of Urology, Vol.23, No.3, pp. 8301-8305, 2016
Abstract Radium-223 dichloride is a first-in-class bone-directed radiopharmaceutical that has been shown to prolong survival in men with metastatic castrate resistant prostate cancer (mCRPC). Unlike other radiopharmaceuticals, radium-223 uniquely uses alpha-emission to deliver high intensity, short range cytoxic treatments resulting in minimal myelosuppression. Following the results of the ALSYMPCA trial, radium-223 (Xofigo) was FDA approved in the United States in May 2013 and approved by Health Canada in December 2013 for the treatment of mCRPC with symptomatic bone metastases and no visceral disease. This “How I do it” article describes the background of radium 223 as More >

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COMMENTARY

Jack Barkin
Canadian Journal of Urology, Vol.23, No.3, pp. 8306-8307, 2016
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ARTICLE

Ashay Patel^1,2, Mark W. Pickhardt³, Nathan Littlejohn², Ismael Zamilpa^1,2, Mallikarjuna Rettiganti⁴, Chunqiao Luo⁴, Stephen Canon^1,2
Canadian Journal of Urology, Vol.23, No.3, pp. 8308-0, 2016
Abstract Introduction: Robotic-assisted laparoscopic pyeloplasty (RALP) is increasingly becoming the standard procedure for management of ureteropelvic junction obstruction (UPJO) in the pediatric population, but few studies have shown a clear advantage over the more technically demanding laparoscopic pyeloplasty (LP) in children. The objective was to study the patients treated with RALP or LP at our institution and the associated outcomes for each minimally invasive approach for the correction of UPJO.
Materials and methods: Our laparoscopic and robotic database was queried to identify all patients with a history of primary robotic-assisted or laparoscopic dismembered pyeloplasty for the correction of More >

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PEDIATRIC UROLOGY

Zenon Pogorelić^1,2, Karla Gudelj², Dražen Budimir¹, Jakov Todorić¹, Miro Jukić¹, Dubravko Furlan¹, Đurđica Košuljandić³, Marijan Saraga^2,3
Canadian Journal of Urology, Vol.23, No.3, pp. 8312-8317, 2016
Abstract Introduction: The objective of this study was to compare the clinical efficacy of two similar tissue bulking agents, Deflux and Vurdex, used for treatment of vesicoureteral reflux (VUR) in our institution.
Material and methods: The case records of 104 children, treated endoscopically for primary VUR from January 2010 to January 2015, were retrospectively reviewed. Most of the patients were treated with Deflux until 2012, when use of Vurdex was started. Exclusion criteria were patients with secondary reflux due to neurogenic bladder, duplicated refluxing ureters, primarily operated patients and patients operated after first or second injection.
Results: Endoscopic treatment… More >

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RESIDENT’S CORNER

Kevin J. Rycyna¹, Daniel Casella², Louis D’Agostino¹
Canadian Journal of Urology, Vol.23, No.3, pp. 8318-8320, 2016
Abstract Chyluria is an uncommon clinical entity outside of the tropics. We present a rare case of blunt force trauma leading to the formation of a lymphorenal fistula. This was successfully managed via conservative endoscopic and dietary treatment. More >

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RESIDENT’S CORNER

Matthew Ziegelmann, Alonso Carrasco, John Knoedler, Amy E. Krambeck
Canadian Journal of Urology, Vol.23, No.3, pp. 8321-8323, 2016
Abstract Buckshot colic is a rare phenomenon, presenting as firearm-induced urinary tract obstruction. We present a case of gunshot-induced ureteral obstruction in a 49-year-old male, treated endoscopically with the holmium:YAG (holmium) laser. CT revealed a 1 cm bullet fragment within the left proximal ureter. A percutaneous nephrolithotomy was performed utilizing the holmium laser to fragment the metal into basket-retrievable pieces. At 4 month follow up the patient is without evidence of stricture. To our knowledge, this is the first reported utilization of the holmium laser to treat “buckshot colic”. Endoscopy with holmium laser appears a feasible More >

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RESIDENT’S CORNER

Jyoti D. Chouhan¹, Hanson H. Zhao², Brian Magee³, Brian K. McNeil¹
Canadian Journal of Urology, Vol.23, No.3, pp. 8324-8328, 2016
Abstract Retroperitoneal hemorrhage and an associated hematoma are uncommon but potentially serious complications following ureteroscopy with laser lithotripsy. However, no reports of serious bleeding complications have been published regarding ureteroscopy without laser lithotripsy in the management of stone disease. We report of such a case here and then review the current literature in order to discuss the incidence, risk factors, and management of such events. More >

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