Home / Journals / CJU / Vol.23, No.3, 2016
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  • Open AccessOpen Access

    EDITORIAL

    Communication is Key

    Timothy D. Averch
    Canadian Journal of Urology, Vol.23, No.3, pp. 8260-8260, 2016
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    Paul F. Schellhammer
    Canadian Journal of Urology, Vol.23, No.3, pp. 8261-8264, 2016
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    REVIEW

    A review of post-stroke urinary incontinence

    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 >

  • Open AccessOpen Access

    ARTICLE

    Robotic-assisted laparoscopic versus open salvage radical prostatectomy following radiotherapy

    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 >

  • Open AccessOpen Access

    COMMENTARY

    On fnding the type and timing of salvage prostatectomy

    John Phillips
    Canadian Journal of Urology, Vol.23, No.3, pp. 8278-8278, 2016
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    ARTICLE

    Robot-assisted versus open radical prostatectomy utilization in hospitals offering robotics

    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 >

  • Open AccessOpen Access

    ARTICLE

    The effect of physical activity on varicocele pain and resolution of this pain by different varicocelectomy techniques

    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 >

  • Open AccessOpen Access

    ARTICLE

    Rapid excision of massive localized lymphedema of the male genitalia with vessel sealing device

    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 >

  • Open AccessOpen Access

    HOW I DO IT

    Ureteric re-implant for the strictured renal allograft: 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 >

  • Open AccessOpen Access

    HOW I DO IT

    Dosing, administration, and safety of radium-223: 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 >

  • Open AccessOpen Access

    COMMENTARY

  • Open AccessOpen Access

    ARTICLE

    Shortened operative time for pediatric robotic versus laparoscopic dismembered pyeloplasty

    Ashay Patel1,2, Mark W. Pickhardt3, Nathan Littlejohn2, Ismael Zamilpa1,2, Mallikarjuna Rettiganti4, Chunqiao Luo4, Stephen Canon1,2
    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 >

  • Open AccessOpen Access

    PEDIATRIC UROLOGY

    Comparison of dextranomer/hyaluronic acid based bulking agents in the treatment of vesicoureteral reflux in children: Deflux versus Vurdex

    Zenon Pogorelić1,2, Karla Gudelj2, Dražen Budimir1, Jakov Todorić1, Miro Jukić1, Dubravko Furlan1, Đurđica Košuljandić3, Marijan Saraga2,3
    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 >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Blunt force trauma as a rare mechanism for chyluria

    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 >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Buckshot colic: utilizing holmium:yag laser for ureteroscopic removal of a bullet fragment within the proximal ureter

    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 >

  • Open AccessOpen Access

    RESIDENT’S CORNER

    Retroperitoneal hemorrhage after ureteroscopy without laser lithotripsy: an extreme example of an underreported event?

    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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