CJU-Vol. 9, No. 2, 2002

Open Access

EDITORIAL

Practice variation in Urology
Laurence H. Klotz
Canadian Journal of Urology, Vol.9, No.2, pp. 1476-1476, 2002
Abstract This article has no abstract. More >

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ARTICLE

Survey of radiation oncologists: Practice patterns of the management of stage I seminoma of testis in Canada and a selected group in the United States
Richard Choo¹, Howard Sandler², Padraig Warde³, George Hruby¹, Gerrit DeBoer¹
Canadian Journal of Urology, Vol.9, No.2, pp. 1479-1485, 2002
Abstract Objective: To evaluate practice patterns of the management of stage I seminoma of testis in Canada and a selected group in the United States.
Materials and methods: Survey among radiation oncologists treating genitourinary (GU) tumors in Canada and the RTOG GU committee members in the United States between January and March 2001.
Results: Response rate was 78% (73/93) in Canada and 67% (24/36) in the United States. Eighty-four percent described their clinical practice as a university affiliated teaching center, and 16% as community-based or private practice. Sixty-two percent, 31% and 7% would manage 1-5, 6-10 and ≥11 cases… More >

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ARTICLE

Is an artificial sphincter the best choice for incontinent boys with Spina Bifida? Review of our long tenn experience with the AS-800 artificial sphincter
Philippe E. Spiess, John Paul Capolicchio, George Kiruluta, Joao Pippi Salle, Gina Berardinucci, Jacques Corcos
Canadian Journal of Urology, Vol.9, No.2, pp. 1486-1491, 2002
Abstract Objective: We describe our long-term experience in a uniform population of Spina Bifida boys all treated with the AS-800 model artificial urinary sphincter (AUS) and compare our results to other treatment modalities available to children with neurogenic incontinence.
Materials and methods: The complete medical records of 30 patients with insertion of the AS-800 were reviewed. All were boys having Spina Bifida with only one having prior bladder neck reconstruction. The mean age at insertion was 12.6 years and the average follow up was 6.5 years. Anticholinergic agents and self-intermittent catheterization were used concomitantly to the AUS in… More >

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RESIDENT’S CORNER

Topical steroid therapy for phimosis
Todd M. Webster, Michael P. Leonard
Canadian Journal of Urology, Vol.9, No.2, pp. 1492-1495, 2002
Abstract Introduction: Circumcision has been the traditional treatment for phimosis. Recent reports of medical management of phimosis with topical steroids quote success rates of 67%-95%. We present our results with topical steroid therapy for treatment of phimosis.
Materials and methods: Retrospective review of 69 boys between the age of 3 and 13 years (average 7.4) who were referred to Urology clinic over a one year period (August 1999-2000) with phimosis. Boys without a distal preputial ring were excluded. A course of triamcinolone cream was prescribed and parents/patients were instructed to apply it to the preputial outlet twice daily… More >

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CASE REPORT

Incorrect biochemistry complicates prostate cancer management
Iain McAuley¹, Gary Steinhoff¹, Michael McNeely², Paul Blood³
Canadian Journal of Urology, Vol.9, No.2, pp. 1496-1497, 2002
Abstract A man with a prostate specific antigen (PSA) of 6.1 ng/mL, a clinical stage T2b prostate nodule and biopsies that showed Gleason sum 6 adenocarcinoma of the prostate underwent a radical prostatectomy. The final pathology showed organ-confined disease. His postoperative PSA remained elevated at 4.0 ng/mL. The PSA was repeated several times and was in the same range. It was re-evaluated at another lab facility and was unmeasurable ( <0.02 ng/mL). He has an antibody that cross-reacts with an assay reagent causing this false reading. The most likely antibody is one against mouse immunoglobulin G More >

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CASE REPORT

Epididymal metastasis from gastric signet ring cell adenocarcinoma
Ö. L. Özdal¹, Y. K. Yakupoglu¹, A. Çiçek¹, Ö. Erdem², L. Memis², A. Memis¹
Canadian Journal of Urology, Vol.9, No.2, pp. 1498-1499, 2002
Abstract We report a 55 year old man complaining of painless left testicular swelling that developed over 2 months. The imaging studies revealed an epididymal mass separate from the testicle. The patient underwent left radical orchiectomy. The histopathological examination of the orchiectomy specimen revealed poorly differentiated signet cell metastatic adenocarcinoma. More >

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CASE REPORT

Removal of bladder stone with metal wire infrastructure
Vincent G. Bird¹, Howard N. Winfield²
Canadian Journal of Urology, Vol.9, No.2, pp. 1500-1502, 2002
Abstract There are reports of a wide variety of foreign materials, placed purposefully or inadvertantly, that have been found in the lower urinary tract. Due to encrustatation, some of these objects may initially appear to be simple stones. A careful evaluation with an appropriate index of suspicion is needed to aid in the determination of whether one of these complex structures may be present. A determination of the composition of the structure will allow the surgeon to employ the most safe and expeditious means of removal. We report a case of a large bladder stone with More >

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