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  • Open AccessOpen Access

    EDITORIAL

    "Sheepish about being Bullish"

    Laurence H. Klotz
    Canadian Journal of Urology, Vol.9, No.3, pp. 1504-1505, 2002
    Abstract This article has no abstract. More >

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    ARTICLE

    Recent advances in the management of superficial bladder tumors

    Yves Fradet
    Canadian Journal of Urology, Vol.9, No.3, pp. 1544-1550, 2002
    Abstract Superficial bladder tumors are by far the most common form of bladder cancer managed by practicing urologists. Indeed up to 75% of initial tumors fall in this category and because of the high recurrence rate, superficial tumors represent over 90% of tumor events being treated. New diagnostic methods have been developed to improve the sensitivity of tumor detection of both cystoscopy and urinary cytology. Risk stratification of patients based on simple clinical parameters provides new opportunities for adapting monitoring strategies as well as providing a rationale for the use of intravesical chemotherapy and immunotherapy. Finally, More >

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    88

  • Open AccessOpen Access

    ARTICLE

    The changing face of prostate cancer in British Columbia 1988-2000

    Tom Pickles1, Andy Coldman2, Norm Phillips3
    Canadian Journal of Urology, Vol.9, No.3, pp. 1551-1557, 2002
    Abstract Objective: To evaluate changes of prostate cancer incidence, referrals, stage, treatment and outcomes delivered in British Columbia since the 1980's.
    Materials and methods: Examination of the BC Provincial Tumour Registry, BC Cancer Agency (BCCA) and BC Medical Services Plan databases.
    Results: The number of incident cases increased linearly from 1980 through 1990. Between 1991 and 1995 a harvesting effect was seen due to unofficial PSA screening, balanced by a post-harvest effect between 1995 and 1998. Since 1999 the incidence has resumed the linear trend extrapolated from the 1980's. The age-standardised incidence rate has recently risen in younger (<65yrs)… More >

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  • Open AccessOpen Access

    ARTICLE

    A randomized trial to evaluate effectiveness and cost effectiveness of naturopathic cranberry products as prophylaxis against urinary tract infection in women

    Lynn Stothers
    Canadian Journal of Urology, Vol.9, No.3, pp. 1558-1562, 2002
    Abstract Purpose: To determine, from a societal perspective, the effectiveness and cost effectiveness of concentrated cranberry tablets, versus cranberry juice, versus placebo used as prophylaxis against lower urinary tract infection (UTI) in adult women.
    Materials and methods: One hundred fifty sexually active women aged 21 through 72 years were randomized for one year to one of three groups of prophylaxis: placebo juice + placebo tablets versus placebo juice + cranberry tablets, versus cranberry juice + placebo tablets. Tablets were taken twice daily, juice 250 ml three times daily. Outcome measures were: (1) a >50% decrease in symptomatic UTI's… More >

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  • Open AccessOpen Access

    CASE REPORT

    Adrenal tumors associated with inadequately treated congenital adrenal hyperplasia

    Jiansong Wang1, Mary A. Bissada2, H. Oliver Williamson3, Hossam Yakout2, Nabil K. Bissada2
    Canadian Journal of Urology, Vol.9, No.3, pp. 1563-1564, 2002
    Abstract We describe a case of salt-losing congenital adrenal hyperplasia due to 21-hydroxylase deficiency complicated by a right adrenal adenoma. The development of adrenal adenoma or carcinoma in-patients with congenital adrenal hyperplasia (CAH) is rare; the etiology is not clear but is thought to be related to inadequate glucocorticoid therapy. Tumor formation is postulated to be a consequence of ACTH hypersecretion, which results from the lack of glucocorticoid synthesis. Our patient underwent clitorectomy and multiple constructive procedures as a newborn baby; she was managed with hormone replacement for many years. However while she took adequate mineralocortocoid More >

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  • Open AccessOpen Access

    CASE REPORT

    Simultaneous renal cell carcinoma of the kidney and transitional cell carcinoma of the bladder

    Waleed Ali Hasan, Reem Al-Bareeq, Moh'd Durazi, Shaker Al-Muttawa
    Canadian Journal of Urology, Vol.9, No.3, pp. 1565-1567, 2002
    Abstract Herein we report a rare combination of two urological tumors simultaneously: renal cell carcinoma of the kidney and transitional cell carcinoma of the bladder. A 67 year old male presented with hematuria. He was diagnosed with left renal cell carcinoma and transitional cell carcinoma of the bladder. Subsequently this patient underwent left nephrectomy (palliative) to control the pain and transurethral resection of bladder tumor. The clinical picture, radiographic and histological finding are presented, as well as the treatment offered. More >

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  • Open AccessOpen Access

    EDITORIAL COMMENT

    Testicular block using intra-testicular lidocaine: a new anaesthetic technique for percutaneous testis biopsy - Page 1568

    Francois Benard
    Canadian Journal of Urology, Vol.9, No.3, pp. 1571-1571, 2002
    Abstract This article has no abstract. More >

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