Open Access

EDITORIAL

Laurence H. Klotz
Canadian Journal of Urology, Vol.9, No.5, pp. 1623-1623, 2002
Abstract This article has no abstract. More >

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ARTICLE

Roanne Segal¹, Eric Winquist², Himu Lukka³, Joseph L. Chin⁴, Michael Brundage⁵, B. R. Markman⁶
Canadian Journal of Urology, Vol.9, No.5, pp. 1625-1633, 2002
Abstract Background and purpose: To examine the role of adjuvant chemotherapy in the treatment of patients with deep muscle-invasive transitional cell carcinoma (TCC) of the bladder who have undergone cystectomy.
Materials and methods: A systematic review of the published literature was combined with a consensus process, involving the interpretation of evidence within the context of conventional practice, to develop an evidence-based practice guideline for use in Ontario.
Results: Five randomized controlled trials (RCTs) comparing adjuvant chemotherapy with observation were found that reported data on survival. Sample sizes of the trials were small, and each of the trials evaluated a cisplatin-based… More >

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ARTICLE

Jack H. Mydlo, Sameer Chawla, Spencer Dom, Michael A. Volpe, Sovrin Shah, Pascal J. Imperato
Canadian Journal of Urology, Vol.9, No.5, pp. 1634-1636, 2002
Abstract Purpose: Although human renal cell carcinoma (RCC) is considered refractive to hormone therapy, this lesion can be induced in the Syrian hamster by exogenous estrogen. Human RCC also has been demonstrated to contain estrogen receptors. Since there are significant changes of estrogen levels during pregnancy, we wanted to investigate if there were any associations between the hormonal variations of pregnancy and renal cancer in women using two distinct cohorts.
Materials and methods: We reviewed the charts of 57 females who presented for treatment of renal cancer. We assessed the size of each tumor radiologically and pathologically, the… More >

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ARTICLE

P. Chung¹, C. Parker¹, T. Panzarella², M. K. Gospodarowicz¹, M.A. S. Jewett³, M. F. Milosevic¹, C. N. Catton¹, A. J. Bayley¹, B. Tew-George, M. Moore⁴, J. F. G. Sturgeon⁴, P. Warde¹
Canadian Journal of Urology, Vol.9, No.5, pp. 1637-1640, 2002
Abstract Introduction: Surveillance is an alternative to adjuvant radiotherapy for stage I testicular seminoma. We present the long-term results of seminoma surveillance, with emphasis on quantifying the risk of late relapse beyond 5 years.
Methods: From 1981 to 1993, of 431 men with stage I testicular seminoma, 203 were managed by surveillance following radical orchidectomy. The surveillance protocol comprised a combination of clinical examination, CT scans of abdomen and pelvis, chest x-rays and serum markers, at defined intervals.
Results: At a median follow-up of 9.2 years, 35 men have relapsed. Five of the relapses occurred more than 5 years… More >

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RESIDENT’S CORNER

G. Weinberg¹, P. E. Williot², M. P. Leonard¹
Canadian Journal of Urology, Vol.9, No.5, pp. 1641-1645, 2002
Abstract Objective: To evaluate our results with buccal mucosa free grafts in salvage urethroplasty.
Patients and methods: Retrospective chart review of autologous buccal mucosa grafts for urethral reconstruction at Winnipeg Children's Hospital and Children's Hospital of Eastern Ontario between November 1992 and March 2000.
Results: Nine patients ( median age 4 years) underwent such reconstruction. Seven of the nine patients had experienced failed previous attempts at hypospadias repair. Onlay grafts were used in all but one patient who required a tube graft. Urethrocutaneous fistula was the most common post-operative complication, affecting four of nine patients. Two patients developed urethral More >

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CASE REPORT

Troy D. Sitland¹, Richard W. Norman¹, John R. Srigley², Rekha Gupta³
Canadian Journal of Urology, Vol.9, No.5, pp. 1646-1648, 2002
Abstract We report on the case of a 24 year old male with a testicular and paratesticular melanin-like, pigmented lesion. This is the first report of this type of lesion which we have designated a pigmented pseudotumor. More >

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CASE REPORT

Eric Mayer, Murali K. Ankem, Victor H. Hartanto, Joseph G. Barone
Canadian Journal of Urology, Vol.9, No.5, pp. 1649-1650, 2002
Abstract To accommodate the small size of the infant urethra, finer, more flexible tubes are often used for urinary catheterization in the pediatric intensive care units. These tubes have the ability to knot in the bladder, occasionally requiring surgical removal. The mechanism of knotting appears to result from excessive intravesical catheter coiling, and as the bladder decompresses the catheter tip can migrate through a coil thereby creating a knot.1,2 Review of the literature from 1975 to 2000 identified 19 cases of urethral catheter knotting in the pediatric bladder with two reports of prostatic urethral involvement. Herein, More >

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CASE REPORT

Steven P. Lapointe, Anne-Marie Houle, Diego Barrieras
Canadian Journal of Urology, Vol.9, No.5, pp. 1651-1652, 2002
Abstract Laparoscopy has greatly evolved over the years. More recently, retroperitoneoscopy has gained wide acceptance as the preferred approach for simple and complicated nephrectomies. We report on a 12 year-old girl who underwent a left nephrectomy on a horseshoe kidney through a retroperitoneoscopic approach using the harmonic scalpel for dissection and isthmus division. The operation was successful, recovery uneventful, and the patient was discharged 24 hrs post operatively, with excellent cosmesis. Retroperitoneoscopy can be considered if ablative surgery is contemplated in a horseshoe kidney, with adequate preoperative evaluation and solid retroperitoneoscopic surgical experience. The use the More >

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HOW I DO IT

Stephen E. Pautler, McClellan M. Walther
Canadian Journal of Urology, Vol.9, No.5, pp. 1653-1659, 2002
Abstract Laparoscopic management of kidney cancer is becoming accepted as an alternative to open radical nephrectomy. Technical considerations have limited the application of laparoscopic radical nephrectomy to relatively small, clinically localized tumors. At the National Cancer Institute, we have broadened the indications to include bulky tumors. Herein, we describe the operation with attention to the technical caveats that have been gained with experience. More >

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EDITORIAL COMMENT

Andrew C. Novick
Canadian Journal of Urology, Vol.9, No.5, pp. 1660-1660, 2002
Abstract This article has no abstract. More >

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