Open Access

EDITORIAL

Laurence H. Klotz
Canadian Journal of Urology, Vol.9, No.6, pp. 1672-1673, 2002
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POINT-COUNTERPOINT DEBATE

Jeremy P. W. Heaton
Canadian Journal of Urology, Vol.9, No.6, pp. 1677-1680, 2002
Abstract Andropause is a problem that can be identified in some men as distinct from the changes associated with aging or chronic disease. These men have mild hypogonadism and a clinical picture that is well within the scope of urologists to identify and manage. Andropause is neither life threatening nor trivial and there are clinical guidelines published that will help to refine the understanding and definition of this condition. The character of andropause is distinct from profound hypogonadism in its relation to age, the scope and degree of contributing symptoms and the marginal reduction in testosterone.… More >

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ARTICLE

Richard W. Casey
Canadian Journal of Urology, Vol.9, No.6, pp. 1681-1683, 2002
Abstract The recent interest in the potential applications of new testosterone preparations has stimulated industry and physicians to develop indications for their use. Despite little scientific evidence to support the widespread application of testosterone in aging men, a clinical symptom complex called Partial Androgen Deficiency in the Aging Male (PAD AM) has been described. Many of these symptoms can be successfully treated without testosterone administration. The author suggests that prospective randomized clinical trials are necessary to support the application of testosterone in the PADAM patient and until then physicians take a more balanced approach in this More >

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ARTICLE

E. S. Guns¹, S. L. Goldenberg¹, P. N. Brown²
Canadian Journal of Urology, Vol.9, No.6, pp. 1684-1688, 2002
Abstract Introduction/objectives: PC-SPES is an herbal mixture available over the counter for the treatment of prostate cancer. It was re-called in January 2002 due to alleged contamination with warfarin. Other laboratories, including our own, claim that the potent synthetic estrogen, diethylstilbestrol (DES) which has been used for many years to treat hormone dependent prostate cancer, could be detected in the herbal mixture. Recent clinical studies report objective responses in men with hormone dependent and naive prostate cancer, and also describe isolated cases of estrogenic side effects. A lack of effective conventional treatments for advanced hormone refractory prostate… More >

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EDITORIAL COMMENT

Neil Fleshner
Canadian Journal of Urology, Vol.9, No.6, pp. 1689-1689, 2002
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ARTICLE

P. D. Metcalfe¹, J. R. Wright Jr.², P. A. M. Anderson¹
Canadian Journal of Urology, Vol.9, No.6, pp. 1690-1693, 2002
Abstract Introduction: The conservative management of multicystic dysplastic kidneys (MCDK) has been very successful, largely due to advances in diagnostic imaging. Classically, MCDK is described as a non-functioning cystic renal mass. However, we noticed that the increasing sensitivity of renal scans is able to demonstrate function in MCDK that previously would not have been detected.
Methods: We describe eight cases of MCDK with elements of function on renal scan, and their follow up.
Results and conclusions: One half (4/8) of these children underwent nephrectomy, and histology was consistent with MCDK. The remaining 4/8 were successfully followed to radiographic involution, More >

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RESIDENT’S CORNER

Daniel D. Cohen, Claudine Lamarre, Louis Lamarre, Fred Saad
Canadian Journal of Urology, Vol.9, No.6, pp. 1694-1697, 2002
Abstract The first recorded case of lymphoma of the bladder was reported by Eve and Chaffey in 1885.1 Malignant lymphoma of the bladder can be classified into one of three different clinical groups: 1) Primary lymphoma localized to the bladder; 2) Lymphoma presenting in the bladder as the first sign of disseminated disease (non-localized lymphoma); 3) Recurrent bladder involvement by lymphoma in patients with a history of malignant lymphoma (secondary lymphoma). Primary extranodal marginal zone lymphoma of mucosa associated lymphoid tissue (MALT type) of the urinary bladder, first described by Kempton et al in 1990, is More >

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CASE REPORT

Loïc Sentilhes¹, Frederick Dunet¹, Denis Thoumas², Alain Khalaf¹, Philippe Grise¹, Christian Pfister¹
Canadian Journal of Urology, Vol.9, No.6, pp. 1698-1699, 2002
Abstract exploration was not performed and a period of watchful waiting with evolution control by ultrasonography was decided. Results: After a 3 month follow-up, the ultrasonography control revealed a total re-vascularization of the vessels and a reduction of the lesion size. Conclusion: The authors suggest that the combination of ultrasonography and MRI, in the management of testicular infarction, may avoid invasive surgery. More >

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CASE REPORT

Stephen Lazarou, Marc Anthony Fischer, Keith Jarvi
Canadian Journal of Urology, Vol.9, No.6, pp. 1702-1703, 2002
Abstract Acute ureteric colic and acute scrotum are among the most commonly seen urological emergencies. We present a case in which a male patient presented with simultaneous right flank pain and ipsilateral scrotal pain. More >

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CASE REPORT

Christopher Nguan¹, Ercole Leone²
Canadian Journal of Urology, Vol.9, No.6, pp. 1704-1706, 2002
Abstract A case report of a patient who develops a spontaneous perinephric hemorrhage secondary to polyarteritis nodosa (PAN) is described. The diagnosis of PAN was delayed in this patient somewhat due to a previously unrecognized relation to a recent perihepatic hemorrhage. Unenhanced CT findings in this case were nonspecific, but follow up angiography demonstrated characteristic subsegmental and interlobular renal artery aneurysms. Spontaneous perinephric hemorrhage is an uncommon complication of PAN however an elevated level of suspicion regarding the diagnosis of a systemic vasculitis should be considered in any case of spontaneous renal, hepatic, or gastrointestinal hemorrhage. More >

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LETTER

Harry W. Herr
Canadian Journal of Urology, Vol.9, No.6, pp. 1707-1707, 2002
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