Mohammad Al-Omar¹, Kevin Kwan¹, Edward Tweedie², Patrick P. W. Luke¹

Canadian Journal of Urology, Vol.12, No.4, pp. 2772-2773, 2005

Abstract Aggressive angiomyxoma is a rare locally invasive non-metastasizing soft tissue neoplasm that is most commonly located in the female pelvis and perineum. We report a case of aggressive angiomyxoma arising from the epididymis of a young male, which was treated by radical orchiectomy. More >

Thai T. Nguyen, Bernard Fallon, Howard N. Winfield

Canadian Journal of Urology, Vol.12, No.4, pp. 2769-2771, 2005

Abstract Guaifenesin is a commonly used expectorant whose use may lead to the occasional formation of guaifenesin urinary stones. We herein describe a patient who was taking 2400 mg Guaifenesin per day as part of his treatment for asthma. He had a past history of a guaifenesin stone removed ureteroscopically. His current presentation was with a 9 mm by 6 mm stone in the upper left ureter, seen on CT scan, and treated initially with a ureteral stent and hydration. After 3 weeks, the stone had disappeared, as confirmed by repeat CT scan. The genesis and More >

Nicholaus Bauman, Robert Sabbagh, Rajendar Hanmiah, Anil Kapoor

Canadian Journal of Urology, Vol.12, No.4, pp. 2764-2768, 2005

Abstract Emphysematous pyelonephritis is a serious suppurative infection of the renal and extrarenal tissues. Controversies exist surrounding the appropriate management of this life-threatening condition with advocates for both medical management alone and percutaneous drainage combined with nephrectomy.
The laparoscopic approach for nephrectomy is quickly becoming the standard of care for benign disease of the kidney and low-stage renal cancers. We report a case of a 60-year-old diabetic male undergoing successful laparoscopic nephrectomy for right emphysematous pyelonephritis, and our procedural technique. To our knowledge, this is the first report of laparoscopic nephrectomy in the setting of emphysematous pyelonephritis.
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Ross E. Gray¹, Richard J. Wassersug², Christina Sinding³, Angela M. Barbara¹, Christine Trosztmer¹, Neil Fleshner⁴

Canadian Journal of Urology, Vol.12, No.4, pp. 2755-2763, 2005

Abstract Objective: This exploratory study was intended to investigate men's ways of integrating and understanding experiences with Androgen Deprivation Therapy (ADT), including how hormone treatment affected their sense of identity.
Patients and methods: Twelve men, averaging 61 years of age and treated with ADT, participated in a single interview about their experiences with prostate cancer and hormone treatment. In keeping with a qualitative approach, questions were initially open-ended, with patients encouraged to describe experiences in their own words.
Results: Seven prominent themes appeared in the interviews: 1) starting on hormones, 2) matching expectations with reality, 3) tracking changes, 4)… More >

Fred Saad¹, J. Curtis Nickel², Luc Valiquette¹, Richard Casey³, Irwin Kuzmarov⁴, Mostafa Elhilali⁵

Canadian Journal of Urology, Vol.12, No.4, pp. 2745-2754, 2005

Abstract Introduction and objectives: A novel slow release formulation of alfuzosin should improve compliance by reducing dosing to one 10 mg tablet per day. The current study examined efficacy, at 9 days and 3 months, and safety of this formulation of alfuzosin in BPH patients.
Methods: ALF-X was a 3-month, non-comparative, observational study of 353 BPH patients from 39 Canadian Urology centres.
Results: At baseline (BL), mean age was 63.1±9.01 years, 92.6% of patients were Caucasian, 3.4% had a history of acute urinary retention, mean duration of the micturition disorder was 48.6±54.15 months, and mean PSA was 3.3±6.65 ng/mL.… More >

R. Samant^1,2, I. Alomary^1,2

Canadian Journal of Urology, Vol.12, No.4, pp. 2738-2744, 2005

Abstract Purpose: Historically adjuvant radiotherapy has been routinely recommended for stage I seminoma patients but surveillance has become an increasingly popular option over the last decade. We therefore decided to review the approach currently used by the radiation oncologists at our center.
Methods: A 14-item questionnaire evaluating physician opinions about treatment options for stage I seminoma patients was developed at the Ottawa Hospital Regional Cancer Centre (OHRCC). It was sent to all the radiation oncologists at OHRCC treating genitourinary (GU) malignancies for self-completion.
Results: All the GU radiation oncologists completed the survey for a response rate of 100% (7/7).… More >

J. Curtis Nickel¹, Jay C. Lee², John E. Grantmyre³, Dimitris Polygenis⁴

Canadian Journal of Urology, Vol.12, No.4, pp. 2728-2737, 2005

Abstract Objective: To characterize the natural history of uncomplicated urinary tract infection (uUTI) in a Canadian primary care environment from the patient's perspective.
Materials and methods: Female patients (n = 2323) with symptoms of uUTI were recruited by 581 family physicians who collected baseline demographic and clinical data and prescribed 500 mg/day extended release ciprofloxacin (Cipro® XL™). Follow-up data were collected 4 and 10 days later by patient telephone interview assessing uUTI symptoms, medication compliance, time to symptom resolution, impact on usual activities and overall satisfaction.
Results: Patients (mean age 40) had on average 3.56 uUTI symptoms at baseline,… More >

Philippe E. Spiess¹, Wassim Kassouf¹, Khoday Tukaram¹, Indrojit Roy²

Canadian Journal of Urology, Vol.12, No.5, pp. 2856-2858, 2005

Abstract We present the case of an 83-year-old female presenting with an umbilical mass measuring 2 cm x 3 cm. This patient had an extensive prior history of transitional cell carcinoma of the bladder. A fine needle aspiration of this umbilical mass confirmed this to be metastatic transitional cell carcinoma and the diagnostic workup demonstrated the presence of invasive bladder cancer with metastatic liver lesions. More >

David E. Rapp, Mark B. Lyon, Marcelo A. Orvieto, Gregory P. Zagaja

Canadian Journal of Urology, Vol.12, No.5, pp. 2849-2855, 2005

Abstract Introduction and objective: The classical approach to the undergraduate medical clerkship has several limitations, including variability of clinical exposure and method of examination. As a result, the clerkship experience does not ensure exposure to and reinforcement of the fundamental concepts of a given specialty.
Materials and methods: This article reviews the classic approach to clerkship education within the undergraduate medical education. Specific attention is placed on clinical exposure and clerkship examination.
Results: We describe the introduction of the Core Learning Objective (CLO) educational model at the University of Chicago Section of Urology. This model is designed to provide an More >

Luis Antonio Guerra¹, John Pike¹, Guido Filler², Kristin Udjus³, Joseph de Nanassy⁴, Michael Leonard¹

Canadian Journal of Urology, Vol.12, No.5, pp. 2846-2848, 2005

Abstract Eosinophilic cystitis (EC) is an uncommon form of bladder inflammation. It is a rare disorder in children and fewer than 25 cases have been described in the literature. We report a case of eosinophilic cystitis mimicking a bladder tumor in a 3 year-old girl with symptoms of urinary frequency. The diagnosis was confirmed with pathology and she underwent clinical treatment with corticosteroids. More >