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  • Open Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    John Libertino

    Canadian Journal of Urology, Vol.23, No.4, pp. 8330-8333, 2016

    Abstract This article has no abstract. More >

  • Open Access

    EDITORIAL

    Big Data Equals Big Challenges for Prostate Cancer

    Leonard G. Gomella

    Canadian Journal of Urology, Vol.23, No.4, pp. 8329-8329, 2016

    Abstract This article has no abstract. More >

  • Open Access

    ABSTRACT

    Abstracts of the Mid-Atlantic Section of the American Urological Association Annual Meeting. October 6 - 9 2016, Hot Springs VA

    Canadian Journal of Urology, Vol.23, No.5, pp. 8504-8529, 2016

    Abstract This article has no abstract. More >

  • Open Access

    COMMENTARY

    To cut or not to cut... that remains the question

    Armando J. Lorenzo

    Canadian Journal of Urology, Vol.23, No.5, pp. 8503-8503, 2016

    Abstract This article has no abstract. More >

  • Open Access

    PEDIATRIC UROLOGY

    Canadian Pediatrics Society position statement on newborn circumcision: a risk-benefit analysis revisited

    Brian J. Morris1, Jeffrey D. Klausner2, John N. Krieger3, Bradley J. Willcox4, Pierre D. Crouse5, Neil Pollock6

    Canadian Journal of Urology, Vol.23, No.5, pp. 8495-8502, 2016

    Abstract Introduction: The Canadian Pediatrics Society (CPS) recently released a position statement on early infant (newborn) male circumcision (EIMC). It concluded that since benefits do not exceed risks, circumcision should only be performed on boys in high-risk populations or circumstances. This contradicts recommendations by the American Academy of Pediatrics and the Centers for Disease Control and Prevention (CDC) whose policies each support more widespread implementation of EIMC. Here we review the CPS statement, particularly its risk-benefit analysis, to determine the basis for this disparity.
    Materials and methods: We performed a risk-benefit analysis based on relevant literature retrieved from… More >

  • Open Access

    HOW I DO IT

    How I do it: Same day discharge for transurethral resection of prostate using Olympus PlasmaButton and PlasmaLoop

    Ryan Pham1, Jacob Parke2, Kenneth M. Kernen1,3

    Canadian Journal of Urology, Vol.23, No.5, pp. 8491-8494, 2016

    Abstract Benign prostatic hyperplasia (BPH) is one of the most common conditions affecting older men. Transurethral resection of the prostate (TURP) has widely been considered the gold standard in surgical treatment for BPH. However, this procedure remains largely an inpatient procedure. Inpatient admission ultimately adds to healthcare cost and patient morbidity. In this article, we present an alternative methodology to treat BPH using combination Olympus PlasmaButton and Olympus PlasmaLoop therapy. Preliminary results from our experience suggest improved hemostasis with adequate resection, allowing a majority of our patients to be discharged the same day of the procedure. More >

  • Open Access

    RESIDENT’S CORNER

    Early pregnancy likely caused by an intravesical intrauterine device

    Jim K. Shen, Edmund Y. Ko, Andrea Staack

    Canadian Journal of Urology, Vol.23, No.5, pp. 8487-8490, 2016

    Abstract A 42-year-old female with remote history of intrauterine device (IUD) placement presented with gross hematuria, urinary urgency, and dyspareunia. Cystoscopy showed an encrusted, free-floating intravesical foreign body consistent with a heavily calcified IUD. It was removed endoscopically using holmium laser cystolitholapaxy. The patient remained symptom free postoperatively. While most intravesical IUDs are thought to be the result of migration after several months, this patient became pregnant within 4 weeks after initial insertion. Therefore this may represent a case either of early intravesical migration or of accidental IUD placement into the bladder at the time of More >

  • Open Access

    RESIDENT’S CORNER

    MLL translocation in two castration-resistant prostate cancer patients

    Rajasree Pia Chowdry1, Elisa Ledet2, Lahiru Ranasinghe3, Alton Oliver Sartor2

    Canadian Journal of Urology, Vol.23, No.5, pp. 8483-8486, 2016

    Abstract The mixed-lineage leukemia (MLL) protein acts as a histone methyltransferase regulating multiple genetic elements. Rearrangements of the MLL gene result in expression of MLL-fusion proteins that occur in some acute leukemias and are associated with poor prognosis. The MLL protein complex has been shown to interact with the androgen receptor via the MLL-menin subunit, thus promoting gene activation. The presence of MLL translocation has not been previously reported in patients with castrate resistant prostate cancer (CRPC). We describe two cases of metastatic CRPC with a translocation in the MLL gene detected by a specific fluorescent More >

  • Open Access

    RESIDENT’S CORNER

    Pyelocystostomy for treatment of recurrent nephrolithiasis and ureteropelvic junction obstruction in a pelvic kidney

    Hazem Elmansy*, Jafar Hussaen*, Mostafa Elhilali, Sero Andonian

    Canadian Journal of Urology, Vol.23, No.5, pp. 8480-8482, 2016

    Abstract Patients with pelvic kidneys are at an increased risk of developing ureteropelvic junction obstruction (UPJO) and nephrolithiasis with limited endourologic options. A 54-year-old man with a left pelvic kidney, recurrent nephrolithiasis, and 12 previous ureteroscopies presented with left UPJO and lower pole calyceal stones. After two failed ureteroscopic attempts, an open pyelolithotomy and pyelocystostomy were performed. After 30 months, he continues to be asymptomatic without recurrence of nephrolithiasis. This constitutes the fifth such reported case. Therefore, pyelocystotomy is a good option for patients with pelvic kidneys, UPJO and recurrent nephrolithiasis refractory to endourologic procedures. More >

  • Open Access

    RESIDENT’S CORNER

    Wire in the hole: a case series of eroded intrapubic wire sutures causing genitourinary complications in the bladder exstrophy complex

    Joan S. Ko, Angela D. Gupta, Heather N. Di Carlo, Kathy Lue, John P. Gearhart

    Canadian Journal of Urology, Vol.23, No.5, pp. 8476-8479, 2016

    Abstract Bladder exstrophy and cloacal exstrophy are rare congenital defects of the genitourinary tract that require complex surgical reconstruction. Malrotation of the bony pelvis causes a characteristic diastasis of the pubic symphysis, which is surgically reduced at the time of initial bladder closure. For a successful primary closure without tension such that the bladder can be placed deep within the pelvis, pelvic osteotomy is often used. However, alternative techniques have been utilized to bring the pubic rami into apposition. The authors present four bladder/ cloacal exstrophy patients in which an intrapubic wire was used for pubic More >

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