Xinglei Shen¹, Timothy N. Showalter²

Canadian Journal of Urology, Vol.20, No.5, pp. 6913-6914, 2013

Abstract This article has no abstract. More >

Nathan A. Bockholt¹, Eric M. DeRoo¹, Kenneth G. Nepple¹, Joseph M. Modrick², Mark C. Smith², Bernard Fallon¹, A. Curtis Hass², Chad R. Tracy¹, James A. Brown¹

Canadian Journal of Urology, Vol.20, No.5, pp. 6907-6912, 2013

Abstract Introduction: We report the first 100 patients who underwent prostate brachytherapy as monotherapy with 125I at an institution with moderate volume radical prostatectomy but low volume brachytherapy (< 2 cases per month). Learning curve and quality improvement was assessed by way of achieving prescription dose targets.
Materials and methods: From May 2002 to August 2006, 100 patients underwent prostate 125I brachytherapy monotherapy via preplanned approach. Preoperative planned dose to 100% of prostate gland (D100) was 145 Gy and postoperative confirmed dose was assessed by computed tomography. The cohort was divided into quartiles and recurrence was assessed using… More >

Priya N. Werahera^1,2, E. David Crawford³, Francisco G. La Rosa¹, Kathleen C. Torkko¹, Beth Schulte⁴, Holly T. Sullivan¹, Adrie van Bokhoven¹, M. Scott Lucia¹, Fernando J. Kim⁴

Canadian Journal of Urology, Vol.20, No.5, pp. 6897-6906, 2013

Abstract Introduction: Prostate biopsies are usually taken from the peripheral rather than anterior region of the prostate. Consequently, tumors originating from the anterior apical region and transition zones may be under-sampled. We examined whether addition of transrectal anterior biopsy (TAB) would improve efficacy of prostate biopsies.
Materials and methods: Simulations of TAB and sextant biopsy (SB) were performed using computer models of 86 autopsy prostates (AP) and 40 radical prostatectomy (RP) specimens. TAB was obtained bilaterally from apex, mid, and base regions by advancing the biopsy needle 5 mm-35 mm beyond the prostatic capsule. A phase I clinical… More >

Louise C. McLoughlin, Niall F. Davis, Catherine Dowling, Molly P. Eng, Richard E. Power

Canadian Journal of Urology, Vol.20, No.5, pp. 6893-6896, 2013

Abstract Introduction: Ureteral diverticulum is a rare urological condition with only 45 cases described in the literature. These previously reported cases vary in their presentation, diagnosis and management and there is no consensus in the literature on the best diagnostic tool available. We describe our experience on diagnosing and managing this condition in two patients and provide a descriptive review of the current literature on ureteral diverticulum.
Materials and methods: A Medline search was performed to identify all reported cases of ureteral diverticulum. Key words used were: ureteral diverticulum; abortive bifid ureter; congenital diverticulum; acquired diverticulum. We also… More >

Andrew V. Schally

Canadian Journal of Urology, Vol.20, No.5, pp. 6889-6892, 2013

Abstract This article has no abstract. More >

Leonard G. Gomella

Canadian Journal of Urology, Vol.20, No.5, pp. 6888-6888, 2013

Abstract This article has no abstract. More >

Kyrollis Attalla¹, Syed Johar Raza¹, Shabnam Rehman¹, Rakeeba Din¹, Andrew Stegemann¹, Erinn Field¹, Leslie Curtin¹, Sandra Sexton¹, Marlene Bienko¹, Mahendra Bhandari², Khurshid A. Guru¹

Canadian Journal of Urology, Vol.20, No.6, pp. 7084-7090, 2013

Abstract Introduction: Robot-assisted surgery (RAS) has been integrated into the surgical armamentarium and generated wide-spread interest among practicing, non-robotic surgeons (NRS). While methods for training novice NRS have emerged, the effectiveness of these training programs has endured minimal scrutiny. This study aims to establish effectiveness of the RAS training (RAST) program.
Materials and methods: A formal RAST program was established at Roswell Park Cancer Institute (RPCI) in 2008. From July 2010 to October 2012, 43 NRS participated in the program. The 1 to 4 week program included the validated fundamental skills of robotic surgery (FSRS) curriculum, hands-on bedside… More >

Solomon L. Woldu, Trushar Patel, Edan Y. Shapiro, Ari M. Bergman, Ketan K. Badani

Canadian Journal of Urology, Vol.20, No.6, pp. 7079-7083, 2013

Abstract Introduction: There are many concerns expressed by urologists performing robotic assisted laparoscopic prostatectomy (RALP) regarding management of the dorsal vein complex (DVC). We sought to examine the influence of delayed DVC ligation versus standard DVC ligation on the apical surgical margin status and other key surgical parameters following RALP.
Materials and methods: The Columbia University Urologic Oncology Database was retrospectively reviewed to identify patients who underwent RALP between 2008-2011. Operative records were analyzed to determine whether the DVC was ligated in the 'standard' or 'delayed' manner. The standard group had the DVC ligated prior to the apical… More >

Roger F. Valdivieso, Pierre-Alain Hueber, Kevin C. Zorn

Canadian Journal of Urology, Vol.20, No.6, pp. 7073-7078, 2013

Abstract The introduction of the “da Vinci Robotic Surgical System” (Intuitive Surgical, Sunnyvale, CA, USA) has been an important step toward a minimally invasive approach to radical prostatectomy. Technological peculiarities, such as three-dimensional vision, wristed instrumentation with seven degrees of freedom of motion, lack of tremor, 10x magnification, and a comfortable seated position for the surgeon, have added value to the procedure for both the surgeon and the patient. In this article, we describe the 9-step surgical technique for robot-assisted radical prostatectomy (RARP) that is currently used in our institution (University of Montreal Hospital Center (CHUM) More >

Austin D. DeRosa¹, Kevin G. Baldie¹, Adeboye O. Osunkoya², John G. Pattaras^1,3

Canadian Journal of Urology, Vol.20, No.6, pp. 7070-7072, 2013

Abstract Hemangiopericytomas are rare mesenchymal lesions arising from pericytes within the walls of capillaries. They often have an unpredictable course. We present a case of a large retroperitoneal hemangiopericytoma in a 65-year-old woman who initially presented with upper gastrointestinal discomfort. Following exptirpative surgery, pathology was consistent with hemangiopericytoma of low malignant potential. Widespread metastasis was discovered on follow up imaging, 17 months following surgery. To our knowledge, this is the first case report demonstrating a primary retroperitoneal hemangioperictoma with confirmed metastases. More >