Mario F. Chammas Jr.¹, Fernando J. Kim¹, Aurelio Barbarino², Nicolas Hubert³, Benoît Feuillu³, Alain Coissard⁴, Jacques Hubert³

Canadian Journal of Urology, Vol.15, No.3, pp. 4097-4100, 2008

Abstract Objectives: To evaluate the feasibility and safety of robot-assisted laparoscopic partial cystectomy for the treatment of rectal and bladder endometriosis.
Materials and methods: A 23-year-old female with history of infertility and pelvic pain was found to have a 4 cm bladder mass and rectal nodule on pelvic ultrasonography. Patient denied any other genitourinary symptoms. Cystoscopy and bladder mass biopsy revealed endometriosis. After failure to suppressive hormonal medical therapy a partial cystectomy and resection of a rectal lesion was performed with robotic assistance (da Vinci). The procedure included excision of an ovarian cyst and several peritoneal endometrioid implants.
Results: More >

Alvaro Lucioni, Marcelo A. Orvieto, Kevin C. Zorn, Tamara Lotan, Edward M. Gong, Gary D. Steinberg, Arieh L. Shalhav

Canadian Journal of Urology, Vol.15, No.3, pp. 4091-4096, 2008

Abstract Introduction: The argon beam coagulator (ABC) is used in combination with other hemostatic agents and suture renorrhaphy to obtain hemostasis after laparoscopic partial nephrectomy. We performed a pilot study evaluating the efficacy of the ABC-alone in obtaining hemostasis during laparoscopic heminephrectomy (LHN) in a porcine model.
Methods: Eight pigs (4 small (30 kg-40 kg) and 4 large (70 kg-80 kg)), underwent bilateral LHN. Hemostasis then was obtained by using the ABC at 120W as a single modality. The collecting system was not repaired. The hilum was unclamped and the renal defect observed for 20 minutes with pneumoperitoneum… More >

Lynn Stothers, Derek Wilkie, Pat Lieblich, Penny Wilson

Canadian Journal of Urology, Vol.15, No.3, pp. 4084-4090, 2008

Abstract Background: This paper describes the process of adopting the Canadian Continence Foundation's urban/academic model of continence care in the development of British Columbia's Bladder Care Centre, using a process that can serve as a model for other jurisdictions across Canada and internationally.
Method: A multidisciplinary Working Group assessed the existing system, analyzed local and national statistics, and reviewed the literature on urinary incontinence and models of health care. Following approval from university and hospital authorities, continence services were reorganized including changing infrastructure, altering the location of multidisciplinary services and restructuring of funding and resource allocation. The process… More >

Ericka Wiebe¹, George Rodrigues^1,2, Michael Lock¹, David D’Souza¹, Larry Stitt²

Canadian Journal of Urology, Vol.15, No.3, pp. 4078-4083, 2008

Abstract Introduction: The optimal management of prostate cancer patients presenting with prostate specific antigen (PSA) levels greater than 50 ng/ml is controversial. The purpose of this study was to investigate factors associated with overall survival and biochemical outcome in a high-risk prostate cancer population with PSA > 50.0 ng/ml at time of diagnosis, and no clinical or radiological evidence of metastatic disease.
Materials and methods: A single institution chart review was conducted at the London Regional Cancer Program on 138 patients who presented with PSA levels greater than 50 ng/ml. Forty-eight (34.8%) of these patients had no clinical… More >

Hassan Razvi

Canadian Journal of Urology, Vol.15, No.3, pp. 4076-4076, 2008

Abstract This article has no abstract. More >

John B. Malcolm¹, Ithaar H. Derweesh^1,2, E. Keith Brightbill¹, Reza Mehrazin¹, Christopher J. DiBlasio¹, Robert W. Wake^1,2

Canadian Journal of Urology, Vol.15, No.3, pp. 4072-4077, 2008

Abstract Introduction: Percutaneous nephrolithotomy (PCNL) has become an option for treatment of renal stone disease, though no clearly defined algorithm exists for selection of patients suitable to tubeless PCNL. We investigated our experience with tubeless PCNL to evaluate its safety and efficacy for cases of complex renal calculi.
Patients and methods: Retrospective review of all tubeless PCNLs performed for complex renal calculus disease (bilateral stones, partial/complete staghorn, infundibular stenosis/calyceal diverticulum, pre-existing renal insufficiency) between January 2001 and January 2006. All patients had a ureteral stent placed in an antegrade fashion following stone treatment, and a foley catheter remained… More >

M. Gail Woodbury¹, Keith C. Hayes², Heather K. Askes²

Canadian Journal of Urology, Vol.15, No.3, pp. 4065-4071, 2008

Abstract Objective: To identify intermittent catheterization (IC) practices and factors associated with urinary tract infection (UTI) in community-dwelling people living with spinal cord injury (SCI) in Canada.
Study design: A national survey employing a 36-item self-report questionnaire that was mailed to members of the Canadian Paraplegic Association (CPA).
Results: There were 912 respondents with SCI of either traumatic or nontraumatic etiology. Fifty-five percent of the respondents used IC. The mean age of users (47 ± 14 years) was significantly younger than non-users (53 ± 13 years) and a greater percentage of males (57%) than females (50%) used IC. Of… More >

Charnita M. Zeigler-Johnson¹, Hanna Rennert², R. Devi Mittal³, Mohamed Jalloh⁴, Rajeev Sachdeva⁵, S. Bruce Malkowicz¹, Anil Mandhani³, B. Mittal³, Serigne M. Gueye⁴, Timothy R. Rebbeck¹

Canadian Journal of Urology, Vol.15, No.3, pp. 4056-4064, 2008

Abstract Introduction: Prostate cancer is common around the world, but rates of advanced disease differ substantially by race and geography. Although a major health issue, little is known about prostate cancer presentation in West Africa and India compared to the United States (US).
Objective: The aim of this study was to compare prostate tumor characteristics in four populations of men from the US, Senegal and India.
Materials and methods: We recruited prostate cancer patients from four hospital-based populations. The sample included 338 African-Americans, 1265 European-Americans, 122 Asian Indians, and 72 Senegalese. Questionnaire and medical record data were collected on… More >

J. C. Trussell, James C. Brien

Canadian Journal of Urology, Vol.15, No.3, pp. 4047-4055, 2008

Abstract Purpose: Peyronie's disease is characterized by plaque formation within the tunica albuginea of the penile corpora cavernosa. The exact etiology of Peyronie's is uncertain at this time, and multiple treatment options exist. Following a literature review, a treatment algorithm has been developed to streamline decisions for both medical and surgical intervention.
Methods: A review of the Medline literature published between 1940 and 2008 was performed looking at the history, pathophysiology, medical and surgical treatments for Peyronie's disease.
Results: The current standard is to treat Peyronie's with expectant medical management or by adding oral, topical, or injected medicines to… More >

E. David Crawford

Canadian Journal of Urology, Vol.15, No.3, pp. 4044-4046, 2008

Abstract This article has no abstract. More >