Mark D. Tyson II¹, Alan H. Bryce², Thai H. Ho², Estrella M. Carballido², Erik P. Castle¹

Canadian Journal of Urology, Vol.21, No.3, pp. 7259-7265, 2014

Abstract Introduction: Few data on the perioperative outcomes of cystectomy after neoadjuvant chemotherapy (NAC) exist. In this study, we evaluated whether patients who had previously received NAC were at higher risk of developing perioperative complications.
Materials and methods: The National Surgical Quality Improvement Program (NSQIP) database was searched to identify cystectomies performed between January 1, 2005 and December 31, 2011. Of 1394 patients identified, about one-tenth (n = 122 [8.8%]) received NAC. A propensity-weighted comparative analysis of perioperative morbidity was conducted.
Results: In unadjusted comparisons, patients undergoing cystectomy after NAC were more likely to have peripheral nerve deficits (1.6%… More >

Isabell Sesterhenn

Canadian Journal of Urology, Vol.21, No.3, pp. 7256-7258, 2014

Abstract This article has no abstract. More >

Leonard G. Gomella

Canadian Journal of Urology, Vol.21, No.3, pp. 7255-7255, 2014

Abstract This article has no abstract. More >

Canadian Journal of Urology, Vol.21, No.4, pp. 7404-7428, 2014

Abstract This article has no abstract. More >

Jack Barkin

Canadian Journal of Urology, Vol.21, No.4, pp. 7399-7403, 2014

Abstract Urologists have two scenarios where they have to address bone loss or increased risk of fractures in men with prostate cancer. In the first setting, a patient who has been started on androgen deprivation therapy may develop cancer-treatment-induced bone loss. In the second setting, a patient’s prostate cancer may have metastasized to the bone. This article describes six steps to manage bone health in patients diagnosed with prostate cancer in a community practice. More >

Andrew Di Pierdomenico, Darren Beiko

Canadian Journal of Urology, Vol.21, No.4, pp. 7396-7398, 2014

Abstract The epididymis is the most common source of acute and chronic scrotal pain in the outpatient setting, yet there are no standardized methods for proper palpation of this organ. We describe a novel scrotal examination technique that is reproducible and easy to learn. Our technique utilizes a maneuver we call testicular ‘framing’, and in our experience this maneuver almost invariably leads to proper diagnosis of epididymal pathology by facilitating successful palpation of the epididymal head, body and tail. More >

Rami R. Abou Ghaida, Ragheed M. Saoud, Mohammad Bulbul

Canadian Journal of Urology, Vol.21, No.4, pp. 7393-7395, 2014

Abstract Osteosarcoma is a highly malignant soft tissue tumor. Bladder extra-skeletal osteosarcomas are very rare, and only few cases are reported in the English medical literature. This case is the third one of its kind to be reported consisting of a bladder diverticulum osteosarcoma. Compared to urothelial bladder carcinoma, urinary bladder osteosarcomas have a poorer prognosis. Biopsy and immunochemical staining are critical for the diagnosis. Treatment regimens vary based on the stage of the disease. However, choosing the best option for treatment is still unclear, due to the scarcity of cases available. More >

Tommaso Silvestri¹, Fulvio Stacul², Michele Bertolotto³, Mary Artero⁴, Salvatore Siracusano¹

Canadian Journal of Urology, Vol.21, No.4, pp. 7390-7392, 2014

Abstract In patients who underwent renal transplantation, urinary tract tumors have an incidence of approximately 1.5%-3.3%. We report a rare case of renal cell carcinoma occurring in a transplanted kidney 25 years after the transplant. The lesion was treated by CT-guided percutaneous cryoablation with the ablation of renal lesion. This approach offers more accuracy compared with ultrasonography (US), and it is faster compared to magnetic resonance (MR) guidance. In transplanted kidneys, CT-guided cryoablation seems to be safe. More >

Katie S. Murray¹, Joshua Griffin¹, Yuan Feng², Moben Mirza¹, J. Brantley Thrasher^1,3, Ernesto Lopez-Corona³, David A. Duchene^1,3

Canadian Journal of Urology, Vol.21, No.4, pp. 7385-7389, 2014

Abstract Introduction: Robotic assisted laparoscopic prostatectomy (RALP) is a mainstay in the treatment of prostate cancer. Current procedure terminology (CPT) identifies a case that requires substantially greater effort than usual by using the modifier 22 code (M22). Our objective was to identify the most common etiologies leading to M22 at our institution and determine the effect on perioperative outcomes.
Materials and methods: We retrospectively reviewed our prostatectomy database from 2009–2012 to identify patients who underwent RALP with and without M22. Reasons for M22 were determined by review of operative reports. Comparisons were made using Chi-square analysis and independent… More >

Ricardo A. Rendon¹, Ross J. Mason¹, Susan Kirkland², Joseph G. Lawen¹, Mohamed Abdolell³

Canadian Journal of Urology, Vol.21, No.4, pp. 7379-7384, 2014

Abstract Introduction: To develop a classification tree for the preoperative prediction of benign versus malignant disease in patients with small renal masses.
Materials and methods: This is a retrospective study including 395 consecutive patients who underwent surgical treatment for a renal mass < 5 cm in maximum diameter between July 1st 2001 and June 30th 2010. A classification tree to predict the risk of having a benign renal mass preoperatively was developed using recursive partitioning analysis for repeated measures outcomes. Age, sex, volume on preoperative imaging, tumor location (central/peripheral), degree of endophytic component (1%–100%), and tumor axis position… More >