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  • Open Access

    RESIDENT’S CORNER

    Renal cell carcinoma presenting with brain metastasis from a 1.6 cm primary tumor

    Heather J. Chalfin, Grzegorz T. Gurda, Hans-Joerg Hammers, George J. Netto, Trinity J. Bivalacqua

    Canadian Journal of Urology, Vol.20, No.5, pp. 6964-6967, 2013

    Abstract Small renal cell carcinoma (RCC) tumors are believed to have a negligible risk of metastasis. We report on a 77-year-old man presenting with extremity weakness who was found to have a 2.5 cm brain metastasis from a subsequently discovered 1.6 cm clear cell RCC primary tumor. We review what is known about synchronous and metachronous metastasis from small renal tumors and prognostic features informing treatment for such lesions. More >

  • Open Access

    RESIDENT’S CORNER

    A magnetic mass within the bladder

    Fahad Alyami, Jeffrey Himmelman, Thomas Whelan

    Canadian Journal of Urology, Vol.20, No.5, pp. 6962-6963, 2013

    Abstract A search of the literature finds that there have been many case reports documenting a wide array of objects found within the bladder, ranging from magnets and paper clips to telephone and aluminum wire. The goal of treatment is to remove the object quickly, using the least invasive method possible. Therefore, the ideal treatment is removal through endoscopic means; however, in some cases, the size, mobility and shape of the foreign body can prevent its removal endoscopically and more invasive means must be employed. We present a case of a patient who inserted 150 magnetic More >

  • Open Access

    HOW I DO IT

    Robot assisted radical prostatectomy: how I do it. Part I: patient preparation and positioning

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

    Canadian Journal of Urology, Vol.20, No.5, pp. 6957-6961, 2013

    Abstract Radical prostatectomy remains the standard treatment for long term cure of clinically localized prostate cancer, offering excellent oncologic outcomes, with cancer-specific survival approaching 95% at 15 years after surgery. The introduction of the “da Vinci Robotic Surgical System” (Intuitive Surgical, Sunnyvale, CA, USA) has been another important step toward a minimally invasive approach to radical prostatectomy. Technologic peculiarities, such as three-dimensional vision, wristed instrumentation with seven degrees of freedom of motion, lack of tremor, a 10x-magnifcation and a comfortable seated position for the surgeon has added value to the surgeon and patient. In this frst More >

  • Open Access

    COMMENTARY

    Laparoscopic orchidopexy for bilateral intra-abdominal testes

    Lane S. Palmer

    Canadian Journal of Urology, Vol.20, No.5, pp. 6956-6956, 2013

    Abstract This article has no abstract. More >

  • Open Access

    PEDIATRIC UROLOGY

    Outcome of bilateral laparoscopic Fowler-Stephens orchidopexy for bilateral intra-abdominal testes

    Ahmed S. Safwat1, Hisham M. Hammouda1, Adel A. Kurkar1, Nabil K. Bissada2

    Canadian Journal of Urology, Vol.20, No.5, pp. 6951-6955, 2013

    Abstract Introduction: To evaluate the outcome of bilateral laparoscopic Fowler-Stephens orchidopexy (BLFSO) for bilateral intra-abdominal testes.
    Materials and methods: Prospectively, all patients with bilateral intra-abdominal testes between 2006 and 2010 were included in this study. Patients’ data were analyzed for age, procedure whether single stage or staged Fowler-Stephens, intraoperative and postoperative complications, and follow-up results.
    Results: BLFSO was performed in a total of 48 testes in 24 boys with a median age of 31.6 months (range 12 to 150). All procedures were performed on an outpatient basis. Of the 24 boys, six were managed with a single stage BLFSO. More >

  • Open Access

    COMMENTARY

    Renal radiosurgery: cautious optimism

    Lee E. Ponsky

    Canadian Journal of Urology, Vol.20, No.5, pp. 6950-6950, 2013

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    CyberKnife for inoperable renal tumors: Canadian pioneering experience

    Vimoj J. Nair1, Janos Szanto2, Eric Vandervoort2, Ilias Cagiannos3, Rodney Breau3, Colin Malone1, Leonard Avruch4, Jason Pantarotto1, Shawn Malone1

    Canadian Journal of Urology, Vol.20, No.5, pp. 6944-6949, 2013

    Abstract Introduction: Stereotactic ablative body radiotherapy (SABR) is currently under study regarding its clinical application in management of patients with kidney tumors. CyberKnife can accurately deliver ablative tumor radiation doses while preserving kidney function. We report Canada's first use of CyberKnife SABR system in treating primary kidney tumors.
    Materials and methods: Between January 2011 and February 2012, we treated three patients with renal tumors using CyberKnife SABR. Two patients had tumors in solitary kidney. The third patient had a recurrent tumor after two previous radiofrequency ablation treatments. Platinum seed fiducials were used for real time tumor tracking. Magnetic… More >

  • Open Access

    ARTICLE

    Failing to follow up: predicting patients that will “no-show” for medically advised imaging following endourologic stone surgery

    Rachel A. Moses1, Lawrence M. Dagrosa1, Elias S. Hyams1, Peter L. Steinberg2, Vernon M. Pais1

    Canadian Journal of Urology, Vol.20, No.5, pp. 6939-6943, 2013

    Abstract Introduction: The purpose of this study is to evaluate predictors of poor compliance after treatment of urinary stone disease.
    Materials and methods: This study was a retrospective analysis of patients who underwent stent removal following percutaneous nephrolithotomy (PCNL) or ureteroscopy (URS) between 2008-2012. All patients were scheduled for follow up evaluation and renal ultrasound at 4-6 weeks following stent removal. Patients were stratified based on appointment compliance and demographic variables including gender, age, insurance type (Government Assisted Insurance [GAI] or Private Insurance [PI]), initial procedure, season, distance between home and clinic, average monthly gas price at follow… More >

  • Open Access

    COMMENTARY

    Salvage ablation for partial nephrectomy failures

    Jay D. Raman

    Canadian Journal of Urology, Vol.20, No.5, pp. 6938-6938, 2013

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Percutaneous cryoablation for recurrent low grade renal cell carcinoma after failed nephron-sparing surgery

    Matthew A. Morgan1, Nathan R. Roberts2, Laura A. Pino1, Edouard J. Trabulsi2,3, Daniel B. Brown1,3, Leonard G. Gomella2,3, Costas D. Lallas2,3

    Canadian Journal of Urology, Vol.20, No.5, pp. 6933-6937, 2013

    Abstract Introduction: Partial nephrectomy has a 3%-4% incidence of local treatment failure. This study is to present a series of percutaneous cryoablation for locally recurrent renal cell carcinoma after partial nephrectomy.
    Materials and methods: Five consecutive patients were referred to our quaternary center’s multidisciplinary Small Renal Mass (SRM) Center for assessment after failure of partial nephrectomy. Tumor size and location was noted. CT-guided cryoablation was performed using an argon/helium-based system (Healthtronics, Austin, Texas, USA). Patients were admitted overnight for observation. Patients were followed with serial imaging, laboratory tests and examination at our SRM Center. Tumor size, location, and… More >

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