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  • Open Access

    ARTICLE

    Impact of fibrin glue and urinary bladder cell spraying on the in-vivo acellular matrix cellularization: a porcine pilot study

    Walid A. Farhat1,2, Jun Chen1, Christopher Sherman3, Lisa Cartwright1, Andre Bahoric3, Herman Yeger4

    Canadian Journal of Urology, Vol.13, No.2, pp. 3000-3008, 2006

    Abstract Purpose: Urinary bladder tissue engineering utilizing autologous cell-seeded scaffolds requires enough bladder cells to populate a large surface area which may be difficult to obtain from abnormal bladders. We evaluated whether a fibrin glue spray technique enhances cell seeded acellular matrix (ACM) repopulation in a porcine bladder model.
    Materials and methods: Porcine urothelial and smooth muscle cells cultured from open bladder biopsy were sprayed with or without fibrin glue onto porcine bladder ACM. After 10 days in vitro, constructs were implanted onto porcine bladders (4/group) and harvested after 1 or 6 weeks for H&E and immunohistochemical staining.
    Results: More >

  • Open Access

    EDITORIAL

    The CMAJ mess

    Laurence H. Klotz

    Canadian Journal of Urology, Vol.13, No.2, pp. 2997-2998, 2006

    Abstract This article has no abstract. More >

  • Open Access

    EDITORIAL

    EDITORIAL

    Laurence H. Klotz

    Canadian Journal of Urology, Vol.13, No.3, pp. 3059-3059, 2006

    Abstract This article has no abstract. More >

  • Open Access

    RESIDENT’S CORNER

    Resident involvement in open radical prostatectomy: a review of urology surgical training

    Kevin C. Zorn, Philippe E. Spiess, Phillip L. Ross, Yosh Taguchi, Armen G. Aprikian

    Canadian Journal of Urology, Vol.13, No.3, pp. 3164-3168, 2006

    Abstract Purpose: The Royal College of Physicians and Surgeons of Canada (RCPSC) and The American Accreditation Council for Graduate Medical Education (ACGME) general objectives mandate that all residents be competent to independently perform select surgical procedures. Unfortunately, no objective standardized measures presently exist for surgical training assessment. Operative logs have been implemented to quantify the number of cases the resident has been exposed to, however, these do not assess their degree of involvement or aptitude. An analysis of what exactly a resident performs, and how well, per case may assist in measuring their training progress. Herein, we… More >

  • Open Access

    RESIDENT’S CORNER

    Parameters affecting urologic complications after major joint replacement surgery

    Jason P. Izard1, Richard D. Sowery1, Melanie T. Jaeger2, D. Robert Siemens1

    Canadian Journal of Urology, Vol.13, No.3, pp. 3158-3163, 2006

    Abstract Introduction and objectives: Peri-operative bladder management after major arthroplasty procedures remains controversial. The purpose of this study was to assess the risk of urological complications in those patients undergoing hip or knee joint replacement. As well, we identified those factors that may affect the likelihood of developing complications.
    Methods: Two hundred and twenty-one consecutive patients receiving a total knee or hip arthroplasty were reviewed. The outcomes measured were prolonged urinary retention, as well as urinary tract infections and the development of a septic prosthesis. Statistical significance of any predisposing factors identified was determined using a two-tailed Fisher… More >

  • Open Access

    HOW I DO IT

    Retrograde stenting of transplant ureters using a ureteral access sheath

    Kishore Visvanathan1, Jeff Warren2

    Canadian Journal of Urology, Vol.13, No.3, pp. 3156-3157, 2006

    Abstract Changing chronic ureteral stents in patients with kidney transplants may be technically difficult because of the site of ureterocystostomy. The technique described simplifies this procedure. More >

  • Open Access

    HOW I DO IT

    Percutaneous nephrolithotomy under conscious sedation in morbidly obese patients

    Androniki Kanaroglou, Hassan Razvi

    Canadian Journal of Urology, Vol.13, No.3, pp. 3153-3155, 2006

    Abstract Two morbidly obese males weighing 159 kg and 184 kg underwent percutaneous nephrolithotomy (PCNL) for large, symptomatic renal stones. To avoid anesthetic complications and cardiorespiratory compromise in the prone position, the procedures were performed under IV sedation with local anesthesia. The risks of PCNL in this patient population are reviewed, and the technique employed to mitigate the risks in these two cases is described. More >

  • Open Access

    ARTICLE

    Status of urologic laparoscopy in 2004: a survey of CUA members

    Kenneth T. Pace, Daniela Ghiculete, Melanie Harju, R. John Honey

    Canadian Journal of Urology, Vol.13, No.3, pp. 3147-3152, 2006

    Abstract Introduction: The optimal method of acquiring laparoscopic skills has not been determined. We sought to examine the current status of urologic laparoscopy and how practicing urologists acquired the skills needed to perform laparoscopic procedures.
    Methods: A mail questionnaire regarding laparoscopic practices and training was sent to 480 members of the Canadian Urological Association (CUA) using standard Dillman survey methodology.
    Results: Three hundred (62.5%) urologists responded to the questionnaire; 56.5% practiced in the community and 41.1% in an academic setting. There were 59.9% who had completed some form of fellowship training. Recent graduates (who finished residency after 1995) were… More >

  • Open Access

    ARTICLE

    Prospective evaluation of the prevalence and severity of fatigue in patients with prostate cancer undergoing radical external beam radiotherapy and neoadjuvant hormone therapy

    Pauline T. Truong1, Eric Berthelet1, Junella C. Lee1, Ross Petersen1, Jan T. W. Lim1, Catherine A. Gaul2, Howard Pai1, Paul Blood1, Charles M. Ludgate1

    Canadian Journal of Urology, Vol.13, No.3, pp. 3139-3146, 2006

    Abstract Objective: To prospectively evaluate the prevalence and severity of fatigue and its impact on quality of life (QOL) during and after radical external beam radiotherapy (RT) for prostate cancer.
    Method and materials: Twenty-eight men with prostate cancer undergoing RT over 6-8 consecutive weeks were prospectively accrued. The Brief Fatigue Inventory (BFI), a validated fatigue assessment tool, was administered at five time points: baseline (week 1), middle of RT (week 3-4), end of RT (last week of RT), and follow-up (median 6.5 weeks after RT). The BFI contained nine questions, each using 0-10 ratings to quantify fatigue severity… More >

  • Open Access

    ARTICLE

    Canadian Urological Association guidelines on urinary incontinence

    Jacques Corcos1, Jerzy Gajewski2, Diane Heritz3, Allan Patrick4, Ian Reid5, Erik Schick6, Lynn Stothers7

    Canadian Journal of Urology, Vol.13, No.3, pp. 3127-3138, 2006

    Abstract Objective: To develop the first Canadian guidelines for the management of adult urinary incontinence (UI).
    Method: Following a mandate of the Canadian Urological Association, six Canadian urologists collaborated to produce these guidelines after having extensively reviewed existing foreign guidelines and literature from 1966 to June 2005.
    Results: The terminology proposed by the standardization committee of the International Continence Society (ICS) is recommended. Basic evaluation must include a history, physical examination, evaluation of post void residual volume, urinalysis and voiding diary. A more detailed evaluation is recommended for complex cases or if initial management fails. As non-pharmacological treatments,… More >

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