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  • Open Access

    RESIDENT’S CORNER

    McMaster experience with laparoscopic pyeloplasty

    Abdullatif Hussain, Paul Whelan, Kevin Piercey, Anil Kapoor

    Canadian Journal of Urology, Vol.11, No.3, pp. 2299-2302, 2004

    Abstract Purpose: Laparoscopic pyeloplasty has been developed as a minimally invasive alternative to open pyeloplasty for the treatment of ureteropelvic junction obstruction (UPJO). Several series have been published with similar success rates for the two procedures. We present our initial experience with laparoscopic pyeloplasty.
    Material and methods: A retrospective review of 29 consecutive patients (mean age 37 years) who underwent laparoscopic dismembered Hynes-Anderson pyeloplasty in our institution between January 2001 to April 2003 was performed. All patients had flank pain with radiologic findings consistent with ureteropelvic junction obstruction and impaired drainage on diuretic renal scan. Patients were assessed… More >

  • Open Access

    CASE REPORT

    Multiple bilateral Perivascular Epithelioid Cell Tumor (PEComa) of the kidneys

    Rahuldev Bhalla, David Dail, Paul Kozlowski, John Corman

    Canadian Journal of Urology, Vol.11, No.3, pp. 2296-2298, 2004

    Abstract Perivascular Epithelial Cell (PEComa) Tumors are extremely rare. These tumors are often regarded as low grade Sarcomas and treated as such. We report a case of a 70 year old female with a history of nonspecific complaints and on routine CT scan had bilateral multiple renal masses with no other extra renal disease. The largest mass on the right was 11 cm x 7 cm x 11 cm and the left there were multiple smaller masses. She underwent a right radical nephrectomy that showed a PEComa and an adjacent renal cell carcinoma. Her contralateral kidney More >

  • Open Access

    ARTICLE

    A survey of urological manpower, technology, and resources in Canada

    Peter Pommerville1, S. Larry Goldenberg2, James W.L. Wilson3, Yves Fradet4, Jacques Corcos5, Brian A.P. Morris6

    Canadian Journal of Urology, Vol.11, No.3, pp. 2290-2295, 2004

    Abstract Introduction: Knowledge of the current status of manpower and resources is important in understanding the state of any medical specialty, and critical in planning for future recruitment, funding and infrastructure development.
    Methods: In 2003, the Canadian Urological Association (CUA) conducted two nationwide surveys examining manpower, resources, and the technology available. One survey went only to academic and hospital leaders across the country (the resources survey), while the other was sent to the entire general membership of the CUA.
    Results: The response rate for the resources survey was 67%, while that for the membership survey was 50.4%. The respondents'… More >

  • Open Access

    ARTICLE

    Restoring sexual function in prostate cancer patients: an innovative approach

    Ross E. Gray1, Laurence H. Klotz2

    Canadian Journal of Urology, Vol.11, No.3, pp. 2285-2289, 2004

    Abstract It has been extremely difficult for men with prostate cancer to obtain reasonable estimates of the likelihood of remaining potent after first line therapy, partly because of differences in defining potency. If, as in more recent studies, the definition requires that men are usually (not just occasionally) able to get and sustain an erection, then the picture is not encouraging. Additional strategies are needed to help men sustain sexual activity. In this paper we draw on the experiences of a rather remarkable prostate cancer patient to help consider the possibilities for a different kind of… More >

  • Open Access

    ARTICLE

    Prevalence of overactive bladder and incontinence in Canada

    Jacques Corcos1, Erik Schick2

    Canadian Journal of Urology, Vol.11, No.3, pp. 2278-2284, 2004

    Abstract Aims of study: The main objectives of the study were to measure the prevalence of overactive bladder (OAB) with its sub-types (wet OAB, dry OAB, mixed OAB) in the Canadian population and to assess prevalence variations according to gender and age.
    Methods: The prevalence of OAB in Canada was investigated via a validated, computer-assisted telephone interview (CATI) system. The interviews were conducted in two steps: an initial questionnaire evaluating if respondents suffered from OAB, followed by a detailed questionnaire completing the assessment. The final data were weighted according to the census of metropolitan areas and by gender,… More >

  • Open Access

    EDITORIAL

    ‘Gammon’s law and a change in thinking?’

    Laurence H. Klotz

    Canadian Journal of Urology, Vol.11, No.3, pp. 2226-2226, 2004

    Abstract This article has no abstract. More >

  • Open Access

    RESIDENT’S CORNER

    Septic shock after transrectal ultrasound guided prostate biopsy. Is ciprofloxacin prophylaxis always protecting?

    Saleh Binsaleh1, Mana Al-Assiri1, Samuel Aronson2, Andrew Steinberg1

    Canadian Journal of Urology, Vol.11, No.4, pp. 2352-2353, 2004

    Abstract We report a case of septic shock complicating transrectal ultrasound guided prostate biopsy despite antibiotic prophylaxis with ciprofloxacin. Patient was recently treated with the same agent for other infectious illnesses. More >

  • Open Access

    RESIDENT’S CORNER

    Recurrence of a non-seminomatous germ cell tumor in the seminal vesicle 20 years after initial diagnosis and treatment

    Jean-Baptiste Lattouf, Michael Mc Cormack, Louise Yelle, Rachid Hadjeres, Fred Saad

    Canadian Journal of Urology, Vol.11, No.4, pp. 2350-2351, 2004

    Abstract We present a case of a pathologic stage 1, right sided, non-seminomatous germ cell tumor recurrence in the left seminal vesicle, 20 years after initial diagnosis and treatment. The patient was treated with three salvage cycles of bleomycin, etoposide, and cisplatinum. At 24 months of follow-up after completion of chemotherapy, digital rectal and TRUS examinations revealed complete resolution of the lesion. We believe that this tumor is a late metastasis to the contralateral seminal vesicle. More >

  • Open Access

    RESIDENT’S CORNER

    Tissue reactions of the rabbit urinary bladder to cadaveric human fascia lata and polypropylene surgical mesh

    Danny M. Rabah1, Louis R. Bégin2, Abdelrahman Zahran1, Jacques Corcos1

    Canadian Journal of Urology, Vol.11, No.4, pp. 2344-2349, 2004

    Abstract Objective: To evaluate and compare histological tissue reactions of the urinary bladder to human cadaveric fascia lata (CFX) slings and synthetic mesh.
    Methods: Thirty rabbits were randomized to three groups: group A (multifilament - Surgipro Mesh®) 12 animals, group B (CFX) 12 animals, and group C (surgical controls) 6 animals. A piece of Mesh or CFX was fixed in direct contact with the anterior bladder neck wall. The control group simply underwent sham bladder manipulation. The animals were sacrificed at 6- and 12-week intervals, and their bladders were collected for histological analysis.
    Results: Group A showed fibrosis within… More >

  • Open Access

    CASE REPORT

    Wegener’s granulomatosis of the penis: diagnosis and management

    Robert Adam1, Sydney Katz2, Ken Lee3, Michael Jewett4, Ronald Kodama5

    Canadian Journal of Urology, Vol.11, No.4, pp. 2341-2343, 2004

    Abstract A 24 year old uncircumcised man presented with a 1 month history of a painful, fungating lesion on his glans penis. Following biopsy, and further clinical developments, a diagnosis of Wegener’s Granulomatosis (WG) was made. The penile lesion was treated with surgical debridement, and a penile stump was salvageable. This is only the fourth case of WG initially presenting with a penile lesion to be reported in the literature. More >

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