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  • Open Access

    ARTICLE

    An integral view of the neuroendocrine aspects of male sexual dysfunction and aging

    Alvaro Morales

    Canadian Journal of Urology, Vol.10, No.2, pp. 1777-1779, 2003

    Abstract Age is the most important factor associated with sexual dysfunction. The traditional thinking explained this association by the neurovascular events developing with the aging process. More recently, central neuro-endocrine mechanisms resulting from apoptosis in the hypothalamic areas involved in both the production of sex hormones and the control of sexual processes have added a new dimension to human sexuality. This evidence is still controversial but of unquestionable importance in our understanding of endocrine alterations and sexual shortcomings associated with aging. More >

  • Open Access

    EDITORIAL

    Festschrift in honour of Dr. Ernest Ramsey

    Laurence H. Klotz

    Canadian Journal of Urology, Vol.10, No.2, pp. 1774-1775, 2003

    Abstract This article has no abstract. More >

  • Open Access

    EDITORIAL COMMENT

    The unsuspected nonpalpable testicular mass detected by ultrasound: a management problem – Page 1764

    Simon Tanguay

    Canadian Journal of Urology, Vol.10, No.1, pp. 1767-1767, 2003

    Abstract This article has no abstract. More >

  • Open Access

    CASE REPORT

    Vaso-cutaneous fistula after vasectomy

    Meng Guan, A. Joel Dagnone, Richard W. Norman

    Canadian Journal of Urology, Vol.10, No.1, pp. 1772-1773, 2003

    Abstract Vaso-cutaneous fistulae occur rarely after vasectomy. We report three cases encountered in our hospital over the last 18 years and recommend technical considerations to avoid this complication. More >

  • Open Access

    CASE REPORT

    Metastatic adenocarcinoma in testis presenting as a testicular mass – a case report and review of literature

    M. S. Deshpande, J. N. Kulkarni

    Canadian Journal of Urology, Vol.10, No.1, pp. 1770-1771, 2003

    Abstract Testicular metastasis presenting as a testicular mass is an extremely rare condition. There are only nine previously reported cases where testicular mass was the first clinical manifestation of underlying malignancy. Here we report a case of metastatic mucin secreting adenocarcinoma in testis presenting as a testicular mass with unknown primary. We have given a brief review of literature about the spread of tumor to testes. More >

  • Open Access

    CASE REPORT

    Group A streptococcal hydrocele infection and sepsis in a renal transplant recipient

    Darren T. Beiko, James D. Watterson, Anthony J. Cook, John D. Denstedt

    Canadian Journal of Urology, Vol.10, No.1, pp. 1768-1769, 2003

    Abstract A case of hydrocele infection secondary to a cutaneous β-hemolytic group A streptococcal infection is described in a renal transplant recipient. Sepsis and renal failure occurred in the setting of this severe, life-threatening infection. This case represents the first description of a group A streptococcal hydrocele infection in an adult. This type of infection can progress rapidly to sepsis and its attendant complications, especially in an immunocompromised patient. Early diagnosis and treatment is crucial in order to optimize the outcome. More >

  • Open Access

    CASE REPORT

    The unsuspected nonpalpable testicular mass detected by ultrasound: a management problem

    Abdullatif Hussain, Denis H. Hosking

    Canadian Journal of Urology, Vol.10, No.1, pp. 1764-1766, 2003

    Abstract Ultrasound is recognized as a valuable method of detecting testicular masses. Rarely, ultrasound will detect a testicular mass that was not clinically suspected. We present the case of a 43-year old man who presented with an unsuspected testicular mass detected by ultrasound. He underwent inguinal orchiectomy. The pathology showed a Leydig Cell tumor with cytological atypia. A review of the literature suggests that most incidentally discovered testicular masses are tumors, but there is disagreement as to whether they are usually benign or malignant. In view of the fact that many of these lesions are benign, More >

  • Open Access

    RESIDENT’S CORNER

    Comparison of recovery from postoperative pain utilizing two sling techniques

    Victor H. Hartanto, David DiPiazza, Murali K. Ankem, Carmen Baccarini, Nancy J. Lobby

    Canadian Journal of Urology, Vol.10, No.1, pp. 1759-1763, 2003

    Abstract Materials and methods: A total of 64 women (mean age = 57) were treated for stress urinary incontinence secondary to intrinsic sphincter deficiency or hypermobility between March 1998 to August 2000. Group I (SPWS) consisted of 30 patients who underwent in situ vaginal wall sling with suprapubic placement of bone anchors in the pubic tubercle utilizing the Vesica system. Group II (TVCS) consisted of 34 patients who underwent cadaveric fascia sling with transvaginal placement of bone anchors behind the symphysis pubis utilizing the Precision-TAC system. Phone interviews were conducted by a third party who was blinded… More >

  • Open Access

    ARTICLE

    A comparative analysis of rapid urine tests for the diagnosis of upper urinary tract malignancy

    D. Robert Siemens, Alvaro Morales, Brenda Johnston, Laurel Emerson

    Canadian Journal of Urology, Vol.10, No.1, pp. 1754-1758, 2003

    Abstract Objectives: To compare the effectiveness of two rapid urine tests fibrinogen / fibrin degradation products FDP (Aura Tek FDP, PerImmune Inc., Rockville, Maryland, USA) and bladder tumor antigen BTA (Bard BTA, Bard Canada Inc., Mississauga, Ontario, Canada) to urinary cytology in establishing the diagnosis of transitional cell carcinoma (TCC) in patients with suspected upper tract malignancy.
    Materials and methods: In a prospective study, urine samples were collected from 29 patients with abnormalities of the upper tracts highly suspicious for malignancy. Sensitivity and specificity of the BTA and FDP tests were determined and compared to those of cytology.… More >

  • Open Access

    ARTICLE

    Radical prostatectomy stabilizes peak urinary flow rates

    Thomas E. Ahlering, Kimberly S. Thayer, Dilshad Sumnani, Regina M. Hovey, Douglas W. Skarecky

    Canadian Journal of Urology, Vol.10, No.1, pp. 1749-1753, 2003

    Abstract Objective: A community-based study of 2119 men in Olmsted County reported that median peak urinary flow rates (PFR)s and voided volumes decrease steadily after age 40. We wanted to study how removal of the prostate via radical prostatectomy (RRP) would effect age-related reduction of PFRs and voided volumes.
    Methods: One hundred men 1-9 years following RRP were evaluated for PFR, voided volume, post void residual, and AUA symptom score.
    Results: Following removal of the prostate the mean PFR was 26.6 +/- 11 cc/sec and the mean voided volume was 345 +/- 174 cc. Analysis of PFR and voided… More >

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