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  • Open Access

    REVIEW

    Renal biopsy for medical renal disease: indications and contraindications

    Jathin Bandari, Thomas W. Fuller, Robert M. Turner II, Louis A. D’Agostino

    Canadian Journal of Urology, Vol.23, No.1, pp. 8121-8126, 2016

    Abstract Introduction: Percutaneous renal biopsy (PRB) is a safe and effective modality for sampling kidney tissue. In limited circumstances, alternative methods for kidney biopsy may be indicated. Historical contraindications for PRB such as bleeding diathesis, morbid obesity and solitary kidney have been called into question in the literature. We present a review of the literature on PRB and the risks and benefits associated with alternatives.
    Materials and methods: A review of the literature was performed through MEDLINE and PubMed. A total of 726 articles exist under the query, "percutaneous renal biopsy." Large series describing indications, contraindications, procedural methods,… More >

  • Open Access

    RESIDENT’S CORNER

    Robotic assisted laparoscopic repair of a symptomatic ureterosciatic hernia

    Mikhail Regelman, Jay D. Raman

    Canadian Journal of Urology, Vol.23, No.2, pp. 8237-8239, 2016

    Abstract Ureterosciatic hernias (USH) are a rare entity and to date there have been limited case reports detailing their presentation, diagnosis, and management. Until recently, repair of ureterosciatic hernias has been performed via open, endoscopic, or purely laparoscopic approaches. We present the second known published case of a robotic approach to the USH repair with detailed outline of the surgical technique accompanied by video recording from the operative procedure. More >

  • Open Access

    ARTICLE

    The effect of physical activity on varicocele pain and resolution of this pain by different varicocelectomy techniques

    Turgay Ebiloglu1, Yasin Aydogmus1, Engin Kaya2, Ender Oral1, Omer Kaplan1, Yusuf Kibar2

    Canadian Journal of Urology, Vol.23, No.3, pp. 8285-8290, 2016

    Abstract Introduction: To evaluate the effect of physical activity on varicocele pain and how different varicocelectomy techniques relieve this pain.
    Materials and methods: Between November 2012 and January 2015, a total of 64 patients with left groin pain and clinical varicocele were enrolled in this study. A visual analogue scale (VAS) classifying the pain in ten scores was used to assess the severity of pain before and after beginning continuous physical activity, and after operations. Patients were randomly divided into three groups. Group 1 had open sub-inguinal varicocelectomy, Group 2 had loupe-assisted sub-inguinal varicocelectomy and Group 3 had… More >

  • Open Access

    ABSTRACT

  • Open Access

    COMMENTARY

    To cut or not to cut... that remains the question

    Armando J. Lorenzo

    Canadian Journal of Urology, Vol.23, No.5, pp. 8503-8503, 2016

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Astandardized surgical technique for removal of the Interstim tined lead

    Matthew E. Sterling, Siobhan M. Hartigan, Alan J. Wein, Ariana L. Smith

    Canadian Journal of Urology, Vol.23, No.5, pp. 8471-8475, 2016

    Abstract Introduction: Explantation of the Interstim sacral neuromodulation (SNM) device is occasionally necessary. Removing the tined lead can put strain on the lead, resulting in a possible break and retained fragments. The Food and Drug Administration (FDA) released a notification regarding health consequences related to retained lead fragments. We describe a novel and safe surgical technique for removing the Interstim device and permanent lead.
    Materials and methods: We searched the Manufacturer and User Facility Device Experience (MAUDE) database for complications related to tined lead removal and searched the database of a single surgeon at our institution. Our standardized… More >

  • Open Access

    ARTICLE

    Clinical variables and stone detection in patients with flank pain

    David E. Rapp1,3, Nada L. Wood1, Matthew Bassignani1, Luke Gergoudis2, Sarah Caulkins3, Eugene V. Kramolowsky1,3

    Canadian Journal of Urology, Vol.23, No.5, pp. 8441-8445, 2016

    Abstract Introduction: Non-contrast CT (NCT) is commonly used to evaluate flank pain (FP). We sought to evaluate incidence of ureteral calculi on NCT in patients with FP, and to determine if clinical variables are associated with higher detection rates.
    Materials and methods: Retrospective review identified 613 patients undergoing NCT for FP. Patient clinical data, NCT findings, and intervention were analyzed. Focus was placed on variables commonly associated with urolithiasis (Vstone), comprising hematuria, nausea/vomiting, and prior stone history. Statistical analysis was performed to identify risk of ureteral stones based on number and type of Vstone.
    Results: No stone disease was identified… More >

  • Open Access

    ARTICLE

    The impact of training on the perioperative and intermediate functional outcomes after holmium laser enucleation of the prostate

    Haidar M. Abdul-Muhsin, Mark D. Tyson, Karen L. Stern, Rafael A. Nunez-Nateras, Mitchell R. Humphreys

    Canadian Journal of Urology, Vol.23, No.6, pp. 8557-8563, 2016

    Abstract Introduction: To systemically measure the impact of trainees' participation on the perioperative and functional outcomes after holmium laser enucleation of the prostate (HoLEP).
    Materials and methods: Benign prostatic hyperplasia patients who underwent HoLEP at our department between January 2007 and January 2013 were classified based on trainee's level. Perioperative outcomes and complications were collected. Functional outcomes were assessed using the Sexual Health Inventory for Men (SHIM), International Prostate Symptom Score (IPSS), and International Continence Society-Short Form (ICSmaleSF) questionnaires. Voiding and incontinence domains of ICSmaleSF were assessed separately. Patients were divided into group 1 if no trainee participated… More >

  • Open Access

    ARTICLE

    Physical therapy for chronic scrotal content pain with associated pelvic foor pain on digital rectal exam

    M. Ryan Farrell1, Sheila A. Dugan2, Laurence A. Levine1

    Canadian Journal of Urology, Vol.23, No.6, pp. 8546-8550, 2016

    Abstract Introduction: Chronic scrotal content pain (CSCP) is a common condition that can be challenging to manage definitively. A cohort of patients with CSCP have referred pain from myofascial abnormalities of the pelvic floor and therefore require treatment modalities that specifically address the pelvic floor such as pelvic floor physical therapy (PFPT).
    Materials and methods: Retrospective chart review of all men with a pelvic floor component of CSCP presenting to our tertiary care medical center and undergoing PFPT from 2011-2014. Patients with CSCP and pain/tightness on pelvic floor evaluation with 360° digital rectal exam (DRE) were referred to… More >

  • Open Access

    ARTICLE

    A Randomized Controlled Open-Label Pilot Study of Simvastatin Addition to Whole-Brain Radiation Therapy in Patients With Brain Metastases

    Manal El-Hamamsy*, Hesham Elwakil, Amr S. Saad, May A. Shawki*

    Oncology Research, Vol.24, No.6, pp. 521-528, 2016, DOI:10.3727/096504016X14719078133528

    Abstract Statins have been reported to have a potential radiosensitizing effect that has not been evaluated in clinical trials. The aim of this study was to evaluate the efficacy and safety of simvastatin in addition to whole-brain radiation therapy (WBRT) in patients with brain metastases (BM). A prospective randomized, controlled, open-label pilot study was conducted on 50 Egyptian patients with BM who were randomly assigned to receive 30-Gy WBRT (control group: 25 patients) or 30 Gy WBRT+ simvastatin 80 mg/day for the WBRT period (simvastatin group: 25 patients). The primary outcome was radiological response at 4… More >

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