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  • Open Access

    ARTICLE

    Expression of human telomerase reverse transcriptase, Suroivin, DD3 and PCGEM1 messenger RNA in archival prostate carcinoma tissue

    Hanna Bialkowska-Hobrzanska, David K. Driman, Robert Fletcher, Vimla Harry, Hassan Razvi

    Canadian Journal of Urology, Vol.13, No.1, pp. 2967-2974, 2006

    Abstract Background: The variable clinical behavior displayed by prostate cancer (PCa) warrants investigation of potential PCa-specific biomarkers that could identify more aggressive tumor types and therefore provide prognostic value. Upregulation of expression of human telomerase reverse transcriptase (hTERT), Survivin, DD3 and PCGEM1 mRNAs in PCa lesions has recently been described. The purpose of this study was to evaluate the clinical value of detection of overexpression of these biomarkers in the diagnosis and prognosis of PCa.
    Material and methods: Archival formalin-fixed, paraffin-embedded (FFPE) prostatectomy tissue from 26 patients with PCa (Gleason score 3-9, mean 7) and 14 patients with… More >

  • Open Access

    ARTICLE

    GU radiation oncologists consensus on bone loss from androgen deprivation

    Graeme G. Duncan1, Tom Corbett2, Himu Lukka2, Padraig Warde3, Tom Pickles1

    Canadian Journal of Urology, Vol.13, No.1, pp. 2962-2966, 2006

    Abstract The majority of GU radiation oncologists in Canada attended a consensus meeting in November 2004. The topic of osteoporosis in men receiving androgen deprivation therapy (ADT) for prostate cancer was identified as a key theme. A chaired session with keynote speakers and review of the evidence took place followed by open debate. Participants were provided with background information.
    Osteoporosis was defined as a T-score <= -2.5, but the importance of risk factors and clinical findings is noted. Dual DEXA is the current standard for assessment of bone density and relates well to fracture risk. The… More >

  • Open Access

    ARTICLE

    Sexual disorders and associated help-seeking behaviors in Canada

    Gerald Brock1, Edson D. Moreira Jr2, Dale B. Glasser3, Clive Gingell4

    Canadian Journal of Urology, Vol.13, No.1, pp. 2953-2961, 2006

    Abstract Objectives: To study sexual activity, the prevalence of sexual difficulties and related help-seeking behaviors among mature adults in Canada.
    Materials and methods: A telephone survey (random digit dialed) was conducted in Canada in 2001 to 2002. Interviews were based on a standardized questionnaire, including demographics, general health, relationships, and sexual behaviors, attitudes and beliefs. The survey was completed by a total of 1007 individuals (500 men and 507 women) aged 40 to 80 years in Canada.
    Results: Overall, 83% of men and 71% of women had engaged in sexual intercourse during the 12 months preceding the interview, and… More >

  • Open Access

    HISTORY OF UROLOGY

    From retrograde pyelography to robotic prostatectomy: history of urology at the University of Western Ontario

    Joseph L. Chin

    Canadian Journal of Urology, Vol.13, No.1, pp. 2949-2952, 2006

    Abstract This article has no abstract. More >

  • Open Access

    RESIDENT’S CORNER

    Inguinal herniation of the bladder in an infant

    Scott Manatt1, Jeffrey B. Campbell1, Faridali Ramji2, Ann Kuhn3, Dominic Frimberger1

    Canadian Journal of Urology, Vol.13, No.2, pp. 3057-3058, 2006

    Abstract Inguinal herniation of the bladder is an uncommon finding with fewer than 200 cases reported in the literature. It is found most commonly in older, obese men with lower urinary tract symptoms. We report a case of inguinal herniation of the bladder in a premature infant. More >

  • Open Access

    CASE REPORT

    Tuberculosis of the bladder without previous renal infection

    Peter John Pommerville1, Paul Zakus1, Nicholas van der Westhuizen2, Pamela Catherine Kibsey3

    Canadian Journal of Urology, Vol.13, No.2, pp. 3044-3046, 2006

    Abstract Tuberculous (TB) infections are usually limited to the pulmonary system but the hematogenous spread of TB can result in secondary infections in any part of the body. Genitourinary TB is uncommon and follows hematogenous spread from a primary pulmonary infection to the kidneys. A rare case of a TB infection of the bladder without renal involvement is described. More >

  • Open Access

    ARTICLE

    Non-palpable testicular lesion: the case for testicular preservation

    George J. Assaf

    Canadian Journal of Urology, Vol.13, No.2, pp. 3034-3038, 2006

    Abstract Objectives: To report our experience in the management of patients with non-palpable lesions of the testis with a review of published studies. Even though radical orchiectomy remains the golden standard treatment for solid testicular masses there is an increasing role for testes-sparing surgery in a select group of patients with non-palpable tumors.
    Patients and methods: Between April 2000 and October 2004, a non-palpable testicular lesion was discovered on ultrasonography in six patients. Ultrasonography was performed for infertility in two patients, for testicular pain in three patients, and in one case for previous history of seminoma in the More >

  • Open Access

    ARTICLE

    Injection of botulinum toxin type A in the urethral sphincter to treat lower urinary tract dysfunction: a review of indications, techniques and results

    Gilles Karsenty, Abdulaziz Baazeem, Ehab Elzayat, Jacques Corcos

    Canadian Journal of Urology, Vol.13, No.2, pp. 3027-3033, 2006

    Abstract The first application of botulinum toxin type A (BTA) in urology was its injection into the urinary sphincter to treat neurogenic detrusor-sphincter dyssynergia (DSD) in quadriplegic men. Since that first report in the eighties, the results of focal BTA injections into the sphincter, the bladder wall and lately into the prostate, have raised the interest of the urology community in this promising new therapeutic modality. An evidence-based review is presented of current indications, techniques and outcome of BTA injections into the urethral sphincter. More >

  • Open Access

    ARTICLE

    Pelvic chemoradiotherapy after chemotherapy for metastatic bladder cancer

    Kavitha Passaperuma1, Robert Ash2, Varugar Venkatesan2, George Rodrigues2, Eric Winquist3

    Canadian Journal of Urology, Vol.13, No.2, pp. 3009-3015, 2006

    Abstract Objective: Consolidative radiotherapy has improved local control in other tumors with high local recurrence rates but has not been well studied in urothelial cancer. We hypothesized that pelvic chemoradiotherapy (PCRT) given after systemic chemotherapy for metastatic bladder cancer (MTCC) might alter the pattern of disease recurrence, and reduce the complications and morbidity of intrapelvic disease relapse. A 74% locoregional relapse rate has been observed in MTCC patients with intrapelvic nodal disease after response to chemotherapy. To explore this hypothesis further, we performed a retrospective analysis and report the efficacy, toxicity and pattern of failure with this… More >

  • 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 >

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