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  • Open Access

    RESIDENT’S CORNER

    Pseudo-tumoral eosinophilic cystitis in a 3 year-old girl

    Luis Antonio Guerra1, John Pike1, Guido Filler2, Kristin Udjus3, Joseph de Nanassy4, Michael Leonard1

    Canadian Journal of Urology, Vol.12, No.5, pp. 2846-2848, 2005

    Abstract Eosinophilic cystitis (EC) is an uncommon form of bladder inflammation. It is a rare disorder in children and fewer than 25 cases have been described in the literature. We report a case of eosinophilic cystitis mimicking a bladder tumor in a 3 year-old girl with symptoms of urinary frequency. The diagnosis was confirmed with pathology and she underwent clinical treatment with corticosteroids. More >

  • Open Access

    CASE REPORT

    Remission of hormone-refractory prostate cancer attributed to Essiac

    Wigdan Al-Sukhni, Ami Grunbaum, Neil Fleshner

    Canadian Journal of Urology, Vol.12, No.5, pp. 2841-2842, 2005

    Abstract Essiac is a popular complementary and alternative medicine (CAM) that is utilized by many cancer patients in North America. Much anecdotal reporting exists about its cancer-fighting qualities, but so far no clinical trials have been preformed to validate those claims. We describe here the case of a 64-year-old man whose hormone-refractory prostate cancer responded well to Essiac tea. More >

  • Open Access

    ARTICLE

    Urological manifestations of BK polyomavirus in renal transplant recipients

    Chiu Yen M. Chang1, Azim Gangji2, Katherine Chorneyko3, Anil Kapoor1

    Canadian Journal of Urology, Vol.12, No.5, pp. 2829-2836, 2005

    Abstract Objectives: BK polyomavirus (BKV) disease in renal transplant recipients has become an increasingly problematic clinical entity. Complications of BKV disease lead to chronic allograft nephropathy and ultimately loss in greater than 50% of cases. We reviewed our experience with BKV disease over a 5-year period.
    Patients and methods: We performed 155 cadaveric and 168 live-related transplants between January 2000 and June 2005. During this period, seven patients had biopsy-confirmed BKV disease, which compromised the renal function of six cadaveric and one live-related renal transplant recipients. BKV was suspected as a potential cause of renal function deterioration after… More >

  • Open Access

    RESIDENT’S CORNER

    Xanthogranulomatous pyelonephritis in a 1-year old boy

    Derek P. Ottem, Andrew E. MacNeily, Iain W. McAuley

    Canadian Journal of Urology, Vol.12, No.6, pp. 2901-2903, 2005

    Abstract Xanthogranulomatous pyelonephritis (XGP) is a rare, chronic inflammatory lesion of the kidney associated with both chronic infection and obstruction. Most common in middle-aged females, it is important to recognize in children because it may be confused with childhood renal malignancies particularly Wilms’ tumor. We report a case of a 1-year old male with antenatally detected and postnatally confirmed hydronephrosis. Further investigation revealed a left incomplete duplex collecting system with obstructing lower pole stones, pelvicaliectasis and widespread foci of calcification. He underwent a left nephroureterectomy with the pathological report noting XGP. More >

  • Open Access

    RESIDENT’S CORNER

    An epidural abscess following transrectal ultrasound-guided biopsies of the prostate

    Vincent Fradet, Michael McCormack, Paul Perrotte, Pierre Karakiewicz, Fred Saad

    Canadian Journal of Urology, Vol.12, No.6, pp. 2899-2900, 2005

    Abstract We report the occurrence of an epidural abscess following TRUS-guided prostate biopsies, which highlights the fact that severe complications may occur with this technique in spite of antibiotic prophylaxis. Ciprofloxacin-resistant Escherichia coli is a frequent cause of fever following TRUS-guided prostate biopsies as was the case in our patient. Early suspicion of the presence of ciprofloxacin-resistant Escherichia coli may help avoid serious complications in these patients. More >

  • Open Access

    CASE REPORT

    Percutaneous sequential bacillus CalmetteGuèrin and mitomycin C for panurothelial carcinomatosis

    Savino M. Di Stasi, Antonella Giannantoni, Robert L. Stephen*, Luigi Storti, Francesco Attisani, Andrea De Carolis, Guido Virgili

    Canadian Journal of Urology, Vol.12, No.6, pp. 2895-2898, 2005

    Abstract A 59 year old male presented with a 4 month history of lower urinary tract symptoms.
    Exhaustive urological investigations revealed papillary tumors and carcinoma in situ extending from the prostatic urethra, throughout the bladder, up both ureters and into the renal pelves.
    Tumors were resected where possible and then bacillus Calmette-Guèrin (BCG) and mitomycin C (MMC) were infused sequentially through bilateral nephrostomy tubes for a total of six BCG and three MMC instillations.
    Follow up 1 month post treatment demonstrated a complete response which persisted for 2 years. Then there appeared a solitary papillomatous recurrence in the More >

  • Open Access

    HOW I DO IT

    Laparoscopic simple prostatectomy

    Brian D. M. Blew, Luke M. Fazio, Kenneth Pace, R. John D’A. Honey

    Canadian Journal of Urology, Vol.12, No.6, pp. 2891-2894, 2005

    Abstract Classically, surgical options for very large prostate glands, not amenable to transurethral resection, include suprapubic or retropubic simple prostatectomy and Holmium laser enucleation of the prostate (HoLEP). We present a case managed with a laparoscopic simple prostatectomy. Technical considerations are discussed as well as possible advantages of this approach including decreased blood loss, faster patient recovery and improved visualization. More >

  • Open Access

    ARTICLE

    Holmium laser cystolithotripsy in children: initial experience

    Prem A. Ramakrishnan, Mohammed Medhat, Younis H. Al-Bulushi, K. P. Gopakumar, Venkat P. Sampige, Salim S. Al-Busaidy

    Canadian Journal of Urology, Vol.12, No.6, pp. 2880-2886, 2005

    Abstract Introduction: Management of vesical calculi in children poses an interesting challenge to the urologist. The treatment options currently available include open surgery, transurethral pneumatic cystolithotripsy, percutaneous suprapubic cystolithotomy and shockwave lithotripsy (SWL). Holmium:YAG (Ho:YAG) laser cystolithotripsy represents a novel modality of treatment that is minimally invasive.
    Materials and methods: From July 1999 to January 2003 we treated 23 children with vesical calculi using transurethral Ho:YAG laser lithotripsy. The indications for cystolithotripsy were stone size ≤4 cm (N=19), or multiple stones with combined stone burden ≤4 cm (N=4). The mean patient age was 7.8 (range 2-12) years and… More >

  • Open Access

    EDITORIAL

    Seeing is believing: Image guided therapy in Urology

    Laurence H. Klotz

    Canadian Journal of Urology, Vol.12, No.6, pp. 2870-2870, 2005

    Abstract This article has no abstract. More >

  • Open Access

    ABSTRACT

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