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  • Open Access

    ARTICLE

    Laparoscopic radical prostatectomy - results of 200 consecutive cases in a Canadian medical institution

    Ed Tse, Russell Knaus

    Canadian Journal of Urology, Vol.11, No.2, pp. 2172-2185, 2004

    Abstract Purpose: Since Guillonneau and Vallancien reintroduced transperitoneal laparoscopic radical prostatectomy in 1998, several other medical institutions in Europe have published their series and confirmed that laparoscopic radical prostatectomy (LRP) is a feasible and reproducible approach to the management of clinically localized prostate cancer; however, there have been few reports from North American medical institutions. We now report the results of our first 200 consecutive cases of LRP in a Canadian Medical Institution.
    Materials and method: From February 2000 until April 2003, laparoscopic radical prostatectomy was performed on 200 out of 205 surgical candidates for radical prostatectomy. There… 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

    CASE REPORT

    An unusual case of concurrent breast and prostate cancer

    Tony Choon Seng Woo, Richard Choo, Sarat Chander

    Canadian Journal of Urology, Vol.11, No.5, pp. 2390-2392, 2004

    Abstract Breast and prostate cancer occurring concurrently is a rare occurrence. However, the recent literature has reported that there is an increased incidence of male breast cancer in prostate cancer patients. The authors describe the case of a man who presented with breast cancer, which was preceded by prostate cancer. There are some common features in terms of the etiology, diagnosis and treatment of these two tumors which are discussed. More >

  • Open Access

    ARTICLE

    The role of bisphosphonates in the management of bone metastases in prostate cancer

    Fred Saad1, Kim Chi2, Neil Fleshner3

    Canadian Journal of Urology, Vol.11, No.5, pp. 2376-2382, 2004

    Abstract Bone metastases are associated with significant skeletal-related morbidity that negatively correlates with quality of life and survival in patients with prostate cancer. Once prostate cancer has metastasized to bone, the median survival of patients is approximately 30 to 53 months; therefore, the chronic consequences of bone complications must be taken into consideration when developing long-term therapeutic strategies in this patient population. In addition to the bone-damaging effects of metastases, bone loss related to long-term hormonal therapy, as well as age-related bone loss, further compromise bone integrity in patients with advanced prostate cancer.
    This article reviews the More >

  • Open Access

    ARTICLE

    Success of sildenafil for erectile dysfunction in men treated with brachytherapy or external beam radiation for prostate cancer

    Oren M. Shemtov1, Sidney B. Radomski2, Juanita Crook3

    Canadian Journal of Urology, Vol.11, No.6, pp. 2450-2455, 2004

    Abstract Purpose: We undertook to determine if any significant differences in the efficacy of sildenafil citrate for erectile dysfunction (ED) exists between patients who have received external beam radiation or brachytherapy for prostate cancer.
    Materials and methods: Thirty-one patients who had received external beam radiation and nineteen patients who had received brachytherapy for prostate cancer and were subsequently treated with sildenafil citrate for post-irradiation ED comprised the patient population. A chart analysis was performed to determine either the presence or absence of concomitant risk factors for ED (coronary artery disease, diabetes, hypertension and smoking history) as well as… More >

  • Open Access

    ARTICLE

    A3-week gemcitabine-cisplatin regimen for metastatic urothelial cancer

    Eric Winquist1, John J. Wilson2, Mark Dorreen3, Ralph Wong4, Derek Jonker5, Neil Iscoe6

    Canadian Journal of Urology, Vol.11, No.6, pp. 2445-2449, 2004

    Abstract Objective: To assess the efficacy and tolerability of a 3-week outpatient schedule of intravenous gemcitabine and cisplatin in patients with locally advanced unresectable or metastatic transitional cell carcinoma of the urothelial tract (TCC).
    Patients and methods: A two-stage phase II trial enrolled TCC patients with Karnofsky performance status >60, measurable disease, and adequate organ function. Prior adjunctive chemotherapy was allowed provided it had been completed at least 1 year prior to study entry. Treatment consisted of gemcitabine 1250 mg/m2 iv days 1 and 8 plus cisplatin 70 mg/m2 day 1 iv repeated every 21 days. The primary outcome… More >

  • Open Access

    ARTICLE

    A prospective evaluation of the diagnostic and potential prognostic utility of urinary human telomerase reverse transcriptase mRNA in patients with bladder cancer

    Les Bowles1,2, Hanna Bialkowska-Hobrzanska1,2,3,4, Bernard Bukala5, Linda Nott5, Hassan Razvi2,5

    Canadian Journal of Urology, Vol.11, No.6, pp. 2438-2444, 2004

    Abstract Human telomerase reverse transcriptase (hTERT) mRNA expression has been considered a surrogate marker for telomerase activity based on its parallel detection in urological malignancies, including transitional cell carcinoma (TCC) of the bladder. The objective of this study was to prospectively evaluate the diagnostic performance of urine hTERT mRNA marker and urine cytology in the detection of bladder cancer.
    The multiplex hTERT/GAPDH (glyceraldehyde-3- phosphate dehydrogenase) reverse transcription polymerase chain reaction (RT-PCR) assay was employed to assess hTERT mRNA expression in urine sediments from 43 patients with clinically apparent TCC undergoing transurethral resection. Tumor grade and pathological stage… More >

  • Open Access

    EDITORIAL

    Bladder cancer markers

    Laurence H. Klotz

    Canadian Journal of Urology, Vol.11, No.6, pp. 2426-2426, 2004

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Serum interleukin-18 and nitric oxide activity in bladder carcinoma

    Neslihan Bukan1, Sinan Sözen2, Ugur Coskun3, Banu Sancak1, Nazan Günel3, Ibrahim Bozkırlı2, Çagrı Senocak2

    European Cytokine Network, Vol.14, No.3, pp. 163-167, 2003

    Abstract Background: Both interleukin-18 and nitric oxide are multifunctional molecules that are involved in the different steps of carcinogenesis.
    Methods: In the present study, we measured serum interleukin-18 and nitric oxide activity in 51 bladder cancer patients with different tumor stage and grade, and in 8 healthy controls. Serum nitrite-nitrate levels were measured as an index of nitric oxide generation.
    Results: Serum interleukin-18 levels were significantly higher in bladder cancer patients when compared to the control subjects (p > 0.05). Serum interleukin-18 levels were found to be higher in patients with Ta stage than patients with T1 More >

  • Open Access

    CASE REPORT

    Urinary ascites secondary to forniceal rupture in a child with the Prune Belly Syndrome

    Daniel J. Caruso, Murali K. Ankem, John Riordan, Joseph G. Barone

    Canadian Journal of Urology, Vol.10, No.3, pp. 1910-1911, 2003

    Abstract Prune Belly Syndrome developed urinary ascites secondary to forniceal rupture. Treatment consisted of bilateral cutaneous pyelostomies. Even though most children with Prune Belly Syndrome respond to lower urinary tract drainage, a cutaneous pyelostomy may be necessary when the ureters are tortuous and do not drain adequately following bladder decompression. More >

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