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  • Open Access

    ARTICLE

    Comparison of accuracy among three generations of Partin tables in a Chinese cohort

    Wen-Jun Xiao1,3, Ding-Wei Ye1,3, Xu-Dong Yao1,3, Shi-Lin Zhang1,3, Bo Dai1,3, Chao-Fu Wang2,3, Jian Wang2,3, Hai-Liang Zhang1,3, Yi-Jun Shen1,3, Yao Zhu1,3, Yi-Ping Zhu1,3, Guo-Hai Shi1,3, Chun-Guang Ma1,3, Xiao-Jian Qin1,3, Guo-Wen Lin1,3

    Canadian Journal of Urology, Vol.18, No.2, pp. 5619-5624, 2011

    Abstract Introduction: To perform a head-to-head comparison among three generations of Partin tables, namely from 1997, 2001 and the last updated version of 2007, in a Chinese cohort of prostate cancer.
    Material and methods: Clinical and pathological data of 198 consecutive Chinese patients were retrospectively analyzed, who underwent radical prostatectomy for clinically localized prostate cancer between January 2005 and May 2010. Three versions of the Partin tables were compared for their accuracy and performance to predict final pathological stage using receiver operating characteristic (ROC) curve.
    Results: Of the whole cohort 58.6% were presented with organ-confined disease (OCD), 10.1% had… More >

  • Open Access

    ARTICLE

    Microperforations of surgical gloves in urology: minimally invasive versus open surgeries

    Tom Feng, Jithin Yohannan, Angela Gupta, Matthew E. Hyndman, Mohammad Allaf

    Canadian Journal of Urology, Vol.18, No.2, pp. 5615-5618, 2011

    Abstract Introduction: Surgical glove integrity is important in preventing wound infections and reducing patient mortality. Rates of perforations have been studied in many surgical subspecialties, but glove perforations specific to urology have not been investigated previously. This study aims to determine the incidence of glove perforations during urological surgeries and to investigate differences between open, laparoscopic, and endoscopic procedures.
    Materials and methods: A total of 180 gloves were collected from various urological procedures performed at our institution: 59 from endoscopic, 72 from laparoscopic, and 49 from open cases. The gloves were tested for defects by both the water… More >

  • Open Access

    ARTICLE

    Prostaglandin E2 mediates spontaneous rhythmic contraction in rabbit detrusor muscle

    Adam P. Klausner1, Corey M. Johnson1, Aaron B. Stike1, John E. Speich2, Vikram Sabarwal3, Amy S. Miner1, MaryEllen Cleary, Harry P. Koo1, Paul H. Ratz3

    Canadian Journal of Urology, Vol.18, No.2, pp. 5608-5614, 2011

    Abstract Introduction: The purpose of this investigation was to determine whether prostaglandin E2 (PGE2) is produced by rabbit detrusor muscle that is free of urothelium, and to demonstrate that PGE2 is responsible for the generation of spontaneous rhythmic contractions (SRC).
    Materials and Methods: A bioassay was conducted in which the contraction frequency of rabbit detrusor strips was compared before and after the addition of superfusate obtained from incubated sections of rabbit detrusor. Specificity of the response was assessed using SC-51089, a PGE2 (EP1) receptor antagonist. The effects on tension development were also tested in artery segments treated with… More >

  • Open Access

    MEETING REVIEW

    New fndings in bladder and prostate cancer: highlights from the 26th annual congress of the European Association of Urology,March 18-22, 2011, Vienna, Austria

    Alex Farr1, Roman Herout1, Markus Margreiter1, Georgi Tosev1, Bob Djavan2

    Canadian Journal of Urology, Vol.18, No.2, pp. 5601-5607, 2011

    Abstract At the recent annual congress, of the European Association of Urology (EAU), urologists from around the world presented their exciting discoveries related to an array of topics. Besides the huge variety of different sessions and courses, the EAU Section of Uro-Technology (ESUT) transmitted live broadcasts of surgeries from the medical universities of Vienna and Heilbronn, focusing on novel surgical techniques. Unfortunately, this year’s congress was clouded by the environmental disaster and nuclear accident in Japan, which prevented a number of Japanese urologists to attend the congress due to obstacles in travelling. In this brief update, More >

  • Open Access

    REVIEW

    Adjuvant radiation treatment after prostatectomy. Where do we stand?

    Mohamed A. Elshaikh1, Dina R. Ibrahim1, Hans Stricker2, James O. Peabody2

    Canadian Journal of Urology, Vol.18, No.2, pp. 5592-5600, 2011

    Abstract Introduction: Prostate cancer is the second most common cause of cancer death in American men. For patients with adverse pathologic features, postoperative radiotherapy to prostate bed after radical prostatectomy has been shown in randomized studies to improve many important clinical endpoints including overall survival. In this review article, we distinguish adjuvant radiation treatment (ART) from salvage radiation treatment (SRT), discuss the evidences for ART and its potential side effects focusing on the debate concerning the optimal timing of post prostatectomy radiation treatment (RT).
    Material and methods: A comprehensive literature search was conducted in MEDLINE including pre-MEDLINE.
    Conclusion: For More >

  • Open Access

    REVIEW

    Current status of pelvic lymph node dissection in prostate cancer: the New York PLND nomogram

    Amir Kazzazi, Bob Djavan

    Canadian Journal of Urology, Vol.18, No.2, pp. 5585-5591, 2011

    Abstract Introduction: Controversy persists concerning the role of pelvic lymph node dissection (PLND) in patients with clinically localized prostate cancer undergoing radical prostatectomy. The aim of this review is to critically evaluate the current status on PLND in prostate cancer.
    Methods: A review of the literature was performed concerning radical prostatectomy and PLND with respect to oncological outcome, associated complications, nodal yield, indications and minimal number of nodes required.
    Results: PLND is still the modality of choice for detecting lymph node metastasis in prostate cancer. Current imaging techniques are not accurate enough for detecting nodal metastases. Extended PLND has… More >

  • Open Access

    EDITORIAL

    Do You Trust Your Testosterone Level?

    Leonard G. Gomella

    Canadian Journal of Urology, Vol.18, No.2, pp. 5581-5581, 2011

    Abstract This article has no abstract. More >

  • Open Access

    BOOK REVIEW

    Sexual Function in the Prostate Cancer Patient

    John P. Mulhall

    Canadian Journal of Urology, Vol.18, No.3, pp. 5670-5670, 2011

    Abstract This article has no abstract. More >

  • Open Access

    MINIMALLY INVASIVE AND ROBOTIC SURGERY

    Laparoendoscopic single-site surgery of the kidney: an initial experience

    Hiten D. Patel, Jeffrey K. Mullins, Phillip M. Pierorazio, Elias S. Hyams, Mohamad E. Allaf

    Canadian Journal of Urology, Vol.18, No.3, pp. 5745-5750, 2011

    Abstract Introduction: Laparoendoscopic single-site surgery (LESS) has emerged as a natural progression from standard laparoscopy toward minimization of surgical morbidity. We present our initial experience with LESS renal surgery in order to assess safety, feasibility, and early postoperative outcomes.
    Materials and methods: Patients undergoing LESS renal surgery by a single surgeon from November 2008 to June 2010 were retrospectively identified. Safety, feasibility, and early outcomes were analyzed. Pain parameters were assessed using morphine equivalents used and visual analog pain scores (VAPS).
    Results: LESS procedures included 13 radical nephrectomy (1 bilateral), 5 simple nephrectomy (1 bilateral), 2 partial nephrectomy, 2… More >

  • Open Access

    RESIDENT’S CORNER

    Late presentation of posterior urethral valves

    Natasha Khursigara1, Barry B. McGuire1, Hugh Flood1

    Canadian Journal of Urology, Vol.18, No.3, pp. 5739-5741, 2011

    Abstract Late presenting posterior urethral valves are very rare and often present ambiguously. The consequence of late detection can be profoundly detrimental, resulting in persistent voiding dysfunction and/or renal failure. We present an unusual case of a patient with posterior urethral valves who presented at the age of 28 years. We review the literature and discuss the clinical features, diagnosis, and treatment of this condition. More >

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