Ivan Hsia, Anil Kapoor

Canadian Journal of Urology, Vol.10, No.5, pp. 2017-2019, 2003

Abstract Laparoscopic nephrectomy is quickly becoming accepted as the standard treatment for small renal neoplasms and benign renal disease. The presence of an ileal conduit has been termed a relative contraindication to laparoscopic surgery. A 58-year old female presented with recurrent pyelonephritis and hydronephrosis of her left kidney. Surgical removal was necessary and we considered a transperitoneal laparoscopic nephrectomy for her. The patient had an ileal conduit and it was because of this reason that only after careful consideration was it decided to attempt the surgery using the laparoscopic approach. We present our technique of transperitoneal More >

Eric Mayer, Daniel J. Caruso, Murali Ankem, Mark C. Fisher, Kenneth B. Cummings, Joseph G. Barone

Canadian Journal of Urology, Vol.10, No.5, pp. 2013-2016, 2003

Abstract Objective: Circumcision is one of the commonly performed procedures on males in the United States, Canada, Australia, and the United Kingdom. The association of minor anatomic variations of the newborn genitalia in patients with minor circumcision complications has not been previously examined. In this study, we looked for an association between subtle genital anatomic variations and newborn circumcision complications.
Materials and methods: Over an 18-month period, children presenting for circumcision revision were examined for minor variations in genital anatomy. Children referred for other urological problems during the same period comprised the control group. The same physician evaluated… More >

Niels-Erik B. Jacobsen, Jeffrey B. Campbell, Michael G. Hobart

Canadian Journal of Urology, Vol.10, No.5, pp. 1995-1999, 2003

Abstract Objective: To compare the intraoperative and postoperative outcomes of laparoscopic versus open adrenalectomy for surgical adrenal disease.
Materials and methods: Prospectively collected data from 22 consecutive laparoscopic adrenalectomies, performed by one surgeon (MGH) over a period of 18 months at the Royal Alexandra Hospital, Edmonton, Alberta, were reviewed. Laparoscopic adrenalectomy was performed by both the transperitoneal and retroperitoneal approaches. In addition, a retrospective chart review was performed for all open adrenalectomies, performed at the same institution, over a 6 year period. Exclusion criteria were locally invasive lesions and masses greater than 8 cm in diameter. Adrenal pheochromocytomas… More >

R. Choo¹, L. Sugar², E. Hong¹, K. Mackenzie¹, G. DeBoer¹, C. Danjoux¹, G. Morton¹, L. Klotz²

Canadian Journal of Urology, Vol.10, No.5, pp. 1981-1985, 2003

Abstract Objective: To evaluate whether there is any histologic progression from radical prostatectomy (RP) to local recurrence in patients with clinically isolated local recurrence following RP.
Methods and materials: A total of 43 patients with clinically isolated, biopsy proven, local recurrence following RP were retrospectively analyzed with respect to the change in Gleason score (GS) from RP to local recurrence. Central pathology review was undertaken for both RP and local recurrence biopsy specimens. The changes in primary and secondary Gleason grade (GG), and any potential correlation between the extent of GS change and other variables were also examined.
Results:… More >

John S. Lam¹, Alain C. Borczuk², John R. Franklin¹

Canadian Journal of Urology, Vol.10, No.6, pp. 2074-2076, 2003

Abstract Malignant Leydig cell tumor (LCT) of the testis are extremely rare and account for less than 0.2% of all testicular cancers. Testicular tumors of all histological types rarely occur in African American men. The authors describe a rare case of an advanced stage malignant LCT arising from the testicle of an African American man at the young age of 35, who presented with hemoptysis and a productive cough. Clinical features and treatment of Leydig cell tumor of the testis are discussed. More >

Peter T. K. Chan, Jamie Libman

Canadian Journal of Urology, Vol.10, No.6, pp. 2070-2073, 2003

Abstract For obstructive azoospermia, surgical sperm retrieval from the epididymis for IVF/ICSI is an established management. However, various recent studies have established that surgical reconstruction with vasovasostomy or vasoepididymostomy remains a more cost-effective treatment option than upfront assisted reproduction. After epididymal sperm retrieval, fibrosis and scarring of the punctured epididymal tubule can lead to complete epididymal obstruction. The feasibility of surgical reconstruction after surgical epididymal sperm retrieval has not been established. We describe two cases of bilateral microsurgical vasoepididymostomy, using a new 2-suture longitudinal intussusception technique we previously described, after previous successful bilateral percutaneous epididymal sperm More >

Alexander Agranovich¹, Piotr Czaykowski², David Hui³, Tom Pickles⁴, Winkle Kwan¹

Canadian Journal of Urology, Vol.10, No.6, pp. 2056-2061, 2003

Abstract Objective: To review retrospectively the outcome and toxicity of Radiotherapy (RT) in the cohort of elderly patients (EP) with muscle-invasive urinary bladder carcinoma (MIUBC).
Methods: Thirty-six EP were treated with RT with radical intent. The age of the cohort ranged from 71 to 89 years with a median of 79 years. Eighty percent of the patients had Eastern Cooperative Oncology Group (ECOG) 0 and 1 performance status. Conventional and accelerated fractionation RT regimen were utilized.
Results: With median follow up of 45.8 months, the median survival was 23.9 months. There was a trend toward better survival in patients More >

Gordon A. McLorie³, Jeff Pugach³, Dov Pode², John Denstedt⁴, Darius Bagli³, Shimon Meretyk², R. John D’A Honey⁴, Paul A. Merguerian³, Amos Shapiro², Antoine E. Khoury³, Ezekiel H. Landau¹

Canadian Journal of Urology, Vol.10, No.6, pp. 2051-2055, 2003

Abstract Purpose: Extracorporeal shock wave lithotripsy (ESWL) in older children appears to have comparable results when compared to adults, no study has focused on its use in younger children. We reviewed our ESWL experience in children under age 3.5 years to evaluate its safety, and define optimal treatment parameters.
Methods: We retrospectively reviewed consecutive medical and diagnostic imaging records from three ESWL centers, pertaining to 34 children under 3.5 years of age (36 renal units-RU). The children were from two distinct populations served exclusively by the three centers. We analyzed patient presentation, etiology, age, weight, stone size, preoperative… More >

Nancy A. Dawson

Canadian Journal of Urology, Vol.10, No.6, pp. 2036-2037, 2003

Abstract A multidisciplinary approach to prostate cancer has become the rule and not the exception. Involving the entire team, which includes a medical oncologist, from the time of initial diagnosis is optimal. This facilitates maximal patient education regarding treatment options and enhances informed decision making.
A coordinated approach also promotes enrollment on clinical trials, which are often, multimodality, especially in high-risk early stage prostate cancer. Integrated therapeutic strategies throughout the patient's disease course can improve both patient care and satisfaction. More >

Joseph L. Chin, Sidney K. Yip, Nicholas McFarlane

Canadian Journal of Urology, Vol.10, No.2, pp. 1803-1808, 2003

Abstract Introduction: Microvascular reconstruction was incorporated into our donor organ harvesting algorithm for kidneys with anatomic anomalies or injury of the vasculature. The impact of adjunctive microsurgery was appraised in terms of organ availability and graft quality procedures.
Methods: Out of a total of 441 renal transplant procedures performed by one surgeon (JLC) between 1984 and 1997, 104 allografts (83 cadaveric, 21 living related) required ex-vivo microvascular reconstruction. Micro reconstruction using 2.5-10 X magnification was employed to create a single artery and vein for subsequent in-situ anastomosis. Side-to-side or end-to-side anastomosis was performed, depending on the vascular arrangement.… More >