Orkunt Özkaptan, Tahir Karadeniz, Vahit Guzelburc, Kayhan Yilmaz, Oğuz Yilanoğlu, Süleyman Sahin

Canadian Journal of Urology, Vol.20, No.3, pp. 6761-6767, 2013

Abstract Introduction: To determine the effects of pelvic dimensions on margin status, preoperative and postoperative estimated blood loss (EBL), operative time and transfusion rate (TR) during radical retropubic prostatectomy (RRP).
Materials and methods: Data from 94 patients with preoperative prostate MRI were analyzed. Pelvic dimensions, including interspinous distance (ISD), bony (BFW) and soft tissue (SW) pelvic width, apical prostate depth (AD), upper conjugate (UC), lower conjugate (LC) were measured by preoperative MRI. Indexes for pelvic dimensions (PDI), bony width (BWI) and soft-tissue width (SWI) were defined as ISD/AD, BFW/PD, and SW/AD, respectively. As indicators of surgical difficulty, TR… More >

Leonard G. Gomella

Canadian Journal of Urology, Vol.20, No.3, pp. 6755-6755, 2013

Abstract This article has no abstract. More >

Bradley C. Carthon^1,2, David M. Marcus^2,3, Lindsey A. Herrel⁴, Ashesh B. Jani^2,3,4, Peter J. Rossi^2,3,4, Daniel J. Canter^2,4

Canadian Journal of Urology, Vol.20, No.3, pp. 6748-6755, 2013

Abstract Introduction: Radical prostatectomy is an effective primary treatment for clinically localized prostate cancer. While many patients are cured of their disease after surgery, there are still a significant proportion of men who will develop a biochemical recurrence (BCR). In this review, we detail existing treatment algorithms for this group of patients as well as future therapies that show great promise.
Materials and methods: A review of the literature was performed, and relevant, high-impact articles were identified and reviewed focusing on the treatment of men with BCR after surgery for prostate cancer. Wherever possible, we used data from… More >

Pierre Olivier Fiset¹, Armen Aprikian², Fadi Brimo¹

Canadian Journal of Urology, Vol.20, No.4, pp. 6848-6853, 2013

Abstract Introduction: The detection of prostate carcinoma relies on adequate sampling. We aimed to evaluate whether core length is a significant biopsy parameter in the detection of cancer, especially in the low risk cancer category group.
Materials and methods: We retrospectively analyzed pathology reports of 197 patients (2196 biopsy cores) undergoing initial transrectal ultrasound-guided biopsy. A multivariate analysis of age, total prostate-specific antigen (PSA) concentration, prostate gland volume, total number of cores, and length of biopsy cores was performed. Secondary analyses included stratification by Gleason score. Single core analysis was done to calculate a workable cut-off value for… More >

Ronak Gor¹, Daniel J. Canter^1,2

Canadian Journal of Urology, Vol.20, No.4, pp. 6832-6832, 2013

Abstract This article has no abstract. More >

Adam D. Berneking, Henry M. Rosevear, Eric J. Askeland, Mark R. Newton, Michael A. O’Donnell, James A. Brown

Canadian Journal of Urology, Vol.20, No.4, pp. 6826-6831, 2013

Abstract Introduction: Recent evidence suggests that radical cystectomy may be underutilized in elderly patients, despite literature supporting acceptable morbidity/mortality in this population. However, there is a paucity of literature reporting complications in a standardized manner. Therefore, we evaluated the morbidity and mortality of octogenarians treated with radical cystectomy using the modified Clavien complication reporting system.
Materials and methods: We retrospectively reviewed 443 consecutive patients undergoing radical cystectomy at our institution between January 2000 and April 2010. Patients who underwent cystectomy for benign conditions were excluded, leaving 359 for analysis. Baseline demographic and perioperative data were reviewed and all… More >

Roger F. Valdivieso, Pierre-Alain Hueber, Kevin C. Zorn

Canadian Journal of Urology, Vol.20, No.5, pp. 6957-6961, 2013

Abstract Radical prostatectomy remains the standard treatment for long term cure of clinically localized prostate cancer, offering excellent oncologic outcomes, with cancer-specific survival approaching 95% at 15 years after surgery. The introduction of the “da Vinci Robotic Surgical System” (Intuitive Surgical, Sunnyvale, CA, USA) has been another important step toward a minimally invasive approach to radical prostatectomy. Technologic peculiarities, such as three-dimensional vision, wristed instrumentation with seven degrees of freedom of motion, lack of tremor, a 10x-magnifcation and a comfortable seated position for the surgeon has added value to the surgeon and patient. In this frst More >

Solomon L. Woldu, Trushar Patel, Edan Y. Shapiro, Ari M. Bergman, Ketan K. Badani

Canadian Journal of Urology, Vol.20, No.6, pp. 7079-7083, 2013

Abstract Introduction: There are many concerns expressed by urologists performing robotic assisted laparoscopic prostatectomy (RALP) regarding management of the dorsal vein complex (DVC). We sought to examine the influence of delayed DVC ligation versus standard DVC ligation on the apical surgical margin status and other key surgical parameters following RALP.
Materials and methods: The Columbia University Urologic Oncology Database was retrospectively reviewed to identify patients who underwent RALP between 2008-2011. Operative records were analyzed to determine whether the DVC was ligated in the 'standard' or 'delayed' manner. The standard group had the DVC ligated prior to the apical… More >

Roger F. Valdivieso, Pierre-Alain Hueber, Kevin C. Zorn

Canadian Journal of Urology, Vol.20, No.6, pp. 7073-7078, 2013

Abstract The introduction of the “da Vinci Robotic Surgical System” (Intuitive Surgical, Sunnyvale, CA, USA) has been an important step toward a minimally invasive approach to radical prostatectomy. Technological peculiarities, such as three-dimensional vision, wristed instrumentation with seven degrees of freedom of motion, lack of tremor, 10x magnification, and a comfortable seated position for the surgeon, have added value to the procedure for both the surgeon and the patient. In this article, we describe the 9-step surgical technique for robot-assisted radical prostatectomy (RARP) that is currently used in our institution (University of Montreal Hospital Center (CHUM) More >

Nebojsa Ladjevic^1,4, Otas Durutovic^2,4, Ivana Likic-Ladjevic⁴, Natasa Lalic³, Ana Mimic¹, Natasa Dencic¹, Svetlana Sreckovic¹, Zoran Dzamic², Milan Terzic⁴, Aleksandar Vuksanovic^2,4, Dragica Milenkovic-Petronic^2,4

Canadian Journal of Urology, Vol.20, No.6, pp. 7021-7027, 2013

Abstract Introduction: Inflammation plays a key role in the development of benign prostatic hyperplasia. Prostaglandin E2 (PGE2) is an important inflammation factor found in enlarged prostatic tissue that can be the main cause of inflammatory pain. The aim of this study was to investigate whether epidural anesthesia can block the negative effects of prostaglandin mediators during prostate surgery.
Materials and methods: The study included 60 patients who underwent open prostatectomy. All patients were randomly allocated to one of two study groups. The first group received general anesthesia and the second group a combination of general and epidural anesthesia.… More >