Can Talug¹, David Y. Josephson¹, Nora H. Ruel², Clayton Lau¹, Mark H. Kawachi¹, Timothy G. Wilson¹

Canadian Journal of Urology, Vol.19, No.1, pp. 6147-6154, 2012

Abstract Introduction: The objective of our study was to determine whether the dorsal venous complex (DVC) control technique influences positive apical margins following robotic-assisted laparoscopic radical prostatectomy (RALRP).
Materials and methods: A total of 1058 patients who underwent RALRP at City of Hope between June 2007 and October 2009 were included in the analysis. Endoscopic stapling and suture ligation of the DVC were compared. Positive apical margins were identified and compared based on the DVC control technique. Recurrence probability was estimated using the Kaplan-Meier method, and logistic regression analysis was used to predict the odds of positive apical margins.
… More >

Ashis Chawla, Adnan Qureshi, Aziz Alamri, Edward D. Matsumoto

Canadian Journal of Urology, Vol.19, No.1, pp. 6142-6146, 2012

Abstract Introduction: Placement of anterior abdominal wall trocars during laparoscopic radical prostatectomy (LRP) carries the risk of inadvertent injury to the inferior epigastric artery (IEA) and potential conflict between midline and lateral ports. We described and evaluated a new measured port placement approach.
Materials and methods: The intervention group included patients who underwent LRP using a specifically measured five-port approach. The medial 10 mm ports were placed 5 cm from the patient’s midline at a level midway between the anterior superior iliac spine (ASIS) and the umbilicus. The control group had five ports placed at the surgeon’s discretion.… More >

Douglas C. Kelly, Akhil Das

Canadian Journal of Urology, Vol.19, No.1, pp. 6131-6134, 2012

Abstract Holmium laser resection of the prostate (HoLRP) was first described by Gilling et al in 1995. HoLRP has now evolved into holmium laser enucleation of the prostate (HoLEP) with the advent of the intravesical soft-tissue morcellator. The procedure involves anatomical dissection of the prostatic tissue off the surgical capsule in a retrograde fashion using a high-powered holmium laser followed by intravesical morcellation of the prostatic tissue. Some groups believe that the HoLEP procedure is the endoscopic equivalent to a simple open prostatectomy and may be superior to transurethral resection of the prostate (TURP) or even More >

Gwen M. Grimsby, Mark D. Tyson, Christopher E. Wolter

Canadian Journal of Urology, Vol.19, No.1, pp. 6088-6093, 2012

Abstract Introduction: Little is known regarding factors that contribute to the long term success or failure of the transobturator male sling for stress urinary incontinence. The objective of this study was to compare the outcomes of the transobturator male sling for stress urinary incontinence based on body mass index (BMI).
Materials and methods: A retrospective review was performed of 31 transobturator male slings placed at a single institution from 2008 to 2010. Success of the procedure was defined as resolution of leakage or great improvement of leakage by the Patient Global Impression of Improvement scale and lack of… More >

J. Ryan Mark, Francisco Gelpi-Hammerschmidt, Edouard J. Trabulsi, Leonard G. Gomella

Canadian Journal of Urology, Vol.19, No.2, pp. 6227-6231, 2012

Abstract In patients with non-muscle invasive bladder cancer, fluorescence cystoscopy can improve the detection and ablation of bladder tumors. In this paper we describe the technique and practical aspects of hexaminolevulinate (HAL) fluorescence cystoscopy, also known as “blue light cystoscopy”. More >

Nora G. Lee¹, Hui Xue², Lori B. Lerner³

Canadian Journal of Urology, Vol.19, No.2, pp. 6170-6175, 2012

Abstract Introduction: Surgical management of benign prostatic hyperplasia (BPH) has changed over the past 15 years with newer techniques emerging such as laser therapy that can be used with anticoagulation, an increasing issue with modern patients. We sought to evaluate current trends in procedure utilization based on age, location, type of practice, and experience. We also hoped to determine what factors influence surgeons' decisions to choose or reject particular surgical techniques.
Methods and materials: A 90-item on-line survey was sent via electronic mail to the American Urological Association (AUA), Veterans Administration, Society for Government Service Urologists, and Endourological… More >

Yu Seob Shin¹, A Ram Doo², Myung Ki Kim¹, Young Beom Jeong¹, Hyung Jin Kim¹

Canadian Journal of Urology, Vol.19, No.3, pp. 6303-6305, 2012

Abstract Peritoneal seeding with no further metastases of prostate cancer is very rare. To the best of our knowledge, there are only three cases reported in the available literature. There has not yet been a report of a patient undergoing robot-assisted laparoscopic radical prostatectomy (RALRP) that might have resulted in peritoneal seeding. We describe a patient who presented with a prostate-specific antigen (PSA) recurrence and who was found to have a solitary metastasis on the liver, 2 years after RALRP. The patient underwent open excision of the mass, which was densely adherent to the liver. Pathologic More >

William C. Huang

Canadian Journal of Urology, Vol.19, No.3, pp. 6298-6298, 2012

Abstract This article has no abstract. More >

Anup A. Vora, Andrew Harbin, Robert Rayson, Keith Christiansen, Reza Ghasemian, Jonathan Hwang, Mohan Verghese

Canadian Journal of Urology, Vol.19, No.3, pp. 6293-6298, 2012

Abstract Introduction: Radical cystectomy is associated with significant morbidity, with rates of gastrointestinal complications as high as 30%. Alvimopan is a mu opioid receptor antagonist that has been shown in randomized control trials to accelerate gastrointestinal recovery in patients undergoing bowel resection with primary anastamosis. We report our experience with gastrointestinal recovery for patients undergoing cystectomy with urinary diversion treated with alvimopan.
Materials and methods: Between January 2008 and August 2011, 50 consecutive patients underwent radical cystectomy with urinary diversion at our institution. The first 27 patients in our study did not receive alvimopan preoperatively. The latter 23… More >

Mark S. Soloway, Viacheslav Iremashvili, Michael A. Gorin, Ahmed Eldefrawy, Ramgopal Satyanarayana, Murugesan Manoharan

Canadian Journal of Urology, Vol.19, No.3, pp. 6280-6286, 2012

Abstract Introduction: The objective of this report is to describe the oncologic outcomes of men with margin-positive prostate cancer who were managed expectantly following radical prostatectomy.
Materials and methods: Between January 1992 and January 2011, 2166 men underwent an open radical prostatectomy by a single surgeon. Of these patients, 1592 (74%) had complete data and met the inclusion criteria of negative lymph nodes and no history of neoadjuvant or adjuvant therapy. This cohort was dichotomized by the presence or absence of at least one positive surgical margin. Groups were compared for differences in recurrence-free and overall survival.
Results: In… More >