David Canes

Canadian Journal of Urology, Vol.16, No.4, pp. 4749-4749, 2009

Abstract This article has no abstract. More >

Kevin C. Zorn, Mark A. Wille, Alan E. Thong, Mark H. Katz, Sergey A. Shikanov, Aria Razmaria, Ofer N. Gofrit, Gregory P. Zagaja, Arieh L. Shalhav

Canadian Journal of Urology, Vol.16, No.4, pp. 4742-4749, 2009

Abstract Background: Several robot-assisted radical prostatectomy (RARP) series have reviewed the impact of the initial learning curve on perioperative outcomes. However, little is known about the impact of experience on urinary and sexual outcomes. Herein, we review the perioperative, pathological and functional outcomes of our initial 700 consecutive procedures with at least 1 year follow up.
Methods: From 2003-2006, 700 consecutive men underwent RARP at a single, academic institution. Perioperative data and pathologic outcomes were prospectively collected. Validated, UCLA-PCI-SF36v2 quality-of-life questionnaires were also obtained at 1, 3, 6 and 12 months following surgery. Outcomes between groups (cases 1-300,… More >

Nasheer Sachedina, Rosely De Los Santos, Murugesan Manoharan, Mark S. Soloway

Canadian Journal of Urology, Vol.16, No.4, pp. 4721-4725, 2009

Abstract Objectives: Routine placement of a pelvic drain may be avoided after total prostatectomy, traditionally known as "radical retropubic prostatectomy", with lymph node dissection (TP/LND). From our experience with 846 patients, we contend that patient safety and efficacy is not compromised by selectively omitting a pelvic drain.
Materials and methods: TP/LND was performed in 846 patients with clinically localized prostate adenocarcinoma. Patient demographics, clinical and pathological data were recorded and relevant data was analyzed. After the prostate was removed and the anastomotic sutures tied, saline was instilled into the bladder through the urethral catheter. If there was no… More >

Paul Toren¹, Salima Ladak², Clement Ma^{3, Stuart McCluskey2, Neil Fleshner1}

Canadian Journal of Urology, Vol.16, No.4, pp. 4716-4720, 2009

Abstract Objective: Postoperative analgesia is an important factor influencing surgical outcomes. We aimed to evaluate the role of patient controlled epidural analgesia (PCEA) versus intravenous (IV) patient controlled analgesia (PCA) in patients undergoing radical cystectomy.
Methods: We reviewed data from consecutive patients who had a radical cystectomy at our institution between 2003 and 2007 to evaluate the effect of either PCEA or IV PCA on the patients' postoperative pain--the primary outcome--as well as secondary outcomes including time to begin eating solid food, time to ambulation, and length of hospital stay. The patients received either hydromorphone or morphine via… More >

Moinzadeh Alireza

Canadian Journal of Urology, Vol.16, No.5, pp. 4841-4841, 2009

Abstract This article has no abstract. More >

Luke T. Lavallée ¹, Greg Trottier ², Greg Bailly ²

Canadian Journal of Urology, Vol.16, No.5, pp. 4863-4865, 2009

Abstract Hemorrhage from an ileal conduit is a rare and potentially life threatening event with only 17 cases reported in the medical literature. We present the unique case of an 83-year-old patient with acute stomal hemorrhage as the fi rst sign of underlying liver disease and portal hypertension. Bleeding was controlled with conservative measures including balloon tamponade, betablockade, octreotide, and suture ligation. Our review of the literature revealed multiple management options for stomal hemorrhage with most authors advocating defi nitive management via portosystemic shunt creation, either surgically, or with transjugular intrahepatic portosystemic shunt (TIPS). In all More >

Jennifer Yates, George Haleblian, Barry Stein, Joseph Renzulli, Gyan Pareek

Canadian Journal of Urology, Vol.16, No.5, pp. 4842-4846, 2009

Abstract Introduction: Open pelvic lymph node dissection (PLND) remains the gold standard in patients with intermediate and high-risk prostate cancer undergoing radical retropubic prostatectomy (RRP). Recently, our institution has adopted robotic assistance for performing radical prostatectomy. We sought to determine whether robot-assisted laparoscopic PLND yields comparable numbers of lymph nodes compared to open PLND.
Methods: The medical records of patients undergoing open or robot-assisted laparoscopic radical prostatectomy (RALRP) with concurrent pelvic lymph node dissection (PLND) between 2003 and 2008 were reviewed. Demographic factors including age, PSA, and Gleason score were recorded. Pathology reports were reviewed to determine the… More >

L. Spencer Krane, Christel Wambi, Akshay Bhandari, Hans J. Stricker

Canadian Journal of Urology, Vol.16, No.5, pp. 4836-4840, 2009

Abstract Introduction: Posterior urethrovesical anastomotic support has been reported to improve early return of urinary continence following radical prostatectomy. We adapted this technique to evaluate enhancement of early urinary control in patients undergoing robotic radical prostatectomy.
Materials and methods: Forty-two consecutive men undergoing radical prostatectomy by a single surgeon between September and December 2007 received a posterior urethrovesical supporting stitch prior to the standard urethrovesical anastomosis (group 1). Operative data, postoperative complications, and follow up data were compared with those of the 42 consecutive men who underwent robotic radical prostatectomy by the same surgeon between March and August… More >

Nicolas B. Delongchamps¹, Marc Zerbib¹, Arnaud Méjean², Yannick Rouach², Bernard Debré¹, Michaël Peyromaure^1,2

Canadian Journal of Urology, Vol.16, No.5, pp. 4813-4819, 2009

Abstract Introduction: Many studies have analyzed outcomes following salvage radiation therapy (RT) after biochemical recurrence--defined as the presence of detectable serum prostate-specific antigen (PSA)--following radical prostatectomy (RP). However, the management of patients with detectable PSA following RP, which is not specific for tumor recurrence, is a matter of debate. This study aimed to evaluate oncological results of three-dimensional conformal RT (3D-CRT) in patients who had biochemical recurrence.
Materials and methods: The study included patients who underwent RP, who had a postoperative PSA level--determined between 2 and 4 months after surgery--that was greater than 0.1 ng/ml, and who subsequently… More >

Simon D. Wu, Ricardo R. Rios, Joshua J. Meeks, Robert B. Nadler

Canadian Journal of Urology, Vol.16, No.6, pp. 4939-4940, 2009

Abstract Introduction: Weck Hem-o-Lok clip migration into the bladder has been reported after robot-assisted laparoscopic radical prostatectomy (RALP). We report a case of Weck clip migration into the rectum presenting as a mass on colonoscopy.
Methods: A 61-year-old male with a prostate specific antigen level of 4.84 ng/ml underwent transrectal ultrasound guided biopsy of the prostate revealing a Gleason's 3 + 3 adenocarcinoma of the prostate involving 20% of the sampled tissue for the left apex. He was subsequently treated with a transperitoneal robot-assisted laparoscopic radical prostatectomy and bilateral pelvic lymphadenectomy. Weck Hem-o-Lok clips were used to ligate… More >