Daniel J. Moskovic, Hugh J. Lavery, Jamil Rehman, Fatima Nabizada-Pace, Jonathan Brajtbord, David B. Samadi

Canadian Journal of Urology, Vol.17, No.4, pp. 5291-5298, 2010

Abstract Introduction: Given the anatomic constraints of obese patients, concern exists as to whether robotic assisted laparoscopic prostatectomy (RALP) is appropriate in patients with higher body mass index (BMI). We reviewed a large RALP database to determine if clinical outcomes are related to BMI.
Methods: The records of patients who underwent a RALP from 2003-2009 were reviewed. BMI stratifications were concordant with the Centers for Disease Control (CDC) standards: ≥ 30, ≥ 25 and < 30, and < 25 were classified as obese, overweight, and normal weight, respectively. Baseline, perioperative, histopathologic, and functional outcome data were collected.
Results: A… More >

Rena Malik, Juliana Laze, Herbert Lepor

Canadian Journal of Urology, Vol.17, No.4, pp. 5272-5277, 2010

Abstract Objective: To evaluate the efficacy of local compression and topical epinephrine in controlling perioperative bleeding during open radical retropubic prostatectomy (ORRP) and its impact on the degree of urinary extravasation on initial postoperative cystogram.
Methods: Between September 2005 to March 2009, 476 men underwent ORRP performed by a single surgeon. Group 1 (n = 200) underwent ORRP between September 2005 and November 2006 without pelvic compression; Group 2 (n = 76) underwent ORRP between November 2006 and May 2007 and a dry laparotomy pad was positioned in the pelvis immediately prior to abdominal wound closure; Group 3… More >

Chukwudi O. Okorie¹, Louis L. Pisters²

Canadian Journal of Urology, Vol.17, No.4, pp. 5255-5258, 2010

Abstract Objectives: Hemostasis during suprapubic prostatectomy for benign prostatic hyperplasia (BPH) is commonly affected by placing sutures at the 5 o'clock position and the 7 o'clock position of the bladder neck. However, the urethral arterial branches of the inferior vesical artery that supplies the prostate extend from the 1 o'clock to 5 o'clock position and from the 7 o'clock to 11 o'clock position of the bladder neck, with the largest branches located posteriorly. This study analyses the effect of a modified suprapubic prostatectomy technique, which covered the area from the 1 o'clock position to the 11 o'clock… More >

Bob Djavan¹, Elisabeth Eckersberger¹, Markus Johannes Handl², Roland Brandner¹, Helen Sadri¹, Herbert Lepor¹

Canadian Journal of Urology, Vol.17, No.4, pp. 5249-5254, 2010

Abstract Background: Transurethral resection of the prostate (TURP) has been the gold standard of the treatment of benign prostatic hyperplasia (BPH). In recent years there has been a significant shift in the treatment of BPH and guidelines emphasize minimally invasive surgery as a new treatment option. Minimal invasive technologies (MITs), such as transurethral microwave thermotherapy (TUMT), laser ablations, transurethral needle ablation (TUNA) have emerged as an alternative to the TURP.
Objectives: To assess the retreatment rates of the most commonly used minimal invasive techniques.
Search strategy: Durability articles were selected by using defined search terms using PubMed as search engine.
… More >

Alexander Tsivian, Matvey Tsivian, A. Ami Sidi

Canadian Journal of Urology, Vol.17, No.5, pp. 5394-5396, 2010

Abstract Introduction: Injuries of the upper (lumbar) portion of the ureter are rare; however, their reconstruction may pose considerable challenges. We describe a novel technique of surgical reconstruction in case of a long upper ureteral obliteration that may be a viable treatment option in select patients.
Materials and methods: Reconstruction of a iatrogenic 5 cm injury to the upper ureter, consisting of 2 cm obliteration and 1.5 cm stenotic segments on its sides, unsuitable for an end-to-end reanastomosis, was performed using a novel technique of augmented pelvic flap anastomotic ureteroplasty. The injured ureteral segment was excised, the ureteral… More >

Ted B. Manny, Ilya Gorbachinsky, Ashok K. Hemal

Canadian Journal of Urology, Vol.17, No.5, pp. 5390-5393, 2010

Abstract Introduction: To describe the incidence and outcomes of lower extremity neuropathies in a series of robot assisted laparoscopic radical prostatectomy (RALRP) and robot assisted laparoscopic radical cystectomy (RALRC) patients with 9 months follow up. Additionally, we compare this cohort to other published series of lithotomy based surgery and describe strategies for minimizing risk.
Materials and methods: We performed a retrospective analysis of 179 consecutive patients who underwent either RALRP or RALRC at a single institution during a 17 month period. We included all patients who experienced bothersome lower extremity pain, weakness, or numbness at any time during… More >

Kevin C. Zorn

Canadian Journal of Urology, Vol.17, No.5, pp. 5389-5389, 2010

Abstract This article has no abstract. More >

Satya B. Allaparthi, Thomas Hoang, Nadeem N. Dhanani, Ingolf A. Tuerk

Canadian Journal of Urology, Vol.17, No.5, pp. 5383-5389, 2010

Abstract Introduction: To determine the significance of prostate weight (PW) on clinical and pathological outcomes in patients undergoing da Vinci robot assisted laparoscopic extraperitoneal radical prostatectomy (EP-RARP).
Methods: From November 2008 to January 2010, 295 men underwent EP-RARP at our institution. We retrospectively reviewed our database and stratified patients into four groups based on pathologic PW: Group 1, less than 30 g; Group 2, 30 g to less than 50 g; Group 3, 50 g to less than 80 g; and Group 4, 80 g or larger. We prospectively compared these groups with respect to patient age, body… More >

Stephen Lukasewycz¹, Matt Holman², Paul Kozlowski¹, Christopher R. Porter¹, Erin Odom¹, Chris Bernards², Nancy Neil³, John M. Corman¹

Canadian Journal of Urology, Vol.17, No.5, pp. 5377-5382, 2010

Abstract Introduction: Robotic assisted laparoscopic radical prostatectomy (RALP) is a common treatment for localized prostate cancer. Despite a primary advantage of improved postoperative pain, patients undergoing RALP still experience discomfort. Belladonna, containing the muscarinic receptor antagonists atropine and scopolamine, in combination with opium as a rectal suppository (B & O) may improve post-RALP pain. This study evaluates whether a single preoperative B & O results in decreased postoperative patient-reported pain and analgesic requirements.
Materials and methods: Patients undergoing RALP at Virginia Mason Medical Center between November 2008 and July 2009 were offered the opportunity to enter a randomized,… More >

Daniel Canter¹, Richard E. Greenberg¹, Eric M. Horwitz², Alexander Kutikov¹, Jinsheng Li², Christopher Long¹, Mark Buyyounouski², Stephen A. Boorjian¹

Canadian Journal of Urology, Vol.17, No.5, pp. 5365-5369, 2010

Abstract Introduction: Radiation therapy (RT) after radical prostatectomy (RP) has been associated with a survival benefit in both the adjuvant and salvage setting. Nevertheless, optimal targeting of the prostate bed following surgery remains challenging. The Calypso 4D Localization System (Calypso Medical Technologies, Seattle, WA, USA) is a target positioning device that continuously monitors the location of three implantable electromagnetic transponders. We describe our technique of ultrasound-guided placement of these transponders into the prostate bed for adjuvant and salvage RT.
Methods: Seventeen patients presenting to Fox Chase Cancer Center for postoperative RT underwent transrectal ultrasound-guided placement of Calypso beacons.… More >