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  • Open Access

    ARTICLE

    Predictors of positive surgical margins after radical perineal prostatectomy

    Manlio A. Goetzl1, Ron Krebill2, Tomas L. Griebling1,3, J. Brantley Thrasher1

    Canadian Journal of Urology, Vol.16, No.2, pp. 4553-4557, 2009

    Abstract Introduction/objective: Margin positivity has been a well described adverse prognostic factor in patients undergoing radical prostatectomy. Previous studies with regards to predictors of margin positivity after prostatectomy have primarily focused on the retropubic or robotic approach. We sought to examine the predictors of margin positivity in a contemporary series of men undergoing radical perineal prostatectomy (RPP).
    Materials and methods: We reviewed the records of 103 patients who underwent RPP at our institution from July 1998 until May 2008. A positive surgical margin (PSM) was defined as the presence of cancer cells at the inked margin of the… More >

  • Open Access

    ARTICLE

    Does neoadjuvant hormone therapy improve outcome in prostate cancer patients receiving radiotherapy after radical prostatectomy?

    Howard Huaihan Pai1,5, Brenna Eldridge2, Darcy Bishop3, Abraham Alexander1,5, Mary Lesperance4, Paul Blood1,5, Jan Lim1,5, Charles Ludgate1,5

    Canadian Journal of Urology, Vol.16, No.2, pp. 4541-4552, 2009

    Abstract Purpose: To assess outcome and predictive factors in men with prostate cancer who receive post radical prostatectomy (RP) radiotherapy (RT) either in the adjuvant or salvage setting, with or without neoadjuvant androgen deprivation therapy (NADT).
    Methods: A retrospective analysis was performed on 175 patients with clinically localized prostate cancer treated with RP who subsequently received RT (dose range 50 Gy-68 Gy). Twenty-two patients received adjuvant RT (ART), 57 received NADT + ART, 15 received salvage RT (SRT), and 81 received NADT + SRT. Outcome was assessed by biochemical disease-free survival (BDFS), prostate cancer specific survival and overall… More >

  • Open Access

    LETTER

    Robotic distal ureterectomy with reimplantation in malignancy: technical nuances

    Iqbal Singh, Karim Kader, Ashok K. Hemal

    Canadian Journal of Urology, Vol.16, No.3, pp. 4676-4676, 2009

    Abstract This article has no abstract. More >

  • Open Access

    EDITORIAL COMMENT

    Robotic distal ureterectomy with reimplantation in malignancy: technical nuances

    Ali Moinzadeh

    Canadian Journal of Urology, Vol.16, No.3, pp. 4676-4676, 2009

    Abstract This article has no abstract. More >

  • Open Access

    MINIMALLY INVASIVE AND ROBOTIC SURGERY

    Robotic distal ureterectomy with reimplantation in malignancy: technical nuances

    Iqbal Singh, Karim Kader, Ashok K. Hemal

    Canadian Journal of Urology, Vol.16, No.3, pp. 4671-4676, 2009

    Abstract Aim: To present the point of technique of robotic distal ureterectomy under cystoscopic guidance with pelvic lymphadenectomy (PLND), ureteral reconstruction with and without a psoas hitch in patients with distal ureteral urothelial cancer (DUCC) and to review the current literature.
    Methods: The various steps of operative technique of robotic PLND, distal ureterectomy under cystoscopic guidance, ureteral reconstruction with and without a psoas hitch in patients of DUCC are described. Several tricks have been highlighted to undertake such procedure. The published English literature was also searched using the key words; robot, laparoscopy, ureteral reimplantation, distal ureterectomy, psoas hitch,… More >

  • Open Access

    EDITORIAL COMMENT

    Robot-assisted radical cystoprostatectomy in complex surgical patients: single institution report

    Khurshid A Guru

    Canadian Journal of Urology, Vol.16, No.3, pp. 4670-4670, 2009

    Abstract This article has no abstract. More >

  • Open Access

    MINIMALLY INVASIVE AND ROBOTIC SURGERY

    Robot-assisted radical cystoprostatectomy in complex surgical patients: single institution report

    Daniel J. Lee, Michael B. Rothberg, James M. McKiernan, Mitchell C. Benson, Ketan K. Badani

    Canadian Journal of Urology, Vol.16, No.3, pp. 4664-4670, 2009

    Abstract Objective: To evaluate the safety and feasibility of robotic-assisted radical cystoprostatectomy (RRCP) in a salvage setting for patients with a history of radiation and chemotherapy treatment, complex pelvic anatomy, and significant comorbidities.
    Materials and methods: Over a 5-month period, six patients who met these criteria underwent RRCP for urothelial carcinoma. Two of the patients had major cardiovascular disease and were previously denied an open procedure subsequently underwent chemotherapy with external beam radiation protocol. One patient had brachytherapy for prior prostate cancer, and three additional patients had neoadjuvant chemotherapy with large diverticula, measuring up to 12 cm in… More >

  • Open Access

    ARTICLE

    Role of routine stentograms following urinary diversion in modern practice

    Stanton M. Regan, Stephen D. W. Beck, Richard Bihrle, Richard S. Foster1

    Canadian Journal of Urology, Vol.16, No.3, pp. 4660-4663, 2009

    Abstract Objective: To examine the usefulness of routine stentograms in patient management following urinary diversion.
    Materials and methods: A retrospective review of all patients undergoing urinary diversion from February 2004 to February 2007 was performed. Three hundred twenty-six patients were identified. One hundred fifty patients were excluded: 101 patients had no stentogram and 49 patients had incomplete records or follow up.
    Results: Of the 176 patients, ureteral anastomotic leak was detected in three of 344 ureters (0.9%). The ureteral stents were left in situ until the leaks resolved. None of the three developed a ureteral stricture. Ten (3.0%) ureters… More >

  • Open Access

    ARTICLE

    Dietary intervention after defi nitive therapy for localized prostate cancer: results from a pilot study

    J. Kellogg Parsons1-3, Vicky A. Newman2, James L. Mohler4, John P. Pierce2, Shirley Flatt2, Karen Messer2, James Marshall4

    Canadian Journal of Urology, Vol.16, No.3, pp. 4648-4654, 2009

    Abstract Introduction: Diet has been linked to prostate cancer risk. Dietary modification may inhibit prostate cancer progression.
    Materials and methods: As part of a randomized trial, we analyzed the effect of a diet based intervention on 25 prostate cancer patients who had previously undergone surgery or radiation.
    Results and conclusions: In the intervention arm, vegetable intake increased (p < 0.05), fat intake decreased (p < 0.05), and mean plasma levels of ß-carotene and total carotenoids increased (p < 0.05). In the control arm, there were no significant changes in diet or blood carotenoids. These data support the feasibility of studying More >

  • Open Access

    EDITORIAL COMMENT

    Continued improvement of perioperative, pathological and continence outcomes during 700 robot-assisted radical prostatectomies

    David Canes

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

    Abstract This article has no abstract. More >

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