L. Fazio, H. Razvi, J. L. Chin

Canadian Journal of Urology, Vol.10, No.3, pp. 1899-1904, 2003

Abstract Objective: Horseshoe kidney is one of the most common congenital anomalies of renal structure. Not infrequently, surgical management of both benign and malignant disorders is required in patients with horseshoe kidney due to the susceptibility to certain conditions. The literature suggests a greater proclivity to certain renal tumors with this anomaly. We present three cases of malignancy in horseshoe kidneys. The unique technical challenges presented by these cases and the surgical approaches are discussed.
Methods: Three patients with tumors involving horseshoe kidneys are reviewed and their management discussed.
Results: Two patients were found to have renal cell carcinoma… More >

Robert K. Nam¹, Michael A. S. Jewett¹, Murray D. Krahn², Michael A. Robinette¹, John Tsihlias¹, Ants Toi³, Minnie Ho¹, Andrew Evans⁴, Joan Sweet⁴, John Trachtenberg¹

Canadian Journal of Urology, Vol.10, No.3, pp. 1891-1898, 2003

Abstract Background: In Canada, waiting times for cancer care have been increasing, particularly for patients with genitourinary malignancies. We examined whether delay from diagnosis for patients undergoing surgery for clinically localized prostate cancer affects cancer cure rates.
Methods: We conducted a historical cohort study among 645 patients who underwent radical prostatectomy between 1987 and 1997, using biochemical recurrence (PSA elevation) and metastasis as endpoints. We examined whether patients who underwent surgery ≥3 months (delayed surgery group) from the date of diagnosis had reduced recurrence-free survival, compared to patients who had surgery <3 months (early surgery group) from the… More >

Andrew E. MacNeily, Chris Nguan, Kent Haden, S. Larry Goldenberg

Canadian Journal of Urology, Vol.10, No.3, pp. 1885-1890, 2003

Abstract Introduction: There currently is no simple and reliable mechanism for Residency program directors to assess how well their trainees are being exposed to all spheres of their specialty. We report on the use of hand-held personal digital assistants (PDAs) to document all clinical and academic activities of urology residents at one academic institution.
Materials and methods: Software was developed to create customized pick lists allowing residents to record all activities on their individual PDAs. Categories included Adult Ambulatory, Pediatric Ambulatory, Adult Operative, Pediatric Operative, and Academic. Activities were subcategorized into detailed pick lists and time-tracking fields. Residents… More >

Nejd F. Alsikafi¹, R. Corey O’Connor¹, Ximing J. Yang², Gary D. Steinberg¹

Canadian Journal of Urology, Vol.10, No.4, pp. 1950-1951, 2003

Abstract A 56-year-old man presented with a 1-year history of intermittent gross, painless hematuria. Extensive evaluation revealed primary localized amyloidosis of the urinary bladder. Despite several endoscopic resections and fulgurations, the patient continued to have episodes of significant hematuria due to recurrent amyloid deposition. He was then successfully treated with partial cystectomy. At 60 months following surgery, the patient remains free of recurrent or systemic disease. More >

Stephen A. Lazarou, Munir Jamal, Thomas Short

Canadian Journal of Urology, Vol.10, No.4, pp. 1945-1946, 2003

Abstract We present a case in which a man developed transitional cell carcinoma of the small bowel 6 months after having undergone a cystoprostatectomy and ileal conduit urinary diversion. More >

Ivan Hsia, Anil Kapoor

Canadian Journal of Urology, Vol.10, No.5, pp. 2017-2019, 2003

Abstract Laparoscopic nephrectomy is quickly becoming accepted as the standard treatment for small renal neoplasms and benign renal disease. The presence of an ileal conduit has been termed a relative contraindication to laparoscopic surgery. A 58-year old female presented with recurrent pyelonephritis and hydronephrosis of her left kidney. Surgical removal was necessary and we considered a transperitoneal laparoscopic nephrectomy for her. The patient had an ileal conduit and it was because of this reason that only after careful consideration was it decided to attempt the surgery using the laparoscopic approach. We present our technique of transperitoneal More >

R. Choo¹, L. Sugar², E. Hong¹, K. Mackenzie¹, G. DeBoer¹, C. Danjoux¹, G. Morton¹, L. Klotz²

Canadian Journal of Urology, Vol.10, No.5, pp. 1981-1985, 2003

Abstract Objective: To evaluate whether there is any histologic progression from radical prostatectomy (RP) to local recurrence in patients with clinically isolated local recurrence following RP.
Methods and materials: A total of 43 patients with clinically isolated, biopsy proven, local recurrence following RP were retrospectively analyzed with respect to the change in Gleason score (GS) from RP to local recurrence. Central pathology review was undertaken for both RP and local recurrence biopsy specimens. The changes in primary and secondary Gleason grade (GG), and any potential correlation between the extent of GS change and other variables were also examined.
Results:… More >

Simon Tanguay

Canadian Journal of Urology, Vol.10, No.1, pp. 1767-1767, 2003

Abstract This article has no abstract. More >

Abdullatif Hussain, Denis H. Hosking

Canadian Journal of Urology, Vol.10, No.1, pp. 1764-1766, 2003

Abstract Ultrasound is recognized as a valuable method of detecting testicular masses. Rarely, ultrasound will detect a testicular mass that was not clinically suspected. We present the case of a 43-year old man who presented with an unsuspected testicular mass detected by ultrasound. He underwent inguinal orchiectomy. The pathology showed a Leydig Cell tumor with cytological atypia. A review of the literature suggests that most incidentally discovered testicular masses are tumors, but there is disagreement as to whether they are usually benign or malignant. In view of the fact that many of these lesions are benign, More >

Victor H. Hartanto, David DiPiazza, Murali K. Ankem, Carmen Baccarini, Nancy J. Lobby

Canadian Journal of Urology, Vol.10, No.1, pp. 1759-1763, 2003

Abstract Materials and methods: A total of 64 women (mean age = 57) were treated for stress urinary incontinence secondary to intrinsic sphincter deficiency or hypermobility between March 1998 to August 2000. Group I (SPWS) consisted of 30 patients who underwent in situ vaginal wall sling with suprapubic placement of bone anchors in the pubic tubercle utilizing the Vesica system. Group II (TVCS) consisted of 34 patients who underwent cadaveric fascia sling with transvaginal placement of bone anchors behind the symphysis pubis utilizing the Precision-TAC system. Phone interviews were conducted by a third party who was blinded… More >