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  • Open Access

    ARTICLE

    Intravesical therapy use in the high risk patient: practice patterns in an equal access healthcare institution before and after national guidelines

    Jennifer M. Pugliese, Richard N. Greene, Andrew C. Peterson

    Canadian Journal of Urology, Vol.16, No.6, pp. 4927-4931, 2009

    Abstract Purpose: We examined patterns of intravesical therapy use in nonmuscle invasive bladder cancer over the last 10 years at our institution where there is equal access to healthcare. We further examined any affect that the introduction of national guidelines may have had on the utilization of intravesical therapy in these patients.
    Materials and methods: An Institutional Review Board (IRB) approved retrospective chart review was performed between the years 1997 and 2007. Only those with premalignant or malignant pathology, as identified using intradepartmental surgical logs and pathology reports, were included.
    Results: Four hundred seventeen procedures, representing 228 patients, were… More >

  • Open Access

    ARTICLE

    Management of advanced prostate cancer in Africa

    E. Oluwabunmi Olapade-Olaopa1,2, Gloria T. Yisa2, H. Adebayo Obamuyide2

    Canadian Journal of Urology, Vol.15, No.1, pp. 3890-3898, 2008

    Abstract Background: Carcinoma of the prostate (CaP) is the most common male malignancy in developed and developing countries and has been termed the "malignant epidemic of blacks." Despite this, clinicians managing men with advanced CaP in Africa have to contend with significant limitations in the healthcare systems. This article reviews the current and future options for the management of these patients on the African continent.
    Methods: We searched PubMed and Google for articles on CaP with an emphasis on those focusing on subpopulation differences. Information was also obtained from ongoing studies and interviews with urologists and other… More >

  • Open Access

    HOW I DO IT

    The surgical technique and early postoperative complications of the Gynecare Prolift pelvic floor repair system

    Alvaro Lucioni, David E. Rapp, Edward M. Gong, William S. Reynolds, Paula A. Fedunok, Gregory T. Bales

    Canadian Journal of Urology, Vol.15, No.2, pp. 4004-4008, 2008

    Abstract Introduction: The Gynecare Prolift pelvic floor repair system (GPS) comprises a synthetic mesh placed via a transvaginal, transobturator approach. We present our technique focusing on the safety and feasibility of the GPS.
    Materials and methods: GPS candidates are evaluated in the office with a full history, physical examination, urinalysis and when appropriate, urodynamic evaluation. Patients were offered total vaginal vault prolapse repair or isolated anterior repair dependent of site of defect. Follow-up comprised a full history, physical examination, and global assessment of subjective satisfaction (2 and 6 weeks, 6 months postoperative). Concentration was placed on intraoperative and More >

  • Open Access

    ARTICLE

    Developing a continence care centre using an urban/academic model of continence care

    Lynn Stothers, Derek Wilkie, Pat Lieblich, Penny Wilson

    Canadian Journal of Urology, Vol.15, No.3, pp. 4084-4090, 2008

    Abstract Background: This paper describes the process of adopting the Canadian Continence Foundation's urban/academic model of continence care in the development of British Columbia's Bladder Care Centre, using a process that can serve as a model for other jurisdictions across Canada and internationally.
    Method: A multidisciplinary Working Group assessed the existing system, analyzed local and national statistics, and reviewed the literature on urinary incontinence and models of health care. Following approval from university and hospital authorities, continence services were reorganized including changing infrastructure, altering the location of multidisciplinary services and restructuring of funding and resource allocation. The process… More >

  • Open Access

    ARTICLE

    Research priorities for urological care following spinal cord injury: recommendations of an expert panel

    K. C. Hayes, K. Bassett-Spiers, R. Das, K. D. Ethans, C. Kagan, J. L. K. Kramer, T. Linsenmeyer, K. N. Moore, H. Razvi, G. Reid, J. S. Walter, J. W. L. Wilson

    Canadian Journal of Urology, Vol.14, No.1, pp. 3416-3423, 2007

    Abstract Objective: A multidisciplinary panel of experts from Canada and the United States was convened by the Ontario Neurotrauma Foundation (ONF) to establish research priorities in the area of urological care following spinal cord injury (SCI).
    Design: The panel reviewed a synthesis of published literature in five areas of urology, identified emerging opportunities in the private and public sector, and used a modified Delphi approach to reach consensus on priorities for funding.
    Results: The panel recommendations included: clinical trials of the safety and efficacy of M3 receptor specific anti-muscarinic agents for bladder hyperactivity in SCI patients; development and… More >

  • Open Access

    RESIDENT’S CORNER

    Phimosis – a diagnostic dilemma?

    Thomas B. McGregor1, John G. Pike2, Michael P. Leonard2

    Canadian Journal of Urology, Vol.12, No.2, pp. 2598-2602, 2005

    Abstract Introduction: Phimosis is defined as the inability to retract the foreskin. Differentiating between physiological phimosis and pathological phimosis is important, as the former is managed conservatively and the latter requires surgical intervention. Referrals of patients with physiological phimosis to urology clinics may create anxiety regarding the need for surgery amongst patients and parents, while unnecessarily expanding the waiting list for specialty assessment.
    Objectives: To determine the ability of referring physicians to differentiate physiological from pathological phimosis, and to see whether there is any difference in this ability between generalists versus specialists.
    Materials and methods: A retrospective chart review… More >

  • Open Access

    ARTICLE

    Natural history of urinary tract infection in a primary care environment in Canada

    J. Curtis Nickel1, Jay C. Lee2, John E. Grantmyre3, Dimitris Polygenis4

    Canadian Journal of Urology, Vol.12, No.4, pp. 2728-2737, 2005

    Abstract Objective: To characterize the natural history of uncomplicated urinary tract infection (uUTI) in a Canadian primary care environment from the patient's perspective.
    Materials and methods: Female patients (n = 2323) with symptoms of uUTI were recruited by 581 family physicians who collected baseline demographic and clinical data and prescribed 500 mg/day extended release ciprofloxacin (Cipro® XL™). Follow-up data were collected 4 and 10 days later by patient telephone interview assessing uUTI symptoms, medication compliance, time to symptom resolution, impact on usual activities and overall satisfaction.
    Results: Patients (mean age 40) had on average 3.56 uUTI symptoms at baseline,… More >

  • Open Access

    ARTICLE

    Computational Applications of the Poincaré Group on the Elastoplasticity with Kinematic Hardening

    Chein-Shan Liu1

    CMES-Computer Modeling in Engineering & Sciences, Vol.8, No.3, pp. 231-258, 2005, DOI:10.3970/cmes.2005.008.231

    Abstract Using a group-theoretical approach in the Minkowski space we explore kinematic hardening rules from a viewpoint of the Poincaré group. The resultant models possess two intrinsic times q0a and q0b; the first q0a controls the on/off switch of plasticity, and the second q0b controls the pace of back stress during plastic deformation. We find that some existent kinematic hardening rules, including the modifications from the Armstrong-Frederick kinematic hardening rule, can be categorized into type I, type II and type III, which correspond respectively to q0b = 0, q0b = q0a and q0bq0a. Based More >

  • Open Access

    GUEST EDITORIAL

    Reforming Canada’s medical care system

    William Lennox Orovan

    Canadian Journal of Urology, Vol.10, No.1, pp. 1734-1735, 2003

    Abstract This article has no abstract. More >

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