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  • 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

    EDITORIAL

    Out of country health care

    Laurence H. Klotz

    Canadian Journal of Urology, Vol.13, No.1, pp. 2947-2947, 2006

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Recent docetaxel studies establish a new standard of care in hormone refractory prostate cancer

    H. Van Poppel

    Canadian Journal of Urology, Vol.12, Suppl.1, pp. 81-85, 2005

    Abstract Introduction: Treatment of hormone refractory prostate cancer (HRPC) has generally aimed at increasing symptom free survival in asymptomatic patients and improving quality of life in symptomatic patients. However, recent randomized studies might be shifting the paradigm towards achieving an improved overall survival.
    Methods: Two large randomized controlled studies were conducted using mitoxantrone plus prednisone as a control arm compared to docetaxel-based regimens.
    Results: In the TAX 327 trial, 3-weekly docetaxel plus prednisone proved significantly superior to mitoxantrone plus prednisone (an established reference regimen) in extending survival, reducing levels of prostate specific antigen (PSA), controlling pain and improving quality… 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 >

  • Open Access

    HOW I DO IT

    Palliative Subcutaneous Tunneled Nephrostomy Tube (PSTN): A simple and effective technique for management of malignant extrinsic ureteral obstruction

    David G. Bell, Marc Anthony Fischer

    Canadian Journal of Urology, Vol.9, No.1, pp. 1470-1474, 2002

    Abstract The establishment and maintenance of effective urinary tract drainage for patients with malignant extrinsic ureteric obstruction is a formidable challenge for the urologist. We have utilized an alternative method of urinary diversion, called Palliative Subcutaneous Tunneled Nephrostomy Tubes (PSTN), for long term urinary tract drainage when intracoropreal stenting has failed or is not tolerated. PSTN provides a simple and effective method of external urinary diversion and preservation of renal function. This technique should be an option in the armamentarium of urologists for management of malignant ureteral obstruction. More >

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