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  • Open Access

    ARTICLE

    Androgen deficiency in the aging male: a guide to diagnosis and testosterone replacement therapy

    Mathew C. Raynor1, Culley C. Carson2, Matthew D. Pearson2, Jeffrey W. Nix2

    Canadian Journal of Urology, Vol.14, Suppl.6, pp. 63-68, 2007

    Abstract A steady decline in androgen levels occurs in males as they age. Evidence suggests that this decline may be at least partially responsible for a variety of physical and mental changes associated with the aging process. For instance, abnormally low levels of androgens can lead to profound changes in bone density, body composition, as well as sexual and cognitive function. Testosterone replacement has been shown to produce improvements in many of these areas. However, this practice is not without risks, both proven and theoretic. Also, the diagnosis of androgen deficiency and the decision to treat More >

  • Open Access

    ARTICLE

    Water quality in the basin of the Amajac river, Hidalgo, Mexico: Diagnosis and prediction

    Amado Alvarez1,2, Enrique Rubiños Panta1, Francisco Gavi Reyes1, Juan José Alarcón Cabañero2, Elizabeth Hernández Acosta3, Carlos Ramírez Ayala1, Enrique Mejía Saenz1, Francisco Pedrero Salcedo2, Emilio Nicolas Nicolas2, Enrique Salazar Sosa4

    Phyton-International Journal of Experimental Botany, Vol.75, pp. 71-83, 2006, DOI:10.32604/phyton.2006.75.071

    Abstract A water quality index as a standardized method to compare the category in an integral way, between locations and through time, of the different water, river and stream storages of the Amajac river basin was developed. In addition, it is possible to predict the degree of contamination and establish planning strategies in the management of the water resources for the river basin in issue. The used methodology was based in the quantitative expression of water quality. Three samplings were made (2005-2006) and Dissolved Oxygen, Coliform in feaces, pH, Oxygen Biochemical Demand, Nitrates, Total Phosphorus, Turbidity… More >

  • Open Access

    ARTICLE

    Detection of prostate cancer: the impact of the European Randomized Study of Screening for Prostate Cancer (ERSPC)

    Fritz H. Schröder

    Canadian Journal of Urology, Vol.12, Suppl.1, pp. 2-6, 2005

    Abstract The European Randomized Study of Screening for Prostate Cancer (ERSPC) is a large, randomized controlled trial of screening versus control, conducted in eight European countries (Belgium, Finland, France, Italy, the Netherlands, Spain, Sweden, and Switzerland). This article focuses on important aspects relating to recent findings from the ERSPC about two topics: first, leadtime and overdiagnosis, and second, prostate-specific antigen (PSA) as a test for repeated screening.
    The ERSPC together with the prostate cancer arm of the Prostate, Lung, Colon and Ovary (PLCO) screening trial of the National Cancer Institute in the United States are set to… 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

    Canadian guidelines for the management of benign prostatic hyperplasia

    J. Curtis Nickel1, Sender Herschorn2, Jacques Corcos2, Bryan Donnelly1, Doug Drover2, Mostafa Elhilali1, Larry Goldenberg1, John Grantmyre2, Bruno Laroche2, Richard Norman1, Bruce Piercy1, Karen Psooy2, Gary Steinhoff1, John Trachtenberg1, Fred Saad1, Simon Tanguay1

    Canadian Journal of Urology, Vol.12, No.3, pp. 2677-2683, 2005

    Abstract Objective: To develop the first Canadian guidelines for the management of lower urinary tract symptoms in men with benign prostatic hyperplasia (BPH).
    Methods: These guidelines, developed under a mandate provided by the Canadian Urological Association (CUA), were a collaborative effort between the CUA guidelines committee and the Canadian Prostate Health Council. BPH guidelines developed by the American Urological Association, the European Association of Urology, the World Health Organization International Consultation on BPH, and similar committees from Germany, Sweden and Australia were reviewed. The committee further reviewed a systematic literature search, updated to May 2004, and systematically derived… More >

  • Open Access

    RESIDENT’S CORNER

    Recurrence of a non-seminomatous germ cell tumor in the seminal vesicle 20 years after initial diagnosis and treatment

    Jean-Baptiste Lattouf, Michael Mc Cormack, Louise Yelle, Rachid Hadjeres, Fred Saad

    Canadian Journal of Urology, Vol.11, No.4, pp. 2350-2351, 2004

    Abstract We present a case of a pathologic stage 1, right sided, non-seminomatous germ cell tumor recurrence in the left seminal vesicle, 20 years after initial diagnosis and treatment. The patient was treated with three salvage cycles of bleomycin, etoposide, and cisplatinum. At 24 months of follow-up after completion of chemotherapy, digital rectal and TRUS examinations revealed complete resolution of the lesion. We believe that this tumor is a late metastasis to the contralateral seminal vesicle. More >

  • Open Access

    CASE REPORT

    Wegener’s granulomatosis of the penis: diagnosis and management

    Robert Adam1, Sydney Katz2, Ken Lee3, Michael Jewett4, Ronald Kodama5

    Canadian Journal of Urology, Vol.11, No.4, pp. 2341-2343, 2004

    Abstract A 24 year old uncircumcised man presented with a 1 month history of a painful, fungating lesion on his glans penis. Following biopsy, and further clinical developments, a diagnosis of Wegener’s Granulomatosis (WG) was made. The penile lesion was treated with surgical debridement, and a penile stump was salvageable. This is only the fourth case of WG initially presenting with a penile lesion to be reported in the literature. More >

  • Open Access

    ARTICLE

    A comparative analysis of rapid urine tests for the diagnosis of upper urinary tract malignancy

    D. Robert Siemens, Alvaro Morales, Brenda Johnston, Laurel Emerson

    Canadian Journal of Urology, Vol.10, No.1, pp. 1754-1758, 2003

    Abstract Objectives: To compare the effectiveness of two rapid urine tests fibrinogen / fibrin degradation products FDP (Aura Tek FDP, PerImmune Inc., Rockville, Maryland, USA) and bladder tumor antigen BTA (Bard BTA, Bard Canada Inc., Mississauga, Ontario, Canada) to urinary cytology in establishing the diagnosis of transitional cell carcinoma (TCC) in patients with suspected upper tract malignancy.
    Materials and methods: In a prospective study, urine samples were collected from 29 patients with abnormalities of the upper tracts highly suspicious for malignancy. Sensitivity and specificity of the BTA and FDP tests were determined and compared to those of cytology.… More >

  • Open Access

    CASE REPORT

    Segmental testicular infarction: diagnosis and strategy

    Loïc Sentilhes1, Frederick Dunet1, Denis Thoumas2, Alain Khalaf1, Philippe Grise1, Christian Pfister1

    Canadian Journal of Urology, Vol.9, No.6, pp. 1698-1699, 2002

    Abstract exploration was not performed and a period of watchful waiting with evolution control by ultrasonography was decided. Results: After a 3 month follow-up, the ultrasonography control revealed a total re-vascularization of the vessels and a reduction of the lesion size. Conclusion: The authors suggest that the combination of ultrasonography and MRI, in the management of testicular infarction, may avoid invasive surgery. More >

  • Open Access

    ARTICLE

    MCDK not excluded by virtue of function on renal scan

    P. D. Metcalfe1, J. R. Wright Jr.2, P. A. M. Anderson1

    Canadian Journal of Urology, Vol.9, No.6, pp. 1690-1693, 2002

    Abstract Introduction: The conservative management of multicystic dysplastic kidneys (MCDK) has been very successful, largely due to advances in diagnostic imaging. Classically, MCDK is described as a non-functioning cystic renal mass. However, we noticed that the increasing sensitivity of renal scans is able to demonstrate function in MCDK that previously would not have been detected.
    Methods: We describe eight cases of MCDK with elements of function on renal scan, and their follow up.
    Results and conclusions: One half (4/8) of these children underwent nephrectomy, and histology was consistent with MCDK. The remaining 4/8 were successfully followed to radiographic involution, More >

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