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  • Open Access

    REVIEW

    Tetralogy of Fallot: Anatomy, Physiology, and Outcomes

    Edo Bedzra1,*, Eli Contorno2, Herra Javed2, Amna Qasim3, James St. Louis4, Taufiek Konrad Rajab2

    Congenital Heart Disease, Vol.19, No.6, pp. 541-562, 2024, DOI:10.32604/chd.2025.059788 - 27 January 2025

    Abstract Since the first identification of Tetralogy of Fallot in 1671, consisting of a combination of anatomical defects including biventricular origin of the aorta, maligned ventricular septal defect, overriding aorta, and narrowing or atresia of the pulmonary outflow tract. The first successful operation consisted of a shunt between the left subclavian artery and pulmonary artery. Following this palliative procedure, complete repair is performed once the patient reaches indicative criteria. Since the first attempts at surgical palliation and repair, techniques and outcomes have improved drastically. Definitive repair of Tetralogy of Fallot consists of a multi-patch closure of More >

  • Open Access

    ARTICLE

    Medical therapy for benign prostatic hyperplasia: a review

    Brandon Van Asseldonk, Jack Barkin, Dean S. Elterman

    Canadian Journal of Urology, Vol.22, Suppl.5, pp. 7-17, 2015

    Abstract instruction: Introduction: Benign prostatic hyperplasia (BPH) is a common disease that affects men as they age. Historically the treatment has been primarily surgical in nature, but over the past 25 years significant advances in medical therapy have been made, sparing some men from interventional procedures.
    instruction: Materials and methods: This article highlights the current state-of-the-art with respect to medical therapy for lower urinary tract symptoms secondary to BPH (BPH-LUTS) including a review of landmark studies and recent areas of research in the field.
    instruction: Results: Alpha blockers are considered first line when treating BPH-LUTS in men with… More >

  • Open Access

    ARTICLE

    PSA implications and medical management of prostate cancer for the primary care physician

    Sabeer Rehsia, Bobby Shayegan

    Canadian Journal of Urology, Vol.19, Suppl.5, pp. 28-35, 2012

    Abstract Prostate cancer remains a common cancer diagnosis and cause of cancer-related death in men. Despite it’s high prevalence, screening for prostate cancer for early detection remains controversial. This article outlines evidence from contemporary prostate cancer screening clinical trials and presents an overview of therapeutic options across the spectrum of prostate-cancer states. More >

  • Open Access

    ARTICLE

    Medical management of overactive bladder

    Sidney B. Radomski1, Jack Barkin2

    Canadian Journal of Urology, Vol.19, Suppl.5, pp. 2-9, 2012

    Abstract Overactive bladder (OAB) with or without urinary incontinence is a common condition in both men and women. OAB has a signifcant impact on quality of life for most patients. In most cases, sophisticated testing is not required for a primary care physician to diagnose OAB and start treating a patient. Management of OAB requires behavioral modifcation and, if necessary, pharmacotherapy may be added. If a patient does not respond to treatment initiated by a primary care physician, then he or she should be referred to a specialist in OAB to undergo further investigations and treatments. More >

  • Open Access

    ARTICLE

    Peyronie’s disease: update on medical management and surgical tips

    Gerald H. Jordan

    Canadian Journal of Urology, Vol.14, Suppl.6, pp. 69-74, 2007

    Abstract Peyronie's disease is a scarring phenomenon of the penis causing various deformities; initially pain with erection, and in most patients is associated with some element of erectile dysfunction. Studies of the natural history of the disease show that Peyronie's disease is a self-limited condition. In its stable and quiescent phase, patients have stable deformity, and in some cases that deformity then requires surgery.
    For the most part, pharmacologic therapy is confined to the immature or active phase of the disease. Pharmacotherapy is aimed at trying to adjust or interfere with the scarring process, so that the… More >

  • Open Access

    ARTICLE

    Medical management of benign prostatic hypertrophy

    Jeffrey W. Nix, Culley C. Carson

    Canadian Journal of Urology, Vol.14, Suppl.6, pp. 53-57, 2007

    Abstract Benign prostatic hyperplasia (BPH) is a common condition of the aging male. The bladder outlet obstruction caused by this condition occurs despite variations in prostate size. Symptoms of BPH include the irritative and obstructive voiding symptoms termed lower urinary tract symptoms (LUTS). While transurethral surgery has long been the gold standard for treatment of LUTS, medical treatment has emerged as the first line of treatment for those men who fail expectant or watchful waiting treatment. Medical options include: alpha blockers, 5α-reductase inhibitors and newly identified PDE 5 inhibitors, drugs for erectile dysfunction that have a… More >

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