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  • Open Access

    ARTICLE

    The effect of physical activity on varicocele pain and resolution of this pain by different varicocelectomy techniques

    Turgay Ebiloglu1, Yasin Aydogmus1, Engin Kaya2, Ender Oral1, Omer Kaplan1, Yusuf Kibar2

    Canadian Journal of Urology, Vol.23, No.3, pp. 8285-8290, 2016

    Abstract Introduction: To evaluate the effect of physical activity on varicocele pain and how different varicocelectomy techniques relieve this pain.
    Materials and methods: Between November 2012 and January 2015, a total of 64 patients with left groin pain and clinical varicocele were enrolled in this study. A visual analogue scale (VAS) classifying the pain in ten scores was used to assess the severity of pain before and after beginning continuous physical activity, and after operations. Patients were randomly divided into three groups. Group 1 had open sub-inguinal varicocelectomy, Group 2 had loupe-assisted sub-inguinal varicocelectomy and Group 3 had… More >

  • Open Access

    ARTICLE

    Clinical variables and stone detection in patients with flank pain

    David E. Rapp1,3, Nada L. Wood1, Matthew Bassignani1, Luke Gergoudis2, Sarah Caulkins3, Eugene V. Kramolowsky1,3

    Canadian Journal of Urology, Vol.23, No.5, pp. 8441-8445, 2016

    Abstract Introduction: Non-contrast CT (NCT) is commonly used to evaluate flank pain (FP). We sought to evaluate incidence of ureteral calculi on NCT in patients with FP, and to determine if clinical variables are associated with higher detection rates.
    Materials and methods: Retrospective review identified 613 patients undergoing NCT for FP. Patient clinical data, NCT findings, and intervention were analyzed. Focus was placed on variables commonly associated with urolithiasis (Vstone), comprising hematuria, nausea/vomiting, and prior stone history. Statistical analysis was performed to identify risk of ureteral stones based on number and type of Vstone.
    Results: No stone disease was identified… More >

  • Open Access

    ARTICLE

    Physical therapy for chronic scrotal content pain with associated pelvic foor pain on digital rectal exam

    M. Ryan Farrell1, Sheila A. Dugan2, Laurence A. Levine1

    Canadian Journal of Urology, Vol.23, No.6, pp. 8546-8550, 2016

    Abstract Introduction: Chronic scrotal content pain (CSCP) is a common condition that can be challenging to manage definitively. A cohort of patients with CSCP have referred pain from myofascial abnormalities of the pelvic floor and therefore require treatment modalities that specifically address the pelvic floor such as pelvic floor physical therapy (PFPT).
    Materials and methods: Retrospective chart review of all men with a pelvic floor component of CSCP presenting to our tertiary care medical center and undergoing PFPT from 2011-2014. Patients with CSCP and pain/tightness on pelvic floor evaluation with 360° digital rectal exam (DRE) were referred to… More >

  • Open Access

    ARTICLE

    MULTICOMPONENT GAS-PARTICLE FLOW AND HEAT/MASS TRANSFER INDUCED BY A LOCALIZED LASER IRRADIATION ON A URETHANE-COATED STAINLESS STEEL SUBSTRATE

    Nazia Afrina, Yijin Maoa, Yuwen Zhanga,*, J. K. Chena, Robin Ritterb, Alan Lampsonb, Jonathan Stohsc

    Frontiers in Heat and Mass Transfer, Vol.7, pp. 1-8, 2016, DOI:10.5098/hmt.7.7

    Abstract A three-dimensional numerical simulation is conducted for a complex process in a laser-material system, which involves heat and mass transfer in a compressible gaseous phase and chemical reaction during laser irradiation on a urethane paint coated on a stainless steel substrate. A finite volume method (FVM) with a co-located grid mesh that discretizes the entire computational domain is employed to simulate the heating process. The results show that when the top surface of the paint reaches a threshold temperature of 560 K, the polyurethane starts to decompose through chemical reaction. As a result, combustion products CO2, More >

  • Open Access

    ARTICLE

    Phenotype, symptom severity and treatment in a “cured” cohort of chronic pelvic pain syndrome patients

    Chad A. Reichard, Irene Makovey, Daniel A. Shoskes

    Canadian Journal of Urology, Vol.22, No.1, pp. 7623-7626, 2015

    Abstract Introduction: To identify a cohort of chronic pelvic pain syndrome (CPPS) patients who considered their symptoms completely resolved and analyze their demographics, clinical phenotype, treatments and NIH-Chronic Prostatitis Symptom Index (CPSI) scores.
    Materials and methods: We identified 35 CPPS patients who at the follow up, reported their symptoms completely resolved (“cured”). Demographics, UPOINT phenotypes, treatments, and CPSI scores were examined. We also compared these variables to a database of 220 previously evaluated CPPS patients.
    Results: Patients ranged in age from 19 to 72 years. Median follow up was 12 months. Mean change in CPSI sub scores before and after… More >

  • Open Access

    MEETING REVIEW

    Risks, benefits, and approaches to hormonal blockade in prostate cancer
    Highlights from the European Association of Urology Meeting, March 20-24, 2015, Madrid, Spain

    Jack Barkin

    Canadian Journal of Urology, Vol.22, No.3, pp. 7847-7852, 2015

    Abstract Several abstracts presented at the 2015 European Association of Urology Meeting highlighted new developments in hormone therapy for prostate cancer management. One abstract described how the luteinizing hormone-releasing hormone (LHRH)/gonadotropin-releasing hormone (GnRH) agonist leuprolide, but not the LHRH/GnRH antagonist degarelix, induced plaque instability in a mouse model. A second abstract showed that in patients with a history of severe cardiovascular disease, degarelix was associated with fewer cardiovascular events than treatment with an LHRH agonist. A third abstract showed how primary androgen-deprivation therapy was linked with increased all-cause mortality in a US registry. A fourth abstract More >

  • Open Access

    RESIDENT’S CORNER

    The case of the shrinking testis

    Dwayne Tun Soong Chang1, Isaac Andrew Thyer1,2, Dickon Hayne1,3, Darren Jonathan Katz4

    Canadian Journal of Urology, Vol.22, No.4, pp. 7935-7937, 2015

    Abstract We report the case of a man with idiopathic lymphocytic orchitis (LO) manifested by undifferentiated testicular pain and atrophy. Conventional investigation results were unremarkable. Oral ciprofloxacin only improved the pain temporarily. Scrotal exploration surgery was performed to exclude acute testicular torsion and a biopsy was taken during surgery for histological examination. Histology revealed severe LO with reduced spermatogenesis. A trial of oral steroids was initially effective but the effect was temporary. Due to chronic pain, he eventually underwent unilateral orchidectomy. Histology confirmed the initial diagnosis of LO. He was pain-free postoperatively. Idiopathic LO is a More >

  • Open Access

    COMMENTARY

    Stent placement under local: too painful to be practical?

    Francis X. Keeley Jr

    Canadian Journal of Urology, Vol.21, No.1, pp. 7125-7125, 2014

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    An online UPOINT tool for phenotyping patients with chronic prostatitis

    Christine N. Tran1, Jianbo Li2, Daniel A. Shoskes1

    Canadian Journal of Urology, Vol.21, No.2, pp. 7195-7200, 2014

    Abstract Introduction: To evaluate the clinical phenotypes of patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) using a web based online tool and to compare these clinical features with patients evaluated in a tertiary referral clinic.
    Materials and methods: Data was collected from 720 men who gave complete online responses on a website which determines the UPOINT clinical phenotype in CP/CPPS and measures symptom severity with the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI). This was compared to phenotype and symptom severity of 220 patients evaluated in person at a tertiary referral clinic.
    Results: The web-based cohort… More >

  • Open Access

    ARTICLE

    Secondary pelvic congestion syndrome: description and radiographic diagnosis

    Andrew G. Winer1, Nicholas H. Chakiryan1, Ryan P. Mooney1, Daniel Verges1, Mazyar Ghanaat1, Atabak Allaeei2, Luke Robinson2, Harry Zinn2, Erich K. Lang1,2,3

    Canadian Journal of Urology, Vol.21, No.4, pp. 7365-7368, 2014

    Abstract Introduction: Pelvic congestion syndrome (PCS) is a complex condition of the pelvic venous system leading to nonspecific pelvic pain that was initially described in females alone. The underlying abnormalities, though diverse, all result in increased pressure in the left gonadal vein which is transmitted retrograde into the pelvic venous system. Our primary aim was to describe our findings of secondary PCS as a distinct entity from primary PCS in that it has an identifiable vascular etiology and is gender nonspecific. We also aimed to assess the adequacy of late-arterial phase CT urography (CTU) as the initial… More >

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