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  • Open Access

    ARTICLE

    Early localization of recurrent prostate cancer after prostatectomy by endorectal coil magnetic resonance imaging

    Brian J. Linder1, Akira Kawashima2, David A. Woodrum2, Matthew K. Tollefson1, R. Jeffrey Karnes1, Brian J. Davis3, Laureano J. Rangel4, Bernard F. King2, Lance A. Mynderse1

    Canadian Journal of Urology, Vol.21, No.3, pp. 7283-7289, 2014

    Abstract Introduction: To evaluate the ability of endorectal coil (e-coil) magnetic resonance imaging (MRI) to identify early prostatic fossa recurrence after radical prostatectomy.
    Materials and methods: We identified 187 patients from 2005–2011 who underwent e-coil MRI with dynamic gadolinium-contrast enhancement followed by transrectal ultrasound (TRUS) guided prostatic fossa biopsy for possible local prostate cancer recurrence. For analysis, local recurrence was defined as a negative evaluation for distant metastatic disease with a positive prostatic fossa biopsy, decreased prostate-specific antigen (PSA) following salvage radiation therapy, or increased lesion size on serial imaging.
    Results: Local recurrence was identified in 132 patients, with… More >

  • Open Access

    ARTICLE

    Lactobacillus for preventing recurrent urinary tract infections in women: meta-analysis

    Peter M. Grin1,2, Paulina M. Kowalewska3, Waleed Alhazzani1, Alison E. Fox-Robichaud1,2

    Canadian Journal of Urology, Vol.20, No.1, pp. 6607-6614, 2013

    Abstract Introduction: Urinary tract infections (UTIs) are the most common infections affecting women, and often recur. Lactobacillus probiotics could potentially replace low dose, long term antibiotics as a safer prophylactic for recurrent UTI (rUTI). This systematic review and meta-analysis was performed to compile the results of existing randomized clinical trials (RCTs) to determine the efficacy of probiotic Lactobacillus species in preventing rUTI.
    Materials and methods: MEDLINE and EMBASE were searched from inception to July 2012 for RCTs using a Lactobacillus prophylactic against rUTI in premenopausal adult women. A random-effects model meta-analysis was performed using a pooled risk ratio,… More >

  • Open Access

    ARTICLE

    Percutaneous cryoablation for recurrent low grade renal cell carcinoma after failed nephron-sparing surgery

    Matthew A. Morgan1, Nathan R. Roberts2, Laura A. Pino1, Edouard J. Trabulsi2,3, Daniel B. Brown1,3, Leonard G. Gomella2,3, Costas D. Lallas2,3

    Canadian Journal of Urology, Vol.20, No.5, pp. 6933-6937, 2013

    Abstract Introduction: Partial nephrectomy has a 3%-4% incidence of local treatment failure. This study is to present a series of percutaneous cryoablation for locally recurrent renal cell carcinoma after partial nephrectomy.
    Materials and methods: Five consecutive patients were referred to our quaternary center’s multidisciplinary Small Renal Mass (SRM) Center for assessment after failure of partial nephrectomy. Tumor size and location was noted. CT-guided cryoablation was performed using an argon/helium-based system (Healthtronics, Austin, Texas, USA). Patients were admitted overnight for observation. Patients were followed with serial imaging, laboratory tests and examination at our SRM Center. Tumor size, location, and… More >

  • Open Access

    REVIEW

    Salvage therapy for locally recurrent prostate cancer after radiation

    David M. Marcus1,5, Daniel J. Canter2,5, Ashesh B. Jani1,2,5, Ryan W. Dobbs2, David M. Schuster3, Bradley C. Carthon4,5, Peter J. Rossi1,2,5

    Canadian Journal of Urology, Vol.19, No.6, pp. 6534-6541, 2012

    Abstract Introduction: External beam radiotherapy (EBRT) is widely utilized as primary therapy for clinically localized prostate cancer. For patients who develop locally recurrent disease after EBRT, local salvage therapy may be indicated. The primary modalities for local salvage treatment in this setting include radical prostatectomy, cryotherapy, and brachytherapy. To date, there is little data describing outcomes and toxicity associated with each of these salvage modalities.
    Materials and methods: A review of the literature was performed to identify studies of local salvage therapy for patients who had failed primary EBRT for localized prostate cancer. We focused on prospective trials… More >

  • Open Access

    ARTICLE

    Genetic variations in the interleukin-21 gene and the risk of recurrent idiopathic spontaneous miscarriage

    Safia Messaoudi1, Ghada M. Al-Khateeb2, Maryam Dendana1, Mai S. Sater2, Khaled B. Jazia3, Mounia Nouira4, Wassim Y. Almawi2, Touhami Mahjoub1

    European Cytokine Network, Vol.22, No.2, pp. 123-126, 2011, DOI:10.1684/ecn.2011.0287

    Abstract Objectives. Insofar as recurrent spontaneous miscarriage (RSM) is linked with dysregulated immunity and inflammatory changes, and given the pro-inflammatory role of interleukin-21 (IL-21), we examined the association between IL-21 polymorphisms and RSM. Methods and results. IL-21 rs2055979, rs13143866, rs9992580, and rs4833837 were genotyped in 235 cases of RSM and 235 controls. Regression analysis was employed in assessing the contribution of IL-21 variants to the overall RSM risk. Higher minor allele and genotype frequencies of rs2055979 and rs13143866, but not rs9992580 or rs4833837, were seen in RSM patients than in the controls. IL-21 haplotype [rs9992580/rs4833837/rs2055979/rs13143866] analysis More >

  • Open Access

    ARTICLE

    No predictive value of serum interleukin-6 and transforming growth factor-β1 in identifying patients with a first restenosis, recurrent restenosis or a history of restenosis

    Bartosz Hudzik1, Janusz Szkodzinski1, Wojciech Romanowski2, Krzysztof Wilczek1, Rafal Wojnar1, Andrzej Lekston1, Lech Polonski1, Barbara Zubelewicz-Szkodzinska2

    European Cytokine Network, Vol.20, No.3, pp. 135-139, 2009, DOI:10.1684/ecn.2009.0160

    Abstract Background. The efficacy of percutaneous coronary intervention (PCI) is limited by the need for repeat revascularization resulting from restenosis. The restenosis rate after treatment for in-stent restenosis (recurrent restenosis) is high (> 30%). Numerous studies have suggested the predictive value of interleukin 6 (IL-6) and transforming growth factor β1 (TGF-β1). Methods. We sought to determine whether serum levels of IL-6 and TGF-β1 could help identify individuals with recurrent restenosis. Thirty seven patients with a history of stent implantation were enrolled and divided into three groups: (1) patients with a current, first restenosis (n = 9);… More >

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