Idir Ouzaid¹, Jean-François Hermieu¹, Sébastien Dominique¹, Pedro Fernandez², Laurence Choudat³, Vincent Ravery¹

Canadian Journal of Urology, Vol.17, No.5, pp. 5405-5407, 2010

Abstract Introduction: We present a case of a differentiated adenocarcinoma of the female urethra, which caused dysuria and voiding dysfunction.
Materials and methods: A 54-year-old female presented with dysuria and the sensation of incomplete voiding.
Results: An ultrasound-guided biopsy showed a urethral carcinoma. A magnetic resonance imaging (MRI) scan showed a high-stage tumor. The patient had a pelvic exenteration. The patient was free of disease after 2 years of follow up.
Conclusion: Urethral carcinoma is a rare malignancy. A biopsy is necessary to make a diagnosis. MRI is the best imaging for tumor staging. Small tumors are treated with a More >

Tahsin Turunc, Baris Kuzgunbay, Umit Gul, Hakan Ozkardes

Canadian Journal of Urology, Vol.17, No.6, pp. 5478-5479, 2010

Abstract Ureteral avulsion due to lumbar disc surgery is a rare complication and to our knowledge, only a few cases have been reported in the literature. A43-year-old woman was admitted to our clinic with right lumbar pain following spinal surgery for discopathy. Complete right ureteral avulsion was detected and successfully treated by end-to-end anastomosis of the ureter with an internal double J stent. More >

Attila Szendröi¹, Miklós Szendröi², Miklós Szücs¹, Eszter Székely³, Imre Romics¹

Canadian Journal of Urology, Vol.17, No.6, pp. 5475-5477, 2010

Abstract Case report: A renal cell cancer patient with late onset of multiorgan metastases showed an unusually long survival following surgical resection. Femoral metastasis appeared 11 years, and contralateral kidney and adrenal gland metastasis 19 years after the primary nephrectomy, respectively. Following the resection of the femur and implantation of endoprosthesis and removal of adrenal gland and partial nephrectomy, the patient was disease-free 20 years after the first diagnosis of cancer.
Conclusion: The long survival and successful treatment underline the importance and efficiency of radical metastasectomy even in the case of late onset multiorgan metastases of renal cell More >

Jack Barkin

Canadian Journal of Urology, Vol.17, No.6, pp. 5424-5424, 2010

Abstract This article has no abstract. More >

Bruce L. Jacobs, Erin P. Gibbons, Bishoy A. Gayed, Joseph L. Whetstone, Ronald L. Hrebinko, Jr.

Canadian Journal of Urology, Vol.16, No.1, pp. 4507-4511, 2009

Abstract Objectives: The presentation of synchronous bilateral renal lesions is rare. We report our experience with the surgical management of these lesions in both a single and staged procedure.
Methods: We retrospectively reviewed the records of all patients with bilateral synchronous renal lesions who underwent surgical management by one surgeon between 2000-2007. We compared characteristics including pre and postoperative renal function, complication rates, and oncological outcomes between the single and staged cohorts. Data were analyzed using descriptive statistics, Student's t-test, and Fisher's exact test.
Results: A total of 26 patients (73% male, mean age 65.5 ± 12.2 years) with… More >

John G. Pattaras¹, Ross Milner²

Canadian Journal of Urology, Vol.16, No.2, pp. 4596-4598, 2009

Abstract Introduction: Laparoscopic radical nephrectomy has become an international standard of care for medium to large renal tumors. Endovascular aneurysm repair (EVAR) has been accepted as a reasonable alternative to open abdominal aortic aneurysm (AAA) repair. We report a case of minimally invasive management of two potentially lethal diseases in a single hospitalization.
Patient and methods: The patient is a 76-year-old male who was found to have an incidental finding of an AAA and an enhancing 9 cm left central renal mass. He was deemed to be an appropriate candidate for endovascular AAA repair and laparoscopic nephrectomy based… More >

George L. Martin, Rafael N. Nunez, Aaron D. Martin, Paul E. Andrews, Erik P. Castle

Canadian Journal of Urology, Vol.16, No.2, pp. 4580-4583, 2009

Abstract Introduction: Flank positioning with the patient's ipsilateral arm elevated over the head on an arm board is often used during laparoscopic kidney surgery. There have been reports of brachial plexus neuropraxia, rhabdomyolysis and other complications related to this positioning. Herein we describe our modified positioning technique for laparoscopic renal surgery.
Method: Beginning in November 2003, all patients undergoing laparoscopic renal surgery have been positioned in the 30 degree modified flank position. The ipsilateral arm is not elevated on an arm board but lies in an ergonomic "sling" position with the elbow flexed slightly greater than 90 degrees.… More >

Abdullah Erdem Canda, Ali Fuat Atmaca, Ahmet Tunc Ozdemir, Ziya Akbulut, M. Derya Balbay

Canadian Journal of Urology, Vol.16, No.3, pp. 4677-4681, 2009

Abstract Objective: We present our experience in performing testis sparing surgery (TSS) to treat sequential bilateral testicular tumors.
Material and methods: We performed TSS on two patients with bilateral sequential testicular tumors.
Results: A 43-year-old patient (Case 1) and a 33-year-old patient (Case 2) had previous inguinal orchiectomy for seminoma. The patients were diagnosed with secondary testicular tumors in the contralateral testes on follow-up. They were treated with TSS after frozen section analysis of the peritumoral testicular tissue. Pathologic evaluation of the removed tumors revealed immature teratoma and Leydig cell tumor. Both patients are disease-free without local recurrence and More >

J. Kellogg Parsons^1-3, Vicky A. Newman², James L. Mohler⁴, John P. Pierce², Shirley Flatt², Karen Messer², James Marshall⁴

Canadian Journal of Urology, Vol.16, No.3, pp. 4648-4654, 2009

Abstract Introduction: Diet has been linked to prostate cancer risk. Dietary modification may inhibit prostate cancer progression.
Materials and methods: As part of a randomized trial, we analyzed the effect of a diet based intervention on 25 prostate cancer patients who had previously undergone surgery or radiation.
Results and conclusions: In the intervention arm, vegetable intake increased (p < 0.05), fat intake decreased (p < 0.05), and mean plasma levels of ß-carotene and total carotenoids increased (p < 0.05). In the control arm, there were no significant changes in diet or blood carotenoids. These data support the feasibility of studying More >

Karim Bensalah¹, Jay D. Raman^1,3, Ilia S. Zeltser¹, Aditya Bagrodia¹, Steven M. Lucas¹, Wareef Kabbani², Jeffrey A. Cadeddu¹

Canadian Journal of Urology, Vol.16, No.3, pp. 4632-4638, 2009

Abstract Objective: To compare kidney oxygenation profiles between partial and complete renal artery clamping during nephron sparing surgery (NSS) in a porcine model.
Materials and methods: Twelve female farm pigs underwent a laparoscopic nephrectomy. Subsequently, an open partial nephrectomy was performed on the remaining kidney using either total (n = 6, TC) or partial (n = 6, PC) clamping of the renal artery. Real time renal partial oxygen pressure (rPO2) was monitored using a Licox probe (Integra, San Diego, CA). Creatinine levels were measured prior to open partial nephrectomy and on POD #3 and #7. The remaining kidney… More >