Paul F. Schellhammer

Canadian Journal of Urology, Vol.23, No.3, pp. 8261-8264, 2016

Abstract This article has no abstract. More >

Timothy D. Averch

Canadian Journal of Urology, Vol.23, No.3, pp. 8260-8260, 2016

Abstract This article has no abstract. More >

Canadian Journal of Urology, Vol.23, No.4, pp. 8395-8428, 2016

Abstract This article has no abstract. More >

Yuding Wang, Shawn Dason, Bobby Shayegan

Canadian Journal of Urology, Vol.23, No.4, pp. 8388-8394, 2016

Abstract Abiraterone acetate (AA) is a selective irreversible inhibitor of CYP 17, a key enzyme in androgen biosynthesis. The efficacy and safety of AA in improving survival and quality of life in metastatic castration resistant prostate cancer (mCRPC) has been demonstrated in two landmark clinical trials (COU-AA-301 and COU-AA-302). This article will review the rationale, pharmacology, clinical indications and contraindications, administration, and adverse effects of AA administration in mCRPC. More >

Matheus Miranda Paiva, Rodrigo Donalisio da Silva, Paulo Jaworski, Fernando J. Kim, Wilson R. Molina

Canadian Journal of Urology, Vol.23, No.4, pp. 8385-8387, 2016

Abstract Subcapsular hematoma is an uncommon complication after ureteroscopy and laser lithotripsy. We report on a 38-year-old male with an 8 mm lower pole stone who underwent a left ureteroscopy and laser lithotripsy. The stone was successfully fragmented. Several hours after being discharged home, the patient returned complaining of back pain and hematuria. He was hemodynamically stable. Laboratory exams were normal. ACT study showed a crescent renal subcapsular hematoma surrounding the left kidney. The patient was admitted to the ward for conservative treatment. No additional intervention was necessary. Most subcapsular hematomas tend to resolve spontaneously. More >

Anant Shukla¹, Matthew Stringer², Pansy Uberoi², Steven Hudak², George Kallingal²

Canadian Journal of Urology, Vol.23, No.4, pp. 8382-8384, 2016

Abstract Extramammary Paget’s disease (EMPD) is a rare intraepithelial adenocarcinoma arising from apocrine glands. We describe an innovative surgical technique to manage extensive cutaneous malignancies in a notoriously challenging location. The patient is a 78-year-old male who presented with “jock itch” on his left groin refractory to topical treatment. A shave biopsy of the lesion demonstrated non-invasive EMPD which yielded a urology consult. Rather than the standard wide local excision (WLE), which can lead to positive margins, progression, and recurrence, we used a modified the Mohs technique and staged the procedure, providing excellent oncologic and cosmetic More >

Matthew A. Uhlman¹, Mark D. Bevill¹, Michael J. Goodheart², James A. Brown¹, Michael A. O’Donnell¹

Canadian Journal of Urology, Vol.23, No.4, pp. 8379-8381, 2016

Abstract Urothelial carcinoma is the 2^nd most common cancer of the urinary tract and accounts for the majority of cases of bladder cancer. Metastases are not infrequently encountered, increasing with disease stage and are most commonly seen in the bones and lungs. Many other sites have been described including the omentum, liver, and ovaries. An extremely rare site of metastatic disease however is within the vagina. Here we present a case of a probable vaginal “drop metastasis” from previously treated urothelial carcinoma in the ureter and bladder. More >

Nicholas J. Farber¹, Justin Dubin², Jaspreet Parihar³, Chris Han¹, Michael S. Lasser³

Canadian Journal of Urology, Vol.23, No.4, pp. 8375-8378, 2016

Abstract We describe the case of a 50-year-old male with achondroplastic dwarfism who presents with a renal mass in his left kidney concerning for renal cell carcinoma. The patient successfully underwent a robotic partial nephrectomy, which revealed a T1a renal cell carcinoma. The tumor was excised successfully without any intraoperative complications demonstrating that a robotic partial nephrectomy is technically both safe and effective in patients with achondroplastic dwarfism. More >

Justin B. Ziemba¹, Matthew E. Sterling², Phillip Mucksavage²

Canadian Journal of Urology, Vol.23, No.4, pp. 8368-8374, 2016

Abstract Introduction: To determine the contemporary practice patterns of academic emergency department (ED) providers in the United States for an episode of acute renal colic.
Materials and methods: A 30-question survey was developed to assess ED providers' clinical decision making for an index patient with acute renal colic. The survey population was all attending and resident physicians affiliated with an American emergency medicine residency program with an institutional profile available on the Society for Academic Emergency Medicine (156 programs; 95% of programs in the United States). The survey was conducted in October 2014. A response rate of 8.1%… More >

Salim Said Al Busaidy, Santhosh Narayana Kurukkal, Qais Mohamed Al Hooti, Mohammed Sdky Alsaraf, Said Abdallah Al Mamari, Ahmed Khamis Al Saeedi

Canadian Journal of Urology, Vol.23, No.4, pp. 8364-8367, 2016

Abstract Introduction: The European Association of Urology (EAU) and the American Urological Association (AUA) guidelines recommend percutaneous nephrolithotomy (PCNL) as the first-line treatment of renal stones greater than 20 mm, however multistage retrograde intrarenal stone surgery (RIRS) is reported to have high stone-free rates (SFR), fewer complications and a rapid learning curve. This study presents our experience of RIRS in the management of 2 cm-4 cm renal stones.
Materials and methods: A retrospective study was performed of all patients who underwent RIRS for 2 cm-4 cm renal stones over a period of 22 months. The demographics of 71… More >