S. Tyldesley¹, A. Coldman², T. Pickles¹

Canadian Journal of Urology, Vol.11, No.4, pp. 2316-2321, 2004

Abstract Objective: To determine whether men who relapse after neoadjuvant androgen ablation (NAA) and high-dose radiation therapy (RT) have faster PSA doubling times (PSAdt) than those who are treated with RT alone.
Materials and methods: From a prospective database of 1880 patients treated with RT for localized prostate cancer, patients were selected for further study if they had a rising PSA profile >1 ng/ml, and were treated with either no NAA, or prolonged NAA (defined as 3-12 months NAA) with a minimum 5 years follow-up. The PSAdt was calculated from the exponential line of best fit from the… More >

Kamran Darabi, Adam M. Segal, Gilberto Torres

Canadian Journal of Urology, Vol.11, No.4, pp. 2314-2314, 2004

Abstract This article has no abstract. More >

Laurence H. Klotz

Canadian Journal of Urology, Vol.11, No.4, pp. 2312-2313, 2004

Abstract This article has no abstract. More >

S. Binsaleh^1,2, J. Corcos¹, M. M. Elhilali², S. Carrier¹

Canadian Journal of Urology, Vol.11, No.5, pp. 2411-2413, 2004

Abstract Mesenchymal tumors of the urinary bladder are rare and the majority of them are malignant. We report two cases of leiomyoma of the urinary bladder presenting with symptoms of bladder outlet obstruction. The first patient was managed with staged transurethral resections, and the second with holmium laser transurethral inoculation. The outcome was excellent in both cases. A review of the literature is also outlined. More >

Richard D. Sowery, D. Robert Siemens

Canadian Journal of Urology, Vol.11, No.5, pp. 2407-2410, 2004

Abstract Objective: To characterize tumor growth of patients managed conservatively for renal cell carcinoma.
Methods: Patients electing conservative management of radiographically determined renal cell carcinomas were referred to a surveillance database. Exclusion criteria consisted of locally advanced disease (>T2) and those with metastatic disease. Clinical follow-up included renal imaging with ultrasound or computed tomography at least every 6 months.
Results: Twenty-two patients were originally managed conservatively, two of whom subsequently underwent nephrectomy because of rapid tumor growth. Mean follow-up was 26 months. Mean tumor volume and diameter at presentation was 62.4 cc and 4.08 cm respectively. Overall tumor growth More >

Michael K. H. Eng¹, Andrew E. MacNeily¹, Lynn Alden²

Canadian Journal of Urology, Vol.11, No.5, pp. 2401-2406, 2004

Abstract Objectives: To develop a preliminary characterization of the urological personality.
Methods: Thirty-four urology residents (29 male) from all eleven Canadian training programs anonymously completed the Revised NEO personality inventory (NEO-PI-R©), a commercially available validated personality assessment tool in which participants agree or disagree with a compilation of 240 statements. A score is generated in each of five character traits according to the five factor theory of personality: extraversion (E), openness (O), conscientiousness (C), agreeableness (A) and neuroticism (N). The group mean on each scale was compared to the normative mean for the general adult population using one-sample,… More >

Patrick P.W. Luke, Andrew R. Girvan, Mohammed Al Omar, Kenneth A. Beasley, Michael Carson

Canadian Journal of Urology, Vol.11, No.5, pp. 2396-2400, 2004

Abstract We present the initial clinical experience using a robot to perform a laparoscopic dismembered pyeloplasty at a Canadian centre. Five patients were confirmed to have ureteropelvic junction obstructions through nuclear renography, cross sectional imaging and intravenous pyelography. After performing a retrograde ureteropyelography and double J stent placement, laparoscopic dismembered pyeloplasty was performed by a single surgeon at a remote workstation using the ZeusTM Telepresence Surgery System (Intuitive Surgical‚). The mean total operative time was 225±48 minutes, anastomotic time was 71±16 minutes, and the mean time required to set-up the robot was 30±17 minutes. The estimated… More >

Jeffrey S. Montgomery¹, Brent K. Hollenbeck¹, Peter C. Fisher¹, Hedwig S. Murphy^2,4, Willie Underwood, III^1,3

Canadian Journal of Urology, Vol.11, No.5, pp. 2393-2395, 2004

Abstract Scrotal masses are common findings on genitourinary exam. The majority of these masses are benign and can be identified via history and physical exam alone. Question as to the origin of these masses merits additional evaluation that typically consists of an imaging study (e.g., ultrasound) and possibly serum tumor markers (e.g., HCG and AFP). In the end, surgical exploration may be necessary. Herein, the authors describe a rare case of benign paratesticular Schwannoma and discuss the clinical presentation and treatment of scrotal masses. More >

Tony Choon Seng Woo, Richard Choo, Sarat Chander

Canadian Journal of Urology, Vol.11, No.5, pp. 2390-2392, 2004

Abstract Breast and prostate cancer occurring concurrently is a rare occurrence. However, the recent literature has reported that there is an increased incidence of male breast cancer in prostate cancer patients. The authors describe the case of a man who presented with breast cancer, which was preceded by prostate cancer. There are some common features in terms of the etiology, diagnosis and treatment of these two tumors which are discussed. More >

Amy E. Krambeck, Kent C. Krejci, David E. Patterson, Andrew J. LeRoy, Joseph W. Segura

Canadian Journal of Urology, Vol.11, No.5, pp. 2383-2389, 2004

Abstract Objective: Shock wave lithotripsy (SWL) is an attractive initial treatment for nephrolithiasis. Unfortunately, a significant number of stones are resistant to SWL therapy and require subsequent percutaneous ultrasonic lithotripsy (PUL) for definitive treatment. Our objective was to determine if previous SWL had adverse effects on PUL success and if there were differences between the patients undergoing primary PUL and those undergoing PUL after SWL failure.
Materials and methods: In 2001, 108 PULs were performed at our institution, of which 40 (37%) were performed after SWL failure. Stone location, anesthesia time, stone composition and size, and complication rates… More >