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  • Open Access

    RESIDENT’S CORNER

    Congenital urethral polyps in the pediatric population

    Xiaolong S. Liu1, Portia A. Kreiger2, Sharon W. Gould3, Jennifer A. Hagerty1

    Canadian Journal of Urology, Vol.20, No.5, pp. 6974-6977, 2013

    Abstract Congenital urethral polyps are a rare entity. Most commonly, they present as benign posterior urethral growths in the pediatric male patient. However, reports of urethral polyps in female patients or even those with an anterior urethral location can also be found in the literature. Patients can present with a spectrum of symptoms including dysuria, hematuria, and obstructive type urinary complaints. Diagnosis in these cases includes a combination of medical imaging (e.g. ultrasound, fluoroscopic, CT or MRI), direct endoscopic visualization, and final surgical pathology. Treatment involves surgical removal either via an endoscopic or open approach. More >

  • Open Access

    RESIDENT’S CORNER

    Acute bilateral ureteral obstruction secondary to guaifenesin toxicity

    Patrick A. Cockerill, Mitra R. de Cógáin, Amy E. Krambeck

    Canadian Journal of Urology, Vol.20, No.5, pp. 6971-6973, 2013

    Abstract Several medications or their metabolites have been associated with urolithiasis, although overall they remain an infrequent cause of urolithiasis. Guaifenesin stones were originally reported as complexed with ephedrine, and subsequent reports have demonstrated pure guaifenesin stones, occurring after long term abuse. We report a case of a 23-year-old male who ingested a large, one time dose of guaifenesin, resulting in acute bilateral ureteral obstruction, which, to our knowledge, is the frst such reported case in the literature. More >

  • Open Access

    RESIDENT’S CORNER

    Adrenal lymphangioma: a rare cystic lesion of the adrenal

    Michael W. Sourial1, Nicole van Rossum2, Robert Sabbagh1

    Canadian Journal of Urology, Vol.20, No.5, pp. 6968-6970, 2013

    Abstract We herein report the case of a left adrenal lymphangioma in a 52-year-old asymptomatic female and review the pertinent literature relatable to this rare, benign lesion. More >

  • Open Access

    RESIDENT’S CORNER

    Renal cell carcinoma presenting with brain metastasis from a 1.6 cm primary tumor

    Heather J. Chalfin, Grzegorz T. Gurda, Hans-Joerg Hammers, George J. Netto, Trinity J. Bivalacqua

    Canadian Journal of Urology, Vol.20, No.5, pp. 6964-6967, 2013

    Abstract Small renal cell carcinoma (RCC) tumors are believed to have a negligible risk of metastasis. We report on a 77-year-old man presenting with extremity weakness who was found to have a 2.5 cm brain metastasis from a subsequently discovered 1.6 cm clear cell RCC primary tumor. We review what is known about synchronous and metachronous metastasis from small renal tumors and prognostic features informing treatment for such lesions. More >

  • Open Access

    RESIDENT’S CORNER

    A magnetic mass within the bladder

    Fahad Alyami, Jeffrey Himmelman, Thomas Whelan

    Canadian Journal of Urology, Vol.20, No.5, pp. 6962-6963, 2013

    Abstract A search of the literature finds that there have been many case reports documenting a wide array of objects found within the bladder, ranging from magnets and paper clips to telephone and aluminum wire. The goal of treatment is to remove the object quickly, using the least invasive method possible. Therefore, the ideal treatment is removal through endoscopic means; however, in some cases, the size, mobility and shape of the foreign body can prevent its removal endoscopically and more invasive means must be employed. We present a case of a patient who inserted 150 magnetic More >

  • Open Access

    HOW I DO IT

    Robot assisted radical prostatectomy: how I do it. Part I: patient preparation and positioning

    Roger F. Valdivieso, Pierre-Alain Hueber, Kevin C. Zorn

    Canadian Journal of Urology, Vol.20, No.5, pp. 6957-6961, 2013

    Abstract Radical prostatectomy remains the standard treatment for long term cure of clinically localized prostate cancer, offering excellent oncologic outcomes, with cancer-specific survival approaching 95% at 15 years after surgery. The introduction of the “da Vinci Robotic Surgical System” (Intuitive Surgical, Sunnyvale, CA, USA) has been another important step toward a minimally invasive approach to radical prostatectomy. Technologic peculiarities, such as three-dimensional vision, wristed instrumentation with seven degrees of freedom of motion, lack of tremor, a 10x-magnifcation and a comfortable seated position for the surgeon has added value to the surgeon and patient. In this frst More >

  • Open Access

    COMMENTARY

    Laparoscopic orchidopexy for bilateral intra-abdominal testes

    Lane S. Palmer

    Canadian Journal of Urology, Vol.20, No.5, pp. 6956-6956, 2013

    Abstract This article has no abstract. More >

  • Open Access

    PEDIATRIC UROLOGY

    Outcome of bilateral laparoscopic Fowler-Stephens orchidopexy for bilateral intra-abdominal testes

    Ahmed S. Safwat1, Hisham M. Hammouda1, Adel A. Kurkar1, Nabil K. Bissada2

    Canadian Journal of Urology, Vol.20, No.5, pp. 6951-6955, 2013

    Abstract Introduction: To evaluate the outcome of bilateral laparoscopic Fowler-Stephens orchidopexy (BLFSO) for bilateral intra-abdominal testes.
    Materials and methods: Prospectively, all patients with bilateral intra-abdominal testes between 2006 and 2010 were included in this study. Patients’ data were analyzed for age, procedure whether single stage or staged Fowler-Stephens, intraoperative and postoperative complications, and follow-up results.
    Results: BLFSO was performed in a total of 48 testes in 24 boys with a median age of 31.6 months (range 12 to 150). All procedures were performed on an outpatient basis. Of the 24 boys, six were managed with a single stage BLFSO. More >

  • Open Access

    COMMENTARY

    Renal radiosurgery: cautious optimism

    Lee E. Ponsky

    Canadian Journal of Urology, Vol.20, No.5, pp. 6950-6950, 2013

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    CyberKnife for inoperable renal tumors: Canadian pioneering experience

    Vimoj J. Nair1, Janos Szanto2, Eric Vandervoort2, Ilias Cagiannos3, Rodney Breau3, Colin Malone1, Leonard Avruch4, Jason Pantarotto1, Shawn Malone1

    Canadian Journal of Urology, Vol.20, No.5, pp. 6944-6949, 2013

    Abstract Introduction: Stereotactic ablative body radiotherapy (SABR) is currently under study regarding its clinical application in management of patients with kidney tumors. CyberKnife can accurately deliver ablative tumor radiation doses while preserving kidney function. We report Canada's first use of CyberKnife SABR system in treating primary kidney tumors.
    Materials and methods: Between January 2011 and February 2012, we treated three patients with renal tumors using CyberKnife SABR. Two patients had tumors in solitary kidney. The third patient had a recurrent tumor after two previous radiofrequency ablation treatments. Platinum seed fiducials were used for real time tumor tracking. Magnetic… More >

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