Jack Barkin

Canadian Journal of Urology, Vol.23, No.3, pp. 8306-8307, 2016

Abstract This article has no abstract. More >

Tu D. Dan¹, Laura Doyle¹, Amar J. Raval², Andrew Pridjian², Leonard G. Gomella², Robert B. Den¹

Canadian Journal of Urology, Vol.23, No.3, pp. 8301-8305, 2016

Abstract Radium-223 dichloride is a first-in-class bone-directed radiopharmaceutical that has been shown to prolong survival in men with metastatic castrate resistant prostate cancer (mCRPC). Unlike other radiopharmaceuticals, radium-223 uniquely uses alpha-emission to deliver high intensity, short range cytoxic treatments resulting in minimal myelosuppression. Following the results of the ALSYMPCA trial, radium-223 (Xofigo) was FDA approved in the United States in May 2013 and approved by Health Canada in December 2013 for the treatment of mCRPC with symptomatic bone metastases and no visceral disease. This “How I do it” article describes the background of radium 223 as More >

Thomas McGregor¹, Tadeuz Kroczak¹, Chun Huang¹, Joshua Koulack²

Canadian Journal of Urology, Vol.23, No.3, pp. 8296-8300, 2016

Abstract Ureteric stricture is the most common urologic complication following renal transplantation. Initial treatment should consist of endoscopic management; however, patients that fail endoscopic management or strictures that are not amenable to endoscopic management are appropriate candidates for open surgical repair. In this manuscript, we describe the steps and surgical technique we use to manage complicated ureteric strictures refractory to endoscopic management at our center. Ureteric re-implant with the use of a Boari flap is a safe, effective, and definitive option for repair of ureteric strictures following renal transplantation. This approach provides excellent long-term outcomes in More >

Jordan A. Siegel, Lee Zhao, Isamu Tachibana, Scott Carlson, Timothy J. Tausch, Alexandra K. Klein, Alex Vanni, Thomas Rozanski, Allen F. Morey

Canadian Journal of Urology, Vol.23, No.3, pp. 8291-8295, 2016

Abstract Introduction: To present a series of patients who underwent surgical treatment for massive localized lymphedema (MLL) of the male genitalia and explore the utility of the LigaSure hemostatic vessel sealing device (VSD) for resection of advanced cases.
Materials and methods: Although conservative and microsurgical treatments have been reported, MLL of the male genitalia requires open surgical resection with primary reconstruction. We reviewed our prospectively maintained database of all lymphedema excisions performed between January 2007 and December 2014 comparing resection with Bovie electrocautery to resection with the LigaSure VSD. Our analysis focused on any significant differences in rate… More >

Turgay Ebiloglu¹, Yasin Aydogmus¹, Engin Kaya², Ender Oral¹, Omer Kaplan¹, Yusuf Kibar²

Canadian Journal of Urology, Vol.23, No.3, pp. 8285-8290, 2016

Abstract Introduction: To evaluate the effect of physical activity on varicocele pain and how different varicocelectomy techniques relieve this pain.
Materials and methods: Between November 2012 and January 2015, a total of 64 patients with left groin pain and clinical varicocele were enrolled in this study. A visual analogue scale (VAS) classifying the pain in ten scores was used to assess the severity of pain before and after beginning continuous physical activity, and after operations. Patients were randomly divided into three groups. Group 1 had open sub-inguinal varicocelectomy, Group 2 had loupe-assisted sub-inguinal varicocelectomy and Group 3 had… More >

Swati Yanamadala¹, Benjamin I. Chung¹, Tina M. Hernandez-Boussard²

Canadian Journal of Urology, Vol.23, No.3, pp. 8279-8284, 2016

Abstract Introduction: Prostate cancer is an extremely prevalent cause of morbidity and mortality among American men. Several different treatments exist, but differences in utilization between these treatments are not well understood.
Materials and methods: We performed an observational study using administrative datasets linked to hospital survey data, which included non-metastatic prostate cancer patients receiving robot-assisted radical prostatectomy (RARP) or open radical prostatectomy (ORP) in California, Florida, or New York from 2009-2011. We developed two hierarchical regression models with fixed effect accounting for hospital clustering and physician clustering to determine factors associated with utilization of RARP versus ORP at… More >

John Phillips

Canadian Journal of Urology, Vol.23, No.3, pp. 8278-8278, 2016

Abstract This article has no abstract. More >

Patrick A. Kenney¹, Cayce B. Nawaf¹, Mahmoud Mustafa², Sijin Wen³, Matthew F. Wszolek⁴, Curtis A. Pettaway⁵, John F. Ward⁵, John W. Davis⁵, Louis L. Pisters⁵

Canadian Journal of Urology, Vol.23, No.3, pp. 8271-8277, 2016

Abstract Introduction: To describe immediate perioperative outcomes of robot-assisted laparoscopic salvage radical prostatectomy for recurrent cancer following radiation therapy, and compare outcomes to a contemporary open surgical cohort.
Materials and methods: A total of 39 patients underwent salvage radical prostatectomy with pelvic lymphadenectomy (20 robotic, 19 open) for local recurrence following radiation therapy at a single institution between 2007 and 2011. Intraoperative parameters, postoperative complications, and oncological outcomes were recorded. Wilcoxon rank-sum test and Fisher's exact test were used for comparison of continuous and categorical variables respectively. Mean values of numeric variables are reported with standard deviation.
Results: The… More >

Nicole E. Tuong¹, Adam P. Klausner², Lance J. Hampton²

Canadian Journal of Urology, Vol.23, No.3, pp. 8265-8270, 2016

Abstract Introduction: Cerebrovascular accidents, or strokes, are a common cause of morbidity and mortality in the United States. Urinary incontinence is a prevalent morbidity experienced by post-stroke patients that is associated with long term disability and institutionalization effects on these patients.
Materials and methods: An extensive literature review was conducted using multiple academic search engines using the keywords: "stroke," "CVA," "urinary incontinence," "urodynamics," "pharmacologic treatments," and "conservative treatments." Articles were reviewed and summarized to explain incidence, assessment, and treatments of urinary incontinence in post-stroke individuals.
Results: Twenty-eight percent to seventy-nine percent of stroke survivors experience urinary incontinence with detrusor… More >

Paul F. Schellhammer

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

Abstract This article has no abstract. More >