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  • Open Access

    ARTICLE

    Percutaneous nephrolithotomy: critical analysis of unfavorable results

    Abdulkader Alobaidy, Abdulla Al-Naimi, Khalid Assadiq, Haidar Alkhafaji, Abdulla Al-Ansari, Ahmed A. Shokeir

    Canadian Journal of Urology, Vol.18, No.1, pp. 5542-5547, 2011

    Abstract Objective: To identify the risk factors of unfavorable results of percutaneous nephrolithotomy (PCNL).
    Patients and methods: A total of 602 patients were subjected to 616 PCNL procedures. Patients were divided into two groups according to the results of treatment. Group 1 with favorable results includes patients who became stone free after a single PCNL procedure without major complications. Group 2 with unfavorable results includes three subgroups: a) Patients who developed major complications, b) Those who required second major intervention to complete stone removal, and c) Patients with residual stones > 4 mm at 3 month. Risk factors… More >

  • Open Access

    EDITORIAL COMMENT

    Re: Radical nephrectomy and inferior vena caval thrombectomy: outcomes in a lower volume practice

    Kevin R. Loughlin

    Canadian Journal of Urology, Vol.18, No.1, pp. 5541-5541, 2011

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Radical nephrectomy and inferior vena caval thrombectomy: outcomes in a lower volume practice

    John B. Calhoun, Todd D. Merchen, James A. Brown

    Canadian Journal of Urology, Vol.18, No.1, pp. 5537-5541, 2011

    Abstract Introduction: Surgical volume correlates with improved outcomes for some complex urologic procedures. We reviewed the outcomes of a lower volume practice (1-2 cases per year) experience with radical nephrectomy with infra/retrohepatic vena caval thrombectomy (RNCT).
    Methods: We retrospectively reviewed 10 patients who underwent RNCT performed by a single surgeon at a single state institution over 7 years (2002-2009). Patient demographics, presenting symptoms, preoperative imaging, intraoperative findings, pathology, hospital course, outcomes, level of caval involvement, renal artery embolization, liver mobilization, blood loss, transfusion requirements and follow up times were recorded.
    Results: Median patient BMI (n=8) was 25.7 (18.3-31.9). Eight… More >

  • Open Access

    EDITORIAL COMMENT

  • Open Access

    ARTICLE

    Can we identify those patients who will benefit from prostate-sparing surgery? Predictive factors for invasive prostatic involvement by transitional cell carcinoma

    Jacobo Arce, Josep M. Gaya, Jorge Huguet, Oscar Rodriguez, Joan Palou, Humberto Villavicencio

    Canadian Journal of Urology, Vol.18, No.1, pp. 5529-5536, 2011

    Abstract Objectives: To determine which patients may benefit from prostate-sparing surgery and which factors are predictive of invasive prostatic involvement.
    Materials and methods: A total of 717 men underwent radical cystoprostatectomy (RC) for bladder transitional cell carcinoma (TCC) between 1978 and 2002. Analysis of prostatic urethral involvement by transitional cell carcinoma (pTCC) and of invasive prostatic involvement by TCC was performed according to recurrence, presence of carcinoma in situ (CIS) and multifocality, previous intravesical chemotherapy, grade, stage and location of bladder tumor, presence of CIS in precystectomy transurethral resection (TUR) and indication for RC.
    Results: pTCC was present in… More >

  • Open Access

    EDITORIAL COMMENT

    Re: Penile cancer: an analysis of socioeconomic factors at a southeastern tertiary referral center

    Paul K. Hegarty

    Canadian Journal of Urology, Vol.18, No.1, pp. 5528-5528, 2011

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Penile cancer: an analysis of socioeconomic factors at a southeastern tertiary referral center

    Matthew McIntyre1, Avi Weiss2, Amy Wahlquist1, Thomas Keane1, Harry Clarke1, Stephen Savage1

    Canadian Journal of Urology, Vol.18, No.1, pp. 5524-5528, 2011

    Abstract Introduction: Penile cancer is rare, often presenting in later stages. We sought to determine if factors potentially related to access to care were associated with worse outcomes.
    Methods: We performed a retrospective review of all patients with the diagnosis of penile cancer over a 14 year period at the only tertiary referral center in the state. We collected data on multiple factors potentially associated with access to care.
    Results: Fifty-fve patients with penile cancer were identifed. The average age was 57 years. Of the 55 patients, 23 patients (42%) had private insurance carriers, 16 (29%) had Medicare/Medicaid, 13… More >

  • Open Access

    ARTICLE

    BCG prophylaxis in bladder cancer produces activation of recruited neutrophils

    Francesca Vita1, Salvatore Siracusano2, Rita Abbate1, Stefano Ciciliato2, Violetta Borelli1, Maria Rosa Soranzo1, Giuliano Zabucchi1

    Canadian Journal of Urology, Vol.18, No.1, pp. 5517-5523, 2011

    Abstract Introduction: Bacillus Calmette-Guérin (BCG) is used to treat high risk superficial bladder cancer, but its anti-tumor effect remains incompletely defined. Recently a role for polymophonuclear (PMN) neutrophils has been suggested. To investigate the role of granulocytes, we monitored the activation state of these cells in the urine of BCG-treated patients.
    Materials and methods: Ten patients with stage T1, grade 3 (T1G3) transitional cell carcinoma received an 8 week course of BCG after undergoing transurethral resection of the bladder. Cytological and enzymatic analyses of urine samples collected before and 2 hours after the physiological expulsion of BCG were… More >

  • Open Access

    REVIEW

    Chronic monitoring of bladder volume: a critical review and assessment of measurement methods

    Arnaldo Mendez, Mohamad Sawan

    Canadian Journal of Urology, Vol.18, No.1, pp. 5504-5516, 2011

    Abstract Chronic monitoring of bladder volume can improve the clinical diagnosis and the choice of therapeutic approach for patients suffering from urinary dysfunction. It can also be employed to notify patients or healthcare personnel when the bladder should be emptied. An early warning can be triggered either when functional bladder capacity is reached or when an abnormally high postvoiding residual volume remains in the bladder after an unfinished voiding. Currently, neuroprosthetic implants are used in the treatment of refractory patients with overactive bladder, with urgency-frequency or with voiding complications. These implants can further enhance their performance, More >

  • Open Access

    LEGENDS IN UROLOGY

    LEGENDS IN UROLOGY

    Guy Vallancien

    Canadian Journal of Urology, Vol.18, No.1, pp. 5501-5503, 2011

    Abstract This article has no abstract. More >

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