Gilles Molgat, Marjan Afrouzian, Kiril Trpkov

Canadian Journal of Urology, Vol.12, No.5, pp. 2837-2840, 2005

Abstract Renal medullary carcinoma is rare and extremely aggressive neoplasm that typically affects young patients of African decent who demonstrate sickle cell trait or disease. Since the original description in 1995, only few cases have been reported outside the United States. A 29 year-old Canadian male of Afro-Caribbean decent with sickle cell trait developed right-sided hemiparesis due to brain infarct. During the clinical work-up, a 3 cm renal tumor was detected in a horseshoe kidney. The patient died suddenly 2 weeks after the presentation of massive non-neoplastic pulmonary thromboembolism, confirmed at autopsy. The final diagnosis of More >

Chiu Yen M. Chang¹, Azim Gangji², Katherine Chorneyko³, Anil Kapoor¹

Canadian Journal of Urology, Vol.12, No.5, pp. 2829-2836, 2005

Abstract Objectives: BK polyomavirus (BKV) disease in renal transplant recipients has become an increasingly problematic clinical entity. Complications of BKV disease lead to chronic allograft nephropathy and ultimately loss in greater than 50% of cases. We reviewed our experience with BKV disease over a 5-year period.
Patients and methods: We performed 155 cadaveric and 168 live-related transplants between January 2000 and June 2005. During this period, seven patients had biopsy-confirmed BKV disease, which compromised the renal function of six cadaveric and one live-related renal transplant recipients. BKV was suspected as a potential cause of renal function deterioration after… More >

Anthony Cook¹, Antoine Khoury¹, Darius Bagli¹, Gordon A. McLorie², Alaa El-Ghoneimi³, Walid A. Farhat¹

Canadian Journal of Urology, Vol.12, No.5, pp. 2824-2828, 2005

Abstract Introduction and objectives: We previously reported the successful attainment of laparoscopic skills in a group of practicing pediatric urologists without previous formal laparoscopic training. During the mentorship period, the four urologists (trainees A, B, C, and D) performed a number of renal retroperitoneal laparoscopic procedures (RRLP) under the tutelage of an expert mentor. Specifically, trainee A performed or assisted in 8 RRLP while trainees B, C, and D performed/assisted in 10, 7, or 18 RRLP, respectively. Herein we assessed the outcome of this training program and practice pattern of this same group of urologists.
Methods: Following the… More >

P. I. Karakiewicz¹, P. Perrotte², L. Valiquette², F. Benard², M. McCormack², C. Menard², M. McNaughton Collins³, J. C. Nickel⁴

Canadian Journal of Urology, Vol.12, No.5, pp. 2816-2823, 2005

Abstract Introduction: The NIH Chronic Prostatitis Symptom Index (CPSI) is recommended in the clinical evaluation of men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). However, its use is not possible in French speakers, as it has not been validated in this population. We performed a linguistic validation of the CPSI.
Methods: Linguistic translation followed the forward-backward-forward technique and relied on professional medical translators, bilingual health professionals, and patient input. Along with the SF-12, the translated version was administered to a convenience sample of men presenting for pre-vasectomy visits (controls) and to consecutive patients with established CP/CPPS (cases). Men… More >

Anna R. Gagliardi¹, Neil Fleshner², Bernard Langer³, Hartley Stern³, Adalsteinn D. Brown⁴

Canadian Journal of Urology, Vol.12, No.5, pp. 2808-2815, 2005

Abstract Objectives: There is evidence of variation in both the processes and outcomes of prostate cancer care, resulting in possible harm to patients and increased costs to the health system. Care could be improved by first identifying critical, measurable indicators that correlate with quality of care. This work was conducted to develop indicators of prostate cancer care using a modified three-step Delphi approach.
Methods: A 17-member multidisciplinary panel reviewed potential indicators extracted from the medical literature through two consecutive rounds of rating followed by consensus discussion. The panel then prioritized the indicators selected in the previous two rounds.
Results:… More >

Laurence H. Klotz

Canadian Journal of Urology, Vol.12, No.5, pp. 2806-2806, 2005

Abstract This article has no abstract. More >

Derek P. Ottem, Andrew E. MacNeily, Iain W. McAuley

Canadian Journal of Urology, Vol.12, No.6, pp. 2901-2903, 2005

Abstract Xanthogranulomatous pyelonephritis (XGP) is a rare, chronic inflammatory lesion of the kidney associated with both chronic infection and obstruction. Most common in middle-aged females, it is important to recognize in children because it may be confused with childhood renal malignancies particularly Wilms’ tumor. We report a case of a 1-year old male with antenatally detected and postnatally confirmed hydronephrosis. Further investigation revealed a left incomplete duplex collecting system with obstructing lower pole stones, pelvicaliectasis and widespread foci of calcification. He underwent a left nephroureterectomy with the pathological report noting XGP. More >

Vincent Fradet, Michael McCormack, Paul Perrotte, Pierre Karakiewicz, Fred Saad

Canadian Journal of Urology, Vol.12, No.6, pp. 2899-2900, 2005

Abstract We report the occurrence of an epidural abscess following TRUS-guided prostate biopsies, which highlights the fact that severe complications may occur with this technique in spite of antibiotic prophylaxis. Ciprofloxacin-resistant Escherichia coli is a frequent cause of fever following TRUS-guided prostate biopsies as was the case in our patient. Early suspicion of the presence of ciprofloxacin-resistant Escherichia coli may help avoid serious complications in these patients. More >

Savino M. Di Stasi, Antonella Giannantoni, Robert L. Stephen^*, Luigi Storti, Francesco Attisani, Andrea De Carolis, Guido Virgili

Canadian Journal of Urology, Vol.12, No.6, pp. 2895-2898, 2005

Abstract A 59 year old male presented with a 4 month history of lower urinary tract symptoms.
Exhaustive urological investigations revealed papillary tumors and carcinoma in situ extending from the prostatic urethra, throughout the bladder, up both ureters and into the renal pelves.
Tumors were resected where possible and then bacillus Calmette-Guèrin (BCG) and mitomycin C (MMC) were infused sequentially through bilateral nephrostomy tubes for a total of six BCG and three MMC instillations.
Follow up 1 month post treatment demonstrated a complete response which persisted for 2 years. Then there appeared a solitary papillomatous recurrence in the More >

Brian D. M. Blew, Luke M. Fazio, Kenneth Pace, R. John D’A. Honey

Canadian Journal of Urology, Vol.12, No.6, pp. 2891-2894, 2005

Abstract Classically, surgical options for very large prostate glands, not amenable to transurethral resection, include suprapubic or retropubic simple prostatectomy and Holmium laser enucleation of the prostate (HoLEP). We present a case managed with a laparoscopic simple prostatectomy. Technical considerations are discussed as well as possible advantages of this approach including decreased blood loss, faster patient recovery and improved visualization. More >