Sean van Diepen, John Grantmyre

Canadian Journal of Urology, Vol.11, No.1, pp. 2139-2140, 2004

Abstract Double-J ureteral stents facilitating the drainage of urine from the kidney to the bladder are widely used. Stents designed for patient self-removal are commonplace. We report a case of urosepsis that lead to the incidental discovery of a failed self-removal of a double-J ureteral stent. The retrieval cord broke during self-removal and the patient mistook the string for the stent. Adequate patient education is essential to assure successful self-removal. More >

Uzair B. Chaudhary¹, David L. Milling¹, Nabil K. Bissada²

Canadian Journal of Urology, Vol.11, No.1, pp. 2136-2138, 2004

Abstract Hypercalcemia associated with transitional cell carcinoma (TCC) is rarely encountered. We report a case of TCC of bladder with documented production of parathyroid hormone related protein (PTHrP). Our patient had a rapidly progressive course and died 2 months after radical cystectomy. Literature suggests that these patients present with advanced stage and carry a poor prognosis. The histopathologic features, treatment and prognosis associated with this rare paraneoplastic syndrome are reviewed. More >

Joshua D. Wiesenthal, Helen Ettler¹, Hassan Razvi²

Canadian Journal of Urology, Vol.11, No.1, pp. 2133-2135, 2004

Abstract Epidermoid cysts of the testicle are rare, benign lesions that are clinically indistinguishable from malignant germ cell tumors. A scrotal mass in a 27-year-old man was incidentally detected by his family physician, and confirmed to be intratesticular by ultrasound. Radical orchidectomy was performed revealing the pathologic diagnosis. The presentation, evaluation and management of epidermoid cysts are discussed. More >

Ian Poon¹, Melania Pintilie², Mark Potvin³, Tom McGowan⁴

Canadian Journal of Urology, Vol.11, No.1, pp. 2125-2132, 2004

Abstract Purpose: Prostate cancer represents a large part of the workload for radiation oncology departments in Canada. Recent evidence suggests that conformal external beam radiotherapy improves results. The planning and treatment process for conformal patients requires a greater amount of resources that are in short supply in Ontario. An understanding of these differences is important to provide an accurate estimate of future radiation needs of the province. These differences can be quantified in a cost model that portrays the direct costs of delivering external beam radiotherapy in Ontario. With a developed cost model, a prospective direct cost… More >

R. Choo¹, V. Do¹, L. Sugar², L. Klotz², E. Bahk¹, E. Hong¹, C. Danjoux¹, G. Morton¹, G. DeBoer¹

Canadian Journal of Urology, Vol.11, No.1, pp. 2118-2124, 2004

Abstract Objective: To examine the change of histologic grade of untreated, low to intermediate grade, clinically localized prostate cancer over time on repeat prostate biopsy.
Methods and materials: In a prospective single-arm cohort study, patients were managed with observation alone unless they met pre-defined criteria of disease progression (PSA, clinical or histologic progression). Sixty-seven (54%) of a total of 123 eligible patients underwent follow-up prostate biopsy. Median time to the follow-up biopsy was 22 months (range: 7-60).
Results: On the follow-up biopsy, Gleason score was unchanged in 20 patients (30%), upgraded in 19 (28%), and downgraded in 27 (40%).… More >

Shabbir M. H. Alibhai¹, Laurence H. Klotz²

Canadian Journal of Urology, Vol.11, No.1, pp. 2110-2117, 2004

Abstract Introduction: Most treatment studies of localized prostate cancer are observational in nature. The recent publication of a large randomized trial of radical prostatectomy (RP) versus watchful waiting (WW) has focused increased attention on the treatment of localized prostate cancer. We reviewed all published randomized trials that compared different primary treatment modalities for localized prostate cancer.
Materials and methods: We performed a comprehensive Medline search from 1966 to March 2003 to identify all English-language randomized trials of RP, external-beam radiotherapy (EBRT), brachytherapy, watchful waiting, and primary androgen-deprivation therapy in localized prostate cancer.
Results: Nine publications dealing with four separate… More >

Laurence H. Klotz

Canadian Journal of Urology, Vol.11, No.1, pp. 2108-2108, 2004

Abstract This article has no abstract. More >

Peter D. Metcalfe¹, Rekha Gupta², Richard W. Norman¹

Canadian Journal of Urology, Vol.11, No.2, pp. 2223-2225, 2004

Abstract We report a 75-year old woman with clinical, laboratory and imaging characteristics suggestive of a malignant left adrenal pheochromocytoma with invasion of the tail of the pancreas. The mass involving the tail of the pancreas and the left adrenal was excised Detailed histological diagnosis revealed that the lesion was a rare exocrine tumor of the pancreas. More >

O. Nazif, A. E. MacNeily

Canadian Journal of Urology, Vol.11, No.2, pp. 2220-2222, 2004

Abstract Bladder agenesis is an extremely rare congenital anomaly. We report a case of bladder agenesis in a newborn girl with a prolapsing ectopic ureter and solitary dysplastic kidney. The classification of this disorder and the management of this patient are reviewed. More >

Robert Sabbagh, Michael Mc Cormack, François Péloquin, Raymond Faucher, Jean-Paul Perreault, Paul Perrotte, Pierre I. Karakiewicz, Fred Saad

Canadian Journal of Urology, Vol.11, No.2, pp. 2216-2219, 2004

Abstract Purpose: To compare the incidence of infection between a 1 day and a 3 day antibiotic prophylaxis regimen for transrectal ultrasound (TRUS) guided prostate biopsy in a prospective, randomized open-label trial.
Materials and methods: TRUS examination was performed in the left lateral decubitus position using a Brüel and Kjaer 7 MHz rectal probe. Biopsies were carried out with an 18 gauge Tru-cut needle fired by the hand-held Biopsy gun. An average of eight core biopsies (range 6 to 12) was taken. From May 15, 2000 to May 16, 2001, 363 patients were enrolled in this study. Patients… More >