R. Samant^1,2, I. Alomary^1,2

Canadian Journal of Urology, Vol.12, No.4, pp. 2738-2744, 2005

Abstract Purpose: Historically adjuvant radiotherapy has been routinely recommended for stage I seminoma patients but surveillance has become an increasingly popular option over the last decade. We therefore decided to review the approach currently used by the radiation oncologists at our center.
Methods: A 14-item questionnaire evaluating physician opinions about treatment options for stage I seminoma patients was developed at the Ottawa Hospital Regional Cancer Centre (OHRCC). It was sent to all the radiation oncologists at OHRCC treating genitourinary (GU) malignancies for self-completion.
Results: All the GU radiation oncologists completed the survey for a response rate of 100% (7/7).… More >

J. Curtis Nickel¹, Jay C. Lee², John E. Grantmyre³, Dimitris Polygenis⁴

Canadian Journal of Urology, Vol.12, No.4, pp. 2728-2737, 2005

Abstract Objective: To characterize the natural history of uncomplicated urinary tract infection (uUTI) in a Canadian primary care environment from the patient's perspective.
Materials and methods: Female patients (n = 2323) with symptoms of uUTI were recruited by 581 family physicians who collected baseline demographic and clinical data and prescribed 500 mg/day extended release ciprofloxacin (Cipro® XL™). Follow-up data were collected 4 and 10 days later by patient telephone interview assessing uUTI symptoms, medication compliance, time to symptom resolution, impact on usual activities and overall satisfaction.
Results: Patients (mean age 40) had on average 3.56 uUTI symptoms at baseline,… More >

Philippe E. Spiess¹, Wassim Kassouf¹, Khoday Tukaram¹, Indrojit Roy²

Canadian Journal of Urology, Vol.12, No.5, pp. 2856-2858, 2005

Abstract We present the case of an 83-year-old female presenting with an umbilical mass measuring 2 cm x 3 cm. This patient had an extensive prior history of transitional cell carcinoma of the bladder. A fine needle aspiration of this umbilical mass confirmed this to be metastatic transitional cell carcinoma and the diagnostic workup demonstrated the presence of invasive bladder cancer with metastatic liver lesions. More >

David E. Rapp, Mark B. Lyon, Marcelo A. Orvieto, Gregory P. Zagaja

Canadian Journal of Urology, Vol.12, No.5, pp. 2849-2855, 2005

Abstract Introduction and objective: The classical approach to the undergraduate medical clerkship has several limitations, including variability of clinical exposure and method of examination. As a result, the clerkship experience does not ensure exposure to and reinforcement of the fundamental concepts of a given specialty.
Materials and methods: This article reviews the classic approach to clerkship education within the undergraduate medical education. Specific attention is placed on clinical exposure and clerkship examination.
Results: We describe the introduction of the Core Learning Objective (CLO) educational model at the University of Chicago Section of Urology. This model is designed to provide an More >

Luis Antonio Guerra¹, John Pike¹, Guido Filler², Kristin Udjus³, Joseph de Nanassy⁴, Michael Leonard¹

Canadian Journal of Urology, Vol.12, No.5, pp. 2846-2848, 2005

Abstract Eosinophilic cystitis (EC) is an uncommon form of bladder inflammation. It is a rare disorder in children and fewer than 25 cases have been described in the literature. We report a case of eosinophilic cystitis mimicking a bladder tumor in a 3 year-old girl with symptoms of urinary frequency. The diagnosis was confirmed with pathology and she underwent clinical treatment with corticosteroids. More >

Ahmad H. Bani-Hani, Matthew T. Gettman

Canadian Journal of Urology, Vol.12, No.5, pp. 2843-2845, 2005

Abstract Introduction and objective: Cost containment during techniques of laparoscopic radical prostatectomy remains an ongoing concern. We present a cost-effective alternative technique of specimen extraction using a surgical glove.
Materials and methods: We describe an alternative technique of prostate removal using a surgical glove in seven patients who underwent laparoscopic radical prostatectomy using a robotic-assisted technique.
Results: The glove extraction technique was successful in all seven patients for which the method was attempted without complication.
Conclusion: Similar to commercially available devices, a surgical glove provides a reliable straightforward means of specimen extraction during laparoscopic radical prostatectomy. More >

Wigdan Al-Sukhni, Ami Grunbaum, Neil Fleshner

Canadian Journal of Urology, Vol.12, No.5, pp. 2841-2842, 2005

Abstract Essiac is a popular complementary and alternative medicine (CAM) that is utilized by many cancer patients in North America. Much anecdotal reporting exists about its cancer-fighting qualities, but so far no clinical trials have been preformed to validate those claims. We describe here the case of a 64-year-old man whose hormone-refractory prostate cancer responded well to Essiac tea. More >

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 >