Andrew V. Schally

Canadian Journal of Urology, Vol.20, No.5, pp. 6889-6892, 2013

Abstract This article has no abstract. More >

Leonard G. Gomella

Canadian Journal of Urology, Vol.20, No.5, pp. 6888-6888, 2013

Abstract This article has no abstract. More >

Kyrollis Attalla¹, Syed Johar Raza¹, Shabnam Rehman¹, Rakeeba Din¹, Andrew Stegemann¹, Erinn Field¹, Leslie Curtin¹, Sandra Sexton¹, Marlene Bienko¹, Mahendra Bhandari², Khurshid A. Guru¹

Canadian Journal of Urology, Vol.20, No.6, pp. 7084-7090, 2013

Abstract Introduction: Robot-assisted surgery (RAS) has been integrated into the surgical armamentarium and generated wide-spread interest among practicing, non-robotic surgeons (NRS). While methods for training novice NRS have emerged, the effectiveness of these training programs has endured minimal scrutiny. This study aims to establish effectiveness of the RAS training (RAST) program.
Materials and methods: A formal RAST program was established at Roswell Park Cancer Institute (RPCI) in 2008. From July 2010 to October 2012, 43 NRS participated in the program. The 1 to 4 week program included the validated fundamental skills of robotic surgery (FSRS) curriculum, hands-on bedside… More >

Solomon L. Woldu, Trushar Patel, Edan Y. Shapiro, Ari M. Bergman, Ketan K. Badani

Canadian Journal of Urology, Vol.20, No.6, pp. 7079-7083, 2013

Abstract Introduction: There are many concerns expressed by urologists performing robotic assisted laparoscopic prostatectomy (RALP) regarding management of the dorsal vein complex (DVC). We sought to examine the influence of delayed DVC ligation versus standard DVC ligation on the apical surgical margin status and other key surgical parameters following RALP.
Materials and methods: The Columbia University Urologic Oncology Database was retrospectively reviewed to identify patients who underwent RALP between 2008-2011. Operative records were analyzed to determine whether the DVC was ligated in the 'standard' or 'delayed' manner. The standard group had the DVC ligated prior to the apical… More >

Roger F. Valdivieso, Pierre-Alain Hueber, Kevin C. Zorn

Canadian Journal of Urology, Vol.20, No.6, pp. 7073-7078, 2013

Abstract The introduction of the “da Vinci Robotic Surgical System” (Intuitive Surgical, Sunnyvale, CA, USA) has been an important step toward a minimally invasive approach to radical prostatectomy. Technological peculiarities, such as three-dimensional vision, wristed instrumentation with seven degrees of freedom of motion, lack of tremor, 10x magnification, and a comfortable seated position for the surgeon, have added value to the procedure for both the surgeon and the patient. In this article, we describe the 9-step surgical technique for robot-assisted radical prostatectomy (RARP) that is currently used in our institution (University of Montreal Hospital Center (CHUM) More >

Austin D. DeRosa¹, Kevin G. Baldie¹, Adeboye O. Osunkoya², John G. Pattaras^1,3

Canadian Journal of Urology, Vol.20, No.6, pp. 7070-7072, 2013

Abstract Hemangiopericytomas are rare mesenchymal lesions arising from pericytes within the walls of capillaries. They often have an unpredictable course. We present a case of a large retroperitoneal hemangiopericytoma in a 65-year-old woman who initially presented with upper gastrointestinal discomfort. Following exptirpative surgery, pathology was consistent with hemangiopericytoma of low malignant potential. Widespread metastasis was discovered on follow up imaging, 17 months following surgery. To our knowledge, this is the first case report demonstrating a primary retroperitoneal hemangioperictoma with confirmed metastases. More >

Zulfiqar Butt¹, Jack Slatnik², Eric P. Estey¹

Canadian Journal of Urology, Vol.20, No.6, pp. 7067-7069, 2013

Abstract Angiomyofibroblastoma (AMF) is a rare benign tumor of the female genital tract. Three cases of AMF-like tumors of the male genital tract have been reported in the literature. We present the first documented case of an AMF-like soft tissue tumor of the male pelvis excised with robotic assisted laparoscopic surgery. More >

Robert J. Hartman, Jr.¹, Brian T. Helfand², William W. Lin²

Canadian Journal of Urology, Vol.20, No.6, pp. 7064-7066, 2013

Abstract Retroperitoneal fibrosis (RPF) is a rarely occurring disease process characterized by the development of fibrous plaques that encase retroperitoneal organs and major vessels. The most common sequelae is obstructive uropathy secondary to ureteral compression. Ureterolysis with intraperitoneal transposition and omental wrapping has historically been a popularized means to relieve ureteral obstruction. We present the case of a 47-year-old man with bilateral hydronephrosis secondary to RPF. Due to insufficient length of omentum, we report the first documented use of SurgiWrap to wrap the ureters to minimize the future possibility of recurrent/continued fibrosis, compression, and ureteral obstruction. More >

Samantha Low¹, Maleeha Azim¹, Elaine Wan², Vimal Hariharan²

Canadian Journal of Urology, Vol.20, No.6, pp. 7060-7063, 2013

Abstract Simple renal cysts are most commonly found in the elderly, male population. The majority of simple renal cysts remain untreated, except on the rare occasion when they become complicated with hemorrhage, infection, or rupture.
We present the case of a 31-year-old female with a simple renal cyst which was initially treated as acute pyelonephritis. A high clinical suspicion led to the diagnosis of an infected renal cyst, which was treated with antibiotic therapy and radiological drainage. There were minimal complications, and the patient made an uneventful recovery. More >

Daniel A. Pérez-Fentes¹, Francisco Gude², Miguel Blanco¹, Rosa Novoa¹, Camilo García Freire¹

Canadian Journal of Urology, Vol.20, No.6, pp. 7050-7059, 2013

Abstract Introduction: The aim of this study is to identify surgical, patient- and stone-related factors predictive of clinical success and complications after percutaneous nephrolithotomy (PCNL).
Materials and methods: We prospectively studied 100 consecutive PCNL procedures. Univariate and multiple regression models were used in order to identify which variables could act as independent predictors of PCNL outcomes. Success was defined as complete absence of fragments in a non-contrast CT. The Clavien-modified grading system was used to classify the complications.
Results: Univariate analysis showed that patients rendered stone-free had a significantly lower stone burden, shorter operating times, single stones and non-struvite… More >