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Canadian Journal of Urology

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https://www.readbyqxmd.com/read/29260644/recurrent-renal-cell-carcinoma-presenting-as-a-solitary-left-ventricular-mass
#1
Lindsay Wilde, Praveen Mehrotra, Jean Hoffman-Censits
A 73-year-old male with a remote history of renal cell carcinoma presented with an asymptomatic left ventricular mass. Biopsy of the mass revealed a late recurrence of his renal cell carcinoma. Given the size and location of the mass, resection was not possible. Treatment with pazopanib was initiated with good clinical response.
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260643/blueprint-unknown-a-case-for-multidisciplinary-management-of-advanced-penile-mycosis-fungoides
#2
Jonathan S O'Brien, Todd Manning, Marlon Perera, H Miles Prince, Nathan Lawrentschuk
A 64-year-old man presented with a 2 week history of progressive phimosis and painful ulcer on his penile meatus. He underwent penile preserving excision, and subsequent pathological examination confirmed T-cell non-Hodgkin lymphoma with immunohistochemical features of large cell transformation of mycosis fungoides. The penis was further treated with local external beam radiotherapy consisting of 27 Gy in 15 fractions and systemic mini-CHOP chemotherapy. An organ-preserving tissue response has since been achieved...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260642/subcutaneous-emphysema-following-cystoscopic-clot-evacuation
#3
Madeline Cancian, Joseph Brito, Vincent Harisaran
Gross hematuria is a common urologic problem which often requires surgical intervention. While generally a safe procedure, clot evacuation can have serious complications. Here we describe the case of an 85-year-old male who developed extensive subcutaneous emphysema following a small extraperitoneal bladder perforation during a clot evacuation. While our patient did well with expectant management, subcutaneous emphysema can lead to serious complications and any endourologic procedure should be stopped once crepitus is noted...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260641/benign-fibrous-pseudotumor-resulting-in-orchiectomy-despite-intraoperative-frozen-section
#4
Tomy Y Perez, Brian J O'Hara, Irvin H Hirsch
Fibrous pseudotumors are rare benign lesions that originate within the paratesticular tissues. Local excision is the preferred method of treatment of these tumors over radical orchiectomy, however a definitive diagnosis must be made beforehand given the similarity of these tumors to malignant entities. We present a case of fibrous pseudotumor of the tunica vaginalis and cauda epididymis. A diagnosis of fibrous pseudotumor could not be established despite the use of intraoperative frozen section, therefore necessitating radical orchiectomy...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260640/ultrasound-self-referral-does-not-increase-utilization-in-pediatric-urology
#5
Lesli Nicolay, Adam S Howe, Lane S Palmer
INTRODUCTION: Costs of radiologic imaging are rising. The goal of this study is to examine the utilization practices of pediatric urologists who have access to in-office ultrasound imaging when managing children with primary hydronephrosis. MATERIALS AND METHODS: A retrospective cross sectional study was performed of children ≤ 5 years old with an isolated diagnosis of hydronephrosis. Ultrasound utilization was evaluated by tallying the number of ultrasounds obtained during the time each child was followed...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260639/importance-of-counseling-and-patient-selection-in-treatment-of-male-stress-incontinence
#6
EDITORIAL
David E Rapp
No abstract text is available yet for this article.
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260638/advance-sling-use-decreasing-relative-to-artificial-urinary-sphincters
#7
Chad R Pusateri, Jack M Zuckerman
INTRODUCTION: To evaluate the percent of AdVance male sling usage relative to artificial urinary sphincters (AUS) over a 9 year period since its introduction in order to assess trends across the United States. MATERIALS AND METHODS: As a surrogate for procedures performed, we reviewed device utilization trends of the AdVance sling and AUS broken down by American Urological Association (AUA) section. ANOVA testing between years was used to determine purchasing trends with p values of < 0...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260637/assessment-of-bilateral-supine-and-prone-tubeless-percutaneous-nephrolithotomy
#8
Mario Sofer, Silvia Proietti, Yuval Bar-Yosef, Snir Dekalo, Marco Rosso, Ishay Mintz, Piera Bellinzoni, Guido Giusti
INTRODUCTION: To assess the outcome of same-session bilateral tubeless percutaneous nephrolithotomy (BPCNL) in supine and prone positions and to compare them to unilateral tubeless PCNL (UPCNL). MATERIALS AND METHODS: Consecutive PCNL patients treated at two institutions between 2006-2016 were analyzed. Tubeless BPCNL was performed when indicated. RESULTS: Fifty-eight patients underwent BPCNLs [30 supine (SBPCNL) and 28 prone (PBPCNL)], while 1395 patients underwent UPCNLs...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260636/effective-treatment-of-neurogenic-detrusor-overactivity-in-multiple-sclerosis-patients-using-desmopressin-and-mirabegron
#9
Athanasios Zachariou, Maria Filiponi, Dimitrios Baltogiannis, John Giannakis, Fotios Dimitriadis, Panagiota Tsounapi, Atsushi Takenaka, Nikolaos Sofikitis
INTRODUCTION: Multiple sclerosis (MS) is the commonest progressive neurological disease affecting young people. With advancing disease, management of neurogenic detrusor overactivity (NDO) based on antimuscarinics may prove inadequate and if based on botulinum toxin, may necessitate clean intermittent self-catheterization. The aim of the study was to evaluate the effectiveness of combined mirabegron and desmopressin administration in the treatment of NDO in patients with MS. MATERIALS AND METHODS: Sixty patients diagnosed with MS and NDO were evaluated...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260635/comparison-of-two-indices-to-annotate-complications-after-radical-nephroureterectomy
#10
Rosa Park, Christopher Rjepaj, Kathleen Lehman, Jay D Raman
INTRODUCTION: The Clavien-Dindo (CD) and Comprehensive Complication Index (CCI) are two grading systems that annotate adverse events following surgical procedures. We compare these two classification systems in a cohort of patients undergoing radical nephroureterectomy (RNU). MATERIALS AND METHODS: The charts of 110 consecutive RNU patients were reviewed for complications occurring within 30 days of surgery. Grading by the CD classification system and values for CCI were calculated...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260634/laparoendoscopic-single-site-surgery-for-treatment-of-urachal-remnants
#11
Masaaki Yanishi, Hidefumi Kinoshita, Takashi Yoshida, Hisanori Taniguchi, Kenji Yoshida, Takao Mishima, Yoshihiro Komai, Kaneki Yasuda, Motohiko Sugi, Tadashi Matsuda
INTRODUCTION: To evaluate safety and excellent cosmetic outcome with laparoendoscopic single-site surgery (LESS). In this study, we compared the usefulness and efficacy of LESS versus conventional laparoscopic surgery for the treatment of urachal remnants. MATERIALS AND METHODS: We retrospectively reviewed the medical records of 20 consecutive patients who underwent either conventional laparoscopic surgery or LESS from January 2007 to February 2015 at Kansai Medical University Hospital...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260633/two-stage-classifiers-that-minimize-pca3-and-the-psa-proteolytic-activity-testing-in-the-prediction-of-prostate-cancer-recurrence-after-radical-prostatectomy
#12
Daniel R Jeske, Jenifer A Linehan, Timothy G Wilson, Mark H Kawachi, Kristina Wittig, Katarzya Lamparska, Camille Amparo, Rosa Mejia, Fang Lai, Dimitra Georganopoulou, Steven S Smith
INTRODUCTION: Early biochemical recurrence after prostate cancer surgery is associated with higher risk of aggressive disease and cancer specific death. Many new tests are being developed that will predict the presence of indicators of aggressive disease like early biochemical recurrence. Since recurrence occurs in less than 10% of patients treated for prostate cancer, validation of such tests will require expensive testing on large patient groups. Moreover, clinical application of the validated test requires that each new patient be tested...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260632/biologic-and-epidemiologic-evidence-assessing-if-statins-prevent-prostate-cancer
#13
David E Dawe, Salaheddin Mahmud
INTRODUCTION: During their lives, 1 in 8 men will be diagnosed with prostate cancer. Several drugs have been shown to decrease prostate cancer risk, but have not been widely used in prostate cancer prevention because of concerns about side-effects and cost-effectiveness. Statins are indicated for prevention of cardiovascular disease, have an excellent benefit to risk profile, and some studies suggest that statins may reduce the risk of prostate cancer. MATERIALS AND METHODS: We performed a systematic search of Medline (Ovid), EMBASE (Ovid), and PubMed...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260631/urodynamics-a-quick-pocket-guide
#14
Giancarlo Vignoli
No abstract text is available yet for this article.
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260630/legends-in-urology
#15
Raju Thomas
No abstract text is available yet for this article.
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29260629/new-urologic-oncology-drugs-and-the-new-toxicities
#16
EDITORIAL
Leonard G Gomella
No abstract text is available yet for this article.
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29151006/the-practical-update-for-family-physicians-in-the-diagnosis-and-management-of-overactive-bladder-and-lower-urinary-tract-symptoms
#17
Jack Barkin, Jeffrey Habert, Amy Wong, Livia Y T Lee
OBJECTIVE: To provide family physicians with an up-to-date, practical overview of the diagnosis and management of overactive bladder (OAB) alone or with bladder outlet obstruction. MAIN MESSAGE: OAB is urinary urgency with or without incontinence, often accompanied by frequency and nocturia, in the absence of urinary tract infection and can affect both men and women. Men often have co-existing OAB associated with bladder outlet obstruction, and benign prostatic hyperplasia...
October 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28971795/abstracts-of-the-new-england-section-of-the-american-urological-association-2017-annual-meeting
#18
U A A
No abstract text is available yet for this article.
October 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28971794/bowel-preparation-prior-to-reconstructive-urologic-surgery-in-pediatric-myelomeningocele-patients
#19
Nicholas J Farber, Rachel B Davis, Gwen M Grimsby, Brian Shinder, Glenn M Cannon, Micah A Jacobs, Michael C Ost, Francis X Schneck, Heidi A Stephany, Patricio C Gargollo, Moira E Dwyer
INTRODUCTION: Mechanical bowel preparation (MBP) has historically been the standard of care for patients undergoing reconstructive urologic surgery, including urinary diversion. To date, several studies have examined the role of mechanical bowel preparation in postoperative outcomes in pediatric patients undergoing augmentation cystoplasty. However, these patient populations have been heterogeneous in nature, with no studies dedicated to examining the role of MBP prior to reconstructive urologic surgery in pediatric patients with myelomenginoceles...
October 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28971793/urothelial-melanosis-of-the-bladder
#20
Sara L Valente, Jared M Bieniek, Stuart S Kesler
Urothelial melanosis is a rare finding characterized by abnormal pigmentation noted on cystoscopic evaluation and histologically defined by melanin deposition in the urothelium. Although generally considered benign, few cases of urothelial melanosis have been reported in the literature and the risk of recurrence or progression remains largely unknown. Four cases associated with urothelial cell carcinoma have been previously described. Here, we report a case of urothelial melanosis and review previously published cases in the literature...
October 2017: Canadian Journal of Urology
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