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Canadian Journal of Urology

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https://www.readbyqxmd.com/read/30281014/abstracts-of-the-mid-atlantic-section-of-the-american-urological-association-annual-meeting-october-4-7-2018-washington-dc
#1
U A A
No abstract text is available yet for this article.
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281013/primitive-neuroectodermal-tumor-arising-from-an-untreated-congenital-undescended-testicle
#2
Mounsif Azizi, Charles C Peyton, Philippe E Spiess
A 26-year-old male with a personal history of schizophrenia initially presented with a 13 cm pelvic mass corresponding to a cryptorchidic testis. The patient was treated with primary and second-line chemotherapy for metastatic germ-cell tumor followed by surgical consolidation. Final pathology revealed a primitive neuroectodermal tumor (PNET) mixed with mature teratoma. Despite multidisciplinary management, significant patient non-compliance led to inadequate follow up and treatment delays ultimately resulting in death...
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281012/epithelioid-angiomyolipoma-metastasis-to-the-rectus-abdominis
#3
Edward J Park, Arden Plumb, Ryan Powers, Patricia Vidal, Sarah Psutka
A 37-year-old female presented with abdominal pain. An abdominal computed tomography scan demonstrated a 10 cm x 13 cm left renal mass. An open adrenal-sparing radical nephrectomy was performed. The pathological diagnosis was epithelioid angiomyolipoma. Five-year surveillance did not demonstrate recurrence of disease. However, a 1.8 cm x 2.5 cm mass on the rectus abdominis muscle was identified after 5 years. Biopsy of the mass demonstrated histologic findings consistent with the primary tumor. Herein, we report a case of metastatic renal epithelioid angiomyolipoma to the rectus abdominis muscle more than 5 years after resection of primary renal tumor...
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281011/ileal-perforation-in-the-setting-of-atezolizumab-immunotherapy-for-advanced-bladder-cancer
#4
Jacqueline Zillioux, Matthew DiLizia, Basil Schaheen, Rudolph Rustin, Tracey L Krupski
Atezolizumab is a promising immunotherapy for advanced urothelial carcinoma. Like other immune checkpoint inhibitors, it can produce rare immune-related adverse events (IRAEs). Here we present the recent case of a patient with metastatic bladder cancer who developed diarrhea and abdominal pain months after beginning atezolizumab therapy. He presented to our institution with an ileal perforation secondary to atezolizumab-induced enterocolitis. After surgical repair, the patient's condition improved, and he was discharged...
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281010/survival-and-secondary-interventions-following-treatment-for-locally-advanced-prostate-cancer
#5
Rachael Sussman, Filipe L F Carvalho, Andrew Harbin, Choayi Zheng, John H Lynch, Lambros Stamatakis, Jonathan Hwang, Stephen B Williams, Jim C Hu, Keith J Kowalczyk
INTRODUCTION: The utility of radical prostatectomy (RP) for locally-advanced prostate cancer remains unknown. Retrospective data has shown equivalent oncologic outcomes compared to radiation therapy (RT). RP may provide local tumor control and prevent secondary interventions from local invasion, and may decrease costs. MATERIALS AND METHODS: Using SEER-Medicare data from 1995-2011 we identified men with locally-advanced prostate cancer undergoing RP or RT. Rates of post-treatment diagnoses and interventions were identified using ICD-9 and CPT codes...
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281009/impact-of-diabetes-and-metformin-use-on-prostate-cancer-outcome-of-patients-treated-with-radiation-therapy-results-from-a-large-institutional-database
#6
Daniel Taussky, Felix Preisser, Pierre I Karakiewicz, Derya Tilki, Carole Lambert, Jean-Paul Bahary, Guila Delouya, Robert Wistaff, Mikhael Laskine, Paul Van Nguyen, Madeleine Durand, Fred Saad
INTRODUCTION: Conflicting data exists on the influence of metformin on prostate cancer. We investigated the importance of metformin in patients treated with radiotherapy or brachytherapy. MATERIALS AND METHODS: All patients from a large institutionalized database, treated for primary localized prostate cancer with either brachytherapy or external-beam radiotherapy ± androgen deprivation therapy were identified. Groups were compared by Kaplan-Meier analyses and Cox regression models...
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281008/laparoscopic-heminephrectomy-for-duplex-system-observed-difference-in-outcomes-between-upper-and-lower-pole-resections
#7
Charlotte K Roberts, Jonathan S Ellison, Omar Aboumarzouk, Mohamed Abd-Alazeez, Francis X Keeley
INTRODUCTION: Renal duplication is a relatively common congenital abnormality of the urinary tract, but symptomatic duplex kidney is a rare presentation in adults. Traditionally, the treatment of choice for poorly functioning moiety has been heminephrectomy. There is extensive literature detailing the outcomes of minimally invasive upper pole heminephrectomy, but comparatively little published regarding lower pole resection, especially in adult patients. We present a series of 13 patients who underwent minimally invasive heminephrectomy for duplex kidney...
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281007/nephrostomy-tube-placement-prior-to-percutaneous-nephrolithotomy-does-not-impact-outcomes
#8
Priyanka Bearelly, Claire Lis, James Trussler, Mark H Katz, Richard K Babayan, David S Wang
INTRODUCTION: This study aims to compare outcomes of percutaneous nephrolithotomy (PCNL) performed with a nephrostomy tube placed prior to surgery versus access at the time of surgery. MATERIALS AND METHODS: Between March 2005 and August 2014, 233 PCNLs were performed. One hundred and nine of those cases underwent placement of nephrostomy tubes at least 1 day prior to surgery (Group A), and the remaining 124 cases were performed in which access was obtained at the time of PCNL (Group B)...
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281006/assessment-of-practices-in-screening-and-treating-women-with-bacteriuria
#9
Erica L Ditkoff, Marissa Theofanides, Carrie Mlynarczyk Aisen, Casey G Kowalik, Joshua A Cohn, Wilson Sui, Matthew Rutman, Rony A Adam, Roger R Dmochowski, Kimberly L Cooper
INTRODUCTION: Evidence-based screening and treatment for bacteriuria is crucial to prevent increasing antibiotic resistance. The Infectious Disease Society of America (IDSA) previously released guidelines on the management of asymptomatic bacteriuria (ASB) and uncomplicated urinary tract infections (UTIs) in women. The study's objective was to assess physicians' practices in managing women with bacteriuria relative to these guideline recommendations. MATERIALS AND METHODS: Cross-sectional data from physicians were collected using an anonymous questionnaire...
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281005/health-related-quality-of-life-after-bcg-or-mmc-induction-for-non-muscle-invasive-bladder-cancer
#10
Salvatore Siracusano, Tommaso Silvestri, Silvia Bassi, Antonio Benito Porcaro, Maria Angela Cerruto, Renato Talamini, Walter Artibani
INTRODUCTION: To evaluate health-related quality of life (HRQoL) in patients with non-muscle invasive bladder cancer (NMIBC) during the induction phase of intravesical instillations with BCG or MMC. MATERIALS AND METHODS: HRQoL was measured by two questionnaires from EORTC (QLQ-C30 and QLQ-BLS24), stratifying results by gender, age and therapy at the start of the therapy (T0), at last instillation (T1) and at 3 months after T1 (T2). The persistence of QoL-related side effects after 3 months from the end of the induction cycle was evaluated...
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281004/cystectomy-for-benign-disease-readmission-morbidity-and-complications
#11
Scott G Erpelding, Adam Dugan, Sudhir Isharwal, Stephen Strup, Andrew James, Shubham Gupta
INTRODUCTION: We sought to elucidate outcomes and risks associated with cystectomy and urinary diversion for benign urological conditions compared to malignant conditions. MATERIALS AND METHODS: We identified patients who underwent cystectomy and urinary diversion for benign and malignant diseases through the American College of Surgeons National Surgery Quality Improvement Program database for the period 2007-2015. Patients were selected for inclusion based upon their current procedure terminology and International Classification of Disease, Ninth revision codes...
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281003/prostate-cancer-clinical-case-scenarios
#12
Sam S Chang, Michael S Cookson
No abstract text is available yet for this article.
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281002/legends-in-urology
#13
EDITORIAL
Lawson Douglas
No abstract text is available yet for this article.
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30281001/why-doesn-t-everyone-want-to-be-a-urologist-our-tomorrows-will-be-better-than-our-yesterdays
#14
EDITORIAL
Kevin R Loughlin
No abstract text is available yet for this article.
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30125526/abstracts-of-the-new-england-section-of-the-american-urological-association-annual-meeting
#15
U A A
No abstract text is available yet for this article.
August 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30125525/contemporary-practice-patterns-in-the-treatment-of-pediatric-stone-disease
#16
Rachel B Davis, Nicholas J Farber, Amy Kaplan, Rutveej Patel, Robert E Steckler, Sammy E Elsamra
INTRODUCTION: To compare endourology versus pediatric urology exposure to pediatric stone cases during fellowship, comfortability in treating pediatric stone cases, and access to pediatric surgical equipment. MATERIALS AND METHODS: A survey was distributed to all pediatric urology fellowship programs and the Endourological Society. Age was stratified into < 12 months old, 12 months-4 years, 5-12 years, and 13-18 years. Exposure and comfortability performing extracorporeal shock wave lithotripsy (SWL), ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) were assessed across age groups...
August 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30125524/anticipated-treatment-defect-versus-prostatic-abscess-radiographic-findings-following-transurethral-convective-radiofrequency-induced-water-vapor-thermal-ablation
#17
Jennifer Fantasia, Joseph Brito Iii, Ali Amin, Gyan Pareek
With the increasing use of minimally invasive technologies for the treatment of benign prostatic enlargement/lower urinary tract symptoms, clinicians must become familiar with the various treatment effects and complications. Here we present a case of treatment defect after transurethral convective radiofrequency-induced water vapor thermal ablation (REZUM) radiographically identified as a prostatic abscess without consideration that the finding may have represented an anticipated treatment defect. This likely led to an unnecessary surgical procedure...
August 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30125523/primary-carcinoid-tumor-of-the-bladder
#18
Jason Warncke, Sharon White, Mary O'Keefe, Fernando Kim, Rodrigo Donalisio da Silva
Transitional cell carcinoma is the most common type of bladder cancer in the United States. This case report discusses the finding of primary bladder carcinoid tumor (also called well-differentiated neuroendocrine tumor) in a woman with gross hematuria. With only 15-20 reported cases, primary bladder carcinoid is rare and the approach to treatment is unclear. There have been two muscle-invasive cases reported which required more extensive treatment plans. The patient presented in this case underwent complete transurethral resection of the tumor with the recommendation of surveillance cystoscopy every 3 months...
August 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30125522/is-pelvic-lymph-node-dissection-necessary-in-patients-with-biopsy-proven-gleason-6-prostate-cancer-analysis-of-the-seer-database
#19
Michael Daugherty, Dillon Sedaghatpour, Gennady Bratslavsky, Oleg Shapiro
INTRODUCTION: Since the advent of prostate-specific antigen (PSA) screening there has been a decreased incidence of lymph node positive disease (LND). Nevertheless, because of possible upgrading, LND is frequently performed with preoperative Gleason 6 prostate cancer. We utilized the Surveillance Epidemiology and End Results (SEER) database to evaluate the frequency of LND and preoperative variables for node positivity in contemporary patients with preoperative Gleason 6 disease. MATERIALS AND METHODS: SEER-18 registries database was queried for all patients diagnosed with prostate cancer between the years 2010 and 2014...
August 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30125521/all-negatives-are-not-a-negative
#20
EDITORIAL
Daniel J Canter
No abstract text is available yet for this article.
August 2018: Canadian Journal of Urology
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