Genital incarceration: an unusual case report.

Incarceration or strangulation of the penis is a rare clinical situation that requires emergent urologic management to prevent potentially devastating outcomes. Many different techniques have been described in the literature to remove genital foreign objects, but there is no universally successful technique. We present an unusual and challenging case involving incarceration of both the penis and scrotum by multiple metallic rings that required operative removal using an orthopedic high-speed drill.

Associations between comorbidity, and overall survival and bladder cancer specific survival after radical cystectomy: results from the Alberta Urology Institute Radical Cystectomy database.

Purpose: We determined the associations between comorbidity, and overall survival and bladder cancer specific survival after radical cystectomy.

Materials And Methods: The Alberta Urology Institute Radical Cystectomy database is an ongoing multi-institutional computerized database containing data on all adult patients with a diagnosis of primary bladder cancer treated with radical cystectomy in Edmonton, Canada from April 1994 forward. The current study is an analysis of consecutive database patients treated between April 1994 and September 2007.

A population based assessment of complications following outpatient hydrocelectomy and spermatocelectomy.

Purpose: We determine the incidence of complications following outpatient scrotal surgery for the treatment of hydroceles and spermatoceles.

Materials And Methods: A retrospective study of all patients undergoing hydrocelectomy or spermatocelectomy between April 1, 1997 and March 31, 1999 at 1 institution was performed. The hospital and office charts were reviewed, and postoperative complications (infection, persistent swelling, chronic pain) were recorded.

Treatment options for benign prostatic hyperplasia.

Objective: To examine current treatment options for benign prostatic hyperplasia with emphasis on randomized, clinical trials and our current management approach.

Quality Of Evidence: Benign prostatic hyperplasia remains difficult to define clinically or measure objectively. As a result, research has been fairly weak.

Caremap management for postoperative prostatectomy care at home: a comparative study.

Objective: To evaluate early discharge from hospital with community-based care as an alternative to hospital-based care for patients who have undergone transurethral resection of the prostate (TURP).

Design: Prospective comparative study.

Setting: A major urban hospital and the urban community.

Randomized, prospective, controlled study comparing radical prostatectomy alone and neoadjuvant androgen withdrawal in the treatment of localized prostate cancer. Canadian Urologic Oncology Group.

Purpose: A prospective, multicenter, randomized study was done to test the hypothesis that neoadjuvant androgen withdrawal decreases the incidence of positive margins following radical prostatectomy for localized prostate cancer.

Materials And Methods: Observations were made of 213 patients randomized to undergo radical prostatectomy alone (101) or to receive a 12-week course of 300 mg. cyproterone acetate daily followed by surgery (112).

Transrectal ultrasound versus magnetic resonance imaging in the estimation of prostatic volume.

Objective: To establish which method of determining prostatic volume (transrectal ultrasound [TRUS] or magnetic resonance imaging [MRI]) and which calculation formula give the most exact and least variable results; to determine the size and the source of the variability: and to establish which method is the more sensitive to drug-induced changes in prostate volume.

Patients And Methods: Prostatic size was estimated by TRUS and MRI in 21 patients treated medically (either active treatment or placebo) for benign prostatic hyperplasia. Each patient was examined at baseline, and after 3 months and 6 months of treatment.

A review of 1486 transurethral resections of the prostate in a teaching hospital.

The authors reviewed retrospectively 1486 consecutive transurethral resections of the prostate (TURP) gland performed in a teaching hospital between 1985 and 1987. The death rate was 0.8% in an institution where senior residents were the primary resectionists in approximately 75% of TURPs.

Testicular seminoma associated with the acquired immunodeficiency syndrome and acquired immunodeficiency syndrome related complex: 2 case reports.

Two homosexual men positive for human immunodeficiency virus with evidence of acquired cellular immunodeficiency were diagnosed recently to have seminoma of the testis. One man has the acquired immunodeficiency syndrome with lymphopenia, a low CD4:CD8 ratio, condylomata accuminata, pneumocystis carinii and cerebral toxoplasmosis, and 1 has an acquired immunodeficiency syndrome related complex with generalized lymphadenopathy showing follicular hyperplasia on biopsy, recurrent Herpes simplex infections and lymphopenia but a supranormal CD4:CD8 ratio. Neither patient has a known risk factor for testicular seminoma.

Primary bladder carcinoma presenting during pregnancy in 3 cases.

We report 3 cases of primary transitional cell carcinoma of the bladder presenting during pregnancy. Only 10 such cases have been reported in the literature. Patient age ranged from 23 to 24 years at 15 to 24 weeks of gestation.

Salvage surgery following radical radiotherapy for adenocarcinoma of the prostate.

The development and proliferation of modern radiotherapy techniques, and their application in the 1970s to the treatment of localized adenocarcinoma of the prostate have led to substantial improvement in therapy of this disease. However, treatment failures occur. Among these patients is a small subset who have local recurrence of disease confirmed by biopsy without evidence of metastatic disease, and who still are relatively young and healthy.

Segmental irradiation of the bladder with neodymium YAG laser irradiation.

The Neodymium YAG laser energy source can be readily adapted for cystoscopic use by some simple modifications of existing urologic equipment. Both the fiberoptic resectoscope and a deflecting cystourethroscope have been adapted for this purpose. Fixation of the fiber tip 1 cm.

Response of the Dunning R3327H prostatic adenocarcinoma to radiation and various chemotherapeutic drugs.

Dunning R3327H prostatic adenocarcinoma was bilaterally transplanted in the flanks of animals at the Papanicolaou Institute in Miami, and the animals were received at the Cross Cancer Institute (Edmonton, Alberta, Canada) each month. The animal flanks were palpated weekly, and when tumor volumes reached a size of approximately 300 mm3 the animals were randomized into treatment groups for the assessment of various therapies. Tumor volumes were determined each week before and after various treatments, and tumor growth was compared to that in untreated controls.