A case of Bacille Calmette-Guerin (BCG)-associated epididymitis that was non responsive to 6 months of antituberculous therapy, but stable after 2 years, is reported. We review the clinical and pathological features of previously reported cases of pathologically diagnosed BCG-associated epididymitis. Surgery has been the primary treatment for BCG-associated epididymitis in all previous cases.

Journal Article↗

PubMed1998

EDITORIAL.

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Journal Article↗

PubMed1998

Post transurethral resection of prostate incontinence in previously radiated prostate cancer patients.

OBJECTIVES: This is a retrospective review evaluating the incidence of incontinence post transurethral resection of prostate (TURP) in patients who have had previous external beam radiation (XRT) for prostate cancer (PCA). MATERIALS AND METHODS: 1,230 patients underwent XRT for PCA between January 1985 and April 1996. From this group, 16 patients mean age of 67.8 years (range 48-84) at the time of XRT had a subsequent TURP for obstructive symptoms a median of 3.25 years later (range 3 months to 10.2 years). Patients have been followed post TURP for a median of 5.0 months (range 1 to 81 months). RESULTS: Nineteen percent (3) patients developed incontinence post TURP. An additional patient remained in retention and continued to suffer overflow incontinence. Incontinence was associated with a shorter time interval between XRT and TURP (13 months versus 55.3 months) and with a greater amount of prostatic resection (19 grams versus 11.4 grams) when compared to the continent group, but did not meet statistical significance. CONCLUSION: A high risk of incontinence post TURP in previously radiated patients was demonstrated. The association with a shorter time interval between procedures and the larger resection suggests that a conservative approach is warranted. Studies with the use of preop and post TURP urodynamics would be useful in further defining risk factors in this population.

Journal Article↗

PubMed1998

The future of urologic research in Canada:

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Journal Article↗

PubMed1998

EDITORIAL.

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Journal Article↗

PubMed1998

EDITORIAL.

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Journal Article↗

PubMed1997

EDITORIAL.

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Editorial↗

PubMed1997

EDITORIAL.

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Editorial↗

PubMed1997

Can radiotherapy salvage isolated local recurrence following radical prostatectomy?

The optimal management of isolated local recurrence of prostate cancer following radical prostatectomy remains unknown. Salvage radiotherapy to the prostatic bed is one of management options. This article reviews the efficacy of salvage radiotherapy. The available data suggest that salvage radiotherapy offers excellent clinical local control. However, the probability of long-term disease free survival with salvage radiotherapy alone appears small as a significant proportion of patients develop distant metastases and rising prostate specific antigen (PSA) following radiotherapy. A strategy of combining systemic therapy with local salvage treatment needs to be explored for this poor prognostic group.

Journal Article↗

PubMed1997

Prostate cancer patients' satisfaction with medical information.

A convenience sample of 965 Canadian men with prostate cancer were surveyed about their experience with, and opinions about, prostate cancer illness and treatment. Questionnaires were distributed by urologists, physicians at selected cancer treatment centers, and prostate cancer self-help groups. In this paper, we report on issues related to men's satisfaction with medical information. Most respondents were satisfied with information received, although there was a substantive subsample of dissatisfied men, and indications that many men did not understand information they received. Higher satisfactions with medical information was associated with age over 70 years, nonattendance at support or educational groups, higher educational level, and high satisfaction with urologists' communication style. Men experiencing significant adverse quality of life effects from cancer treatment were more dissatisfied with information. Satisfaction with medical information was also positively associated with satisfaction with information across the domain of supportive care, suggesting the value of a broad-based approach to information that includes contributions from self-help and community groups, as well as supportive care professionals.

Journal Article↗