On The Forefront


This department showcases how urologists and nephrologists are working together to improve patient care. The department will focus on cases seen at Cleveland Clinic, a pioneer in such collaboration.


Transplant Program Biorepository Poised to Promote Research

The Cleveland Clinic has initiated the collection and storage of biospecimens from kidney and pancreas transplant recipients.

A Way to Reduce Discard Rates of Kidneys with Capsular Damage

More than 100,000 patients are on the kidney transplant waiting list and the increasing number of patients without living donor options underscore why it is important to decrease the discard rate of deceased donor kidneys available for transplantation.

Metabolic Abnormalities Following Urinary Diversion

Radical cystectomy with urinary diversion including neobladder remains the standard of care for muscle-invasive bladder cancer.

Robotic NSS Without Ischemia for Exophytic Small Renal Masses

Robotic NSS Without Ischemia for Exophytic Small Renal Masses

As nephron-sparing surgery has become widely accepted, increasing emphasis has been placed on reducing surgical morbidity.

Cleveland Clinic No. 1 for Urology, Nephrology

Cleveland Clinic's nephrology and urology programs, which are housed at the Glickman Urological & Kidney Institute, are each ranked no. 1 in the nation.

RCC or Dialysis: Risk Stratification and Assessment

RCC or Dialysis: Risk Stratification and Assessment

Risk-stratifying patients requires a urologist's understanding of the natural history of disease, competing risks, and morbidities of interventions.

Urologists and Nephrologists Take Team Approach to 'Meaningful Use'

Urologists and Nephrologists Take Team Approach to 'Meaningful Use'

Few physicians considered returning to paper prescriptions based on the efficiency, accuracy, and legibility of e-prescribing.

Page Kidney Resulting in New Onset Hypertension

Page Kidney Resulting in New Onset Hypertension

A 55-year-old Caucasian woman initially presented to one of Cleveland Clinic's regional outpatient urology clinics with gross hematuria and an obstructing right ureteral stone.

Sperm Banking To Remote Sites

Infertility is a stressful experience for many couples, a situation made particularly difficult by the need to produce a semen sample in a clinical setting.

Sickle Cell Trait and Medullary Renal Carcinoma

Sickle Cell Trait and Medullary Renal Carcinoma

Since the discovery of Hemoglobin S (HbS), it has been known that the abnormal polymerization of deoxy-HbS is the main cause for vaso-occlusive crisis involving many organs including the kidneys in sickle cell disease (SCD).

Unusual Manifestation of an Aldosterone-Producing Adenoma

Unusual Manifestation of an Aldosterone-Producing Adenoma

Primary aldosteronism was first described by Jerome Conn in 1955 in a patient with an aldosterone-producing adrenal adenoma. It's now a widely recognized cause of secondary hypertension.

Resistant Hypertension Secondary to Primary Aldosteronism

Resistant Hypertension Secondary to Primary Aldosteronism

A 43-year-old man was evaluated for uncontrolled hypertension (HTN) despite multiple drug therapy, which included amlodipine 10 mg daily, clonidine 0.3 mg BID, and metoprolol XL 200 mg BID.

Boosting Renal Transplantation with Kidney Paired Donation

Boosting Renal Transplantation with Kidney Paired Donation

It is estimated that about one third of kidney transplant candidates may have a willing, medically fit living donor, but the donor is incompatible because of an unfavorable blood type or the patient has antibodies to the donor's tissue antigens.

Volume Loss as the Predominant Determinant of Ultimate Renal Function after PN

The objectives of partial nephrectomy (PN) for kidney cancer are to optimize cancer control by obtaining negative margins while preserving as much renal function as possible.

Renal ATPV for Intractable Stone Disease

Renal ATPV for Intractable Stone Disease

Some patients have recurrent nephrolithiasis that may prove refractory to all known preventive strategies. Such individuals can experience frequent bouts of renal colic that result in narcotic dependency, long-term disability, and depression.

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