Improving Renal & Urology Patient Care

Unusual Manifestation of an Aldosterone-Producing Adenoma

By

Jihad Kaouk, MD

February 29, 2012

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.

Figure 1. CT scan showing left adrenal adenoma

On The Forefront

Resistant Hypertension Secondary to Primary Aldosteronism

By

Emmanuel L. Bravo, MD

Robert Stein, MD

Jiwan K. Thapa, MD

George Thomas, MD

February 29, 2012

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.

On The Forefront

Boosting Renal Transplantation with Kidney Paired Donation

By

David Goldfarb, MD

January 3, 2012

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.

On The Forefront

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

By

Steven Campbell, MD, PhD

Matthew N. Simmons, MD

December 1, 2011

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.

Figure 1. Autotransplant with modifi ed pyelovesicostomy (detail in inset)

On The Forefront

Renal ATPV for Intractable Stone Disease

By

Michelle Anthony, RN

Kathy Coffman, MD

Stuart M. Flechner, MD

Mark J. Noble, MD

James Simon, MD

Alvin Wee, MD

December 1, 2011

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.

On The Forefront

Transitional Urology: Caring for the Urological Needs of Adults and Adolescents Born with Complex Congenital Anomalies

By

Kenneth W. Angermeier, MD

James Simon, MD

Hadley M. Wood, MD

November 2, 2011

The genitourinary tract is the system most frequently affected by congenital defects. Such defects can be solitary or involve multiple organ systems.

Figure 1. An implantable artificial kidney moves closer to reality.

On The Forefront

Nephrologists and Urologists Collaborate on Implantable Artificial Kidney

By

Kenneth W. Angermeier, MD

James Simon, MD

Hadley M. Wood, MD

November 2, 2011

Four years ago, a joint effort was established between nephrologists and urologists at the Cleveland Clinic Glickman Urological and Kidney Institute to develop and implant a bioartificial kidney.

On The Forefront

Acute Renal Failure Secondary to Bilateral Ureteral Obstruction

By

Georges-Pascal Haber, MD

Martin Schreiber, MD

September 12, 2011

Editor’s Note: “On the Forefront” is a new column dedicated to showing how urologists and nephrologists are collaborating on cases to improve patient care.

On The Forefront

The Institute Model: Integrating to Improve Care

By

J. Stephen Jones, MD, FACS

September 1, 2011

Renal & Urology News was established in 2002 based on recognition of natural synergies of nephrology and urology. The insight was not immediately intuitive, as care delivery remained largely specialty-based.

Cleveland Clinic

Neoadjuvant VEGF-Targeted Therapy in Renal Cell Carcinoma

By

Steven Campbell, MD, PhD

Brian L. Rini, MD

November 19, 2009

Recent therapeutic advances in metastatic renal cell carcinoma (RCC) have included agents targeted against vascular endothelial growth factor (VEGF).

On The Forefront

Unusual Manifestation of an Aldosterone-Producing Adenoma

Resistant Hypertension Secondary to Primary Aldosteronism

Boosting Renal Transplantation with Kidney Paired Donation

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

Renal ATPV for Intractable Stone Disease

Transitional Urology: Caring for the Urological Needs of Adults and Adolescents Born with Complex Congenital Anomalies

Nephrologists and Urologists Collaborate on Implantable Artificial Kidney

Acute Renal Failure Secondary to Bilateral Ureteral Obstruction

The Institute Model: Integrating to Improve Care

Neoadjuvant VEGF-Targeted Therapy in Renal Cell Carcinoma

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Bioartificial Kidney Meeting Research Milestones