Urology & Kidney Disease News Fall 2009 - Cleveland Clinic

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On the Cover From the development of the kidney dialysis machine to pioneering the bioartificial kidney, Cleveland Clinic has a long history of innovation in the treatment of end-stage renal disease. To read about our latest activities, see pages 49-53. And for a look at our new 21-bed state-of-the-art dialysis unit, see the Glickman Tower photo essay on page 10. Natural orifice translumenal endoscopic surgery (NOTES) brings forth a change in the intellectual and physical approach to urologic surgery. Cleveland Clinic was the first to perform a NOTES transvaginal nephrectomy in a human. For details on the procedure and its outcomes, see page 30. Urology & Kidney Disease News Chairman’s Report .....................................................................4 News from the Glickman Urological and Kidney Institute New Staff .................................................................................6 Upcoming Conferences ..............................................................7 Staff Awards and Appointments ..................................................8 From the Medical Editor: Care in the 21st Century .......................9 Glickman Tower Photo Essay ....................................................10 Prostate Cancer XMRV is Found in Prostatic Secretions: Evidence Suggests Sexual Transmission .....................................14 A Novel Stereotactic Prostate Biopsy and Treatment Guidance System ...............................................15 Magnetic Resonance Imaging of the Prostate .............................16 Analysis of T1c Prostate Cancers Treated at Very Low Prostate-Specific Antigen Levels ..............................17 A Nomogram for Predicting Upgrading in Patients with Low and Intermediate Grade Prostate Cancer in the Era of Extending Prostate Sampling ..................................18 The Influence of Body Mass Index on Prostate Cancer Screening in a Large Cohort ..............................20 Metagram for Tailoring Prostate Cancer Management ..................21 Active Surveillance with Selective Delayed Intervention for Prostate Cancer ....................................22 Active Surveillance: Are the Epstein Criteria Suitable for Defining Biologically Insignificant Prostate Cancer? ................23 Brachytherapy and External Beam Radiotherapy for Prostate Cancer: A Comparison ............................................24 Establishing Treatment Success Criteria for Cryosurgical Ablation of Prostate Cancer: An Analysis of the COLD Registry.....26 Benign Prostatic Disease 980: The New Hot Number in BPH Therapy .............................28 Clinical Phenotyping of Patients With Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Correlation With Symptom Severity .....................................29 Robotics and Laparoscopy NOTES (Natural Orifice Translumenal Endoscopic Surgery) Transvaginal Nephrectomy: First Human Experience ...................30 NOTES (Natural Orifice Translumenal Endoscopic Surgery) Renal Cryoablation in the Porcine Model....................................31 clevelandclinic.org/urology
3 Urology & Kidney Disease News Laparoscopic Surgery Without Visible Scars: Experience with the First 100 Cases .........................................32 Application of 2-mm Needlescopic Instruments in Urological Laparoscopic Surgery ............................................34 Stereotactic Ablation of Renal Tumors........................................36 Robotic Laparoendoscopic Single Site Surgery Using GelPort® as the Access Platform .....................................37 Laparoendoscopic Single Site Pyeloplasty: A Comparison to Standard Laparoscopic Technique ....................38 Single-Port Single-Surgeon Robotic-Assisted Laparoscopic Reconstructive Urology.........................................40 Pediatric Urology Technical Modifications of Robotic-Assisted Pyeloplasty in Children Resulting in Minimal Morbidity and Improved Efficacy ................41 Kidney Cancer Guidelines for Management of the Clinical Stage 1 Renal Mass ...42 Managing Patients with Renal Tumors and Venous Thrombus ......43 Partial Nephrectomy for Renal Masses 7 cm or Less: The New Standard in Nephron-Sparing Surgery .........................44 Neoadjuvant VEGF-targeted Therapy in Renal Cell Carcinoma .....45 Chronic Kidney Disease Optimal Use of the Electronic Medical Record in Chronic Kidney Disease ........................................................46 The Development of a Glomerulonephritis Board Can Help in the Treatment of Individual Cases as Well as in Developing Effective Treatment Regimens ..........................47 Developing Evidence-Based Treatment Options for Kidney Diseases .................................................................48 Understanding the Molecular Mechanism in Anemia of CKD .......48 Renal Failure The New Centers for Medicare and Medicaid Services Conditions for Coverage Regulations ..........................................49 ICU Nephrology: Change and Optimism ....................................50 Bioartificial Kidney Making Milestones .......................................51 The Hybrid In-Hospital Dialysis Unit: Current and Future Challenges ..................................................52 Hypertension Redefining Hypertension for Tomorrow: Target Levels ..................53 Resistant Endocrine Hypertension .............................................55 Female Urology Minimally Invasive Approaches to Female Pelvic Organ Prolapse..56 Electrostimulation after Delivery Injury to Treat Urinary Incontinence........................................................57 Bladder Neck Coaptation as a Predictor of Successful Injection for Female Stress Incontinence ....................58 Expression of Urinary Chemokines in Patients with Overactive Bladder ...........................................60 Bladder Cancer Lack of Pathologic Down-Staging with Neoadjuvant Chemotherapy for Muscle-Invasive Urothelial Carcinoma of the Bladder: A Contemporary Series ......................................61 Studying the Effects of Smoke on Bladder Cancer Treatment .......62 Urethral Reconstruction Urethral Reconstruction in Older Men Results in High Patient Satisfaction and Excellent Urinary Function .............64 Functional and Quality of Life Outcomes in Patients Undergoing Transperineal Repair with Gracilis Muscle Interposition for Complex Rectourethral Fistula ...........................66 Sexual Health Peyronie’s Disease: An Update on the Role of Diagnostics ...........68 Increasing Penile Length at Time of Penile Prosthesis Implantation ..................................................69 Transplantation Prediction in Transplantation .....................................................70 Kidney Function in Living Kidney Donors ...................................72 Special Programs Lifestyle Modification Program Shows Promise for Prostate Cancer Patients .........................................73 The Novick Center for Clinical and Translational Research Manages High Volume of Research within the Institute .....................................73 Urology Residency Program Expansion in Progress .....................74 Services for Physicians .............................................................75 Services for Patients.................................................................75 Author Index ...........................................................................76
Page 1: Urology & Kidney Disease News Glick
Page 5 and 6: A four-story grand hall in the new
Page 7 and 8: Upcoming Conferences October 29-30,
Page 9 and 10: Care in the 21st Century: One Size
Page 11 and 12: disorders. Technology, Inc., real-
Page 13 and 14: clevelandclinic.org/urology The 21-
Page 15 and 16: A Novel Stereotactic Prostate Biops
Page 17 and 18: Analysis of T1c Prostate Cancers Tr
Page 19 and 20: nomogram performance with larger di
Page 21 and 22: Metagram for Tailoring Prostate Can
Page 23 and 24: Active Surveillance: Are the Epstei
Page 25 and 26: A. B. C. C. High-risk patients. p
Page 27 and 28: In a parallel study of salvage cryo
Page 29 and 30: Clinical Phenotyping of Patients Wi
Page 31 and 32: Renal Cryoablation in the Porcine M
Page 33 and 34: LESS Renal Surgery Procedure Tumor
Page 35 and 36: adrenalectomy of laparoscopic parti
Page 37 and 38: Ten patients with a total of 13 tum
Page 39 and 40: ing standard laparoscopic pyeloplas
Page 41 and 42: Jeffrey S. Palmer, MD, FACS, FAAP R
Page 43 and 44: Index Patient 3: Healthy with clini
Page 45 and 46: Neoadjuvant VEGF-targeted Therapy i
Page 47 and 48: The Development of a Glomerulonephr
Page 49 and 50: The New Centers for Medicare and Me
Page 51 and 52: Making Milestones William Fissell,
Page 53 and 54:
Developing a nocturnal dialysis pro
Page 55 and 56:
Resistant Endocrine Hypertension: A
Page 57 and 58:
Electrostimulation after Delivery I
Page 59 and 60:
0.001 0.001 0.001 Episodes of
Page 61 and 62:
Lack of Pathologic Down-Staging wit
Page 63 and 64:
Incidence of hydronephrosis and lym
Page 65 and 66:
Failure of treatment was strictly d
Page 67 and 68:
Figure 1. A B b r Figure 1a. Perine
Page 69 and 70:
Increasing Penile Length at Time of
Page 71 and 72:
Figure. A. Nomogram predicting 5-ye
Page 73 and 74:
Elizabeth Ricanati, MD, and J. Step
Page 75 and 76:
Services for Physicians Physician D
Page 77 and 78:
Urology & Kidney Disease News Vol.
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Urology & Kidney Disease News Fall 2009 - Cleveland Clinic

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