Vol. 16 No. 1 • 2014 • ISSN 1523-6161 (print) • ISSN 2153-8182 (online) • Medical Editors: Michael K. Brawer, MD • Herbert Lepor, MD
The Physiologic and Anesthetic Considerations in Elderly Patients Undergoing Robotic Renal Surgery
Nikhil Vasdev, FRCS (Urol), Anna Sau Kuk Poon, MBBS, S. Gowrie-Mohan, FRCA, Tim Lane, FRCS (Urol), Gregory Boustead, FRCS (Urol), Damian Hanbury, FRCS (Urol), James M. Adshead, FRCS (Urol)
A number of patients are diagnosed with renal malignancies incidentally worldwide. Once a diagnosis of a renal malignancy is established, after a careful evaluation, patients can be offered a robotic nephrectomy or partial nephrectomy. We present a review of the physiologic and anesthetic considerations in elderly patients who are being considered for robotic renal surgery.
Emerging Therapeutic for the Treatment of Skeletal-related Events Associated With Metastatic Castrate-resistant Prostate Cancer
Paul R. Sieber, MD
This article reviews three agents and the roles they play in the ever-changing armamentarium of treatments for metastatic castrate-resistant prostate cancer (mCRPC). The potential benefits of these agents are discussed, as well as the continuing use of these agents and their earlier introduction in the patient with progressive mCRPC with bone metastasis.
Nephron-sparing Management of Upper Tract Urothelial Carcinoma
Francesca Suriano, MD, Tommaso Brancato, MD
Upper tract urothelial carcinoma (UTUC) is a relatively rare tumor, but is characterized by high rates of recurrence, morbidity, and mortality. Choice of treatment modality is generally influenced by lesion size, grade, and focality. Careful ureteroscopic surveillance following endoscopic management of UTUC is essential.
Calyceal Diverticula: A Comprehensive Review
Nikhil Waingankar, MD, Samih Hayek, MD, Arthur D. Smith, MD, Zeph Okeke, MD
This article reviews the current theories on the pathogenesis of calyceal diverticula, its classification and diagnostic methods, and summarizes an extensive review of the literature on the outcomes of different treatment approaches.
Transitioning to ICD-10: Steps for Urologists and Urology Groups
Jonathan Rubenstein, MD
Metastatic Urethral Melanoma: Case Report and Review of the Literature
Rogério Saint-Clair Pimentel Mafra, MD, MSc, PhD, Luiz Ronaldo Alberti, MD, MSc, PhD, Bruno Moraes Vasconcelos, Rafaela Saint-Clair Pimentel Mafra De Oliveira, MD
This article reports on the case of a young patient with metastatic melanoma in the urethra that led to urinary obstruction and urinary symptoms.
Bladder Leiomyoma Presenting With LUTS and Coexisting Bladder and Uterine Leiomyomata: A Review of Two Cases
Sudhir Kumar Jain, MS, FRCS (Edinburgh), FACS, FICS, Raman Tanwar, MS, FMAS, Aparajita Mitra, MS
Mesenchymal tumors of the urinary bladder are rare, the most common among them being leiomyoma of the bladder. These tumors commonly present with irritative urinary symptoms progressing gradually to obstructive symptoms as tumor size increases. The authors report on two such cases who presented with lower urinary tract symptoms.