To ensure the early detection of recurrent disease, all patients should undergo routine surveillance following partial nephrectomy for renal cell carcinoma. In order to optimize resource allocation and avoid unnecessary radiation exposure, the frequency and duration of surveillance should be tailored to the individual patient's risk of cancer recurrence. The evidence for surveillance after part...

Local regional recurrence of renal cell cancer post-nephrectomy most often occurs within three years after surgery. Post-nephrectomy, many processes may mimic RCC recurrence. We present the case of a 75 year-old Caucasian male patient with a mass in his renal fossa post-nephrectomy for renal cell cancer, suggesting local recurrence. Use of the technetium-99m sulfur colloid scan showed that the ...

Results: The mean age of the patients was 50.3±13.3 years (range 22-80 yrs). The male: female ratio was 1:1.1. The duration of symptoms varied widely from few weeks to a few years (range 0.5-94 months). 11 cases (16.4%) presented with the so-called “too late triad” consisting of loin pain, haematuria and palpable mass. 7 patients (3%) were diagnosed incidentally. 65 patients (97%) were operated...

Laparoscopic procedures continue to gain popularity over traditional open operations for a variety of abdominal and retroperitoneal surgical procedures. With regard to urological surgery, the first laparoscopic nephrectomy was performed in an adult in 1991. In the following years, the feasibility of laparoscopic management of pediatric urological disorders was described, and in 1992 the first l...

Simple Nephrectomy is a standard therapeutic urological procedure for irreversibly damaged non functioning kidneys involved by different benign pathological conditions like extensive renal stone disease, obstruction due to impacted calculus in the kidney or ureter,trauma,nephrosclerosis,neglected pelviureteric junction obstruction(PUJO),congenital malformations, renovascular hypertension due to...

Clear cell tubopapillary renal cell carcinoma (CCTP-RCC) is a distinct histologic subtype of RCC recognized for its unique clinicopathologic and immunohistochemical features. A 72-year-old man with presumed polycystic kidney disease (PKD) and bilateral clear cell RCC (CC-RCC) underwent left radical nephrectomy and right partial nephrectomy 20 years ago at an outside hospital. On surveillance im...

The incidence of low-stage renal cell carcinoma is rising and is observed to demonstrate excellent prognosis following surgical treatment irrespective of method. However, several epidemiologic observational and population-based studies suggest that radical nephrectomy is associated with increased adverse renal outcomes such as chronic kidney disease (CKD) compared with partial nephrectomy. This...

Unilateral nephrectomy of sodium-restricted male Sprague-Dawley rats produced a sustained elevation in systolic blood pressure (SBP) that was reversed by sodium repletion. A chronic intraperitoneal infuson of SQ14,225 prevented the development of hypertension in sodium-deplete unilaterally nephrectomized rats. Sodium depletion of two-kidney rats increased SBP to a lesser extent, while unilatera...

Patient summary: After the introduction of systemic targeted therapies, the use of nephrectomy in patients with metastatic renal cell carcinoma has declined. Currently, systemic therapy is offered to more patients first as a means to select those candidates that will likely benefit from removal of their primary tumour. Although studies consistently demonstrate a survival benefit after nephrecto...

505 Hybrid Transvaginal Gastro-Endoscopic Nephrectomy in a Porcine Model Wooju Jeong, Sung Yul Park, Sang Woon Kim, Koon Ho Rha, Seung Choul Yang, Woong Kyu Han From the Department of Urology, Yonsei University College of Medicine, Hanyang University College of Medicine, Seoul, Korea This animal experimental study reports one case of hybrid transvaginal natural orifice transluminal endoscopic s...