Partial nephrectomy versus ablative therapies for cT1a renal masses: A Systematic Review and meta-analysis

ConclusionCompared to PN, ablation may have a significantly lower OS and higher local recurrence rates in selected patients, while CSS and DFS were comparable between the two treatments. On the other hand, ablation had a significantly decreased risk of perioperative complication and the potential advantage of long-term renal function preservation. More large randomized controlled trials are needed further to enhance the evidence of ablation in patients with small renal tumors. We believe that ablation is an attractive addition to the urologist's treatment options for small renal masses.
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research

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We describe the case of a 82 year-old female with a diagnosis of XGP under ureteroscopy with biopsy, who underwent radical nephrectomy and final pathology report was malakoplakia. Both diseases may combine but it's rare. With this case we hope to bring further evidence to support that these two diseases are not mutually exclusive but they can present on the same patient.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
Authors: Bianchi L, Schiavina R, Borghesi M, Chessa F, Casablanca C, Angiolini A, Ercolino A, Pultrone CV, Mineo Bianchi F, Barbaresi U, Piazza P, Manferrari F, Bertaccini A, Fiorentino M, Ferro M, Porreca A, Marcelli E, Brunocilla E Abstract BACKGROUND: To develop a clinical nomogram aimed to predict the achievement of trifecta in patients treated with open, laparoscopic and robotic partial nephrectomy (PN) for localized renal masses (
Source: Minerva Urologica e Nefrologica - Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research
In conclusion, renal actinomycosis can be challenging to diagnose, operate and eradicate. Perioperative considerations are presented for successful management.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
Publication date: Available online 17 October 2019Source: Urology Case ReportsAuthor(s): Walid Smeoui, Ahmed Samet, Talel Touaiti, Nouri Rebai, Abderrazek Bouzouita, Mourad HadjslimèneAbstractA 52-year-old man with a history of right nephrectomy for a nonfunctioning kidney, consults after 22 years for fever with right lower abdominal pain. Surgical exploration was thereafter performed and the right ureteral stump was removed en bloc. Pathological examination of the right ureterectomy specimen revealed a significant acute and chronic ureteritis due to stone without any signs of malignancy. Owing to the low incidence ...
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
CONCLUSION: These updated recommendations should assist French speaking urologists for their management of kidney cancers. PMID: 31610874 [PubMed - in process]
Source: Progres en Urologie - Category: Urology & Nephrology Tags: Prog Urol Source Type: research
Authors: Mao Q, Wang C, Chen G, Tan F, Shen B Abstract Superselective renal arterial embolization (SRAE) is a well-established method for the treatment of severe hemorrhage following percutaneous nephrolithotomy (PCNL). However, there remains a significant rate of failures requiring repeat SRAE or nephrectomy. To identify risk factors for initial treatment failure of SRAE, the data of patients who had undergone SRAE for severe bleeding due to PCNL between August 2005 and June 2016 were retrospectively analyzed. A total of 98 patients required SRAE for bleeding control following PCNL. Renal arteriography revealed ps...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
Source: Journal of Laparoendoscopic - Category: Surgery Authors: Source Type: research
We present a case of a young male who experienced multiple metastases and been diagnosed HLRCC after the operation of radical nephrectomy for 10 months. This case remains us that early screening and surveillance are recommended to people who have a family history or at risk of HLRCC, surgical and palliative therapy still play an important role in clinical treatment in the meantime.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
Publication date: Available online 15 October 2019Source: Urology Case ReportsAuthor(s): Akito Ito, Mizuki Hisano, Makoto Takahashi, Naoki Komine, Takaya Abe, Wataru ObaraAbstractA 73-year-old-male patient with hypertension and grade 3B chronic kidney disease underwent radical nephrectomy in the year 2000. As the renal function gradually worsened, the patient was started on hemodialysis in 2003. Eleven years after nephrectomy, the metastases were pointed out. The patient received sunitinib as first-line therapy. Thereafter, as the metastatic lesions became larger, we initiated nivolumab therapy (3 mg/m2 every 2 weeks). Aft...
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
Publication date: Available online 15 October 2019Source: Urology Case ReportsAuthor(s): C.H.F. Wong, H. Chau, C.W. Man, S.K. ChuAbstractFrom the literature, the managements for nephropulmonary fistula were variable. We would like to present our case and review the literature for the best method of care.The common features were 1) infected kidney; 2) ipsilateral lower lobe pneumonia or pleural effusion; 3) sputum and urine culture growing the same organism. Renal gaseous content may not be present on x-ray or even CT scan.The choice of management for the nephropulmonary fistula was diverse. However, conservative management...
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
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