Volume 2, Number 2Reviews in UrologyPrimary Aldosteronism Caused by Unilateral Adrenal HyperplasiaMetabolic ChallengeJerry WaismanKenneth WooJonathan MelamedHerbert LeporAdenomaAldosteronismHyperplasia, adrenalHypokalemia
Volume 10, Number 4Case ReviewManagement of Localized Prostate Cancer and an Incidental Ureteral Duplication With Upper Pole Ectopic Ureter Inserting into the Prostatic UrethraCase ReviewJonathan MelamedBachir TaouliMichael D StifelmanTracy P MarienHerbert LeporEllen ShapiroEctopic ureters are rare congenital malformations of the renal system that most commonly present in females. It is extremely rare to encounter an ectopic ureter in an older man undergoing radical prostatectomy. We report herein a case of a 66-year-old man with prostate cancer and a complete duplication of the left renal collecting system, with an upper pole ectopic ureter and associated normal functioning renal parenchyma entering into the prostatic urethra. This anomaly was incidentally discovered on preoperative magnetic resonance imaging of the prostate. Open radical retropubic prostatectomy and a left ureteroureterostomy were performed. [Rev Urol. 2008;10(4):297-303]Prostate cancerProstatectomyEctopic ureterProstatic urethra
Volume 11, Number 1Case ReviewRenal Involvement by Chronic Myelomonocytic Leukemia Requiring NephroureterectomyRaavi GuptaElias S HyamsOjas D ShahJonathan MelamedSamir S TanejaChronic monomyelocytic leukemia (CMML) is a relatively rare clonal hematologic disorder with features of myelodysplastic syndrome and myeloproliferative disease. Renal impairment from CMML is infrequent and can result from both direct (ie, infiltrative) and indirect (eg, vasculitis, infarction) mechanisms. This case report describes a patient with refractory gross hematuria requiring nephroureterectomy with diffuse involvement of the upper tract by CMML and accompanying extramedullary hematopoiesis. Underscored are the need to maintain a broad differential diagnosis for upper tract lesions in the setting of gross hematuria, and the potential need for drastic measures to control upper tract bleeding if conservative measures fail.[Rev Urol. 2009;11(1):33-37]Gross hematuriaSecondary malignancy of kidneyLeukemia
Volume 17, Number 2Case ReviewJuxta-adrenal Ancient Schwannoma: A Rare Retroperitoneal TumorWilliam C HuangJonathan MelamedPratibha ShuklaDaniel A WollinGanesh SivarajanRetroperitoneal schwannoma is a rare tumor that is often misdiagnosed as malignancy due to a concerning appearance on cross-sectional imaging. Pathology and immunohistochemistry form the gold standard for diagnosis; as such, local excision is the treatment of choice for this disease. We present two cases of juxta-adrenal ancient schwannoma that were treated with adrenalectomy and discuss the current literature regarding this entity. [Rev Urol. 2015;17(2):97-101 doi: 10.3909/riu0669] © 2015 MedReviews®, LLCAncient schwannomaAdrenal tumorAdrenalectomy