Center Name: Center for the Study of Blood Pressure and Fluid/Electrolyte Disorders Front: The Department of Nephrology and Hypertension within Cleveland Clinic’s Glickman Urological & Kidney Institute has a rich history of innovation and research in hypertension. The department’s Center for the Study of Blood Pressure and Fluid/Electrolyte Disorders provides specific expertise in these areas, and is staffed by American Society of Hypertension (ASH) certified hypertension specialists, with lab space and equipment dedicated to hypertension evaluation and testing. Besides the standardized use of automated blood pressure devices in our outpatient clinics, we have a large cohort of patients who undergo 24-hour ambulatory blood pressure measurements to help with diagnosis of white coat hypertension, masked hypertension, labile hypertension, and assessment of nocturnal dipping and efficacy of therapy. We also use non-invasive hemodynamic testing with impedance cardiography to help guide treatment decisions and tailor therapy by assessing neuro-humoral profiles and hemodynamic parameters in our hypertension lab. Central blood pressures have been shown to correlate more strongly with vascular disease than routine peripheral blood pressure measurements, and we assess central blood pressure indices using applanation tonometry, including pulse wave analysis and pulse wave velocity. We also have the capability to study endothelial function non-invasively, which could help early detection of endothelial dysfunction for assessment of cardiovascular risk. The Center has expertise in the field of secondary hypertension management, specifically related to the diagnosis and management of primary hyperaldosteronism, pheochromocytoma, and renal artery stenosis; as well as electrolyte disorders. Diseases & conditions treated in the Center for the Study of Blood Pressure and Fluid/Electrolyte Disorders Resistant Hypertension Primary Aldosteronism Pheochromocytoma Renal Artery Stenosis Baroreflex Failure Hyponatremia Hypokalemia and Hyperkalemia Hypomagnesemia Hypocalcemia and Hypercalcemia Treatments & procedures for these diseases include: 24-hr ambulatory blood pressure monitoring Central blood pressure measurements Bio-impedance cardiography Salt loading test Clonidine suppression test To find or make an appointment with a nephrologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600 To download a free treatment guide visit: Center Name: Center for Dialysis Front: The Center for Dialysis provides renal replacement therapy to meet the needs of patients suffering from either short-term or long-term severe kidney failure. Innovative use of the latest technologies allows Cleveland Clinic to provide the highest quality dialysis care that is accessible and comfortable with significantly better outcomes. Individuals with end-stage renal disease (ESRD) need dialysis or a kidney transplant to survive. When a kidney transplant is not available immediately or not possible, dialysis can replace kidney function. The Cleveland Clinic Center for Dialysis employs a multidisciplinary team of nephrologists, nurses, social workers, dietitians and technicians to ensure optimal outcomes for dialysis patients. The Center for Dialysis includes ICU nephrology, an in-hospital dialysis unit, hemodialysis, and peritoneal dialysis. The ICU Nephrology service provides renal replacement therapy (RRT) for one of the busiest acute kidney injury programs in the world. The expertise of our nephrology staff is a critical component in the achievement of outstanding surgical outcomes in critically ill patients with cardiovascular disease, organ transplantation, congestive heart failure, organ failure and other critical medical problems. We are focused on optimal dialysis delivery, automated electronic treatment data monitoring/analysis and the provision of high-quality dialysis water through the use of innovative water purification systems. We examine those specific factors that may impact patient outcomes and aim to provide solutions that improve survival for hospitalized and outpatient kidney failure patients. Back: Diseases & conditions treated in the Center for Dialysis Chronic kidney disease Renal failure End stage renal disease Treatments & procedures for these diseases include: Dialysis Hemodialysis To find or make an appointment with a nephrologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600 To download the free treatment guide, visit Center Name: Center for Chronic Kidney Disease Front: Cleveland Clinic nephrologists are experts at evaluating and managing chronic kidney disease (CKD). An innovative team-care model addresses the life cycle of the disease. The Center for Chronic Kidney Disease focuses on empowering patients through education and on tailoring treatment to improve patients’ quality of life. The center’s progressive model for managing CKD addresses patients’ needs at every stage of the disease. Experienced nephrologists and other staff members engage patients in customized care programs that help them understand their condition and participate in their own care. Treatment is focused on slowing the progression of CKD, identifying risks for cardiovascular disease and decreasing the risk of complications from surgery. Additionally, the center is dedicated to cutting-edge CKD research regarding CKD’s relationship with other serious health problems, including cardiovascular disease, diabetes and anemia. Diseases & conditions treated in the Center for Chronic Kidney Disease Chronic kidney disease Treatments & procedures for these diseases include: To find or make an appointment with a nephrologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600 To download the free treatment guide, visit www.clevelandclinic.org/CKD Center Name: Center for Renal Diseases Front: The mission of the Center for Renal Diseases is to diagnose and prevent kidney disease, anticipate complications, and treat renal problems before they become life threatening. The center is staffed with experienced nephrologists and other healthcare professionals who develop and implement customized treatment for polycystic kidney disease (PKD), kidney stones, glomerulonephritis (GN), and the Anemia Clinic. The Center for Renal Diseases includes the Polycystic Kidney Disease Clinic (PKD), the Kidney Stone Clinic, the Glomerulonephritis Board, and the Anemia Clinic. The PKD Clinic uses a comprehensive medical evaluation including genetic testing and counseling, imaging of the kidneys and associated organs, and a treatment program designed by an experienced nephrologist. Nephrologists and urologists who specialize in kidney stones evaluate patients together to provide a comprehensive approach to diagnosis and management. Experts identify causes of stone formation in order to prevent new stones from forming. Physicians use a combination of blood tests, stone analysis, and 24-hour urine collection to determine the cause for kidney stone formation. The Glomerulonephritis Board is a medical board composed of world recognized nephrologists, rheumatologists, immunologists, renal pathologists and other interested physicians whom review complex nephrological glomerulonephritis cases. Nephrologists at the Cleveland Clinic treat many patients with chronic kidney disease (CKD) who suffer from anemia of chronic kidney disease. Anemia of CKD has been shown to increase fatigue, decrease quality of life, and increase the likelihood of blood transfusions. Treatment requires intravenous administration of iron, B12 injections, and/or other agents to stimulate red blood cell production. The Anemia Clinic, which is staffed by two nurses and a supervising nephrologist. Back: Diseases & conditions treated in the Center for Renal Diseases Polycystic kidney disease Kidney stones Anemia Glomerulonephriti Treatments & procedures for these diseases include: To find or make an appointment with nephrologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600. To download a free treatment guide, visit: Center Name: Center for Endourology and Stone Disease Front: The Center for Endourology and Stone Disease is located within the Glickman Urological & Kidney Institute. Through a multidisciplinary approach, urologists and nephrologists explore all medical and surgical treatment options and have performed more than 1,000 surgical procedures for kidney stones every year. Experienced urologists and nephrologists investigate the causes of kidney stone formation through 24-hour urine analyses and blood tests. They then develop prevention strategies tailored to individual patients. Our patients receive a better understanding of why their kidney stones develop and what lifestyle changes they can make to prevent them. Patients are provided with dietary recommendations based upon the results of their 24hour urine evaluation. While encouraging increased fluid intake is a universal recommendation, all dietary interventions are not the same. Tailored dietary plans are mutually agreed upon with the patient. Label reading is discussed and other healthrelated issues are incorporated into the dietary instructions for a comprehensive approach to managing kidney stone recurrence. At Cleveland Clinic, our urologists are trained in performing shockwave lithotripsy under conscious sedation. This technique is used in select patients, decreasing the risks and recovery time associated with the procedure. More than 3,000 patients have undergone shockwave lithotripsy under conscious sedation at Cleveland Clinic. Percutaneous nephrolithotomy is used for larger stones. Our urologists perform on average four to six percutaneous nephrolithotomy procedures per week. Cleveland Clinic urologists also employ a “tubeless” approach in select patients to avoid the pain and inconvenience of a tube coming out the back. Diseases & conditions treated in the Center for Endourology and Stone Disease Kidney Stones Treatments & procedures for these diseases include: Observation and Stone Passage Ureteroscopy Shock Wave Lithotripsy (SWL) Percutaneous nephrolithotomy Autotransplant for chronic kidney pain To find or make an appointment with a urologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.555.5600 To download a free treatment guide, visit: www.clevelandclinic.org/kidneystones Center Name: Center for Female Pelvic Medicine & Reconstructive Surgery Front: This center was created several years ago with the goal in mind of providing high level care to women with pelvic floor disorders, urinary incontinence and pelvic organ prolapse at our Cleveland Clinic main campus and regional health facilities (located in Beachwood, Hillcrest, Willoughby Hills, Twinsburg and Avon Family Health Centers). The Center for Female Pelvic Medicine & Reconstructive Surgery at the Glickman Urological & Kidney Institute maintains a high patient volume and performs complex surgery. Each year, we perform more than 250 vaginal sling procedures, 250 or more pelvic organ prolapse procedures (including robotic surgery) and manage more than 100 complications of pelvic surgery including mesh complications, vesicovaginal fistulae and urethral diverticula). We run the largest urodynamics (diagnostic) facility in the country and perform more than 1,200 exams yearly. We manage many patients with incontinence and overactive bladder and have one of the largest experiences in the world in sacral neuromodulation for overactive bladder and our center is part of the NIH-Pelvic floor disorders network trial on use of OnabotulinumtoxinA (Botox) versus sacral neuromodulation. Diseases & conditions treated in the Center for Female Pelvic Medicine & Reconstructive Surgery Urinary Incontinence (stress incontinence and overactive bladder) Pelvic Organ Prolapse (cystocele, rectocele, enterocele, uterine prolapse) Complications of Vaginal Surgery (mesh related complications), pain, fistulae Complex lower urinary reconstruction (vesicovaginal fistula), urethral diverticula, urethral fistula Interstitial Cystitis (expert opinion consultations only) Urinary Tract infections (expert opinion and diagnostic consultation) Treatments & procedures for these diseases include: Vaginal sling surgery Revision surgery for failed incontinence procedures Sacral Neuromodulation Botox injections Bladder enlargement (Augmentation cystoplasty) Vaginal repair (non mesh based) Sacrocolpopexy (open or robotic assisted) Vaginal corrective repair Abdominal corrective repair Diagnostic cystoscopy and hydrodistension (selectively) Guidance for bladder instillation protocols To find or make an appointment with a urologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600 To download a free treatment guide, visit: www.clevelandclinic.org/prolapseguide Center Name: Center for Genitourinary Reconstruction Front: The Center for Genitourinary Reconstruction offers individualized and advanced surgical treatment options for patients with common and uncommon lower urinary tract and genital conditions, disorders and anomalies. The population served primarily consists of male adolescents and adults, but also includes some female patients who are born with genitourinary system abnormalities and have problems persisting into adolescence and childhood. The center is staffed by three surgeons, a fellow, resident physicians, a nurse specialist and a physician assistant. When necessary, additional medical and surgical specialists are available within the Cleveland Clinic system to provide coordinated comprehensive care. An appointment to the center begins with a thorough physician exam and any necessary diagnostic tests. After this process is completed, the physician and his/her team will discuss possible treatment options and determine the best course of action likely to provide a positive long-term result and favorable quality of life. Physicians also will share notes and records with the patient’s referring physician with the patient’s consent. This provides an all-around coordination of care. Diseases & conditions treated in the Center for Genitourinary Reconstruction Erectile dysfunction Urethral strictures Male urinary incontinence Peyronie’s disease Congenital penile curvature Rectourethral fistula Congenital anomalies of the bladder and genitalia Complications related to prior hypospadias repair in adolescents and adults Neurogenic bladder due to spinal cord injury or myelomeningocele Genital lymphedema Penile and urethral cancer Treatments & procedures for these diseases include: Prosthesis implantation Penile prosthesis Artificial urinary sphincter Male sling Testicular prosthesis Penile plication Penile plaque excision or incision with graft placement Rectourethral fistula repair Urethroplasty Augmentation cystoplasty Continent urostomy To find or make an appointment with a urologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600 To download a free treatment guide, visit: Center Name: Center for Male Fertility Front: Infertility is a common problem and affects one in every six couples who are trying to conceive. In at least half of all cases of infertility, a male factor is a major or contributing cause. Current reproductive guidelines allow for the evaluation of a couple at any time that they perceive an issue achieving a pregnancy. The specialists in the Cleveland Clinic Center for Male Fertility understand your concerns from an emotional perspective as well as the medical one. We offer a unique, comprehensive, team approach to diagnosing and treating male infertility to help you achieve your personal goals and dreams for the future. We bring a personal touch to each couple, and make sure they understand the tests and options at each step of the process. We work closely and regularly with a wide array of female reproductive specialists (Reproductive Endocrinologist) within Cleveland Clinic and from other hospitals. We additionally bring to the point of care all the resources of Cleveland Clinic, which includes a world class andrology lab with cryopreservation capability, and the use of cutting edge technology for reproduction and in-vitro fertilization. When needed, the physicians at The Center for Male Fertility regularly perform surgeries including testicular biopsy, advanced sperm harvest techniques, varicocelectomy, and complicated microsurgical vas deferens reconstructions. Diseases & conditions treated in the Center for Male Fertility Male Infertility Azoospermia Oligospermia Hypogonadism Varicocele Vasectomy Vasectomy Reversal Treatments & procedures for these diseases include: Semen Analysis Vasectomy Vasectomy Reversal Microsurgical Sperm Extraction Varicocele Ligation Hydrocelectomy Spermatocelectomy Percutaneous Epididymal Aspiration Testosterone Replacement including Subcutaneous Pellet Implantation Orchiectomy To find or make an appointment with a urologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600 To download a free treatment guide, visit: Center Name: Minority Men’s Health Center Front: The Minority Men's Health Center of Cleveland Clinic's Glickman Urological & Kidney Institute, one of the first in the country, addresses the challenges of healthcare disparities among minorities. Through a multidisciplinary approach of culturally sensitive clinical care, community outreach, community health literacy education, health provider health disparity education, mentorship for future health care providers and health disparities research, the Minority Men's Health Center takes on some of the nation's current greatest challenges. In cooperation with the Cleveland Clinic Medicine Institute and other Cleveland Clinic clinicians and researchers at Cleveland Clinic's Lerner Research Institute, the Center pursues a wide variety of studies such as immunology, molecular genetics, behavioral research and clinical trials of new therapies and diagnostics all designed to address the elimination of health disparities. The Minority Men's Health Center, established in 2003, provides an opportunity for minority males to undergo complete comprehensive medical evaluations to promote health & wellness and undergo health screenings for the early detection, prevention and/or treatment of a vast number of medical conditions which disproportionately afflict minority male populations, including urologic and male health concerns such as prostate cancer, benign prostatic disease, erectile dysfunction and kidney disease. The Minority Men's Health Center also serves as a primary medical center home for men through collaboration with the Medicine Institute and Kidney Transplant Center for the early diagnosis, prevention and treatment of primary medical conditions such as hypertension, diabetes, kidney disease and access to kidney transplantation. Diseases & conditions treated in Center for Minority Men’s Health Center Prostate cancer Benign prostatic disease Erectile dysfunction Kidney disease Hypertension Diabetes Treatments & procedures for these diseases include: To find or make an appointment with a urologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600 To download a free treatment guide, visit: Center Name: Center for Pediatric Urology Front: The Center for Pediatric Urology in the Glickman Urological & Kidney Institute provides comprehensive care for the full complement of routine and complex kidney, bladder and genitourinary issues in neonates, children and adolescents. Patients are seen on the main campus and at Cleveland Clinic’s Avon and Independence locations. Surgical services are provided on the main campus and at the Beachwood Ambulatory Surgical Center. In 2012, the center expanded its services with the addition of a full-time pediatric urologist, Audrey Rhee, MD. In addition to common problems, such as recurrent urinary tract infection, incontinence, and genital and urinary anomalies, the urologists offer state-of-the-art care for acquired and congenital problems. These include open and minimally invasive reconstruction of the genitourinary tract, endoscopic treatment of urinary tract stones and congenital anomalies, and surgical treatment of pediatric tumors of the kidneys, bladder and genitalia. They evaluate and treat dysfunctional elimination, provide surgical management of sexual differentiation disorders and treat bladder and bowel disorders associated with myelomeningocele. To minimize trauma and recovery time, the surgeons employ minimally invasive techniques, such as laparoscopic or robotic surgery, whenever possible. Today’s advanced imaging technologies allow many urologic conditions to be detected before a child is born. When genitourinary issues are diagnosed prenatally, the urologists work closely with neonatologists in Cleveland Clinic Children’s to provide parents with a detailed therapeutic plan. Diseases & conditions treated in the Center for Pediatric Urology Enuresis (Bed-wetting) Hypospadias Pediatric Bladder Birth Defects Pediatric Hydrocele | Hernia Pediatric Kidney Cancer Pediatric Neonatal Disorders Pediatric Spermatocele Pediatric Urinary Incontinence Pediatric Urinary Tract Infection Undescended Testicles Ureteropelvic Junction (UPJ) Obstruction Vesicoureteral Reflux Treatments & procedures for these diseases include: NOTHING SPECIFIC ON FIND A DOC To find or make an appointment with a urologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600 To download a free treatment guide, visit: Center Name: Center for Renal and Pancreas Transplantation Front: The Center for Renal and Pancreas Transplantation operates a full range of services for patients with advanced renal failure facing the possibility of renal replacement therapy. Our services include evaluation, wait list maintenance, transplant procedures, and follow up care. Additionally, appropriate diabetics can qualify for pancreas or combined pancreas and kidney transplantation. In selected patients with renal vascular disease or ureteral loss, renal autotransplantation can be performed. The center is multidisciplinary and is staffed by five surgeons and four nephrologists. Transplant urologists work very closely with nephrologists on patient management issues. The center also involves nurse coordinators, social workers, dieticians and financial counselors. An appointment begins with a referral from a patient’s personal nephrologist. Patients can then be scheduled for an evaluation that will involve a more comprehensive multidisciplinary evaluation. Additional laboratory, radiographic and cardiovascular testing is usually performed. Based upon these tests, qualified candidates will be placed on the wait list for a kidney. If a living donor is identified and found to be suitable, some patients will proceed to living donor transplantation. For most patients with advanced kidney disease transplantation provides a survival advantage compared to dialysis and an improved quality of life. Diseases & conditions treated in the Center for Renal and Pancreas Transplantation Chronic kidney disease Kidney Treatments & procedures for these diseases include: Renal/kidney transplantation Pancreas transplantation To find or make an appointment with a urologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600 To download a free treatment guide, visit: www.clevelandclinic.org/kidneytransplant Center Name: Center for Reproductive Medicine Front: The Center was established in 1993 with a two-fold mission: To conduct cutting-edge research into the causes of human reproductive and sexual disorders, leading to the development of new treatments and cures. Train physicians and scientists with a commitment to advancing the understanding of human reproduction, infertility and sexual function. The Center's interdisciplinary staff of scientists, practicing andrologists/urologists and reproductive endocrinologists from all over the world is one of the many aspects that set our program apart. In addition to their research and training activities, physicians in the Center for Reproductive Medicine have a very active clinical practice in male and female infertility. They offer the latest medical and surgical options for the treatment of a couple with infertility including the full range of assisted reproductive techniques. Patients benefit from its integrated, evidence-based approach to treatment, and our success rate in achieving pregnancy is consistently amongst the highest in the United States. Diseases & conditions treated in the Center for Reproductive Medicine Infertility Treatments & procedures for these diseases include: To find or make an appointment with a urologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600 To download a free treatment guide, visit: www.clevelandclinic.org/spermbanking Center Name: Center for Robotic & Laparoscopic Surgery Front: The Center has one of the world’s largest bodies of collective experience in urologic laparoscopic and robotic surgery. Cleveland Clinic urologists are committed to providing patient care through a unique partnership with subspecialties within the Glickman Urological & Kidney Institute. Urologists in the section of Robotic & Laparoscopic Surgery are continuing to be at the forefront of minimally invasive patient care, research and education. Techniques in robotic and laparoscopic surgery that have been developed in the laboratory and pioneered in the operating rooms are employed in everything from prostate, bladder, and kidney cancer surgeries to adrenal surgery. Cleveland Clinic also offers minimally invasive surgical treatment for prostate cancer: robotic radical prostatectomy. Robotic-assisted surgery is enabling surgeons to perform this complex minimally invasive surgery with more precision, offering patients improved outcomes. We have performed over 3,500 robotic and laparoscopic prostatectomy procedures to date and continue to be the leaders in the prostatectomy field. Glickman Urological & Kidney Institute offers robotic and laparoscopic options for a majority of kidney diseases. To date, the institute’s laparoscopic team has performed laparoscopic kidney surgery more than 3000 times in both benign and malignant diseases. Cleveland Clinic urologists performed the world's first laparoscopic removal of a cancerous bladder, followed by surgery to reconstruct the bladder out of intestinal tissue. Developed by a Cleveland Clinic urologist, our team refined this technique in the laboratory and now offers the reconstructive bladder cancer surgery for patients. In addition to treating bladder cancer, laparoscopic bladder surgery can also be used to treat urinary incontinence. Diseases & conditions treated in the Center for Robotic & Laparoscopic Surgery Adrenal disorders Adrenal Tumors Adrenocortical Carcinoma Benign Prostatic Enlargement (BPH) Bladder Cancer - Urology Overview Elevated PSA Hematuria Hydronephrosis Kidney Cancer Kidney Cysts, Simple Kidney donation Kidney Stones Pheochromocytoma Polycystic Kidney Disease Prostate Cancer Prostate Disease Retroperitoneal Fibrosis Transitional Cell Cancer Ureteral Cancer Ureteral Strictures Ureteropelvic Junction (UPJ) Obstruction Urethral Cancer Urethral Strictures Von Hippel-Lindau Disease (VHL) Treatments & procedures for these diseases include: Adrenal Surgery Adrenalectomy Benign Prostate Surgery Bladder Surgery Bladder Tumor Biopsy And Resection Continent Diversion Cryotherapy Cystectomy Cystoprostatectomy Ileal Conduit Image-Guided Surgery Kidney Surgery Kidney with Pancreas Transplantation Kidney And Ureteral Reconstruction Kidney with Pancreas Transplantation Laparoscopic Adrenalectomy Laparoscopic and Robotic-Assisted Laparoscopy Laparoscopic Donor Nephrectomy Laparoscopic Nephrectomy Laparoscopic Prostate Surgery Laparoscopic Renal Cryoablation Laparoscopic Surgery Minimally Invasive Surgery Nerve-sparing Prostatectomy Orthotopic Neobladder Partial Nephrectomy Percutaneous Renal Cryoablation Prostate Biopsy Radical Cystectomy Radical Nephrectomy: Laparoscopic Or Open Radical Orchiectomy Radical Prostatectomy Robotic Cystectomy Robotic Partial Nephrectomy Robotic Prostate Surgery Robotic Prostatectomy Robotic Radical Prostatectomy Robotic-Assisted Laparoscopic Surgery Robotic Surgery Single-Port Radical Prostatectomy Single-port Surgery TURP (Transurethral Resection of The Prostate) Urinary Diversion Urinary Reconstruction and Diversion Urology To find or make an appointment with a urologist in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600 To download a free treatment guide, visit: Center Name: Center for Urologic Oncology Front: The Center for Urologic Oncology at the Glickman Urological & Kidney Institute is an internationally-recognized leader in bladder, kidney, prostate, and testis cancers. The surgeons within the Center perform robotic and open procedures to treat these cancers, often in a multi-disciplinary team approach with the integration of expertise by medical oncology and/or radiation oncology. The Center has also been at the forefront of pioneering less-invasive treatment alternatives (where appropriate) for urologic cancers such as active surveillance, cryotherapy, and focal therapy for localized prostate cancer. Annually, surgeons within the Center perform approximately 500 partial/radical nephrectomy procedures for kidney cancer, 450 prostatectomy procedures for prostate cancer, 140 cystectomy procedures for bladder cancer, and 40 retroperitoneal lymph node dissections for testis cancer. The Center has unique expertise in managing rare urologic cancers (such as cancers of the penis, urethra, adrenal gland, and genitourinary sarcomas) and salvage procedures for recurrent cancers of the bladder and prostate that have failed initial therapy with radiation or other treatments. The clinical activities of the Center are supported by clinical experts in pathology, radiology, and anesthesia. The Center also supports research programs in patient-centered outcomes research, prostate cancer/androgen receptor biology, and kidney cancer. Back: Diseases & conditions treated in the Center for Urologic Oncology Bladder cancer Kidney cancer Prostate cancer Testis cancer Adrenal cancer Penile cancer Urethral cancer Genitourinary sarcoma Treatments & procedures for these diseases include: Robotic and open radical cystectomy (including continent urinary diversion or ‘neobladder’) Robotic and open partial nephrectomy Robotic and open radical nephrectomy (including venous thrombectomy) Robotic and open radical nephroureterectomy Percutaneous and laparoscopic renal mass ablation Robotic and open radical prostatectomy Salvage robotic and open radical prostatectomy Prostate cryoablation Salvage prostate cryoablation Focal therapy for localized prostate cancer Robotic and open retroperitoneal lymph node dissection Robotic and open adrenalectomy Radical and partial penectomy/urethrectomy and inguinal lymph node dissection To find or make an appointment with a urologic oncologists in the Glickman Urological & Kidney Institute, visit www.clevelandclinic.org/glickman or call 216.444.5600. To download free cancer treatment guides visit www.clevelandclinic.org/cancertreatmentguides.