Jay D. Raman, MD presented “Kidney Preservation for Upper-Tract Urothelial Carcinoma: Current State and Future Directions” during the 42nd Annual Ralph E. Hopkins Urology Seminar on February 1, 2023, in Jackson Hole, Wyoming.
How to cite: Raman, Jay D. “Kidney Preservation for Upper-Tract Urothelial Carcinoma: Current State and Future Directions.” February 1, 2023. Accessed Dec 2024. https://grandroundsinurology.com/kidney-preservation-for-upper-tract-urothelial-carcinoma-current-state-and-future-directions/
Kidney Preservation for Upper-Tract Urothelial Carcinoma: Current State and Future Directions – Summary
Jay D. Raman, MD, examines the evolving strategies and treatment paradigms aimed at preserving kidney function in patients with upper-tract urothelial carcinoma (UTUC). Dr. Raman highlights the clinical significance of kidney preservation, given the substantial morbidity associated with radical nephroureterectomy, the traditional standard of care.
Dr. Raman emphasizes the importance of patient selection, detailing how advancements in diagnostic imaging and risk stratification enable more precise identification of candidates for kidney-sparing approaches. He discusses the role of endoscopic management, such as laser ablation and segmental ureterectomy, underscoring their efficacy and safety in appropriately selected patients. Furthermore, he examines the integration of perioperative therapies, including intraluminal chemotherapy and immunotherapy, as adjuncts to enhance local control and reduce recurrence rates.
About The 42nd Annual Ralph E. Hopkins Urology Seminar:
The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 42nd iteration of the meeting took place from February 1st to 4th, 2023, in Jackson Hole, Wyoming.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Jay D. Raman, MD, FACS, is Professor and Interim Chair of the Department of Urology at Penn State Health Milton S. Hershey Medical Center. He received his undergraduate degree from the Massachusetts Institute of Technology (MIT) and graduated Alpha Omega Alpha (AOA) from Cornell University Medical College. Dr. Raman completed his urology residency at New York Presbyterian Hospital - Cornell Medical Center followed by a fellowship in laparoscopic and robotic surgery at the University of Texas Southwestern Medical Center in Dallas.
Dr. Raman's clinical practice focuses on robotic-assisted surgery for upper and lower tract urologic cancers, having completed over 2,500 cases. His clinical research centers on quality of care for prostate cancer patients, novel treatments for upper-tract urothelial carcinoma, biomarkers for urinary tract cancers, prostate biopsy infections, as well as complications of urologic surgery. To date, he has co-authored over 350 manuscripts, book chapters, and editorials and serves on the editorial board for three journals and as a reviewer for 12 journals.
Dr. Raman is currently Chair of the American Urologic Association (AUA) Office of Education and Past-President of the Mid-Atlantic AUA section. He also serves on the Urology Advisory Council for the American College of Surgeons.
