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Nephrology/Urology Presentations

The Urological Approach to Kidney Stones

Dr. Sero Andonian completed a two-year Endourology fellowship at the prestigious North Shore-Long Island Hospital. He has been on faculty since 2009 and was promoted to full professor in 2021. He has published over 135 peer-reviewed manuscripts in addition to authoring 12 book chapters and he is the director of the Stone Clinic at the MUHC.

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Learning Objectives:

1. What are the signs and symptoms of renal colic?
2. What is the current gold standard for imaging study?
3. Which urological procedures are used to treat stones?
4. When do you consult/send the patient to the Emergency Department for an urgent urology consultation for decompression?
5. Which patients could be sent to outpatient urology clinic?

Chronic Kidney Disease

Nephrologist and Associate Professor at ³ÉÈËVRÊÓƵ at the Montreal General Hospital site. Program Director of the Nephrology Training Program. Clinical areas of interest CKD and in-center Hemodialysis.

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Learning Objectives:

1. Interpret the CKD-epi equation
2. Diagnose and approach management of patients with CKD
3. Understand when to refer to Nephrology

Approach to Proteinuria in the Adult Patient

Dr. Ratna Samanta is an Assistant Professor at ³ÉÈËVRÊÓƵ, and the MGH Site Clerkship Director for the Internal Medicine Program. She obtained her Masters in Epidemiology at Yale University, then completed her training in Glomerular Diseases at the University of Toronto. After joining ³ÉÈËVRÊÓƵ, Dr. Samanta initiated the MUHC Glomerulonephritis clinic in 2016 and currently serves as the Nephrology consultant for the ³ÉÈËVRÊÓƵ Lupus Clinic. Dr. Samanta is the ³ÉÈËVRÊÓƵ principal investigator for the Canadian Glomerulonephritis Registry, a recent initiative with the aim to personalize diagnosis and therapies for glomerular diseases, as well as several other trials looking at various consequences of glomerular disease. Dr. Samanta has also worked in conjunction with NephCure, a charitable organization devoted to patients with glomerular diseases, to organize the first Montreal-based patient conference to heighten patients’ understanding of glomerular disease and treatment opportunities.

Learning Objectives:

1. Understand the different mechanisms of proteinuria
2. Construct a basic differential diagnosis of proteinuria and its workup
3. Know when to refer to Nephrology for an urgent kidney biopsy

Nutritional Management of Chronic Kidney Disease

Justyna Natkaniec is a registered dietitian with 18 years of experience in nephrology nutrition at the MUHC-Montreal General Hospital. Guest speaker for 10 consecutive years at ³ÉÈËVRÊÓƵ in the program of Nutrition. Nominated for the award of excellence in teaching.

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Learning Objectives:

1. Review latest nutritional guidelines for CKD (KDOQI 2020)
2. Review Urolithiasis

The Nephrological Approach to Kidney Stones

Dr. Sabbagh graduated from ³ÉÈËVRÊÓƵ Medicine and completed his training in internal medicine and nephrology at ³ÉÈËVRÊÓƵ in 2007. He is working in the division of nephrology at the JGH since 2017 as well as at the MUHC kidney stone clinic at the Glen.

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Learning Objectives:

1. Epidemiology of renal stone disease
2. Diagnosis and metabolic evaluation of the recurrent stone former
3. Treatment strategies for calcium stones

The Approach to Hematuria from a Nephrological Perspective

Dr. Cybulsky is a clinician-scientist, and Professor of Medicine at ³ÉÈËVRÊÓƵ, Montreal, Canada. Dr. Cybulsky obtained his MD degree at the University of Toronto, and completed Nephrology clinical and research training at Boston University. He has been an active investigator at ³ÉÈËVRÊÓƵ since 1988. Dr. Cybulsky’s research is directed at understanding mechanisms of renal glomerular cell injury. On the clinical side, Dr. Cybulsky manages patients with glomerular and other kidney diseases, patients transitioning from pediatric to adult care and patients receiving chronic dialysis. He is also involved in clinical trials in glomerulonephritis.

Learning Objectives:

1. Provide a general approach to the evaluation and diagnosis of hematuria, focusing on nephrological causes.
2. Discuss the pathogenesis and new developments in glomerular diseases that typically present with hematuria. – Alport’s syndrome, thin basement membrane disease, IgA nephropathy – COVID-19.

The Approach to Hematuria from a Urological Perspective

Dr. Victor McPherson is a Urologic Oncologist who joined the ³ÉÈËVRÊÓƵ Urology Faculty in 2019 after completing his Urologic Oncology training at Memorial Sloan Kettering Cancer Center in New York City. Prior to his training in New York, he completed his undergraduate studies and a MSc in Biochemistry at Queen’s University in Kingston, Ontario, followed by Medical School and Urology Residency at the University of Western Ontario in London, Ontario. His clinical interest is the surgical management of urologic cancers, with a focus on prostate, kidney and bladder cancer. He has published peer reviewed papers, presented at national and international meetings, and obtained grant funding and previously initiated a Phase II clinical trial evaluating the combination of metformin and simvastatin as neoadjuvant therapy for invasive bladder cancer.

Learning Objectives:

1. Definitions of gross and microscopic hematuria
2. Understand differential risks between microscopic and gross hematuria
3. Understand acute concerns and management of gross hematuria
4. Workups of gross and microhematuria
5. Follow-up after negative workup

Navigating Lower Urinary Tract Symptoms in Men

Dr. Carrier obtained his medical diploma from the Laval University (Quebec, Canada) where he also completed his urology residency. Dr. Carrier then completed his training as a post-doctoral fellow in andrology, sexual medicine and neurourology at the University of California, San Francisco with Dr Tom F. Lue and Emile Tanagho. His Major Academic Focus and areas of research: Men’s health, Reproduction and Hypogonadism, Sexual and bladder dysfunction, Prostate Health and BPH. He has published over hundred papers. He is the president of Sexual Medicine Society of North America and the past-president of the Quebec Urological Association, the Société Francophone de Médecine Sexuelle as well as of the Canadian Male Sexual Health Council. He also is a peer reviewer for many journals.

Learning Objectives:

1. Better understand the physiology of the voiding function
2. Review the evaluation of patients with LUTS
3. Identify the available treatment options for LUTS
4. Identify when the referral of patients with LUTS is indicated

Approach to Incontinence in Women

Dr. Lysanne Campeau is an Associate Professor of Surgery at ³ÉÈËVRÊÓƵ She joined the Jewish General Hospital Department of Urology and the Lady Davis Institute for her research interest and expertise in 2013. She completed her medical degree in 2005 and her urology residency in 2010 at ³ÉÈËVRÊÓƵ, when she became a Fellow of the Royal College of Surgeons of Canada in Urology. She then went on to pursue her clinical and research interest in voiding dysfunction at Wake Forest Institute for Regenerative Medicine in North Carolina, where she obtained a Doctorate of Philosophy in the Department of Physiology and Pharmacology in 2013. She completed her clinical training at New York University in an accredited fellowship in Female Pelvic Medicine and Reconstructive Surgery. She obtained her American Board of Urology and Female Pelvic Medicine and Reconstructive Surgery Board Certification in 2017. Her areas of specialization include neurogenic voiding disorders and incontinence, as well as pelvic reconstruction. Most notably, she was awarded the Fonds de recherche Santé Québec Clinical Research Scholar Junior 1 and 2 Award (2014-2023), the CUA Career Development Award (2018-2023) and the American Urological Association Foundation Rising Star in Urology Award (2015-2018). Dr. Campeau is actively involved in several research societies including the Société Internationale d’Urologie, the International Continence Society (ICS) and the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU). She has published over 70 peer-reviewed articles and is part of the Editorial Board of several research journals.

Learning objectives:

1. Recognize the different types of adult urinary incontinence based on symptoms and history-taking
2. Determine the required investigations for the evaluation of a woman with urinary incontinence and interpret the results
3. Elaborate a treatment plan according to the clinical scenario
4. Identify the patients that require more specialized assessment and who would require to be evaluated by a urologist