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Abstract

As mentioned, we too find this gender disparity to be perplexing. As it has been demonstrated in both the community and in tertiary referral centers (references 6-9 in manuscript), these findings are pertinent to all practitioners and not only those with particular expertise. We concur that gender-based anatomic renal differences in general favor easier partial nephrectomy in women and thus this should favor this operation in women. The theory presented involving creatinine is one possible simple answer that might contribute to the likely far more complex reasoning behind this disparity. We hope this report will prompt widespread and multifaceted investigation into this gender disparity so as to eliminate it in the near future. Editorial CommentUrologyVol. 82Issue 5PreviewThe technique of partial nephrectomy was described over 2 decades and has become the standard of care. Despite data that partial nephrectomy provides a survival advantage and lowers severe chronic renal disease, there have been few well-controlled studies to provide high level evidence to support it.1 Through the use of cold ischemia, sequential venous clamping, and tissue sealants, urologists are performing partial nephrectomies on larger, more complex renal masses with low postoperative complications. Full-Text PDF