Urology
16 years of experience
Video profile
Morristown Pediatric Associates
95 Madison Ave
Ste 302
Morristown, NJ 07960
973-539-1050
Locations and availability (3)

Education ?

Medical School Score
The University of Texas Southwestern (1994)
  • Currently 1 of 4 apples

Awards & Distinctions ?

Awards  
2009 NJ Monthly Top Doctor
Patients' Choice Award (2008 - 2009)
Associations
American Urological Association
American Board of Urology

Affiliations ?

Dr. Clement is affiliated with 8 hospitals.

Hospital Affilations

Score

Rankings

  • Morristown Memorial Hospital
    Urology
    100 Madison Ave, Morristown, NJ 07960
    • Currently 4 of 4 crosses
    Top 25%
  • Lehigh Valley Hospital
    Urology
    1200 S Cedar Crest Blvd, Allentown, PA 18103
    • Currently 3 of 4 crosses
    Top 50%
  • St Barnabas Medical Center
    Urology
    94 Old Short Hills Rd, Livingston, NJ 07039
    • Currently 2 of 4 crosses
  • Overlook Hospital
    99 Beauvoir Ave, Summit, NJ 07901
    • Currently 2 of 4 crosses
  • Lehigh Valley Hospital - Muhlenberg
    Urology
    2545 Schoenersville Rd, Bethlehem, PA 18017
    • Currently 1 of 4 crosses
  • Goryeb Children`s Hospital
  • St. Barnabas Hospital
  • Morristownmemorialhospital
  • Publications & Research

    Dr. Clement has contributed to 4 publications.
    Title Transient Asynchronous Testicular Growth in Adolescent Males with a Varicocele.
    Date September 2008
    Journal The Journal of Urology
    Excerpt

    PURPOSE: We assessed the testicular growth of adolescent males followed nonsurgically for the presence of left varicocele. MATERIALS AND METHODS: We retrospectively reviewed the charts of adolescent males with a diagnosis of unilateral left varicocele and ultrasound testis volume measurements seen during a 10-year period. A total of 161 boys underwent at least 2 testicular ultrasounds as part of the evaluation for left varicocele. Patients were excluded from study for a history of inguinal/scrotal pathology or endocrinopathy that could affect testicular size. Sonographic testicular volume was calculated using the Lambert volume (length x width x height x 0.71). The resulting volumes were compared to previously published criteria for surgical repair (15%, 20% and 2 cc size differentials). RESULTS: Of the 71 boys with 3 followup ultrasounds 38 (54%) initially had a 15% or greater volume differential. After nonsurgical followup with ultrasounds for 2 years 60 boys (85%) had testicular volume differentials in the normal range (less than 15%). Of the patients 71% were spared potential surgery by size criteria and 50% were spared surgery by the same 15% volume differential criteria. CONCLUSIONS: Adolescent males with unilateral left varicocele often demonstrate asynchronous testicular growth that usually equalizes in time. Therefore, sonographic testicular size measurement at a single point during adolescence is insufficient to determine the need for varicocelectomy. When contemplating varicocelectomy we recommend at least 2, and preferably 3, testicular volume measurements 1 year apart to establish accurately decreased left testicular volume compared to a normal right testis.

    Title Activation of the Calcineurin Pathway is Associated with Detrusor Decompensation: a Potential Therapeutic Target.
    Date September 2006
    Journal The Journal of Urology
    Excerpt

    PURPOSE: We hypothesized that the calcineurin pathway mediated some of the complex remodeling process that allows a bladder subjected to partial outlet obstruction to adapt to its new workload. Atrial natriuretic factor mRNA expression served as a marker of calcineurin activation. MATERIALS AND METHODS: A total of 16 New Zealand White rabbits underwent surgical creation of partial outlet obstruction, followed by randomization to receive cyclosporin A (20 mg/kg intramuscularly twice daily) or no additional treatment for 14 days. Three animals underwent 2 weeks of partial bladder outlet obstruction followed by bladder biopsy and the reversal of obstruction. RESULTS: Atrial natriuretic factor expression was seen only in bladders with severe hypertrophy and it disappeared with the reversal of outlet obstruction. Cyclosporin A treatment resulted in a decrease in atrial natriuretic factor mRNA expression (p <0.05) and a marked shift in myosin heavy chain A-to-B ratios toward normal (p <0.01) and an increase in smooth muscle cross sectional area (p <0.05). Bladder mass decreased 40% but did not attain statistical significance (p = 0.08). CONCLUSIONS: The calcineurin pathway has a significant role in bladder wall hypertrophy following partial outlet obstruction. Bladder hypertrophy could not be fully prevented by cyclosporin A, suggesting that multiple signaling pathways are involved in this pathophysiology. The expression of myosin heavy chain AB isoforms is regulated in part by the calcineurin pathway.

    Title Successful Treatment of Encrusted Cystitis and Pyelitis with Preservation of Renal Graft.
    Date August 2004
    Journal Transplantation
    Title The Effect of Area, Density, and Number of Background Characters on Visual Search.
    Date February 1979
    Journal Human Factors

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