Dr. Stuart Flechner

Urology
Cleveland, OH
48 years experience

Locations

Office

Cleveland, OH

Address

Cleveland Clinic Foundation, 9500 Euclid Ave./Q10, Cleveland, OH
Directions

About

Bio

Professor of Surgery Cleveland Clinic Lerner College of Medicine

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Urology

Languages spoken

English

Doctor Q&A

425 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 41-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
No.: As long as the donor and recipient operations are done in hospitals approved by the united network for organ sharing (unos). You should discuss direc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Several weeks: You would first have to undergo a thorough medical evaluation to be sure that you were healthy and could safely tolerate the surgery. This would incl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Innate and Adaptive: Innate or non-specific immunity involves the skin, lining of the GI tract, respiratory tract, gu tract, etc; and adaptive immunity that involves cell... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Yes: At times the deceased patient in a will or instructions given to the next of kin may want to restrict the types of organs that are removed for transpl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
In genreal no...but.: In general no. But it would depend on how much smoking was done, and the actual condition of the lungs at the time of death. For example, if you smo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Unusual but possible: Nephrocalcinosis means calcifications in the kidneys. As with any disease or metabolic problem there are many degrees of severity. This can be a com... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
20: About 20% of pancreas graft under acute rejection.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Variable: It would depend on the size an health of the living donor. A segment of a younger living donor liver may be just as effective in reversing liver fail... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
No precise age: The question is perhaps best answered when the risks of the procedure outweigh the benefits. This occurs at different ages for different patients. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Speak with Team: You really need to speak directly with the team doing your bone marrow transplant for their advice and recommendations.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Small but real: Most patients with cardiomyopathy recover. A small number have progressive disease that destroys heart function. You should discuss this with your c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Need an evaluation: You need to be evaluated and approved by a heart transplant center. Ask your cardiologist to refer you to a local center if you were told you have se... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
When the liver fails: The hepatitis C virus does not affect all patients with the same degree of injury. Some may carry the virus in a non-aggressive state for many many y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Depends on virulence: The hepatitis c virus may become latent or not replicate at all, and not progress or cause harm. But it does't really go away.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Variable: Many possibilities ranging from poor oxygenation, to metabolic diseases, to valve failure, etc. He should immediately be taken to his cardiologist or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Yes: In 2011 there were about 1800 lung transplants done in the us and about 480 of these were done in recipients over the age of 65. The overall conditio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Varies: It depends on many factors including the condition of the patient before surgery, other medical conditions, and their age. Most would be in the hospi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Good Question: About 90% of living kidney donations in the US are done using laparoscopic techniques. Most donors stay in the hospital 2-4 days; recuperate at home ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Possibly: If you are a registered organ donor you can direct your next of kin to your wishes regarding organ donation. However, that would assume you already h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Very Good Question: This is being debated today. Hiv positive patients with kidney failure on dialysis can be safely transplanted (we know of 5 year data) if they are st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Possible rejection: If you are referring to the anti rejection drugs, there is a chance you can reject the organ and go back into liver failure. Discuss your situation w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Strange Question: Suggest you ask a military recruiter and be specific what you mean by "serve in the military.".
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Age Matched Activity: A transplanted heart that is working well will replace the functions of the failed heart. The recipient can do most things that others his/her age ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Yes: Heart valves are not rejected, and the patient does not require life long immunosuppression as with a transplanted organ.
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Yes: A kidney donor should eat a low fat and no added salt diet.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
More Complicated: An adult will reject fetal tissue from a stranger without immunosuppression. From animal experiments we know that the fetus will not reject organs or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Not necessarily: It would depend on the tissue type of both the donor and the recipient and the degree of sensitization of the recipient (prior transplants, blood tran... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Two lungs same time: Both lungs usually from the same deceased donor.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Yes contrast needed: If in the question die, contrast agents for imaging studies is meant, then yes a liver transplant recipient would need a type of I.V. Contrast for th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Not usually: Mrsa or any other bacterial infection should be treated and resolved before immunosuppressive drugs are started. There are several antibiotics that ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Rarely if ever: The age of legal consent in the United States is age 18. However, one may speculate an unusual life saving circumstance when parents may intervene on... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Yes: Yes; split liver transplantation is often done for a desperately ill child when there is only an adult liver available; a full sized adult split live... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Yes: It requires the skills of highly trained professionals and the need for expensive equipment to purify the blood cells and run the tests properly. Howe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Uncertain: Some transplant recipients report loss of certain abilities such as fast counting, reading, diminished sensations or perceptions. Whether this is due... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Interesting question: Very interesting question. This is called chimerism in medical terminology ( two tissues from different sources) living together. In reality some ho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
No clear answer: It is an interesting area of investigation. One theory is the kidney and pancreas together offer a greater ability to detect rejection. There also a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Not today: Using animal organs for transplant, xenotransplantation, is a future consideration once the rejection barrier is better understood and controlled. Th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
To live longer: They are in heart failure and would not survive without a new one.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Not always safe: During pregnancy most drugs should be limited, while some such as immunosuppressive drugs for transplant recipients need to be maintained. Not a good... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Yes: Many transplant surgeons transplant both kidneys from small children under age 4 into an adult (called en bloc). The youngest donors are most often o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old male asked:
Dr. Stuart Flechner
Urology 48 years experience
Well nourished: There are no absolute guidelines, assuming the liver is working well.. The recipient should keep well nourished, fit, and active. Restricting salt a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Not formal paperwork: I suppose you could write this in your will. Directed donations can and do occur after death. If you so desire you should make this clear to your di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
They can vary: The signs and symptoms of rejection may be limited; but decreased urine output, swelling and worse high blood pressure; fever or chills; pain or swell... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Absolutely: Happens every day! i rather doubt anyone can tell by looking at it from which racial group a solid organ came from.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Difficult: One would think it difficult with a mechanical heart. However, it would depend on the condition and the mobility of the patient.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
No: A deceased heart donor would have to be size matched to the recipient.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Cardiac Death Occurs: The term dcd (donation after cardiac death) means the donor died of cardiac failure rather than brain death. In either case the donor suffered an irr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
No: After single kidney donation, the patient will actually lose about 30% (not 50%) of their total kidney function since the remaining kidney will usuall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Immunosuppression: You will need major surgery, and then be treated with immunosuppressive drugs for the rest of your life. While these drugs can prevent rejection of t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Stuart Flechner
Urology 48 years experience
Medical Complexity: In order for the best results to help the most needy patients, selection of both donor hearts and recipients with end stage cardiac disease is complex... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
445
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Flechner is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Flechner is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you for the info. I hv kidney transplant for 7 or 8 year already. seam my transplant kidney a bit hurt now. do u know what may happen.
HealthTap member
Thank you sir. The CMV test was negative.BK VIRUS negative.pretently all blood tests were normal except platelets which falls down to 90,000
HealthTap member
Thanks for your quick reply! I'm in a situation where the bilateral hydrocele repair is still swollen 3 weeks after surgery.

Education & Training

Medical/Graduate school

UCLA School of Medicine, CA
Graduated 1975MD

Awards

Best Doctors in America
America's Top Urologists
Most Influential, Third Place, Cleveland, OH - Winter
2013
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