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Journal of Pediatric Urology

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https://www.readbyqxmd.com/read/29330019/parental-decisional-regret-and-views-about-optimal-timing-of-female-genital-restoration-surgery-in-congenital-adrenal-hyperplasia
#1
Konrad M Szymanski, Benjamin Whittam, Martin Kaefer, Heather Frady, Jessica T Casey, Vi T Tran, Mark P Cain, Richard C Rink
PURPOSE: The role of female genital restoration surgery (FGRS) in girls with congenital adrenal hyperplasia (CAH) is controversial, with no long-term parent-reported outcomes available. Decisional regret (DR) affects most parents after their children's treatment of pediatric conditions, including hypospadias. We aimed to assess parental DR after FGRS in infancy or toddlerhood and explore optimal timing for surgery. MATERIALS AND METHODS: One-hundred and six parents of females with CAH undergoing FGRS before 3 years old and followed at our institution (1999-2017) were invited to enroll online...
December 28, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29317190/normal-pelvic-ultrasound-or-mri-does-not-rule-out-neoplasm-in-patients-with-gonadal-dysgenesis-and-y-chromosome-material
#2
Kristin M Ebert, Geri D Hewitt, Justin A Indyk, Katherine A McCracken, Leena Nahata, Venkata R Jayanthi
INTRODUCTION: Patients with gonadal dysgenesis (GD) with a Y chromosome have an increased risk of gonadal neoplasm. Few data exist on the ability of imaging to detect malignancy in intra-abdominal gonads in these patients. OBJECTIVE: We aimed to determine the correlation between preoperative imaging findings and gonadal pathology in GD patients with Y chromosome material. METHODS: A retrospective review was performed of patients with XY or XO/XY GD who underwent gonadectomy at our institution from 2003 to 2017...
December 23, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29330018/testicular-adrenal-rest-tumor-screening-and-fertility-counseling-among-males-with-congenital-adrenal-hyperplasia
#3
Monika Chaudhari, Emilie K Johnson, Daniel DaJusta, Leena Nahata
BACKGROUND: Reduced fertility is a common potential problem among males with congenital adrenal hyperplasia (CAH), with nearly half experiencing impaired sperm production. The major cause of oligo/azoospermia in CAH is testicular adrenal rest tumors (TARTs). Studies indicate that ultrasound screening for TARTs should begin during childhood, yet it remains unclear whether boys with CAH are routinely screened for TARTs and/or counseled about infertility risk and potential interventions such as fertility testing and/or preservation...
December 21, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29295782/immediate-and-delayed-effects-of-atmospheric-temperature-in-the-incidence-of-testicular-torsion
#4
Aderivaldo Cabral Dias Filho, Paulo Gonçalves de Oliveira
INTRODUCTION: Ongoing controversy surrounds the role of atmospheric temperature in the incidence of intravaginal testicular torsion (iTT). This debate may be attributed to inadequate research methodology. As environmental risk factors have been successfully investigated with distributed lag non-linear model regression (DLNM), we applied this methodology to investigate the association between daily mean atmospheric temperatures (Tmean) and daily incidences of intravaginal testicular torsion (iTT) in our region...
December 19, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29223858/how-to-review-an-abstract-for-a-scientific-meeting
#5
G M A Beckers, M Fossum, M Kaefer
No abstract text is available yet for this article.
December 7, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29246796/current-state-of-renal-tumor-surgery-among-pediatric-surgeons-and-pediatric-urologists-a-survey-of-american-pediatric-surgical-association-apsa-and-society-for-pediatric-urology-spu-members
#6
Nicholas G Cost, Jennifer H Aldrink, Amanda F Saltzman, Roshni Dasgupta, Kenneth W Gow, Richard Glick, Peter F Ehrlich
INTRODUCTION: Anecdotally, renal tumor (RT) surgery makes up a limited portion of the practice for most pediatric urologists and pediatric surgeons. Data are lacking on the current perceptions of RT surgery, both volume of surgery and issues related to surgical practice, among pediatric surgeons (PS) and pediatric urologists (PU). OBJECTIVES: To describe practice patterns of pediatric renal tumor (RT) surgery and identify factors related to higher reported volumes of RT surgery...
December 2, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29229432/correspondence-training-opportunities-in-renal-replacement-access
#7
LETTER
Caroline MacDonald, Alexander Stillebroer, Uschi Tonnhofer, Charlotte Melling, Rosa Romero, Anna Radford, Milan Gopal, Matthieu Peycelon
No abstract text is available yet for this article.
December 2, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29199091/nonpalpable-testes-ultrasound-and-contralateral-testicular-hypertrophy-predict-the-surgical-access-avoiding-unnecessary-laparoscopy
#8
Christoph Berger, Bernhard Haid, Tanja Becker, Mark Koen, Judith Roesch, Josef Oswald
INTRODUCTION: In up to 20% of patients presenting with undescended testes, one or both are non-palpable. Whereas the most reliable means to exclude an abdominal testis is laparoscopy, there has been a lot of debate about the role of inguinal ultrasound (US) in detecting non-palpable inguinal testis. While we do not aim to add another paper claiming the benefits of US, we wanted to determine the excess capability of US to determine the correct surgical approach - inguinal or laparoscopy...
November 30, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29195832/variation-in-the-use-of-laparoscopy-with-inguinal-hernia-repairs-in-a-sample-of-pediatric-patients-at-children-s-hospitals
#9
K W Herbst, H Thaker, G M Lockwood, J I Hagadorn, S Masoud, P Kokorowski
INTRODUCTION/BACKGROUND: Metachronous contralateral inguinal hernias (MCH) occur in approximately 10% of pediatric patients following unilateral inguinal hernia repairs (UIHR). Laparoscopic evaluation of the contralateral internal ring is a method of identifying high-risk individuals for prophylactic contralateral exploration and repair. OBJECTIVE: The objective of this study was to assess variation in utilization of diagnostic laparoscopy, and report costs associated with the evaluation of a contralateral patent processus vaginalis during hernia repair in pediatric hospitals...
November 28, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29248308/testosterone-prior-to-hypospadias-repair-no-clear-cut-benefit-or-reassurance-regarding-long-term-safety
#10
Charles Van Praet, Anne-Françoise Spinoit
No abstract text is available yet for this article.
November 27, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29233628/xanthogranulomatous-pyelonephritis-in-a-paediatric-cohort-1963-2016-outcomes-from-a-large-single-center-series
#11
I Stoica, F O'Kelly, M B McDermott, F M J Quinn
BACKGROUND: Xanthogranulomatous pyelonephritis (XGP) is an uncommon chronic destructive granulomatous inflammation of the kidney. It was first described in 1916, and is thought to affect 6/1000 cases of pyelonephritis. Its manifestations are varied, and with a limited number of cases in the literature, the optimal diagnosis and management of XGP in the paediatric cohort is still unknown. MATERIAL AND METHODS: The medical records of children who were diagnosed and treated for XGP at the current unit during the period 1963-2016, inclusive, were retrospectively reviewed...
November 24, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29203366/commentary-to-reduction-and-standardization-of-surgical-instruments-in-pediatric-inguinal-hernia-repair
#12
Paul Merguerian
No abstract text is available yet for this article.
November 21, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29195831/bladder-exstrophy-closure-in-the-newborn-period-with-external-pelvic-fixation-performed-without-osteotomy-a-preliminary-report
#13
A Alam, R Blachman-Braun, J C Delto, P R M Moscardi, M Castellan, M A Tidwell, A Labbie, R Gosalbez
BACKGROUND: Successful primary bladder closure is the most crucial element for urinary continence in patients with classic bladder exstrophy (CBE). In the newborn period, bladder closure can be performed in the first 48 h without pelvic osteotomy or external fixation, but requires postoperative lower extremity immobilization (i.e., spica cast, Bryant's or Buck's traction). OBJECTIVE: To present a novel surgical approach for primary bladder closure for CBE using two-pin external fixation without pelvic osteotomy, and without postoperative lower extremity immobilization...
November 21, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29223859/outcome-of-pediatric-renal-transplantation-in-urological-versus-non-urological-causes-of-end-stage-renal-disease-does-it-matter
#14
Ahmed Aly Hussein, Ahmed Ismail Shoukry, Fatina Fadel, Hani Abdel-Raouf Morsi, Hussein Aly Hussein, Mostafa Sheba, Nada El-Khateeb, Waseem Abou-El Ela, Mohamed El-Sheemy, Kareem Daw, Ahmed Shouman, Amr Lotfy, Hisham Badawy, Mohamed Eissa
INTRODUCTION: Causes for end stage renal disease (ESRD) in children can be categorized into urological causes or non-urological causes. We sought to compare the outcomes of urological and non-urological causes of ESRD in children. METHODS: Patients were divided into two groups: urological causes of ESRD versus non-urological causes of ESRD. All patients and donors had at least 6 months of follow-up. The main outcomes included the effect on complications and renal function...
November 20, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29221617/minor-procedure-major-impact-patient-reported-outcomes-following-urethral-meatotomy
#15
Briony K Varda, Tanya Logvinenko, Stuart Bauer, Bartley Cilento, Richard N Yu, Caleb P Nelson
INTRODUCTION: Urethral meatotomy as treatment for meatal stenosis is a common pediatric urology procedure; however, little is known about the patient experience following this procedure. OBJECTIVE: We aim to evaluate clinical factors associated with patient-reported symptom improvement after urethral meatotomy. STUDY DESIGN: The families of boys undergoing urethral meatotomy between 2/2013 and 8/2016 received a survey by mail 6 weeks after surgery...
November 17, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29183664/distal-urethral-plate-adhesions-new-anatomical-perspective-in-hypospadias
#16
Marcel Drlík, Radim Kočvara, Josef Sedláček, Zdeněk Dítě, Ivana Vítková, Martin Komarc
INTRODUCTION: We found midline epithelial adhesions in the glandar urethral plate in patients with hypospadias. After dissolution, a blind epithelized channel becomes visualized inside of the plate pointing to immature embryonic luminization. In addition it reveals that the epithelized surface of the distal urethral plate is larger than previously considered. OBJECTIVE: To determine the incidence and extent of these new anatomical details of urethral plate in hypospadias patients...
November 17, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29157626/risk-association-of-congenital-anomalies-in-patients-with-ambiguous-genitalia-a-22-year-single-center-experience
#17
Jennifer M Heeley, Abby S Hollander, Paul F Austin, Diane F Merritt, Victoria G Wesevich, Ina E Amarillo
BACKGROUND: Ambiguous genitalia refers to a form of differences of sex development (DSD) wherein the appearance of the external genitalia is atypical. This rare condition presents challenges in decision-making and clinical management. Review of historical data may reveal areas for clinical research to improve care for patients with ambiguous genitalia. OBJECTIVE: This chart review was performed to identify patients with ambiguous genitalia, and to classify them as having 46,XX DSD, 46,XY DSD, or sex chromosome DSD...
November 17, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29221618/commentary-to-urinary-tract-infection-in-children-diagnosis-treatment-imaging-comparison-of-current-guidelines
#18
Michael Erlano Chua, Martin A Koyle
No abstract text is available yet for this article.
November 16, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29239802/re-retrograde-intrarenal-surgery-using-ureteral-access-sheaths-is-a-safe-and-effective-treatment-for-renal-stones-in-children-weighing-20%C3%A2-kg
#19
Hasan Serkan Dogan, Serdar Tekgul
No abstract text is available yet for this article.
November 11, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29195830/retrograde-intrarenal-surgery-using-ureteral-access-sheaths-is-a-safe-and-effective-treatment-for-renal-stones-in-children-weighing-20%C3%A2-kg
#20
Alfredo Berrettini, Luca Boeri, Emanuele Montanari, Mirella Mogiatti, Pietro Acquati, Elisa De Lorenzis, Andrea Gallioli, Erika Adalgisa De Marco, Dario Guido Minoli, Gianantonio Manzoni
INTRODUCTION: Surgical treatment of pediatric kidney stones has changed dramatically in recent years because of the miniaturization of surgical instruments and the availability of intracorporeal lithotripters. The retrograde intrarenal surgery (RIRS) technique is nowadays considered an effective and safe procedure but studies in very young children are lacking and use of a ureteral access sheath (UAS) has also been debated. OBJECTIVE: To assess safety and efficacy of RIRS using UAS in children weighing < 20 kg...
November 11, 2017: Journal of Pediatric Urology
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