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Journal of Pediatric Urology

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https://www.readbyqxmd.com/read/28943353/pregnancy-among-mothers-with-spina-bifida
#1
Courtney L Shepard, Phyllis L Yan, John M Hollingsworth, Kate H Kraft
INTRODUCTION: Recognizing the importance of sexual and reproductive health to patients with spina bifida (SB), pediatric urologists have taken responsibility for initiating conversations regarding this topic with adolescent and young adult SB patients. However, the sexual and reproductive health of women with SB remains under-investigated. It is unknown how many women are having babies, what mode of delivery is used, and if this has changed over time with the increasing life expectancy of these patients...
September 6, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28943352/genital-reconstruction-for-the-transgendered-individual
#2
REVIEW
Marta R Bizic, Borko Stojanovic, Miroslav L Djordjevic
INTRODUCTION: Gender dysphoria is defined as one's belief that his/her body does not reflect his/her true "inner" identification of physical sex and requires medical and/or surgical treatment that will alter his/her body to better reflect what he/she believes is his/her true gender. OBJECTIVE: The aim was to describe current surgical techniques available in genital reconstruction for female-to-male (FTM) and male-to-female (MTF) transgender patients. STUDY DESIGN: We reviewed recently published papers concerning the most common procedures in genital reconstruction in FTM transgenders and in MTF transgenders...
September 1, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28927720/neuronal-defects-an-etiological-factor-in-congenital-pelviureteric-junction-obstruction
#3
Guo Yuan How, Kenneth Tou En Chang, Anette Sundfor Jacobsen, Te-Lu Yap, Caroline Choo Phaik Ong, Yee Low, John Carson Allen, Chik Hong Kuick, Malcolm Zhun Leong Lim, Narasimhan Kannan Laksmi
INTRODUCTION: Congenital pelviureteric junction obstruction (PUJO) is one of the most frequent causes of neonatal hydronephrosis. Obstruction at the PUJ has potential severe adverse outcomes, such as renal damage. While pyeloplasty has been established as the definitive treatment, the exact pathophysiology of congenital PUJO remains unknown. Recent research has proposed neuronal innervation defects as an etiological factor in congenital PUJO. We aim to study the expression of various neuronal markers in PUJO specimens compared with controls, and evaluate whether severity of renal disease or dysfunction pre-operatively is related to expression of neuronal markers in resected PUJO specimens...
September 1, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28917601/commentary-to-neuronal-defects-an-etiological-factor-in-congenital-pelviureteric-junction-obstruction
#4
Robert Whitaker
No abstract text is available yet for this article.
September 1, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28917602/comparing-inpatient-versus-outpatient-bowel-preparation-in-children-and-adolescents-undergoing-appendicovesicostomy
#5
David L Weatherly, Konrad M Szymanski, Benjamin M Whittam, William E Bennett, Shelly King, Rosalia Misseri, Martin Kaefer, Richard C Rink, Mark P Cain
PURPOSE: The need for mechanical inpatient bowel preparation (IBP) in reconstructive pediatric urology has come under scrutiny, secondary to literature demonstrating little benefit regarding outcomes. Starting in 2013, a majority of patients undergoing reconstructive procedures at our institution no longer underwent IBP. We hypothesized that outpatient bowel preparation (OBP) would reduce length of stay (LOS) without increasing postoperative complications after appendicovesicostomy surgery...
August 26, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28941593/laparoendoscopic-single-site-nephrectomy-in-children-is-it-a-good-alternative-to-conventional-laparoscopic-approach
#6
Belén Aneiros Castro, Daniel Cabezalí Barbancho, Cristina Tordable Ojeda, Isabel Carrillo Arroyo, Jesús Redondo Sedano, Andrés Gómez Fraile
BACKGROUND: Minimally invasive surgery is considered to be the gold standard treatment for nephrectomy in children. In recent decades it has been proposed that laparoendoscopic single-site (LESS) surgery is a feasible alternative to perform laparoscopic nephrectomies. OBJECTIVE: The aim of our study was to compare the safety and efficacy of LESS against conventional laparoscopic (CL) nephrectomy. STUDY DESIGN: From March 2010 to November 2012 charts of pediatric patients who underwent laparoscopic nephrectomy at our tertiary center were revised...
August 24, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28844753/commentary-to-the-role-of-pre-operative-intra-muscular-testosterone-in-improving-functional-and-cosmetic-outcomes-following-hypospadias-repair-a-prospective-randomized-study
#7
https://www.readbyqxmd.com/read/28844754/the-role-of-preoperative-intra-muscular-testosterone-in-improving-functional-and-cosmetic-outcomes-following-hypospadias-repair-a-prospective-randomized-study
#8
Ramesh Babu, Sibi Chakravarthi
BACKGROUND: There are very few well-designed studies on the role of preoperative testosterone in hypospadias repair. The aims of the current study are to ascertain the efficacy of intramuscular testosterone in increasing the glans width, reducing the complications and improving the functional and cosmetic outcomes. MATERIALS AND METHODS: Between January 2013 and December 2016, a total of 200 patients with distal hypospadias were recruited to this prospective randomized study...
August 12, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28865886/posterior-hypospadias-evaluation-of-a-paradigm-shift-from-single-to-staged-repair
#9
H Badawy, S Orabi, A Hanno, H Abdelhamid
INTRODUCTION: Repair of posterior hypospadias is a current dilemma. Single versus staged repair is the main question to answer. The answer is not easily reached due to lack of comparative studies. Hence such studies are not available, the reports of a change from one approach to the other one are important to point out the results of each procedure in the same hands and in the same center. Herein, we report our results of the repair of posterior hypospadias shifting from single stage to staged repair...
August 9, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28851509/treatment-of-varicocele-in-children-and-adolescents-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#10
REVIEW
Jennifer A Locke, Maryam Noparast, Kourosh Afshar
BACKGROUND: The prevalence of varicoceles is as high as 15% in children and adolescents. Optimal management of varicoceles has not been consolidated. Options include observation, radiological intervention, or surgical varicocelectomy. OBJECTIVE: Herein, we aim to assess the outcomes of radiological and surgical interventions for varicocele in children and adolescents evaluated by RCTs. STUDY DESIGN: The study subjects were children and adolescents up to 21 years old, diagnosed with varicocele and allocated to receive either "surgical or radiological intervention" or "no treatment"...
August 9, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28826658/trends-in-pediatric-urologic-consultations-in-a-tertiary-care-hospital-setting
#11
K O Rove, J C Warncke, V M Vemulakonda
BACKGROUND: There is growing interest in the general activities of a pediatric urologist, whose specialty remains young in the spectrum of modern, organized medicine. Unplanned activities, which are more commonly referred to as consultations, can represent significant additional workload for the urologist seeing scheduled clinic patients or completing elective operative cases. OBJECTIVES: This study sought to better understand the practice patterns surrounding inpatient consultations of pediatric urology, and to describe patterns in reasons, timing, patient and service factors that may lead to patient intervention...
August 9, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28865885/stone-growth-patterns-and-risk-for-surgery-among-children-presenting-with-hypercalciuria-hypocitraturia-and-cystinuria-as-underlying-metabolic-causes-of-urolithiasis
#12
F Zu'bi, M Sidler, E Harvey, R I Lopes, A Hojjat, N Naoum, M Pokarowski, A J Lorenzo, W A Farhat, F Papanikolaou, J Dos Santos
INTRODUCTION: Hypercalciuria, hypocitraturia and cystinuria are the most common underlying metabolic stone abnormalities in children. The present study compared stone growth patterns, stone burden, and the risk of stone-related surgery among these underlying metabolic conditions. METHODS: A retrospective cohort of 356 children with renal stones, followed from 2000 to 2015, was studied. Differences among metabolic groups were determined using Kruskal-Wallis test; the Scheffé-test was used for multiple comparisons to determine differences among single groups...
August 4, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28867160/children-with-nocturnal-enuresis-and-attention-deficit-hyperactivity-disorder-a-separate-entity
#13
Larisa Kovacevic, Cortney Wolfe-Christensen, Aliza Rizwan, Hong Lu, Yegappan Lakshmanan
INTRODUCTION: There is ongoing debate about whether nocturnal enuresis (NE) is affected by the presence of attention deficit hyperactivity disorder (ADHD) in children. Clarifying this relationship could categorize them as a separate entity, potentially requiring a different management from enuretic children without ADHD. AIMS: To study whether (1) children with ADHD exhibited greater severity of enuresis and associated voiding symptoms compared with children without ADHD, (2) whether there was a difference in enuretic response to treatment between children with/without ADHD, (3) whether previously prescribed medication for ADHD affected severity of enuresis or voiding symptoms, and response to treatment...
August 3, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28826657/re-management-of-undescended-testes-european-association-of-urology-european-society-for-paediatric-urology-guidelines-j-pediatr-urol-2016-12-335-43
#14
LETTER
Marcel Drlík
No abstract text is available yet for this article.
August 3, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28818337/the-mobile-technology-era-potential-benefits-in-pediatric-urology
#15
Sarah Mozafarpour, Reza Abbasioun, Abdol-Mohammad Kajbafzadeh
Mobile technology has been increasingly used in the world of medicine. We describe an application of mobile phones in the evaluation of urinary symptoms in infants, neonates, and toddlers. We believe this is a cheap, accessible and easy-to-use solution in pediatric urology for physicians and nurses around the world. In this video, we demonstrate some unique features of various anatomic and functional pediatric urology conditions, which are detectable in voiding clips taken by a cellphone camera.
August 3, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28822627/do-anterior-catheterizable-urinary-channels-have-fewer-complications-than-posterior-channels-an-international-cohort-study
#16
K M Szymanski, P-J Lopez, J P Corbetta, F Reed, J Ruiz, Y Pullin, S Weller, R Zubieta, R C Rink, M P Cain
OBJECTIVE: Appendicovesicostomy (APV) and Monti ileovesicostomy (Monti) are durable catheterizable channels. While subfascial revision rates vary by channel type, a channel implanted in the anterior (vs posterior) aspect of the bladder may have a lower subfascial revision risk, due to decreased channel mobility and better fascial fixation. The present study aimed to compare long-term durability of anteriorly compared to posteriorly implanted APV and Monti channels in a large international cohort...
August 2, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28939350/preoperative-hormonal-stimulation-effect-on-hypospadias-repair-complications-meta-analysis-of-observational-versus-randomized-controlled-studies
#17
REVIEW
Michael E Chua, Michele Gnech, Jessica M Ming, Jan Michael Silangcruz, Stephanie Sanger, Roberto Iglesias Lopes, Armando J Lorenzo, Luis H Braga
INTRODUCTION: Preoperative hormonal stimulation (PHS) is commonly administered to improve hypospadias outcomes. However, current literature provides no clear evidence to support its use, and controversies exist regarding its effect on postoperative complications. Herein we systematically evaluate the effect of PHS on postoperative complications rates following hypospadias repair. MATERIALS AND METHODS: Comprehensive literature search performed on April 2016 including OVID MEDLINE, EMBASE, Web of Science, Cochrane Library, Clinicaltrials...
July 29, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28865887/flow-characteristics-of-urethral-catheters-of-the-same-caliber-vary-between-manufacturers
#18
Carrie A Stewart, Eiichiro Yamaguchi, Jessica Teixeira Vaz, Donald P Gaver, Joseph Ortenberg
BACKGROUND: Clean intermittent catheterization (CIC) is frequently prescribed for bladder dysfunction, either per urethra or via a continent catheterizable channel. Small catheters may be required for infants or continent channels. Success with CIC is highly dependent upon patient and family compliance. The urinary flow rate through the catheter is an important factor, which can decrease CIC time and improve quality of life. There is little objective information regarding flow rate through urinary catheters to guide catheter recommendation or prescription...
July 28, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28821388/a-case-control-analysis-investigating-risk-factors-and-outcomes-for-nephrocalcinosis-and-renal-calculi-in-neonates
#19
Melissa Huynh, Roderick Clark, Jenny Li, Guido Filler, Sumit Dave
INTRODUCTION: Studies on outcomes and risk factors for neonatal nephrocalcinosis (NC) and renal calculi (RC) are limited, and often do not include controls for comparison. We conducted a case-control analysis to identify risk factors associated with NC and/or RC in neonates and studied the natural course of these anomalies. STUDY DESIGN: Infants diagnosed with NC/RC on ultrasound within the first year of life and corresponding gestational age- and gender-matched controls were identified from the neonatal intensive care unit database at our institution over a 10-year period...
July 27, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28807743/two-decades-of-experience-with-laparoscopic-varicocele-repair-in-children-standardizing-the-technique
#20
Ciro Esposito, Maria Escolino, Marco Castagnetti, Mariapina Cerulo, Alessandro Settimi, Giuseppe Cortese, Francesco Turrà, Marta Iannazzone, Serena Izzo, Giuseppe Servillo
BACKGROUND: Controversy still exists about the indications and the gold standard approach for varicocele treatment in pediatric population. OBJECTIVE: The authors report their 23 years of experience in laparoscopic varicocele repair in the pediatric population. STUDY DESIGN: We retrospectively evaluated the data of 345 consecutive patients who underwent laparoscopic left varicocelectomy from January 1993 to December 2015. Average patient age was 12...
July 26, 2017: Journal of Pediatric Urology
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