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Journal of Pediatric Urology

A Faure, M Haddad, G Hery, T Merrot, J-M Guys
INTRODUCTION: Paediatric recurrent epididymitis is frequently observed in several urogenital conditions, and may result in deterioration of long-term fertility. The management of recurrent epididymitis is still a therapeutic challenge for paediatric urologists, and as yet there is no consensus for treatment. OBJECTIVE: To present a minimally invasive endoscopic approach for the treatment of recurrent epididymitis (more than three episodes). PATIENTS AND METHODS: Eleven boys were referred with a history of recurrent epididymitis in a context of urogenital malformations...
August 25, 2018: Journal of Pediatric Urology
T Ito, F Matsui, K Fujimoto, S Matsuyama, K Yazawa, F Matsumoto, K Shimada
INTRODUCTION: Torsion of an undescended testis (UDT) associated with cerebral palsy (CP) and neuromuscular disease (NMD) is an uncommon condition that is not well recognized by primary care physicians or healthcare providers. OBJECTIVE: The objective of this study was to highlight the clinical importance of torsion of a UDT in children with CP and NMD. MATERIALS AND METHODS: Eleven children with testicular torsion of a UDT operated on at the study institute between 1991 and 2015 were identified...
August 23, 2018: Journal of Pediatric Urology
K M Ebert, V R Jayanthi, S A Alpert, C B Ching, D G DaJusta, M E Fuchs, D J McLeod, E E Whitaker
INTRODUCTION: Increasing concerns regarding potential negative effects of early use of inhalational and intravenous anesthetics on neurocognitive development have led to a growing interest in alternative forms of anesthesia in infants. The study institution's outcomes with spinal anesthesia (SA) for urologic surgery in infants aged less than 90 days are reported and their outcomes with a matched cohort of patients who underwent general anesthesia (GA) are compared. METHODS: This is a retrospective single-center analysis...
August 17, 2018: Journal of Pediatric Urology
J Ingham, R Angotti, M Lewis, A Goyal
INTRODUCTION: Botulinum toxin-A (BtA) has been used for refractory idiopathic overactive bladder (IOAB) in children. Data on the optimum dose success rates, duration of effect, complications and medium-term outcomes are limited. This study aims to analyse the authors' experience to provide medium-term results of BtA in symptomatic refractory patients. MATERIALS AND METHODS: Patients with refractory IOAB who were treated with BtA (Botox®) were retrospectively analysed...
August 16, 2018: Journal of Pediatric Urology
L Miller, E A Leeth, E K Johnson, I Rosoklija, D Chen, S A Aufox, C Finlayson
INTRODUCTION: In 2006, nomenclature referencing atypical sex development (i.e., 'intersex') was updated, and the term disorder of sex development (DSD) was formally introduced. Clinicians, patients, and parents, however, have not universally accepted the new terminology, and some continue to use different nomenclature. This inconsistency in terminology can lead to confusion among clinicians and patients, affect clinician-patient relationships, and interfere with the recommended multidisciplinary model for DSD care...
August 15, 2018: Journal of Pediatric Urology
M Vu Minh Arnell, K Abrahamsson
INTRODUCTION: The majority of adults with myelomeningocele (MMC) in Western Sweden use incontinence pads. There is an ongoing discussion as to whether continence improves the quality of life (QoL) in individuals with MMC as it has been hard to establish that an increase in QoL measured by generic health-related quality of life (HRQoL) instruments is achieved by continence surgery. OBJECTIVE: The hypotheses are that patients who are actively involved in a urotherapy/urology program are more continent than patients who are not and that urinary continence is one of the conditions required to enable social participation and physical intimacy...
August 14, 2018: Journal of Pediatric Urology
T Nevéus
INTRODUCTION: Enuretic children wet their beds either because of nocturnal polyuria or nocturnal detrusor overactivity. Polyuric children often respond to desmopressin, whereas children with nocturnal detrusor overactivity are often therapy resistant and may have low daytime voided volumes. It is logical to assume that the enuretic event in children with nocturnal polyuria occurs with a full bladder, i.e. with the enuretic voided volume (EVV) close to the child's expected bladder capacity (EBC) for his/her age...
August 10, 2018: Journal of Pediatric Urology
A Viswanathan, T Leffler, N Paloian, M Cain, P H McKenna
INTRODUCTION: Management of severe antenatally detected oligohydramnios with and without obstruction is improving with the result that more fetuses are surviving with early renal failure. Significant advances have occurred in all specialties involved in the management of these patients. All these specialties working together have resulted in the survival of more patients born with renal failure. OBJECTIVE: The aim of this study is to highlight the medical advances in antenatal management of fetal oligohydramnios and pulmonary hypoplasia and to demonstrate that transplantation into a diverted urinary system is safe and leads to good outcomes...
August 8, 2018: Journal of Pediatric Urology
Z F Kispal, P Vajda, D Kardos, I Klymiuk, C Moissl-Eichinger, C Castellani, G Singer, H Till
INTRODUCTION: Next-generation sequencing (NGS) techniques have provided novel insights into the microbiome of the urinary bladder (UB). In children after bladder augmentation using either ileum (ileocystoplasty, ICP) or colon (colocystoplasty, CCP), the fate of the mucosal microbiome introduced into the urinary tract remains unknown. OBJECTIVE: The aim was to compare the mucosal microbiome of the native UB vs the augmented intestinal segment (IS) using NGS. STUDY DESIGN: Twelve children after bladder augmentation (ICP n = 6, CCP n = 6) were included...
August 8, 2018: Journal of Pediatric Urology
F Alyami, N Ferandez, M A Koyle, J P Salle
INTRODUCTION: Penile and genital keloids are uncommon despite frequent surgeries in the genital area. Keloid scar pathogenesis is not well understood, and a uniform effective therapeutic regimen for keloids has not yet been established. In the present study, the clinical features and subsequent management in cases of severe keloid formation after pediatric genital surgery are described. METHODS: A retrospective review of keloid cases that had developed after genital procedures between 2000 and 2017 was conducted...
August 8, 2018: Journal of Pediatric Urology
P G van Leuteren, A J Klijn, T P V M de Jong, P Dik
PURPOSE: Urinary incontinence is a common problem in school-age children. Because many children remain unaware of a full-bladder sensation, the SENS-U™ Bladder Sensor was developed. The SENS-U is a small, wearable ultrasound sensor, which is positioned on the lower abdomen using a skin-friendly adhesive. The sensor continuously estimates the bladder filling status and informs the user when it is time to go to the toilet. In this study, the clinical performance of the SENS-U is evaluated in children during (video) urodynamics...
August 7, 2018: Journal of Pediatric Urology
K H Chan, E A Moser, B M Whittam, R Misseri, M P Cain, A Krambeck
INTRODUCTION: American Urological Association guidelines recommend a urinary metabolic evaluation after the first stone event in all pediatric stone patients. Prior studies identified hypercalciuria and urine hypovolemia as the most common abnormalities in children with urolithiasis. Recent data suggest that hypocitraturia is most prevalent. It was hypothesized that a limited evaluation would detect the majority of clinically significant metabolic abnormalities in pediatric stone formers...
August 7, 2018: Journal of Pediatric Urology
C S Forster, E Jackson, S L Goldstein
BACKGROUND: Children with neurogenic bladders who require clean intermittent catheterization (CIC) frequently have bacteriuria. However, there is no consensus on what constitutes at urinary tract infection (UTI) in this population. Multiple subspecialists are often involved in the management of these patients, although they are frequently cared for by hospitalists when admission is required. OBJECTIVE: The objective of this study was to describe the variability in opinion between subspecialists in the diagnosis of a UTI in CIC-dependent children...
August 7, 2018: Journal of Pediatric Urology
R C Marciano, M G F Cardoso, M A Vasconcelos, J J Paula, N C Pinho, A C Oliveira, E A Oliveira, E M Lima
BACKGROUND: Lower urinary tract dysfunction (LUTD) is a broad term describing the full spectrum of disorders in any of the stages of bladder function-storage or voiding LUTD is a clinical condition associated with emotional and behavioral disorders in children. This cross-sectional study aimed to investigate the association of emotional and behavioral symptoms and their impact on the quality of life (QoL) in children and adolescents with LUTD. METHODS: Eighty-eight patients and their parents enrolled in an interdisciplinary program for children and adolescents with LUTD were included in the analysis...
August 6, 2018: Journal of Pediatric Urology
K M Giramonti, B A Kogan
INTRODUCTION: With the growing shortage of pediatric urological surgeons, it was our aim to streamline our system to get patients with less complex penile procedures performed in a timely manner. To do this, an advanced practice provider (APP) was trained to perform minor penile procedures in children in the operating room(OR). OBJECTIVES: The goal of our study was to show that with proper training an APP could safely perform a circumcision in the OR. STUDY DESIGN: After approval of the study center's credentialing committee, a NP was trained to perform revisions and initial circumcisions in children in the OR...
August 6, 2018: Journal of Pediatric Urology
J S Ellison
No abstract text is available yet for this article.
August 4, 2018: Journal of Pediatric Urology
A C Strine, B A VanderBrink, A C Riazzi, M Schulte, T Mayes, P H Noh, W R DeFoor, E Minevich, C A Sheldon, P P Reddy
INTRODUCTION: A nutritional assessment is a critical but often neglected aspect of a preoperative evaluation. Malnutrition is clearly associated with worse surgical outcomes in adults undergoing major abdominal surgery, whereas a paucity of evidence is available in the pediatric population. OBJECTIVE: The objectives were to describe the preoperative nutritional status of pediatric and adolescent patients undergoing continent urinary tract reconstruction and to determine the association among malnutrition, use of total parenteral nutrition (TPN), and surgical outcomes...
August 4, 2018: Journal of Pediatric Urology
I Kassite, K Braik, T Villemagne, H Lardy, A Binet
INTRODUCTION: Few studies have evaluated the learning curve (LC) for robot-assisted laparoscopic pyeloplasty (RALP) for ureteropelvic junction obstruction in children. It was attempted to assess the LC of this procedure using a multi-outcome approach, accounting for patient complexity. MATERIAL AND METHODS: Data on the first series of children undergoing RALP between November 2007 and December 2017 at the study institution were prospectively collected. Patient complexity factors and peri-operative data including operative time (OT) were retrospectively analyzed...
August 2, 2018: Journal of Pediatric Urology
Richard S Hurwitz
No abstract text is available yet for this article.
August 1, 2018: Journal of Pediatric Urology
Y Chen, L Zhou, N Liao, P Gao, L Chen, X Li, M Fan
INTRODUCTION: Congenital mesoblastic nephroma (CMN) is a common solid renal tumor in the neonate. Congenital mesoblastic nephroma can be divided into classic, cellular, and mixed types. The prognosis of CMN is very optimistic. But CMN can easily be misdiagnosed as the other malignant renal tumors by radiology. However, no studies have described the computed tomography (CT) imaging appearance of CNM in detail. The objective of this study is retrospective analyses of the multislice CT characteristics of CMN and their corresponding ultrasound findings and pathology...
August 1, 2018: Journal of Pediatric Urology
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