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Journal of Pediatric Urology

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https://www.readbyqxmd.com/read/30007500/does-the-use-of-5-mm-instruments-affect-the-outcomes-of-robot-assisted-laparoscopic-pyeloplasty-in-smaller-working-spaces-a-comparative-analysis-of-infants-and-older-children
#1
Minki Baek, Mesrur Selcuk Silay, Jason K Au, Gene O Huang, Rodolfo A Elizondo, Kathleen T Puttmann, Nicolette K Janzen, Abhishek Seth, David R Roth, Chester J Koh
INTRODUCTION: Pediatric robot-assisted laparoscopic (RAL) pyeloplasty has become a viable minimally invasive surgical option for ureteropelvic junction obstruction (UPJO) based on its efficacy and safety. However, RAL pyeloplasty in infants can be a challenging procedure because of the smaller working spaces. The use of the larger 8 mm instruments for these patients instead of the 5 mm instruments is common because of the shorter wrist lengths. OBJECTIVE: We hypothesized that the use of 5 mm instruments for RAL pyeloplasty in infants with smaller working spaces will have comparable perioperative parameters and surgical outcomes in comparison with older children with larger working spaces...
July 6, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/30007501/nephroureterectomy-with-inferior-vena-caval-thrombectomy-in-post-chemotherapy-wilms-tumour-in-a-child-from-the-eyes-of-the-surgeon
#2
Virender Sekhon, Manav Suryavanshi
INTRODUCTION: Intracaval extension is present in 4-11% of all Wilms' tumour (WT). We present the open surgical nuances of inferior vena cava (IVC) thrombectomy with nephroureterectomy in post-chemotherapy WT. METHODS: A 10-year-old girl with right WT and intracaval tumour thrombus presented for surgical resection after six cycles of chemotherapy (vincristine, actinomycin D). A preoperative assessment plan of the vascular anatomy of the tumour was done. Meticulous intraoperative handling of the tumour mass, overcoming chemotherapy-induced fibrosis during inter-aortocaval groove dissection, optimal hemodynamic control during venotomy, en bloc resection of tumour with intracaval thrombus, and repair of the IVC are detailed...
July 2, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/30007499/robot-assisted-laparoscopic-common-sheath-ureteral-reimplantation-in-duplex-ureters-luaa-technique-tips-for-optimal-outcomes
#3
Maria Veronica Rodriguez, William R Boysen, Mohan S Gundeti
OBJECTIVE: To describe surgical tips for robot-assisted laparoscopic (RAL) common sheath ureteral reimplantation using the previously reported LUAA technique in patients with duplex renal collecting systems, and to assess the efficacy of this technique by reviewing operative outcomes in a single-institution case series. METHODS: We retrospectively reviewed a consecutive series of patients with duplicated collecting systems and vesicoureteral reflux (VUR) who underwent RAL extravesical common sheath ureteral reimplantation at a single medical center from 2010 to 2017...
July 2, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/30017605/robot-assisted-laparoscopic-transplant-to-native-ureteroureterostomy-of-an-intraperitoneal-renal-allograft
#4
Belinda Li, Dennis B Liu, Edward M Gong
OBJECTIVE: The objective is to describe our experience with robot-assisted laparoscopic transplant-to-native ureteroureterostomy (UU) in a pediatric patient with an intraperitoneal renal allograft. We have previously demonstrated this technique for an extraperitoneal allograft. METHODS: The patient is a 17-year-old female who had undergone a deceased donor renal transplant at 5 years of age. She developed acute kidney injury and hydronephrosis because of a ureteral stricture that developed after a right ovarian cyst excision...
June 30, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29980392/the-influence-of-bowel-management-on-the-frequency-of-urinary-infections-in-spina-bifida-patients
#5
Zoran Radojicic, Sasa Milivojevic, Natasa Milic, Jelena Milin Lazovic, Marija Lukac, Aleksandar Sretenovic
OBJECTIVE: To examine the effects of bowel management on the frequency of urinary infections in spina bifida patients. STUDY DESIGN: The research was carried out from 2014 to 2017, with the recruitment process from June 2014 to March 2016. The first group consisted of 35 patients who were administered bowel management combined with anticholinergic medication therapy and clean intermittent catheterization (CIC). The second group consisted of 35 patients who were treated only with anticholinergic medication therapy and CIC...
June 30, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/30017606/clinical-outcomes-of-children-with-wilms-tumor-treated-on-a-siop-wt-2001-protocol-in-a-tertiary-care-hospital-in-south-india
#6
Rikki John, Jujju Jacob Kurian, Sudipta Sen, Manish Kumar Gupta, Susan Jehangir, Leni Grace Mathew, John Mathai
INTRODUCTION: Wilms tumor is the most common pediatric renal malignancy. While developed countries have had excellent survival, it remains poorer by comparison in developing countries. The aim was to analyze the clinical outcome of children with Wilms tumor managed in a developing country from 2004 to 2014 by the SIOP WT 2001 protocol. METHODS: Fifty-nine children with Wilms tumor managed by a SIOP WT 2001 regimen from 2004 to 2014 were analyzed. RESULTS: The median age at presentation was 36 months, and 59% were boys...
June 28, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/30006257/endoscopic-management-of-primary-obstructive-megaureter-in-pediatrics
#7
REVIEW
Youssef Teklali, Yohann Robert, Bernard Boillot, Camille Overs, Christian Piolat, Pierre Yves Rabattu
AIMS: The aims of this study were to evaluate the efficacy and safety of endoscopic treatment of primary obstructive megaureter in children, and to assess its long-term outcome. METHODS: Case files of 35 children who had endoscopic treatment of symptomatic primary obstructive megaureter between 2006 and 2016 were retrospectively analyzed. All children had ureterovesical junction dilatation with one or more ureteral dilators, and insertion of a JJ stent. An analysis of the case files and a comparison between pre- and postoperative ultrasound and scintigraphy findings were performed...
June 28, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/30006256/differences-in-early-career-operative-experiences-among-pediatric-urologists
#8
Kristina D Suson, Cortney Wolfe-Christensen, Jack S Elder, Yegappan Lakshmanan
INTRODUCTION: Previous research suggests that pediatric urologists feel well trained by their fellowship for cases encountered early in their career. We questioned the complexity and diversity of cases new pediatric urologists were actually performing. OBJECTIVE: The aim was to identify the frequency with which newly trained pediatric urologists are performing various procedures, investigate which factors are associated with case complexity and diversity, and evaluate for differences between male and female surgeons...
June 28, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29980391/combination-treatment-for-cicatrix-after-neonatal-circumcision-an-office-based-solution-to-a-challenging-problem
#9
Seth A Alpert, Christina B Ching, Daniel G DaJusta, Daryl J McLeod, Molly E Fuchs, Venkata R Jayanthi
Cicatrix formation, which can form after neonatal circumcision to entrap the glans penis, presents a therapeutic challenge. Previous studies in the literature have described either using a topical steroid cream or stretching of the scar tissue with an instrument but not a combination of both modalities. In our experience, monotherapy has resulted in significant recurrence and/or need for further treatment. We present our successful experience that combines cicatrix stretching with a hemostat using local anesthesia in the office followed by several weeks of topical steroids with a minority of patients needing any additional therapy...
June 28, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29970334/is-distal-hypospadias-repair-mostly-a-cosmetic-operation
#10
EDITORIAL
Warren Snodgrass, Nicol Bush
No abstract text is available yet for this article.
June 22, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29945754/malone-antegrade-continence-enema-is-cecal-imbrication-essential
#11
Yvonne Y Chan, Rafael Gonzalez, Eric A Kurzrock
INTRODUCTION: The Malone antegrade continence enema (MACE) procedure is effective in management of fecal incontinence and intractable constipation. Stomal incontinence and stenosis are the most common issues reported, and a recent large study of imbricated MACE procedures reports a surgical revision rate of 17%. The laparoscopic approach is now widely used and precludes imbrication. To date, few studies have reported revision rates in these patients who have undergone non-imbricated MACE creation...
June 14, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29934031/laparoscopic-excision-of-complete-bladder-duplication-in-a-1-year-old-male
#12
Eyal Kord, Amnon Zisman, Guy Verhovsky, Amos Neheman
OBJECTIVE: Complete bladder duplication is a male predominant rare congenital malformation usually diagnosed at birth. Owing to the rarity of this anomaly, only few reports have discussed the surgical approach for this condition, with the open approach for excision being the most common. We hereby present a video of a laparoscopic resection of complete bladder and urethral duplication in a 1-year-old male. METHODS: The patient presented to our clinic with a red mucosal tissue protruding from a cutaneous opening at the dorsal base of the penis that has been present from birth...
June 12, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29936033/spiral-nesbit-plication-a-simple-method-for-simultaneous-correction-of-penile-torsion-and-chordee-spiral-chordee
#13
Michelle A Lightfoot, Andrew J Kirsch
Penile torsion and chordee may be corrected by a variety of techniques; however, when corporal body disproportion is involved plication may be necessary. Herein we describe a technique of placing oblique plication sutures to simultaneously correct both conditions, which we term "spiral chordee". The spiral Nesbit plication (SNP) has been performed on 21 boys at our institution. Median preoperative penile torsion and chordee were 49° (range 30-90°) and 35° (range 15-60°) respectively. Surgical success was 84...
June 11, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29960713/re-paediatric-cystolitholapaxy-through-the-mitrofanoff-monti-channel
#14
LETTER
Ines Mendes Pina, Michael S Floyd, Melissa C Davies, Simon R Stubington
No abstract text is available yet for this article.
June 9, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29929853/-minimally-invasive-research-use-of-the-electronic-health-record-to-facilitate-research-in-pediatric-urology
#15
REVIEW
Vijaya M Vemulakonda, Ruth A Bush, Michael G Kahn
BACKGROUND: The electronic health record (EHR) was designed as a clinical and administrative tool to improve clinical patient care. Electronic healthcare systems have been successfully adopted across the world through use of government mandates and incentives. METHODS: Using electronic health record, health information system, electronic medical record, health information systems, research, outcomes, pediatric, surgery, and urology as initial search terms, the literature focusing on clinical documentation data capture and the EHR as a potential resource for research related to clinical outcomes, quality improvement, and comparative effectiveness was reviewed...
June 9, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29921513/commentary-to-bladder-scan-accuracy-in-pediatric-patients-does-patient-position-matter
#16
Goedele M A Beckers
No abstract text is available yet for this article.
June 9, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29914825/paediatric-cystolitholapaxy-through-mitrofanoff-monti-channel-response-to-letter
#17
LETTER
J S Thomas, N Smeulders, F Yankovic, S Undre, I Mushtaq, P-J Lopez, P Cuckow
No abstract text is available yet for this article.
June 9, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29914822/response-to-letter-to-the-editor-re-the-effect-of-surgeon-vs-technologist-control-of-fluoroscopy-on-radiation-exposure-during-pediatric-ureteroscopy-a-randomized-trial
#18
LETTER
Paul J Kokorowski, Jeanne S Chow, Bartley G Cilento, Don-Soo Kim, Michael P Kurtz, Tanya Logvinenko, Robert D MacDougall, Caleb P Nelson
No abstract text is available yet for this article.
June 9, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29909191/commentary-to-pediatric-and-young-adult-ureteroscopy
#19
Michelle Jo Semins
No abstract text is available yet for this article.
June 9, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29941348/the-intravesical-phallus-in-patients-with-cloacal-exstrophy-an-embryologic-conundrum
#20
Karl Benz, Mahir Maruf, Clark Hatheway, Matthew Kasprenski, John Jayman, Steven Docimo, Francis Schneck, John Gearhart
BACKGROUND: Phalluses present inside the extrophied bladder of cloacal exstrophy (CE) newborns have been sporadically reported in the literature; this clinical entity has largely unknown origins and may represent an extremely rare anomaly of CE. OBJECTIVE: Along with nearly doubling the number of reported intravesical phalluses in the literature, this study aims to outline the common anatomic features and discuss the implications for theories of CE embryogenesis...
June 8, 2018: Journal of Pediatric Urology
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