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Pediatric Urology

Amit Sharma, Rahul U Nayak, Gaurav Gupta, Adrian Cotterell
Kidney transplantation is usually the best course of treatment for patients with end-stage renal disease. En bloc kidney transplantation (EBKT) is a surgical treatment option that increases available donor organs with excellent graft survival for patients with end-stage renal disease. Herein, we report a case of an unusual bilateral renal parenchymal urine leak after EBKT leading to removal of both moieties of the EBKT. This unfortunate complication after EBKT, to our knowledge, is the only reported of its kind...
September 2018: Transplantation Direct
Ahmad Alfaseh, Ahmad Slyman, Amro Ilaiwy
Ureter triplication is an extremely rare congenital anomaly of the urinary system with approximately 100 cases reported in medical literature since it was first described in 1870. It is classified into 4 types, and commonly associated with ipsilateral or contralateral urological anomalies. In this report, we present a case of a pediatric Type III- triplicate ureter associated with ipsilateral vesicoureteral reflux and contralateral idiopathic renal atrophy that was discovered during kidney transplant work-up...
September 13, 2018: Urology
Nikita G Alexiades, Edward S Ahn, Jeffrey P Blount, Douglas L Brockmeyer, Samuel R Browd, Gerald A Grant, Gregory G Heuer, Todd C Hankinson, Bermans J Iskandar, Andrew Jea, Mark D Krieger, Jeffrey R Leonard, David D Limbrick, Cormac O Maher, Mark R Proctor, David I Sandberg, John C Wellons, Belinda Shao, Neil A Feldstein, Richard C E Anderson
OBJECTIVE Complications after complex tethered spinal cord (cTSC) surgery include infections and cerebrospinal fluid (CSF) leaks. With little empirical evidence to guide management, there is variability in the interventions undertaken to limit complications. Expert-based best practices may improve the care of patients undergoing cTSC surgery. Here, authors conducted a study to identify consensus-driven best practices. METHODS The Delphi method was employed to identify consensual best practices. A literature review regarding cTSC surgery together with a survey of current practices was distributed to 17 board-certified pediatric neurosurgeons...
September 14, 2018: Journal of Neurosurgery. Pediatrics
Cara E Morin, Morgan P McBee, Andrew T Trout, Pramod P Reddy, Jonathan R Dillman
PURPOSE OF REVIEW: In this article, we describe the basics of how magnetic resonance urography (MRU) is performed in the pediatric population as well as the common indications and relative performance compared to standard imaging modalities. RECENT FINDINGS: Although MRU is still largely performed in major academic or specialty imaging centers, more and more applications in the pediatric setting have been described in the literature. MRU is a comprehensive imaging modality for evaluating multiple pediatric urologic conditions combining excellent anatomic detail with functional information previously only available via renal scintigraphy...
September 11, 2018: Current Urology Reports
Christopher D Morrison, Rachel Shannon, Ilina Rosoklija, Oluwarotimi S Nettey, Riccardo Superina, Earl Y Cheng, Edward M Gong
PURPOSE: Ureteral complications following renal transplantation are more common in children than in adults. We identify potential risk factors for ureteral complications in pediatric patients. MATERIALS AND METHODS: We performed a retrospective cohort study of patients who underwent renal transplantation at Lurie Children's Hospital between 2004 and 2016. The associations between patient characteristics, operative factors, graft characteristics and post-operative complications were analyzed...
September 6, 2018: Journal of Urology
Dong Hoon Koh, Won Sik Jang, Jae Won Park, Won Sik Ham, Woong Kyu Han, Koon Ho Rha, Young Deuk Choi
PURPOSE: To evaluate the efficacy and safety of robotic procedures performed using the da Vinci Robotic Surgical System at a single institute. MATERIALS AND METHODS: We analyzed all robotic procedures performed at Severance Hospital, Yonsei University Health System (Seoul, Korea). Reliability and mortality rates of the robotic surgeries were also investigated. RESULTS: From July 2005 to December 2013, 10267 da Vinci robotic procedures were performed in seven different departments by 47 surgeons at our institute...
October 2018: Yonsei Medical Journal
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
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
A Hofmann, W H Rösch
In recent years, the number of refugees to Germany has risen dramatically. Nearly half of the refugees are under 18, and a large percentage of them have acute or chronic medical problems. This situation poses a unique challenge to pediatric hospitals. Interprofessional teams in pediatric urology departments must care for an increasing number of patients with genetic abnormalities and diseases, unusual urogenital trauma, as well as frequent multiresistent organisms. In addition, communication problems due to language barriers and intercultural differences abound...
August 30, 2018: Der Urologe. Ausg. A
K R Sheth, J T White, I Stanasel, N Janzen, A Mittal, C J Koh, P F Austin, D R Roth, D D Tu, E T Gonzales, S Ryan, C Jorgez, A Seth
INTRODUCTION: Non-refluxing ureteral reimplantation is favored in pediatric renal transplantation to prevent complications, such as vesicoureteral reflux (VUR) in the transplant ureter. VUR resulting in febrile urinary tract infections remains a problem in this population, leading to repeated hospitalizations and increased morbidity. Revision of the vesicoureteral anastomosis can be a surgical challenge due to scar tissue and tenuous vascularity of the transplant ureter. Therefore, alternative options such as endoscopic injection of Deflux at the neo-orifice and surveillance with prophylactic antibiotics have emerged as potential treatment modalities for transplant ureter VUR...
July 24, 2018: Journal of Pediatric Urology
Cristina Bocanegra, Zeferino Pintar, Jacobo Mendioroz, Xavier Serres, Sara Gallego, Arlette Nindia, Maria Luisa Aznar, Antoni Soriano-Arandes, Fernando Salvador, Eva Gil, Nicolau Sikaleta, Milagros Moreno, Israel Molina
Urinary schistosomiasis causes damage to the urological system. Ultrasound is a method that detects the burden of secondary disease, individually and in epidemiological studies. In this study, the Schistosoma haematobium -associated urinary tract pathology is analyzed before and after treatment in a short period of time. Seventy children who had previously participated in an epidemiological study on schistosomiasis in the city of Cubal, Angola, and had also performed urinary ultrasound between August 2013 and February 2014 were cited 6-8 months later to assess the possible reinfection and repeat new urinary ultrasound, analyzing changes at the level of urinary pathology...
August 20, 2018: American Journal of Tropical Medicine and Hygiene
Peter Zhan Tao Wang, Chitra Prasad, Carmen Inés Rodriguez Cuellar, Guido Filler
BACKGROUND: Galloway-Mowat syndrome (GAMOS) (OMIM #251300) is a severe autosomal recessive disease characterized by the combination of early-onset steroid-resistant nephrotic syndrome (SRNS) and microcephaly with brain anomalies caused by WDR73 as well as OSGEP, TP53RK, TPRKB, or LAGE3 mutations. OBJECTIVE: We report on the hitherto undescribed urological and nephrological complications of the homozygous c.974G>A (p.Arg325Gln) OSGEP mutations in a 7-year-old Caucasian girl...
November 2018: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
H A Aldaqadossi, H Shaker, Y Kotb, H Youssof, S Elgamal
BACKGROUND: Though pediatric urethral stricture is an uncommon urological problem, it is a challenging urological one. The causative factors are iatrogenic, traumatic, and inflammatory. In the current study, the authors report their experience of the treatment of pediatric long anterior urethral stricture using penile circular fasciocutaneous flap. PATIENTS AND METHODS: The study included 23 pediatric patients who had long anterior urethral strictures, which were repaired using circular penile fasciocutaneous flap...
July 24, 2018: Journal of Pediatric Urology
Rachita Singh Dhull, Aparna Joshi, Abhijeet Saha
Renal scintigraphy is a useful tool in diagnosis and management of various nephro-urological conditions. Tc-99m dimercaptosuccinic acid renal scintigraphy (Tc-99m-DMSA), Tc-99m mercaptoacetyltriglycine (Tc-99m-MAG3) or Tc-99m diethylenetriaminepentaacetic acid (Tc-99m-DTPA) dynamic renal scintigraphy, and Radionuclide micturating cystography are the common scans used in children with kidney diseases. These studies are minimally invasive, easily available, and offer both anatomic details and functional information required for thorough evaluation...
July 15, 2018: Indian Pediatrics
Mark P Cain
No abstract text is available yet for this article.
August 17, 2018: Journal of Urology
Rachel B Davis, Nicholas J Farber, Amy Kaplan, Rutveej Patel, Robert E Steckler, Sammy E Elsamra
INTRODUCTION: To compare endourology versus pediatric urology exposure to pediatric stone cases during fellowship, comfortability in treating pediatric stone cases, and access to pediatric surgical equipment. MATERIALS AND METHODS: A survey was distributed to all pediatric urology fellowship programs and the Endourological Society. Age was stratified into < 12 months old, 12 months-4 years, 5-12 years, and 13-18 years. Exposure and comfortability performing extracorporeal shock wave lithotripsy (SWL), ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) were assessed across age groups...
August 2018: Canadian Journal of Urology
Laurence S Baskin
No abstract text is available yet for this article.
August 2018: Canadian Journal of Urology
Zafar Nazir, Muhammad Arif Mateen Khan, Javaria Qamar
BACKGROUND: Congenital Prepubic Sinus (CPS) is an uncommon urogenital anomaly characterized by a blind tract between the skin over the pubis to anterior of the urinary bladder, Urethra or umbilicus. We report four such cases to emphasize varied clinical presentation and embryological conundrum. METHODS: Following Ethical Review Committee (ERC) approval, medical records of pediatric patients (<16 years) presenting with CPS (identified through operating room records and Hospital Information Management System (HIMS) between 1994 and 2018 were reviewed for demographics, clinical presentation, investigations including histopathology, management and outcome...
July 25, 2018: Journal of Pediatric Surgery
Cristina Mondelo García, José María Gutiérrez Urbón, Cristina Pérez Sanz, María Isabel Martín Herranz
BACKGROUND: There is extensive evidence of the efficacy of anti-microbial drugs in preventing infections from surgical efforts. Our objective was to describe the results obtained in our annual surgical antibiotic prophylaxis (SAP) audit in the years 2013-2017. METHODS: This was a retrospective observational study of SAP in surgical procedures carried out between 2013 and 2017 in a tertiary-level hospital. We examined the results from the services of general surgery, vascular surgery, neurosurgery, the breast unit, otolaryngology, maxillofacial surgery, traumatology, urology, pediatric surgery, gynecology, and plastic surgery...
August 10, 2018: Surgical Infections
María Fernández-Ibieta
Case Report  An 11-month-old female infant presented on the first postoperative (PO) day following an elective pyeloplasty, a dark bluish erythema of her lumbotomy wound, plus a satellite lesion of the same characteristics. Fever and sepsis developed, and despite broad spectrum antibiotics (meropenem and vancomycin) were started, a diagnosis of necrotizing soft-tissue infection (NSTI or necrotizing fasciitis) was established. Surgical debridement of both lesions was performed on day 3 PO, and a surgical contamination (ring retractor blade) was suspected, due to the particular geography of the lesion...
July 2018: Surgery Journal
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