keyword
https://read.qxmd.com/read/38033427/bilateral-single-system-ectopic-ureters-a-rare-variant
#21
Aditi Vijay Dalvi, Maitreyee Save, Paras Kothari, Abhaya Gupta, Sanjay Oak, Shahaji Deshmukh, Apoorva Kulkarni, Saket Jha, Dhvani Shah
Bilateral single system ectopic ureters are a rare entity in paediatric urology. We report a girl child with bilateral single system ectopic ureters with right system opening into the vagina, who presented at 3.5 years with continuous dribbling of urine & a small capacity bladder. Renal scans and MRI were done which indicated bilateral single system ectopic ureters with hydroureteronephrosis. We managed her surgically by a right nephro-ureterectomy, bladder augmentation, left ureteric reimplantation and Mitrofanoff...
November 2023: Urology Case Reports
https://read.qxmd.com/read/38024507/paediatric-xanthogranulomatous-pyelonephritis-with-reno-psoas-fistula-psoas-abscess-and-migration-of-renal-calculi
#22
William Harrison, Patrick Gough, Sheliyan Raveenthiran, David Sillar
Xanthogranulomatous pyelonephritis (XGP) is a rare form of chronic pyelonephritis characterized by granulomatous tissue replacing renal parenchyma, primarily in adults. It's often linked to chronic obstruction, urolithiasis, and pyelonephritis, with rare associations with psoas abscess or fistula. A 15-year-old girl, initially treated conservatively for suspected pyelonephritis, underwent CT imaging due to non-response. This revealed XGP with a sizable psoas abscess caused by a kidney-psoas muscle fistula and renal calculus migration...
November 2023: Urology Case Reports
https://read.qxmd.com/read/38016641/european-paediatric-surgeons-association-survey-on-the-adherence-to-eau-espu-guidelines-in-the-management-of-undescended-testes
#23
JOURNAL ARTICLE
Ophelia Aubert, Hind Zaidan, Hanna Garnier, Amulya K Saxena, Salvatore Cascio
INTRODUCTION:  The aim of this study was to assess the adherence to the European Association of Urology (EAU)/European Society for Pediatric Urology (ESPU) 2016 guidelines in the management of undescended testes (UDT). MATERIALS AND METHODS:  An online questionnaire was sent in 2023 to members of the European Paediatric Surgeons' Association (EUPSA). RESULTS:  Among 157 members, 46 and 44% perform orchidopexy before 12 and 18 months, respectively...
November 28, 2023: European Journal of Pediatric Surgery
https://read.qxmd.com/read/38000950/a-multi-institutional-european-comparative-study-of-open-versus-robotic-assisted-laparoscopic-ureteral-reimplantation-in-children-with-high-grade-iv-v-vesicoureteral-reflux
#24
JOURNAL ARTICLE
Simone Sforza, Beatriz Bañuelos Marco, Bernhard Haid, Numan Baydilli, Muhammet Irfan Donmez, Anne-Françoise Spinoit, Irene Paraboschi, Lorenzo Masieri, Lukas Steinkellner, Yusuf Ilker Comez, Rianne J M Lammers, Lisette Aimée 't Hoen, Fardod O'Kelly, Edoardo Bindi, Yusuf Kibar, Mesrur Selçuk Silay
INTRODUCTION: Traditionally, open ureteral reimplantation (OUR) has been the standard treatment for primary vesicoureteral reflux (VUR) requiring reimplantation. Robotic-assisted laparoscopic ureteral reimplantation (RALUR) is gaining popularity and high success rates have been reported. OBJECTIVE: In this multi-institutional study, we aimed to compare the perioperative and postoperative outcomes of OUR and RALUR for high-grade (IV + V) VUR in children...
November 14, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/37989606/efficacy-of-biofeedback-in-paediatric-urology-patients-a-single-centre-experience
#25
JOURNAL ARTICLE
Snigdha Mettu Reddy, Harriet Gray, Tammy Barry, Bridie Bessell, Mohamed Shalaby, Mark Woodward, Karim Awad
AIM OF THE STUDY: Biofeedback assisted pelvic floor muscle training is an underutilised nonpharmacological treatment in paediatric urology. We reviewed all patients who underwent a course of treatment at our centre to evaluate its efficacy. METHODS: All patients who underwent a full cycle of biofeedback in the paediatric urology department from 2016 to 2023 were identified. Demographics and outcomes following treatment were accessed. RESULTS: 42 patients (28 female) were identified who underwent 8 one-hour sessions on a weekly basis constituted a completed cycle of treatment...
October 21, 2023: Journal of Pediatric Surgery
https://read.qxmd.com/read/37987596/paediatric-percutaneous-nephrolithotomy-p-pcnl-reporting-checklist
#26
JOURNAL ARTICLE
Patrick Juliebø-Jones, Øyvind Ulvik, Christian Beisland, Bhaskar K Somani
OBJECTIVE: To develop a reporting checklist that serves to improve and standardise reporting in studies pertaining to paediatric percutaneous nephrolithotomy (PCNL). METHODS: Based on findings from systematic review of literature, a draft list of items was formulated. By process of review and revisions, a finalised version was established and consensus achieved. RESULTS: The finalised version of the checklist covers four main sections, which include the following areas: study details, pre-operative, operative and post-operative information...
November 21, 2023: Scandinavian Journal of Urology
https://read.qxmd.com/read/37971290/obstructive-uropathy-from-bilateral-ureteric-calculi-in-an-infant-with-diarrhoea-disease
#27
R Aliu, I Jalo, L Olatoke, I Asabe, A Bello
INTRODUCTION: Urolithiasis is the presence of mineral deposits in the urinary tract. It is rare in under-5 children and in Sub-Saharan Africa. Although metabolic abnormality is implicated in 50% of cases, infection, decreased urine volume and flow (dehydration state) have been implicated. We report a case of bilateral ureteric calculi in an infant with diarrhoea disease and dehydration. CASE REPORT: A.S, is an 8-month-old male with prolonged loose, large-volume stool, large-volume vomiting, high-grade fever, body weakness, and peri-orbital swelling that progressed to generalized body swelling and absent urine for 2 days...
November 10, 2023: West African Journal of Medicine
https://read.qxmd.com/read/37960953/prevalence-risk-factors-and-clinical-outcomes-of-acute-kidney-injury-after-paediatric-liver-transplantation
#28
JOURNAL ARTICLE
Yajun Wang, Pei Liu, Meili Duan
BACKGROUND: Knowledge about acute kidney injury (AKI) in paediatric patients after liver transplantation is limited. This study focused on the prevalence and contributing factors of AKI and its impact on the postoperative outcomes of paediatric recipients. METHODS: The data of 211 paediatric patients (<12 years old) who, from December 2018 to November 2020, received first-time liver transplantation for end-stage liver disease or advanced hepatic failure in our hospital were processed for retrospective analysis...
October 2023: Archivos Españoles de Urología
https://read.qxmd.com/read/37957075/a-consensus-process-to-identify-research-priorities-in-paediatric-urology-in-the-united-kingdom
#29
JOURNAL ARTICLE
Harriet J Corbett, Joanna Clothier, Chris Driver, Marie-Klaire Farrugia, Massimo Garriboli, Milan Gopal, Milind Kulkarni, David Marshall, Caroline MacDonald, Anna Radford, Hannah Rhodes, Alun Williams, Liam McCarthy
INTRODUCTION: Paediatric urologists manage a spectrum of conditions, much of the evidence for relevant treatment pathways is of low quality. For many conditions treatment varies according to location and surgeon; children with the same condition might have surgery in one unit but watchful waiting in another. Underlying this variation are differences in opinion, and insufficient high-level evidence with few prospective randomized studies. Such studies may be challenging to design, fund and recruit into, and are more likely to succeed if there is a collaborative approach...
October 14, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/37924337/lumbosacral-lipoma-in-childhood-how-strong-is-the-evidence-base-a-systematic-review
#30
REVIEW
Duranka Perera, Claudia L Craven, Dominic Thompson
OBJECTIVE: Conus region lumbosacral lipomas (LSLs) are highly heterogeneous in their morphology, clinical presentation, and outcome, with an incompletely understood natural history and often treacherous surgical anatomy. This systematic review aims to critically evaluate and assess the strength of the current LSL evidence base to guide management strategies. METHODS: According to a systematic review following PRISMA guidelines, a search was conducted using the key term "lumbosacral lipoma" across MEDLINE (OVID), Embase, Cochrane Library, and PubMed databases from January 1951 to April 2021...
November 4, 2023: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/37867338/effect-of-multidisciplinary-assessment-on-paediatric-patients-with-monosymptomatic-nocturnal-enuresis
#31
JOURNAL ARTICLE
Jun Xie, Min Liu, Jun Ma
OBJECTIVE: This study aimed to investigate the effect of multidisciplinary assessment in paediatric patients with monosymptomatic nocturnal enuresis (MNE). METHODS: From July 2018 to June 2021, 242 patients with enuresis who received diagnosis and treatment in our hospital were retrospectively enrolled. They were divided into the multidisciplinary assessment group (n = 130) and routine assessment group (n = 112). Multidisciplinary assessments were completed by a multidisciplinary team, and the data included structured medical history, physical and neurological examinations, bladder and bowel diaries, sleep diaries, questionnaires, psychological assessments, urinary ultrasonography, blood and urine laboratory tests, polysomnography and balance assessments...
September 2023: Archivos Españoles de Urología
https://read.qxmd.com/read/37806834/paediatric-acute-epididymo-orchitis-temporally-related-to-sars-cov-2-infection-a-case-series-and-review-of-the-literature
#32
REVIEW
Kelly Hoffmann, Milan Gopal
INTRODUCTION: Acute epididymo-orchitis (AEO) is becoming an increasingly common differential diagnosis in children with acute scrotal pain. It has been noted in adult men that SARS-CoV-2 has a propensity for involving the testis and epididymis, affecting sperm and testosterone production. Our literature search revealed only one case report of COVID-19 presenting with epididymo-orchitis in a child. We present three more children who presented with AEO, all recovering from PCR-confirmed SARS-CoV-2 infection...
September 27, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/37782435/the-clinical-and-imaging-features-of-eosinophilic-cystitis-in-children-a-case-series-study
#33
JOURNAL ARTICLE
Yanan Chen, Min Ji, Jingyun Shi, Zhongwei Qiao, Liangfeng Tang, Zhiming Yang
BACKGROUND: Eosinophilic cystitis (EC) is rare in children and remains poorly understood. Our aim was to analyse the clinical and imaging features of eosinophilic cystitis in children. METHODS: A retrospective review of histologically confirmed eosinophilic cystitis between January 2008 and December 2022 was performed, including patient age, sex, symptoms, laboratory examination, radiology, treatment and outcome. RESULTS: Twelve children (two girls, 10 boys; age range: 3-12 years, mean age: 7...
October 2, 2023: International Urology and Nephrology
https://read.qxmd.com/read/37758534/endoscopic-dilatation-incision-of-primary-obstructive-megaureter-a-systematic-review-on-behalf-of-the-eau-paediatric-urology-guidelines-panel
#34
REVIEW
Martin Skott, Michele Gnech, Lisette A 't Hoen, Uchenna Kennedy, Allon Van Uitert, Alexandra Zachou, Yuhong Yuan, Josine Quaedackers, Mesrur Selcuk Silay, Yazan F Rawashdeh, Berk Burgu, Marco Castagnetti, Fardod O'Kelly, Guy Bogaert, Christian Radmayr
INTRODUCTION: Historically, ureteral reimplantation (UR) has been the gold standard for treatment of primary obstructive megaureter (POM) with declining renal function, worsening obstruction, or recurrent urinary tract infections. In infants, open surgery with reimplantation of a grossly dilated ureter into a small bladder, can be technically challenging with significant morbidity. Therefore, less invasive endoscopic management such as dilatation or incision of the ureter-vesical junction, has emerged as an alternative to reimplantation during the last decades...
September 13, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/37692545/robot-assisted-reconstructive-surgery-of-lower-urinary-tract-in-children-a-narrative-review-on-technical-aspects-and-current-literature
#35
REVIEW
Anand Upasani, Arianna Mariotto, Waleed Eassa, Ramnath Subramaniam
BACKGROUND AND OBJECTIVE: Robotic approach is used widely for paediatric upper tract urinary reconstruction. This is a narrative review looking at the current status of robotic approach in lower urinary tract reconstruction. The aim of this article is to highlight the important technical aspects of commonly performed robotic lower urinary tract reconstructive surgeries and review the current literature. METHODS: MEDLINE database search was conducted using MeSH terms and Boolean operators from Jan 2000 to Jun 2022...
August 30, 2023: Translational Pediatrics
https://read.qxmd.com/read/37681326/analysis-of-risk-factors-for-urinary-tract-infection-in-children-and-construction-and-validation-of-a-prediction-model
#36
JOURNAL ARTICLE
Xiulan Yu, Xia Tao, Sujing Li
OBJECTIVE: To analyse the risk factors for urinary tract infection (UTI) in children and construct and validate a risk prediction model. METHODS: The study selected 258 children with suspected UTI in the paediatric department of our hospital from August 2019 to August 2021. Identified as the subjects in this research, paediatric patients' clinical data were used for retrospective analysis. Based on the counting results of urinary leucocytes and bacteria, children were divided into the UTI group (n = 67) and non-UTI group (n = 191)...
August 2023: Archivos Españoles de Urología
https://read.qxmd.com/read/37669621/outcomes-of-flexible-ureteroscopy-vs-extracorporeal-shock-wave-lithotripsy-for-renal-stones-in-pediatric-patients-a-european-association-of-urology-urolithiasis-guidelines-systematic-review-and-meta-analysis
#37
JOURNAL ARTICLE
Robert Geraghty, Riccardo Lombardo, Cathy Yuan, Niall Davis, Lazaros Tzelves, Ales Petrik, Helene Jung, Giovanni Gambaro, Thomas Tailly, Andreas Neisius, Andreas Skolarikos, Bhaskar Somani
PURPOSE: We sought to determine which treatment between flexible ureteroscopy and shock wave lithotripsy has a better stone-free rate in pediatric patients (<18 years) with renal or proximal ureteric stones (<2 cm). Subanalysis for all outcomes for randomized controlled trials only. MATERIALS AND METHODS: Using PubMed, Web of Science, and the Cochrane database, we identified studies (randomized clinical trials and prospective comparative nonrandomized studies) published until August 2022 reporting surgical outcomes of pediatrics patients undergoing flexible ureteroscopy and shock wave lithotripsy with renal or proximal ureteric stones <2 cm (PROSPERO ID: CRD42022378790)...
December 2023: Journal of Urology
https://read.qxmd.com/read/37577030/simulation-based-education-in-urology-an-update
#38
REVIEW
Angus Ritchie, Maurizio Pacilli, Ramesh M Nataraja
Over the past 30 years surgical training, including urology training, has changed from the Halstedian apprenticeship-based model to a competency-based one. Simulation-based education (SBE) is an effective, competency-based method for acquiring both technical and non-technical surgical skills and has rapidly become an essential component of urological education. This article introduces the key learning theory underpinning surgical education and SBE, discussing the educational concepts of mastery learning, deliberate practice, feedback, fidelity and assessment...
2023: Therapeutic Advances in Urology
https://read.qxmd.com/read/37576488/priapism-associated-with-penile-haematoma-following-a-scorpion-sting-in-a-child-a-rare-case-report
#39
Omar Bellouki, Hicham El Bote, Jihad Lakssir, Abdelmounim Boughaleb, Youssef Abaair
Priapism is a rare condition in paediatrics. Although its association with scorpion envenomation has been documented, cases involving an associated penile haematoma are extremely rare. To the best of our knowledge, we hereby present the first documented case of this unique association in a nine-year-old boy following a scorpion sting. The purpose of this observation is to discuss the diagnostic difficulties, management strategies, and possible mechanisms associated with this unusual manifestation, and to highlight the importance of prompt recognition and appropriate management of priapism and penile haematoma in children, particularly those living in areas where scorpion stings are endemic...
September 2023: Urology Case Reports
https://read.qxmd.com/read/37573549/acute-focal-bacterial-nephritis-and-prolonged-fever
#40
JOURNAL ARTICLE
Tülay Becerir, İlknur Girişgen, Furkan Ufuk, Gülsün Gülten, Selcuk Yuksel
Acute focal bacterial nephritis (AFBN) is characterised by a complicated upper urinary tract infection ranging from acute pyelonephritis to renal abscess. Timely diagnosis of AFBN is important because antibiotic therapy of longer duration is required. A 10-year-old boy presented with fever for 5 days and bilateral flank pain. He was oriented and cooperative but appeared ill. Physical examination did not reveal any oedema or costovertebral angle tenderness. Acute phase reactants such as erythrocyte sedimentation rate and C-reactive protein were raised, serum creatinine was 1...
2022: Paediatrics and International Child Health
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