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RHSC Urology

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51 papers 25 to 100 followers RHSC Paediatric Urology interesting papers
By Martyn Flett Consultant paediatric urologist. Glasgow UK.
Alexander Zarbock, John A Kellum
OBJECTIVE: Acute kidney injury is a common complication in critically ill patients and is associated with increased morbidity and mortality. Sepsis, major surgery, and nephrotoxic drugs are the most common causes of acute kidney injury. There is currently no effective strategy available to prevent or treat acute kidney injury. Therefore, novel treatment regimens are required to decrease acute kidney injury prevalence and to improve clinical outcomes. Remote ischemic preconditioning, triggered by brief episodes of ischemia and reperfusion applied in distant tissues or organs before the injury of the target organ, attempts to invoke adaptive responses that protect against acute kidney injury...
March 2016: Critical Care Medicine
Natig Gassanov, Amir M Nia, Evren Caglayan, Fikret Er
There is currently no effective prophylactic regimen available to prevent contrast-induced AKI (CI-AKI), a frequent and life-threatening complication after cardiac catheterization. Therefore, novel treatment strategies are required to decrease CI-AKI incidence and to improve clinical outcomes in these patients. Remote ischemic preconditioning (rIPC), defined as transient brief episodes of ischemia at a remote site before a subsequent prolonged ischemia/reperfusion injury of the target organ, is an adaptational response that protects against ischemic and reperfusion insult...
February 2014: Journal of the American Society of Nephrology: JASN
Paul F Austin, Stuart B Bauer, Wendy Bower, Janet Chase, Israel Franco, Piet Hoebeke, Søren Rittig, Johan Vande Walle, Alexander von Gontard, Anne Wright, Stephen S Yang, Tryggve Nevéus
AIM: The impact of the original International Children's Continence Society (ICCS) terminology document on lower urinary tract (LUT) function resulted in the global establishment of uniformity and clarity in the characterization of LUT function and dysfunction in children across multiple healthcare disciplines. The present document serves as a stand-alone terminology update reflecting refinement and current advancement of knowledge on pediatric LUT function. METHODS: A variety of worldwide experts from multiple disciplines within the ICCS leadership who care for children with LUT dysfunction were assembled as part of the standardization committee...
April 2016: Neurourology and Urodynamics
Israel Franco, Alexander von Gontard, Mario De Gennaro
PURPOSE: This document represents the consensus guidelines recommended by the ICCS on how to evaluate and treat children with nonmonosymptomatic nocturnal enuresis (NMNE). The document is intended to be clinically useful in primary, secondary and tertiary care. MATERIALS AND METHODS: Discussions were held by the board of the ICCS and a committee was appointed to draft this document. The document was then made available to the members of the society on the web site...
April 2013: Journal of Pediatric Urology
Y F Rawashdeh, P Austin, C Siggaard, S B Bauer, I Franco, T P de Jong, T M Jorgensen
PURPOSE: We present a consensus view of members of the International Children's Continence Society on the therapeutic intervention in congenital neuropatic bladder and bowel dysfunction in children. MATERIAL AND METHODS: Discussions were held by a group of pediatric urologists and gastroenterologists appointed by the board. The following draft review document was open to all the ICCS members via the ICCS web site. Feedback was considered by the core authors and by agreement, amendments were made as necessary...
June 2012: Neurourology and Urodynamics
Stuart B Bauer, Rien J M Nijman, Beth A Drzewiecki, Ulla Sillen, Piet Hoebeke
AIMS: The objective of this document created by the ICCS standardization subcommittee is to provide a uniform guideline on measurement, quality control and documentation of urodynamic studies in children. METHODS: This guideline was created using expert opinion and critical review of the published literature on urodynamic studies in children. Currently no standardized guideline or level 1 data exists on the proper technique for this subject matter. RESULTS: The document provides a throughout explanation on how to approach a child who presents with lower urinary tract dysfunction, whether it be of neurogenic, anatomic or functional origin...
September 2015: Neurourology and Urodynamics
Daniel M Weber, Verena B Schönbucher, Markus A Landolt, Rita Gobet
PURPOSE: The aim of this study was to develop and evaluate an instrument that allows assessment and comparison of penile perception of patients, parents and surgeons. MATERIALS AND METHODS: A total of 77 boys 6 to 17 years old who had undergone hypospadias repair were interviewed by a psychologist with a standardized questionnaire concerning penile self-perception with regard to meatus, glans, skin and general appearance. The Pediatric Penile Perception Score was derived from the sum of these 4 items...
September 2008: Journal of Urology
M J Timmons
AIM: To find out what primary hypospadias surgery is being done in the United Kingdom and at what ages patients have surgery. METHODS: On behalf of the British Associations of Paediatric Urologists, Paediatric Surgeons and Plastic, Reconstructive and Aesthetic Surgeons, paediatric surgeons/urologists, plastic surgeons and urologists were asked to record prospectively their data for 12 months, October 2006-September 2007. RESULTS: There were 50 replies (response rate 50%, 79% of plastic surgeons and 40% of paediatric surgeons/urologists)...
August 2010: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
D F Thomas, M Fraser
OBJECTIVE: To document the current role of adult urologists in the care of children in the UK and to consider the future provision of urological services for children within the context of published national guidelines. METHODS: A detailed postal questionnaire was sent to all 416 consultant urologists listed as full members of the British Association of Urological Surgeons and resident in the UK. The range of information sought from each urologist included details of personal paediatric training, scope of personal practice, and information about facilities and provision of urological services for children in their base National Health Service hospital...
July 2001: BJU International
B Lee, N Featherstone, P Nagappan, L McCarthy, S O'Toole
INTRODUCTION: A large number of children with spina bifida develop a neuropathic bladder and this group of patients still forms the largest group of children who require urological management. Although there are published guidelines on the management of the neuropathic bladder, they are not specific to children. It is unsurprising, therefore, that the initial investigation, assessment and management of children with spina bifida vary considerably. The 2014 British Association of Paediatric Urologists (BAPU) meeting was devoted to the management of the neuropathic bladder...
April 2016: Journal of Pediatric Urology
Marie-Klaire Farrugia, Rowena Hitchcock, Anna Radford, Tariq Burki, Andrew Robb, Feilim Murphy
INTRODUCTION: It is well-known that the majority of congenital megaureters may be managed conservatively, but the indications and surgical options in patients requiring intervention are less well defined. Hence this topic was selected for discussion at the 2012 consensus meeting of the British Association of Paediatric Urologists (BAPU). Our aim was to establish current UK practice and derive a consensus management strategy. METHODS: An evidence-based literature review on a predefined set of questions on the management of the primary congenital megaureter was presented to a panel of 56 Consultant Surgeon members of the British Association of Paediatric Urologists (BAPU), and current opinion and practice established...
February 2014: Journal of Pediatric Urology
Norma Katharina Ruppen-Greeff, Daniel M Weber, Rita Gobet, Markus A Landolt
INTRODUCTION: Some men with corrected hypospadias perceive their penile appearance to be abnormal, although health professionals consider these results satisfactory. AIM: The aim of this study was to investigate how relevant women consider single aspects of penile appearance to be. Moreover, we studied whether women perceive hypospadias-affected surgically repaired genitals (HASRGs) to be as normal-looking as circumcised genitals and identified the most relevant predictors that influence whether a penis is perceived as normal...
August 2015: Journal of Sexual Medicine
Francesco Ciancio, G Lo Russo, A Innocenti, A Portincasa, D Parisi, N Mondaini
Few studies of long-term outcome of hypospadias treatment in terms of voiding, surgical complications, sexual functioning, intimate relationships and cosmetic results have been investigated and contrasting results have been obtained so far. The aim of our study is to investigate the long-term outcome of urinary and sexual function, cosmesis and the quality of intimate relationships in a series of hypospadias. In this study, 42 patients who underwent surgery for hypospadias were prospectively followed for 15 years...
September 2015: International Journal of Immunopathology and Pharmacology
Zhong-jin Yue, Ling-jun Zuo, Jia-ji Wang, Gan-ping Zhong, Jian-ming Duan, Zhi-ping Wang, Da-shan Qin
OBJECTIVE: To evaluate the effectiveness of free graft transplantation two-stage urethroplasty for hypospadias repair. METHODS: Fifty-eight cases with different types of hypospadias including 10 subcoronal, 36 penile shaft, 9 scrotal, and 3 perineal were treated with free full-thickness skin graft or (and) buccal mucosal graft transplantation two-stage urethroplasty. Of 58 cases, 45 were new cases, 13 had history of previous failed surgeries. Operative procedure included two stages: the first stage is to correct penile curvature (chordee), prepare transplanting bed, harvest and prepare full-thickness skin graft, buccal mucosal graft, and perform graft transplantation...
June 2005: Chinese Medical Sciences Journal, Chung-kuo i Hsüeh K'o Hsüeh Tsa Chih
Bruno Leslie, Armando J Lorenzo, Victor Figueroa, Katherine Moore, Walid A Farhat, Darius J Bägli, Joao L Pippi Salle
PURPOSE: Although staged buccal mucosa graft urethroplasty is a well accepted technique for salvage urethroplasty, there are few reports on this procedure for redo hypospadias repair in children. MATERIALS AND METHODS: We reviewed patients who underwent staged buccal mucosa graft urethroplasty for redo hypospadias repair. Age, quality of graft before tubularization, meatal position, presence of balanitis xerotica obliterans and complications were recorded. RESULTS: A total of 30 patients underwent 32 repairs during a 5-year period...
March 2011: Journal of Urology
Alexander Springer, Wilfried Krois, Ernst Horcher
BACKGROUND: Hypospadias is a challenging field of urogenital reconstructive surgery, with different techniques currently being used. OBJECTIVE: Evaluate international trends in hypospadias surgery. DESIGN, SETTING, AND PARTICIPANTS: Paediatric urologists, paediatric surgeons, urologists, and plastic surgeons worldwide were invited to participate an anonymous online questionnaire ( MEASUREMENTS: General epidemiologic data, preferred technique in the correction of hypospadias, and preferred technique in the correction of penile curvature were gathered...
December 2011: European Urology
Nicolas Kalfa, Françoise Paris, Pascal Philibert, Mattea Orsini, Sylvie Broussous, Nadège Fauconnet-Servant, Françoise Audran, Laura Gaspari, Hélène Lehors, Myriam Haddad, Jean-Michel Guys, Rachel Reynaud, Pierre Alessandrini, Thierry Merrot, Kathy Wagner, Jean-Yves Kurzenne, Florence Bastiani, Jean Bréaud, Jean-Stéphane Valla, Gérard Morisson Lacombe, Eric Dobremez, Amel Zahhaf, Jean-Pierre Daures, Charles Sultan
BACKGROUND: Numerous studies have focused on the association between endocrine-disrupting chemicals (EDCs) and hypospadias. Phenotype variability, the absence of representative comparison groups and concomitant genetic testing prevent any definitive conclusions. OBJECTIVE: To identify the role of occupational and environmental exposures to EDCs in nongenetic isolated hypospadias. DESIGN, SETTING, AND PARTICIPANTS: A total of 408 consecutive children with isolated hypospadias and 302 normal boys were prospectively included (2009-2014) in a multi-institutional study in the south of France, the area of the country with the highest prevalence of hypospadias surgery...
December 2015: European Urology
C J Long, D A Canning
OBJECTIVE: Hypospadias surgery is a humbling art form. Although outcomes with distal hypospadias are favorable, recent publications have suggested that the complication rates are much higher than previously anticipated for proximal hypospadias. The present review examined the literature concerning proximal hypospadias, to explore some of the inadequacies and identify some of the reasons behind these shortfalls in the reported data. METHODS: A systematic review of the published literature was conducted using keywords relevant to proximal hypospadias and long-term outcomes...
August 2016: Journal of Pediatric Urology
N C Bush, T D Barber, D Dajusta, J C Prieto, A Ziada, W Snodgrass
BACKGROUND: Teaching and learning hypospadias repair is a major component of pediatric urology fellowship training. Educators must transfer skills to fellows, without increasing patient complications. Nevertheless, few studies report results of surgeons during their first years of independent practice. PURPOSE: To review outcomes of distal hypospadias repairs performed during the same 2-year period by consecutive, recently matriculated, surgeons in independent practice, and to compare them to results by their mentor (with >20 years of experience)...
June 2016: Journal of Pediatric Urology
Pierre-Alain Hueber, Monica Salgado Diaz, Yann Chaussy, Julie Franc-Guimond, Diego Barrieras, Anne-Marie Houle
INTRODUCTION: A variety of techniques are available for proximal hypospadias repair. Onlay, proximal tubularized incised plate (TIP), and Duckett are among the popular choices because they can be performed as a one-step procedure. However, the decision to select a procedure often comes down to the surgeon's preference rather than that supported by evidence-based data. In particular, there is a paucity of literature on the long-term urinary outcomes after proximal hypospadias repair. OBJECTIVE: The aim of this study was to evaluate the evolution of long-term uroflowmetry parameters after proximal hypospadias surgery over a long-term follow-up including the adolescent period...
August 2016: Journal of Pediatric Urology
2016-07-22 12:13:59
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