Journal of Pediatric Urology最新文献

{"title":"Corrigendum to \"Seeking clinical consensus on risk assessment in anatomical infravesical obstruction of boys - A Delphi study\" [J Pediatr Urol 20 (2024) 1142-1151].","authors":"Eeke C M Leerssen, Sanne N S Lindeboom, Rafal Chrzan, Tariq O Abbas, Mirjam Garvelink, Rogier P J Schroeder","doi":"10.1016/j.jpurol.2025.07.014","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.014","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting progression to renal replacement therapy in children with posterior urethral valves: international validation of the secondary use of the posterior urethral valve risk of chronic kidney disease (PURK) score.","authors":"Jin Kyu Kim, Konrad M Szymanski, Rosalia Misseri, Pramod Reddy, Andrew Strine, Brian A Vanderbrink, Daryl Mcleod, Rama Jayanthi, Carol Davis-Dao, Antoine Khoury, Assia Comella, Kiarash Taghavi, Ribal Kattini, Zhan Tao Peter Wang, Sumit Dave, Timothy Boswell, Brenton T Bicknell, Paul Merguerian, Joana Dos Santos, Armando J Lorenzo, Mandy Rickard","doi":"10.1016/j.jpurol.2025.07.015","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.015","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital lower urinary tract obstruction due to posterior urethral valves (PUV) often results in chronic kidney disease (CKD) and renal replacement therapy (RRT). The Posterior Urethral Valve Risk of Chronic Kidney Disease (PURK) score, a validated prognostic tool, uses clinical variables at presentation to predict development of CKD stage 3 or higher. However, its role in predicting progression to RRT remains unexplored.</p><p><strong>Objective: </strong>This study evaluates the utility of the PURK score for RRT risk stratification internationally, aiming to facilitate early counseling and management for affected families.</p><p><strong>Study design: </strong>Patients with posterior urethral valves (PUV) presenting before age 1 were analyzed from internal and external databases (9 institutions), excluding early RRT events (<14 days). PURK scores were calculated. ROC curves assessed predictive accuracy and Kaplan-Meier survival analysis stratified risk groups. External validation involved data from eight international centers.</p><p><strong>Results: </strong>Internal validation from 183 PUV patients at a single center, with a median follow-up of 8.1 years, was analyzed. This showed significant differences in PURK score distribution between patients who progressed to RRT (15.1 %) and those who did not. Kaplan-Meier curves identified low- (0-1, 0 %), intermediate- (2-3, 9.6 %), and high-risk groups (≥4, 37.5 %) for RRT progression. AUROC values demonstrated good predictive ability for 1-, 5-, and 10-year RRT events (0.798-0.839). External validation of 265 patients confirmed these findings, with excellent AUROC values for 1-, 5-, and 10-year RRT events (0.868-0.885) and consistent survival stratification.</p><p><strong>Discussion: </strong>We identified clear risk groups for progression to RRT using survival analysis, with those with high PURK score being much more likely to progress to RRT compared to lower scores. Being able to prognosticate patients into different risk groups is important as it can guide frequency of follow up and early interventions including alpha-blockers, anticholinergics, or clean intermittent catheterization for children with higher risk profiles.</p><p><strong>Conclusion: </strong>The PURK score is a reliable tool for early prediction and risk stratification of progression to RRT in PUV patients.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous versus transurethral cystolithotripsy for the management of bladder calculi in the pre-school boys: Prospective randomized study.","authors":"Ahmed Mahmoud Hasan, Ahmed Abolyosr Mohammed, Mohammad Sayed Abdel-Kader, Ahmed Mamdouh Abdelhamid, Alaa Mostafa Abdeldayem, Mostafa AbdelRazek Ahmed","doi":"10.1016/j.jpurol.2025.07.016","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.016","url":null,"abstract":"<p><strong>Objective: </strong>To compare the efficacy and safety of percutaneous cystolithotripsy (PCCL) and transurethral cystolithotripsy (TUCL) in the management of bladder calculi in preschool-aged boys.</p><p><strong>Methods: </strong>Between February 2019 and February 2024, 150 eligible patients with a single bladder calculus ≤20 mm. were randomly allocated to one of two groups: group A (PCCL group) and group B (TUCL group), each group included 75 patients. Stone properties, laboratory data, and intraoperative and postoperative data were collected.</p><p><strong>Results: </strong>No statistically significant differences were found regarding the preoperative criteria between the groups. The TUCL group had a longer operative time (p = 0.003). No statistically significant differences were found between both groups regarding the need to convert to open surgery (4 % vs. 0 %, p = 0.08). Two cases (2.7 %) in TUCL group were converted to PCCL. There were no statistically significant differences between the groups regarding the visual analogue score for pain, the duration of hospital admission, the timing of catheter removal, the early operative stone clearance, and the success rate (p = 0.63, 0.47, 0.47, 0.07, and 0.9 respectively). Persistent postoperative hematuria was more evident in the TUCL group (p = 0.003). Stone size and operative time were the factors affecting success (p = 0.02, 0.003 respectively) and complications (p = 0.031, 0.002 respectively) in both procedures.</p><p><strong>Conclusion: </strong>The success and complications rates of both techniques were similar. The operative time for PCCL was shorter. Stone size and operative time were the variables influencing success and complications of both techniques.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor re: \"Ureteric fibroepithelial polyps in children: Retrospective study and systematic review of a rare urological presentation\".","authors":"Bhaskar Kambhampati, Rachana Mehta, Ranjana Sah","doi":"10.1016/j.jpurol.2025.06.041","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.06.041","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic pediatric augmentation cystoplasty: Outcomes over a 15-year experience.","authors":"Sean W Hou, Monica H Xing, Kristina Gam, Senthooran Kalidoss, Alyssa Lombardo, Amrita Mohanty, Parviz Hajiyev, Mohan S Gundeti","doi":"10.1016/j.jpurol.2025.07.010","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.010","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Augmentation cystoplasty (AC) is performed for the management of neurogenic bladder in select patients with upper urinary tract deterioration and urinary incontinence refractory to conservative treatments. Traditionally, open augmentation ileocystoplasty (OAI) has been the gold standard, but growing evidence shows that performing pediatric urologic procedures robotically has been associated with shorter hospitalizations, improved cosmesis and reduced scar visibility, and reduced pain. Our institution performed the first intracorporeal robotic-assisted laparoscopic augmentation ileocystoplasty and Mitrofanoff appendicovesicostomy (RALIMA) in 2008, and subsequent refinements have shown comparable or better outcomes compared to open surgery. Despite growing evidence supporting the safety and efficacy of robotic pediatric urologic surgeries, literature comparing outcomes of robotic-assisted laparoscopic ileocystoplasty (RALI) to OAI is limited.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of our study was to investigate the safety and feasibility of RALI while presenting the concomitant outcomes of OAI at our institution.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;We retrospectively reviewed medical records of 45 pediatric patients who underwent AC and concomitant reconstructive procedures for neurogenic bladder and bowel between 2008 and 2021. Postoperative complications were graded with the Clavien-Dindo grade (CDG) classification system.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The cohort consisted of 19 patients in the open group and 26 patients in the robotic group. While median operative time was longer in the robotic cohort, other perioperative outcomes-including median length of stay, estimated blood loss, and time to return to a regular diet-were comparable between groups. A greater proportion of patients in the open group received epidural analgesia. Notably, the robotic group demonstrated higher rates of upper tract stabilization. Rates of augmentation revision or reversal were similar between groups. Comparable rates of 30- and 90-day CDG I-III postoperative complications were observed between groups.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion: &lt;/strong&gt;To our knowledge, this serves as the largest patient cohort and longest follow-up period of any study of RALI to-date and serves as the first study to summarize long-term outcomes. However, this study is limited by the lack of direct matching of patient cohorts, the inherent selection bias of younger patients undergoing open surgery, and the inability to assess overall pain medication usage.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions and clinical implications: &lt;/strong&gt;In this study, we show that RALI is a feasible approach and is performed in a patient population that presents with many variables that contribute to procedural complexity. We anticipate that continued refinements and added experience will reduce operative times, making RALI a suitable approach and viable alternative to OAI for managemen","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic approach to pediatric augmentation cystoplasty: Feasibility, long-term outcomes, and technical refinements.","authors":"Priyank Yadav, Deepak K Kandpal, Sujit K Chowdhary","doi":"10.1016/j.jpurol.2025.07.012","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.012","url":null,"abstract":"<p><strong>Introduction: </strong>Pediatric bladder dysfunction refractory to conservative management poses significant risks to renal function. While open augmentation cystoplasty is the standard for surgical intervention, robotic-assisted techniques offer a minimally invasive alternative. This study evaluates our institutional experience with robotic augmentation cystoplasty in children, focusing on technical modifications, perioperative outcomes, and long-term functional results.</p><p><strong>Patients and methods: </strong>This prospective series included 11 children who underwent robotic augmentation cystoplasty between January 2014 and December 2023. All had small-capacity, high-pressure bladders unresponsive to anticholinergics, clean intermittent catheterization, and/or intravesical botulinum toxin injection. Preoperative workup included ultrasonography, dimercaptosuccinic acid scans, and videourodynamic studies. A standardized technique using a detubularized ileal U-pouch and bladder bivalving was performed using the da Vinci Si/Xi system. Concomitant procedures included ureteric reimplantation and Mitrofanoff appendicovesicostomy in select cases. Outcomes assessed included operative parameters, urodynamic changes, complication rates, and long-term renal function.</p><p><strong>Results: </strong>All surgeries were completed robotically without conversion. The mean age at surgery was 8.4 years (range: 2-15 years). Mean operative time was 355.5 min and mean estimated blood loss was 294.5 ml. Concomitant ureteric reimplantation was performed in 6 patients and Mitrofanoff creation in 1 patient. Mean bladder capacity improved from 86.4 ml to 283.6 ml (mean increase 383 %), and mean detrusor pressure decreased from 57.5 cm H₂O to 21.8 cm H₂O (62.1 % reduction). There were no major complications. Over a mean follow-up of 74 months, all patients reported improved continence and stable upper tract outcomes.</p><p><strong>Conclusion: </strong>Robotic augmentation cystoplasty is a safe, effective, and durable alternative to open surgery in well-selected pediatric patients. Long-term outcomes demonstrate significant functional improvement. Our selective approach to Mitrofanoff creation may minimize morbidity while preserving surgical success.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the risk of voiding dysfunction in children with ureteroceles: A systematic review and meta-analysis.","authors":"Jin Kyu Kim, Nikhil Batra, Pete Arnold, Renee Shavnore, Konrad M Szymanski, Martin Kaefer, Joshua Roth, Benjamin Whittam, Pankaj Dangle, Kirstan Meldrum, Richard Rink, Mark Cain, Rosalia Misseri","doi":"10.1016/j.jpurol.2025.07.006","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.006","url":null,"abstract":"<p><strong>Introduction: </strong>Ureterocele is a congenital anomaly potentially associated with voiding dysfunction (VD), often requiring surgical intervention. While surgery aims to relieve obstruction and preserve renal function, postoperative VD and related complications remain significant concerns.</p><p><strong>Objectives: </strong>This systematic review aims to evaluate the prevalence of VD and associated outcomes in children following ureterocele surgery.</p><p><strong>Study design: </strong>A systematic search of Medline, Embase, and Web of Science identified studies reporting VD (lower urinary tract dysfunction/symptoms) or related outcomes in children undergoing ureterocele interventions. Random effects meta-analysis was performed to calculate pooled prevalence rates for VD, incontinence, elevated post-void residuals (PVR), and recurrent UTIs. Heterogeneity was assessed using I² statistics, and publication bias was evaluated with funnel plots and trim-and-fill analyses.</p><p><strong>Results: </strong>Fourteen retrospective studies including 1266 patients were analyzed. VD was reported in 25 % of patients (95 % CI 15-36 %), with significant heterogeneity (I² = 91.2 %). Incontinence occurred in 11 % (95 % CI 6-18 %), and elevated PVR were present in 20 % (95 % CI 7-38 %). Recurrent UTIs occurred in 22 %, but febrile UTIs were lower at 9 % (95 % CI 5-14 %), with minimal heterogeneity (I² = 0 %). Heterogeneity and bias were notable, likely due to varied definitions, surgical techniques, and follow-up durations across studies. Risk of bias was high, especially in domain 1 (bias due to confounding) with high likelihood of publication bias with trim-and-fill analysis suggesting lower rates of VD (8.5 %, 95 % CI 2.5-17.1 %) DISCUSSION: This study has key limitations, including biases from retrospective data, reliance on aggregate outcomes, heterogeneity in definitions and methods, and possible reporting biases. As children in this systematic review have undergone interventions, it is difficult to ascertain whether VD is attributable to congenital patient factors or more influenced by surgical technique. Despite this, the review provides a highest level of summary of voiding dysfunction prevalence in children with ureterocele.</p><p><strong>Conclusion: </strong>Within limitation of current evidence, there is notable prevalence of postoperative voiding dysfunction and incontinence in children undergoing ureterocele surgery. The findings emphasize the need for standardized definitions and prospective studies to better characterize long-term outcomes and improve clinical decision-making for this population.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot-assisted pyeloplasty in children: feasibility and safety of magnetic-end and standard double-J ureteral stent insertion.","authors":"M Piraprez, T Planchamp, O Abbo","doi":"10.1016/j.jpurol.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.004","url":null,"abstract":"<p><strong>Introduction: </strong>The need for drainage and the choice of drain in pyeloplasty are still debated. The most popular method at present is the double-J ureteral stent (DJUS), but this requires general anaesthesia (GA) for its removal. To avoid this, magnetic-end double-J ureteral stent (MEDJUS - Magnetic Black-Star®) has recently been developed. The present study reports the feasibility and safety of magnetic-end and standard double-J ureteral stent insertion and removal during robot-assisted pyeloplasty in children.</p><p><strong>Methods: </strong>We retrospectively analysed the clinical data of patients who underwent robot-assisted laparoscopic pyeloplasty (RALP) and who have had an attempt to insert MEDJUS or DJUS in our department from January 2015 to April 2024. The variables evaluated included the chosen drainage method (DJUS, Magnetic Black-Star® \"S\"-7 French magnet or \"XS\"-4.8 French magnet), the technical difficulty related with stent insertion or removal, intra- and postoperative complications and the clinical and radiological outcomes of the procedure.</p><p><strong>Results: </strong>Between 2015 and 2024, a total of 91 patients (46 girls, 45 boys) underwent RALP with an attempt to insert either a MEDJUS or DJUS. Median age was 9.2 years (1.5-17.7), median weight 31.9 kg (9.5-71). MEDJUS stent was attempted in 29 patients. The insertion success rate was 51.8 % (n = 15). Separately, the Magnetic Black-Star® S and XS insertion success rates were 37.5 % and 69.2 %, respectively. The rate of office removal was 93.3 % (n = 14/15). The only identified risk factor for failure was younger age, in the MEDJUS XS sub-group only. Seventy patients benefited from an attempt to implant DJUS. The insertion success rate was 92.8 % (n = 65). It would appear that the DJUS failures occurred in younger children of lower weight (median age 7.08 years (1.56-11.5); median weight 25 kg (9.5-52)); however, these results were not statistically significant. There was a statistically significant difference between the insertion rate of DJUS and MEDJUS XS (p = 0.0119).</p><p><strong>Conclusion: </strong>Anterograde insertion of DJUS is a safe and feasible drainage method for RALP in children. MEDJUS avoids the further need for general anaesthesia. However, its anterograde insertion, although feasible, has a high failure rate (48 %). For the time being, its use seems to be limited to the Black-Star® XS magnetic stent, whose results are better, and for older patients. Even so, the failure rate remains high (30 %) and significantly higher than that of the DJUS, despite the equivalent size of the magnet and probe.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An assessment of social determinants of health and time to presentation for testicular torsion.","authors":"Tori Kostman, Ashley Pittman, Liyun Zhang, Amy Pan, Jonathan S Ellison","doi":"10.1016/j.jpurol.2025.06.036","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.06.036","url":null,"abstract":"<p><strong>Introduction: </strong>Testicular torsion is a time-sensitive urologic emergency that requires prompt intervention to preserve testicular function. Previous studies have investigated orchiectomy rates in association with social determinants of health (SDoHs) and found that those without private insurance and Black individuals have higher rates of orchiectomy following testicular torsion. However, there is limited data regarding the impact of SDoHs and time to presentation to a healthcare facility for pediatric patients with testicular torsion.</p><p><strong>Methods: </strong>We conducted a retrospective chart review of pediatric patients with testicular torsion between 2013 and 2022. Patients were excluded from the study if they were 18 and older, less than one month old, did not have documented time of symptom onset, or did not receive urgent surgical treatment at our facility. Time to presentation and surgical outcome was analyzed in association with race, ethnicity, use of interpreter and insurance status.</p><p><strong>Results: </strong>A total of 253 pediatric patients with a median age of 13.9 years were included in the study. There was no significant relationship between ethnicity, race and use of an interpreter and time to presentation. However, patients with public insurance had a longer time to presentation (11.5 h, IQR 3.9-49.3) when compared to those with private insurance and (4.9 h, IQR 2.75-26.2, p = 0.004). There was no relationship between race, Hispanic and non-Hispanic ethnicity, use of an interpreter and insurance status with orchiectomy rates.</p><p><strong>Conclusions: </strong>This study found that within the pediatric population, public insurance status predicted longer time to presentation for patients presenting with testicular torsion. This highlights the importance of access to healthcare facilities for those presenting with testicular torsion. Further work is needed to identify modifiable barriers to presentations in care for testicular torsion.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to editor on \"Simple Anatomical Closure-SAC\" for distal hypospadias repair without glans wings dissection: Technical description and preliminary results.","authors":"Hüseyin Özbey","doi":"10.1016/j.jpurol.2025.06.037","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.06.037","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}