Journal of Pediatric Urology最新文献

{"title":"Editorial commentary on JPUROL-D-24-00626R comparing clinical and radiological success in open versus endoscopic surgery of primary vesicoureteral reflux.","authors":"Yuval Bar-Yosef","doi":"10.1016/j.jpurol.2025.02.046","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.046","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719774","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":"Highlights from the International Children's Continence Society annual meeting in Salvador, Brazil","authors":"","doi":"10.1016/j.jpurol.2025.02.010","DOIUrl":"10.1016/j.jpurol.2025.02.010","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"21 2","pages":"Page 259"},"PeriodicalIF":2.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620976","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":"Spring 2025 edition of Dialogues in Pediatric Urology: Innovation in pediatric urology","authors":"Valeska Halstead (Guest Editors), Brendan Frainey (Guest Editors)","doi":"10.1016/j.jpurol.2025.02.014","DOIUrl":"10.1016/j.jpurol.2025.02.014","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"21 2","pages":"Page 258"},"PeriodicalIF":2.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620975","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":"Fall 2024 edition of Dialogues in Pediatric Urology – Pediatric urology and radiology: A powerful synergy between fields","authors":"Emily Blum, Jason Van Batavia","doi":"10.1016/j.jpurol.2025.02.013","DOIUrl":"10.1016/j.jpurol.2025.02.013","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"21 2","pages":"Page 257"},"PeriodicalIF":2.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620985","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":"A commentary on the STAC technique: Preservation of the bulbospongiosus muscle and a broader perspective.","authors":"Supul Hennayake, Mahmoud Marei Marei, Adrian Bianchi","doi":"10.1016/j.jpurol.2025.02.045","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.045","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692558","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":"Intermediate outcomes of children (4-10 years) with postnatally preserved renal function after vesico-amniotic shunt insertion for lower urinary tract obstruction (LUTO).","authors":"Nadja Riehle, Marc Sütterlin, Samantha Wakerlin, Thomas Kohl","doi":"10.1016/j.jpurol.2025.03.004","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.03.004","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this retrospective study was to examine the intermediate outcomes and renal development of children (four to ten years) who had undergone prenatal vesico-amniotic shunt insertion (VAS) for lower urinary tract obstruction (LUTO), and later demonstrated preserved kidney function as neonates.</p><p><strong>Patients & methods: </strong>Of 63 fetuses that underwent VAS for LUTO, 47 survived both the pregnancy and the neonatal period. Twenty-four of them were born with preserved renal function as defined by normal laboratory values for creatine, urea, and/or GFR. Twenty of them (83.3 %) were available for our study. We analyzed their pediatric general, surgical, urological, and radiological medical records with a particular emphasize on renal function.</p><p><strong>Results: </strong>All children of the cohort are still alive. None of the pediatric study subjects have required renal replacement therapy after four to ten years of follow-up. In 90 % of the cases, renal function as defined by laboratory values for creatine, urea, and/or GFR remained preserved. Only two children (10 %) demonstrated impaired renal function.</p><p><strong>Conclusion: </strong>The findings of our retrospective study suggest that when normal laboratory values for creatine, urea, and/or GFR are observed in the neonatal period following prenatal VAS for LUTO, these parameters will likely remain normal in most patients for the first four to ten years of their life. Confirming our previously published novel management strategy, the highest preservation rates can be achieved when after early detection of LUTO, VAS can be performed prior to the completion of 16 weeks of gestation.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674101","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":"Practice patterns in the care of proximal hypospadias among pediatric urologists.","authors":"James T Rague, Ilina Rosoklija, David I Chu, Earl Y Cheng, Emilie K Johnson","doi":"10.1016/j.jpurol.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.03.002","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;About 25 % of patients with hypospadias have a proximal form, often associated with an underlying genetic cause or difference of sex development (DSD). Surgical complication/re-operation rates are high, surgical practice patterns are variable, and consensus recommendations to guide medical and surgical management are not yet available. One presumed barrier to consensus is understanding variability in management for this condition.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To assess medical and surgical practice patterns of pediatric urologists regarding care of proximal hypospadias.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;An anonymous, web-based survey was sent to members of the Societies for Pediatric Urology to capture medical and surgical management practices for patients with proximal hypospadias. Respondent demographics were obtained. Median estimated patients cared for per year was determined. Comparisons between those ≤50th percentile for volume and &gt;50th percentile were made using chi squared and Fisher's exact tests.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;137 completed surveys were returned (137/311 (44 %) opened emails), and 125 responses met inclusion criteria. Respondents were predominantly male (70 %), and practice in an urban (85 %), academic (72 %) setting. The median (IQR) estimated number of patients cared for per year was 7 (5.0, 10.0). Half (50 %) never receive referrals from other pediatric urologists for surgical care. Most never refer patients to other surgeons within (55 %) or outside (72 %) of their practice. Frequent independent ordering of a karyotype was reported, with less frequent ordering of hormonal and advanced genetic testing (Table). Performing systematic, post-operative data collection was reported infrequently (37 %). Those &gt;50th percentile in volume compared to those ≤50th percentile reported receiving more referrals from other urologists for surgical care (any referrals received, 66 % vs 36 %, p = 0.001) and more commonly perform surgery independently (63 % vs 32 %, p = 0.003). There were no differences between groups regarding lab testing, medical specialty referrals, or surgical management.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion: &lt;/strong&gt;Proximal hypospadias surgery is uncommonly performed by most pediatric urologists and patterns of independent lab evaluation and referral to medical subspecialities are variable. Few differences in practice were seen based on surgeon volume, especially around lab testing and medical specialty referrals. Though an optimal approach to medical evaluation is not yet defined, opportunities for greater uniformity in the management of proximal hypospadias exist. Clinical practice guidelines to help surgeons determine the best approach to medical evaluation and surgical management could improve quality of care in proximal hypospadias.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The approach to pre-operative medical care of patients with proximal hypospadias varies among pediatric urolog","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663725","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":"Authors' reply to comment on \"Comparing clinical and radiological success in open versus endoscopic surgery of primary vesicoureteral reflux\".","authors":"Pejman Shadpour, Nasrollah Abian","doi":"10.1016/j.jpurol.2025.02.043","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.043","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657570","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":"Comment on \"Comparing clinical and radiological success in open versus endoscopic surgery of primary vesicoureteral reflux\".","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.1016/j.jpurol.2025.02.042","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.042","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657571","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":"Staged orchiopexy in low intra-abdominal undescended testis with short spermatic cord: Open traction vs. Laparoscopic Fowler-Stephens - A matter of surgeon preference.","authors":"Hooman Kamran, Tohid Razmi, Arshin Ghaedi, Ali Bahador, Hamidreza Foroutan, Mehdi Forooghi","doi":"10.1016/j.jpurol.2025.02.041","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.041","url":null,"abstract":"<p><strong>Introduction: </strong>Among techniques for short spermatic vessels in nonpalpable undescended testis (UDT), the Fowler-Stephens (F-S) procedure is the most favored. However, traction methods have regained popularity with gradual testicular tension for elongation to avoid ligating the spermatic vessels.</p><p><strong>Objective: </strong>To compare two techniques for low intra-abdominal UDT with a short spermatic cord: staged laparoscopic F-S and a modified staged open traction technique, and to determine if long-practicing surgeons should change their preferred method.</p><p><strong>Study design: </strong>Seventy boys under six with nonpalpable low intra-abdominal UDT and short cords underwent either staged laparoscopic F-S or staged open traction orchiopexy. Based on surgical exploration and the surgeons' opinions, the included patients had vessels too short for one-stage orchiopexy. Two expert pediatric surgeons performed the surgeries, each using their preferred technique. Surgeon 1 used staged open traction, anchoring the testis to the pubic tubercle with low tension, followed by canal mobilization and fixation in the scrotum, while Surgeon 2 performed staged laparoscopic F-S. Post-operative ultrasonography at six months assessed success based on the absence of testicular atrophy and correct testis location.</p><p><strong>Results: </strong>Of the 70 boys, 36 (51.4 %) underwent staged open traction, and 34 (48.6 %) underwent staged laparoscopic F-S. The median age was 1.7 years. No intra- or post-operative complications occurred, and all testes were correctly placed in the scrotum. Testicular atrophy occurred in 6 patients (8.6 %): 2 (5.6 %) in the traction group and 4 (11.8 %) in the F-S group (p-value: 0.422). Atrophy was more common in bilateral cases, but all instances were unilateral (p-value: 0.022).</p><p><strong>Discussion: </strong>Both techniques had comparable results with no post-operative complications, and all testes were correctly positioned in the scrotum during follow-up. Although 5.6 % of patients in the traction group and 11.8 % in the F-S group experienced testicular atrophy, the difference was not statistically significant. Surgeon 1 performed all open traction surgeries, and Surgeon 2 performed all F-S operations due to their preferences and over 10 years of experience. Acceptable and comparable outcomes in both techniques show that both are safe when performed by an expert surgeon. We suggest that surgeons continue using their preferred technique if they are experts in it for the treatment of UDT. Although we assume our modified open traction method has an acceptable learning curve for less experienced surgeons, this needs further study.</p><p><strong>Conclusions: </strong>Both staged traction and F-S techniques, performed by expert surgeons, yielded comparable outcomes, supporting the continued use of preferred methods.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630581","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}