Journal of Pediatric Urology最新文献

{"title":"Posterior urethral valves: Examining the relationship of socioeconomic factors in disease presentation and progression.","authors":"Irene M McAleer","doi":"10.1016/j.jpurol.2025.02.026","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.026","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605265","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":"Semi-closed-circuit vacuum-assisted mini percutaneous cystolithotomy (VAMPCL) in native and augmented bladders.","authors":"Rotondi Giulia, Gnech Michele, Minoli Dario Guido, Mitzman Francesca, Zanetti Stefano Paolo, Silvani Carlo, Thomas Eduje, Erika Adalgisa De Marco, Mattioli Girolamo, Manzoni Gianantonio, Montanari Emanuele, Berrettini Alfredo","doi":"10.1016/j.jpurol.2025.02.022","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.022","url":null,"abstract":"<p><p>Bladder stones in children are rare, 1-5 % of all urinary tract stones. Historically, open cystolithotomy (OCL) was the standard treatment. New methods such as extracorporeal shock wave cystolithotripsy (ESWCL), percutaneous cystolithotomy (PCL), and transurethral cystolithotripsy (TCL) have been introduced to reduce complications and shorten hospital stays. Advances in miniaturized endoscopes and lithotripters have made PCL a safe and effective alternative. The semi-closed-circuit vacuum-assisted ClearPetra® system is being evaluated for its safety and efficacy in pediatric percutaneous cystolithotomy (vamPCL). This study presents preliminary results from using the vamPCL system on pediatric patients, including those with augmented enterocystoplasty. Six patients aged 55-212 months (median 139 months) underwent vamPCL. All had a Mitrofanoff conduit, and four had augmented bladders. The average stone size was 24 ± 14.2 mm, with a mean operating time of 78.3 ± 14.7 min. No intraoperative complications occurred, though a 24-h fever was noted in one patient post-operatively. Postoperative hospital stay was typically 2 days. Follow-up ultrasounds after 2 months confirmed all patients were stone-free, except one who experienced recurrence after 8 months. The vamPCL procedure appears to be a sustainable, safe, and feasible option for treating bladder stones in selected pediatric patients.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567491","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: Adherence to follow-up ten years after hypospadias repair.","authors":"Nikhil V Batra, Rosalia Misseri, Joshua D Roth","doi":"10.1016/j.jpurol.2025.02.019","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.019","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557181","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":"Commentary on adherence to follow up- Actively instigating post-pubertal follow up.","authors":"Supul Hennayake, Adrian Bianchi","doi":"10.1016/j.jpurol.2025.02.020","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.020","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557175","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 \"Hypospadias risk associated with chronic hypertension during pregnancy: A systematic review and meta-analysis\".","authors":"Ahmad Neyazi, Shubham Kumar, Rachana Mehta, Ranjana Sah","doi":"10.1016/j.jpurol.2025.01.037","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.01.037","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605264","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":"Adherence to urologic imaging guidelines after febrile urinary tract infection in infants.","authors":"Hsin-Hsiao Scott Wang, Jonathan Hatoun, Jonathan Xu, Louis Vernacchio","doi":"10.1016/j.jpurol.2025.02.024","DOIUrl":"10.1016/j.jpurol.2025.02.024","url":null,"abstract":"<p><strong>Background: </strong>Timely imaging is recommended after febrile UTI (fUTI) in young children to identify treatable urologic conditions. The 2011 American Academy of Pediatrics (AAP) guideline recommends renal bladder ultrasound (RBUS) after fUTI and voiding cystourethrogram (VCUG) after abnormal RBUS or second fUTI.</p><p><strong>Objective: </strong>We sought to investigate practice pattern variability and associated factors in pediatric fUTI imaging in primary care clinics.</p><p><strong>Study design: </strong>All children <24 months old with fUTI (temperature ≥38C, positive urinalysis, and >50,000 CFU on urine culture) in a large primary care network in a US Northeast state in 2019 were reviewed. Those with congenital genitourinary anomalies were excluded. We fitted a multivariable logistic regression model with a primary outcome of adherence to the AAP guideline.</p><p><strong>Results: </strong>In total we included118 patients with fUTI. Overall, post-UTI imaging was adherent to the AAP guideline in 82 cases (69.5 %, See Figure). Reasons for non-adherence were: no RBUS (N = 21), VCUG despite normal RBUS (N = 9), no VCUG after abnormal RBUS (N = 4), and no VCUG after a second fUTI (N = 2). In the multivariable logistic regression model, significant predictors of guideline adherence were commercial insurance (OR = 2.82, p = 0.047), more providers in the practice (OR = 1.38, p = 0.05), and younger provider age (OR = 0.96, p = 0.043) after adjusting for patient's age, sex, maximal temperature during fUTI.</p><p><strong>Discussion: </strong>Young children with fUTI received guideline-adherent imaging from their primary care clinician approximately 70 % of the time in this sample, though significant opportunities for improvement exist. Guideline adherence was more likely for commercially-insured patients, providers working in larger offices, and younger providers, suggesting both patient and provider characteristics impact the practice pattern.</p><p><strong>Conclusion: </strong>We observed a wide variation of imaging ordering practice for fUTI in primary care clinic network. Further research may seek to examine reasons for non-adherence, thereby guiding efforts to improve it.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537282","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":"Editorial commentary to CASR, CLDN 14, ALPL & SLC34A1 genes are associated with the risk of nephrolithiasis in Egyptian children.","authors":"Yuval Bar-Yosef","doi":"10.1016/j.jpurol.2025.01.038","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.01.038","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537283","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":"Commentary to surgery with compassion: A potential shift in surgical paradigms.","authors":"Martin A Koyle, Rosalia Misseri","doi":"10.1016/j.jpurol.2025.02.018","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.018","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531545","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":"Surgery with compassion: A potential shift in surgical paradigms.","authors":"Juan M Moldes, Lorena Llobenes, María Mercedes Stremmler, Lauren Chew, Pedro-José Lopez E","doi":"10.1016/j.jpurol.2025.02.017","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.017","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537284","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":"OBITUARY In memoriam: Enrique Jaureguizar Monereo 1948-2025.","authors":"Pedro Lopez Pereira","doi":"10.1016/j.jpurol.2025.02.016","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.016","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573349","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}