Journal of Pediatric Urology最新文献

{"title":"Response to commentary re Comparative study of open and robot-assisted approaches to ureteropelvic junction obstruction in children ≤ 12 months: A multi-institutional retrospective analysis.","authors":"Sameer Mittal, Aseem R Shukla","doi":"10.1016/j.jpurol.2025.08.040","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.040","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186176","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 \"Comparative study of open and robot-assisted approaches to ureteropelvic junction obstruction in infants: A multi-institutional retrospective analysis\".","authors":"Grahame H H Smith","doi":"10.1016/j.jpurol.2025.08.039","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.039","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102919","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 to Applying the pyeloplasty predictive score in patients with ureteropelvic junction obstruction.","authors":"K Skowronski, C Davis-Dao, C D A Herndon, L H Braga","doi":"10.1016/j.jpurol.2025.08.036","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.036","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138016","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":"Conditioning with the enuresis alarm can convert enuresis to nocturia.","authors":"Cecilie Siggaard Jørgensen, Nanna Kjær Sørensen, Lise Overvad, Lien Dossche, Rongqun Zhai, Michal Maternik, Ann Raes, Søren Hagstrøm, Johan Vande Walle, Wen Jian Guo, Søren Rittig, Konstantinos Kamperis","doi":"10.1016/j.jpurol.2025.08.038","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.038","url":null,"abstract":"<p><strong>Background: </strong>Conditioning with an alarm is one of the first-line treatments for enuresis. It is safe and has well-documented efficacy. It has been debated, if conditioning leads to dryness by converting enuresis to nocturia at least in some children. The aim of this study was to evaluate the outcome of alarm treatment in children with treatment naïve, monosymptomatic enuresis (MNE).</p><p><strong>Methods: </strong>We utilized data from the prospective RCT DRYCHILD and analyzed a case series of treatment-naïve children aged 6-14 years with MNE who received alarm treatment for 8 weeks. Inclusion required three or more wet nights per week during a two-week run-in period. The exclusion criteria were prior or ongoing treatment for MNE, ongoing constipation or fecal incontinence, and daytime lower urinary tract symptoms. All children were requested to complete home recordings prior to and following the treatment. We evaluated the effects of alarm treatment on clinical characteristics such as maximum voided volume (MVV), nocturnal urine production (NUP) and the occurrence of nocturia. Students t-tests were used to evaluate changes over time.</p><p><strong>Results: </strong>A case series of 123 children (75 % males, 8 ± 1 years of age) was analyzed. Aprox. 9 % of the children presented with nocturnal polyuria. Most children became dry following alarm treatment; 68 % (n = 83) had a complete response and 20 % (n = 25) had a partial response. We found a significant increase in MVV including first morning voided volume (P < 0.01) and a significant decrease in NUP (P < 0.01) from baseline to post-treatment among responders. Approximately a third (36 %) of complete responders without nocturia at baseline experienced nocturia after treatment. Of children with nocturia after treatment, 30 children (57 %) experienced nocturia more than three times per week. Finally, complete responders with nocturia following treatment had a significantly higher NUP before as well after treatment compared to complete responders without nocturia post-treatment.</p><p><strong>Conclusion: </strong>We herein describe that one third of children who respond to conditioning with the enuresis alarm convert their enuresis to nocturia. Children with high NUP before treatment are more prone to experience nocturia after treatment. Finally, children who achieve dryness seem to improved their nocturnal bladder capacity and it appears also to be related to a reduction in NUP. Studies with longer follow-up are needed to evaluate relapse rates and whether nocturia episodes persist.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086330","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":"Response to letter to the editor re Applying the pyeloplasty predictive score in patients with ureteropelvic junction obstruction.","authors":"Mila Torii Corrêa Leite","doi":"10.1016/j.jpurol.2025.08.035","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.035","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080589","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 comment on Fetal bladder rupture: A systematic review and management recommendations.","authors":"Douglas W Storm","doi":"10.1016/j.jpurol.2025.08.034","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.034","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064856","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":"Novel use of the veress needle for percutaneous retrograde ureteral access after Cohen reimplantation in children.","authors":"V V S Chandrasekharam, J Khyati Kiran, M N S Uday Bhaskar, Aare Phani","doi":"10.1016/j.jpurol.2025.09.003","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.09.003","url":null,"abstract":"<p><p>Retrograde ureteral access after Cohen reimplantation can be difficult. Previously described percutaneous techniques used small caliber suprapubic needles or antegrade access. We describe a percutaneous suprapubic access using the Veress needle, which was inserted into the bladder superolateral to the target ureteral orifice under cystoscopic guidance. Ureteral catheters for retrograde studies and double J stents could be directly inserted into the ureter through the Veress needle sheath under cystoscopic and fluoroscopic guidance. The technique is simple and quick and was used by us successfully in 3 children. If needed, the tract can be dilated for insertion of flexible ureteroscope.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086307","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":"Reply to commentary on \"Bladder wall elasticity in neurogenic bladder: Insights from shear wave ultrasound elastography and its correlation with functional and structural parameters of upper and lower urinary tract\".","authors":"Sachit Anand","doi":"10.1016/j.jpurol.2025.08.032","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.032","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138043","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 \"Bladder wall elasticity in neurogenic bladder: Insights from shear wave ultrasound elastography and its correlation with functional and structural parameters of upper and lower urinary tract\".","authors":"Jean G Hollowell","doi":"10.1016/j.jpurol.2025.08.033","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.033","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080584","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":"Fetal bladder rupture: A systematic review and management recommendations.","authors":"Jonathan Aichner, Tobias Jhala, Philipp Szavay, Sabine Zundel","doi":"10.1016/j.jpurol.2025.08.028","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.028","url":null,"abstract":"<p><strong>Introduction: </strong>Prenatal bladder rupture is a rare condition. The lack of data and coverage in textbooks presents significant challenges for its diagnosis and management.</p><p><strong>Objective: </strong>This study aims to offer recommendations to assist clinicians dealing with this condition.</p><p><strong>Study design: </strong>A systematic review was conducted by searching PubMed, Embase, and Science Direct databases, following PRISMA guidelines and using the JBI checklist. Search terms included \"prenatal\" or \"fetal\" \"bladder rupture,\" \"prenatal\" or \"fetal\" \"urinary ascites\" as well as \"bladder rupture and opioids\". The search identified 2156 publications, which were screened; 27 were eligible for inclusion, allowing for a total of 28 cases to be analyzed.</p><p><strong>Discussion: </strong>Although the data quality and reporting were heterogeneous, several key findings emerged: Prenatal bladder rupture is associated with lower urinary tract obstruction and has also been reported in cases involving maternal opioid use. Defects vary significantly and may resolve prenatally. At birth, some infants required extensive life support and immediate ascites drainage while others are asymptomatic. Postnatally, conservative management with drainage of the bladder, preferably via a transurethral catheter, and ascites management will likely lead to a spontaneous closure of the defect. If conservative management fails, surgical closure may be achieved via laparotomy or laparoscopy. Outcomes were generally reported to be favorable, though follow-up data were often insufficient.</p><p><strong>Conclusion: </strong>The review highlights the variability in management of prenatal bladder rupture, emphasizing the need for multidisciplinary decision-making and further research to establish evidence-based guidelines.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145176125","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}