{"title":"Letter to the Editor re: \"Education and training in hypospadias surgery: Current status, competency assessment, and the role of modern educational tools\".","authors":"Miduturu Sukumar, Kabilan Annadurai","doi":"10.1016/j.jpurol.2026.106018","DOIUrl":"10.1016/j.jpurol.2026.106018","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106018"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148226245","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: \"Discharge one hour sooner: Comparing post-operative metrics between spinal and general anesthetics among male infants undergoing circumcision\".","authors":"Rahulkumar Damodhar Rahane, Shilpa Savata Kolhe, Raka Kalpesh Chandrakant","doi":"10.1016/j.jpurol.2026.106056","DOIUrl":"10.1016/j.jpurol.2026.106056","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106056"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421933","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: \"Artificial intelligence in pediatric urology: Opportunities, limitations, and the need for methodological rigor\".","authors":"Kruthika C G, K S Krupa, E Sushma","doi":"10.1016/j.jpurol.2026.106081","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106081","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"22 5","pages":"106081"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865481","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: \"The 2025 update on artificial intelligence models in pediatric urology: Results from the AI-PEDURO collaborative\".","authors":"Appa Rao Nagubandi, Vijaya Rama Raju Gottimukkala, Sneha Singireddy","doi":"10.1016/j.jpurol.2026.105995","DOIUrl":"10.1016/j.jpurol.2026.105995","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105995"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148055057","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: \"Annual updates of the European Association of Urology - European Society for Pediatric Urology (EAU-ESPU) paediatric urology guidelines: Are large-language models (LLM) better than the usual structured methodology?\"","authors":"Raghunath Loganathan, Keerthi Amistapuram, Avinash Reddy Aitha","doi":"10.1016/j.jpurol.2026.106057","DOIUrl":"10.1016/j.jpurol.2026.106057","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106057"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497741","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 \"The use of a bedwetting alarm to assess lower urinary tract function in non-toilet-trained children and in children with spinal dysraphism\".","authors":"Andrew J Combs","doi":"10.1016/j.jpurol.2026.106306","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106306","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106306"},"PeriodicalIF":2.2,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194248","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 Commentary on \"The use of a bedwetting alarm to assess lower urinary tract function in non-toilet-trained children and in children with spinal dysraphism\".","authors":"Michael Frumer, David Ben-Meir","doi":"10.1016/j.jpurol.2026.106307","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106307","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106307"},"PeriodicalIF":2.2,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182624","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}
Lianne Pickett, Sudhindra Jayasimha, Susan Maestri, Kevin Cao, Dominic Thompson, Paolo De Coppi, Divyesh Desai, Neetu Kumar, Ganesh Vythilingam, Nav Johal
{"title":"An age-matched comparison of early urological outcomes in patients who underwent antenatal versus postnatal myelomeningocele repair: A prospective single centre experience.","authors":"Lianne Pickett, Sudhindra Jayasimha, Susan Maestri, Kevin Cao, Dominic Thompson, Paolo De Coppi, Divyesh Desai, Neetu Kumar, Ganesh Vythilingam, Nav Johal","doi":"10.1016/j.jpurol.2026.106301","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106301","url":null,"abstract":"<p><strong>Background: </strong>Antenatal myelomeningocele (MMC) repair improves neurosurgical outcomes, but its impact on early renal and bladder outcomes remains uncertain.</p><p><strong>Objective: </strong>To test the hypothesis that antenatal myelomeningocele repair is associated with fewer symptomatic febrile urinary tract infections during early follow-up than postnatal repair, and to compare secondary upper urinary tract, bladder management and non-invasive bladder function outcomes within a single-centre risk-stratified pathway.</p><p><strong>Methods: </strong>We reviewed a prospectively maintained MMC database (2018-2025). All antenatally repaired children were included; postnatal repairs were restricted to children meeting Management of Myelomeningocele Study eligibility criteria. Outcomes included symptomatic febrile UTI, upper urinary tract findings, bladder emptying management, post-void residual urine on non-invasive bladder function assessment, selective uroflowmetry and invasive urodynamics, and symptomatic oxybutynin use. UTI was defined as a febrile episode with UTI-compatible symptoms and urinary leucocytes or pyuria; asymptomatic bacteriuria was not counted.</p><p><strong>Results: </strong>Sixty-six children were managed; Nineteen underwent antenatal repair and 14 formed the MOMS-eligible postnatal comparator group. Prematurity was more frequent after antenatal repair (79% vs 0%, p < 0.001) and ventriculoperitoneal shunt requirement was lower (26% vs 79%, p = 0.005). Symptomatic UTI occurred less often in the antenatal group (21% vs 79%, p = 0.002). Hydronephrosis, VUR, DMSA scarring and overnight drainage all favoured the antenatal group but did not reach statistical significance.</p><p><strong>Conclusions: </strong>Within this small single-centre cohort managed by a consistent risk-stratified pathway, antenatal MMC repair was associated with fewer documented symptomatic febrile UTIs during early follow-up. Differences in upper tract outcomes, bladder emptying management and selectively measured functional outcomes remained uncertain.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106301"},"PeriodicalIF":2.2,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182688","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: \"Intraoperative indocyanine green near-infrared fluorescence imaging for assessing testicular viability in pediatric testicular torsion: A retrospective study\".","authors":"Samir Iddir, Nouara Kemel","doi":"10.1016/j.jpurol.2026.106297","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106297","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106297"},"PeriodicalIF":2.2,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137330","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 Commentary on \"Early revision patterns and conduit type as predictors of continent catheterizable channel durability in children: A two-center time-to-event analysis\".","authors":"Wael M Moneir, Tariq Burki, Amr Hodhod","doi":"10.1016/j.jpurol.2026.106299","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106299","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106299"},"PeriodicalIF":2.2,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127788","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}