Journal of Pediatric Urology最新文献

{"title":"Letter to the editor re Laparoscopic varicocelectomy: Does intraoperative lymphography with vital dye influence the outcome?","authors":"Yasmine Houas","doi":"10.1016/j.jpurol.2025.08.018","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.018","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000822","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 \"Does incontinence in a child with bladder exstrophy negatively affect caregivers? A mental health inventory survey\".","authors":"Suhaib Abdulfattah, Kimberly Dawes, Rakesh S Joshi, Jaishri Ramji, Aseem R Shukla","doi":"10.1016/j.jpurol.2025.08.015","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.015","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008398","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":"The European Reference Network eUROGEN, an interview by the Journal of Pediatric Urology.","authors":"Wouter Feitz, Michelle Battye, Hsi-Yang Wu, Magdalena Fossum","doi":"10.1016/j.jpurol.2025.08.020","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.020","url":null,"abstract":"<p><p>The European Reference Networks (ERNs) initiative was started by the European Commission. The initiative was launched in 2017 in response to the 2011 EU Directive on Cross-Border Healthcare (Directive 2011/24/EU), which emphasized the need to improve healthcare for patients with rare diseases and complex conditions across the European Union. Currently, 24 ERNs are available for rare diseases. The ERN for rare uro-recto-genital diseases and complex conditions (ERN eUROGEN) is a cornerstone in improving the management of rare and complex uro-recto-genital conditions in Europe. Its collaborative model ensures that expertise and innovation are accessible to all EU patients, regardless of location, while fostering significant advancements in research, education, and healthcare delivery. The multinational inclusion of Centers of expertise includes 20 countries and 52 healthcare providers (in the ERN community, a healthcare provider is an official member of an ERN and is usually a large hospital or institution with academic and research capabilities). In this review article, we interviewed two leading experts from ERN eUROGEN to increase general knowledge of the ERN initiative and its evolution. We also aimed to show the benefits of participation from a clinical standpoint and how patients with rare diseases can benefit from virtual consultations with experts at other centers and in different countries.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008370","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 \"Does incontinence in a child with bladder exstrophy negatively affect caregivers? A mental health inventory survey\".","authors":"Mohammad Amin Siri, Abdol-Mohammad Kajbafzadeh","doi":"10.1016/j.jpurol.2025.07.039","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.039","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008308","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":"Vesicoscopic supra trigonal ureteric reimplantation and detrusorraphy (STURDY) for vesicoureteric reflux in children with duplex systems.","authors":"Heera Tharanendran, Ramesh Babu","doi":"10.1016/j.jpurol.2025.08.017","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.017","url":null,"abstract":"<p><strong>Introduction/aims: </strong>We hereby report a novel vesicoscopic supra trigonal ureteric reimplantation detrusorraphy (STURDY) technique for unilateral duplex systems with vesicoureteric reflux (VUR).</p><p><strong>Methods: </strong>A 3-year-old boy and a 1-year-old girl with recurrent urinary tract infections (UTIs) and left duplex VUR/ureterocele underwent vesicoscopic STURDY.</p><p><strong>Technique: </strong>After establishing pneumovesicum, a vertical incision was made cranially along the ureter for 2-3 cm incising both the mucosa and detrusor, preserving the vas deferens. Duplex ureters were carefully dissected and brought intravesically, and a detrusorraphy was performed underneath. The mucosa was closed over the ureters sandwiching the ureter between detrusorraphy and mucosal closure. In both cases double-J-stents were kept for 6-weeks.</p><p><strong>Results: </strong>Both patients had uneventful postoperative period. Follow-up ultrasound showed significant improvement in hydroureteronephrosis. At one-year follow-up there was no reflux and function was preserved.</p><p><strong>Discussion: </strong>There is limited literature on transvesicoscopic common-sheath ureteric reimplantation in duplication anomalies. Cohen's technique is commonly preferred due to its simplicity and high success rates, but it aligns all three ureteric orifices on one side, hindering future upper tract access.</p><p><strong>Conclusion: </strong>The novel vesicoscopic STURDY technique reported is safe, effective, preserves vascularity of both ureters and allows future ureterorenoscopy. Further studies with long-term follow-up are warranted.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030111","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: Alkaline urine is associated with increased risk of calcium phosphate nephrolithiasis in medically complex children receiving enteral nutrition.","authors":"Edward Nehus, William DeFoor","doi":"10.1016/j.jpurol.2025.08.013","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.013","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992791","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":"Applying the pyeloplasty predictive score in patients with ureteropelvic junction obstruction.","authors":"Ana Caroline Andrade De Melo, Paulo Cesar Koch Nogueira, Marcia Emilia Francisco Shida, Maria Luiza Dautro Moreira do Val, Maria Cristina Andrade, Luiz Gonzaga de Freitas Filho, Mila Torii Corrêa Leite","doi":"10.1016/j.jpurol.2025.07.033","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.033","url":null,"abstract":"<p><strong>Background: </strong>Ureteropelvic junction obstruction (UPJO) is an anatomical lesion in the renal collecting system and is one of the most common congenital causes of hydronephrosis, occurring in 1-5 % of pregnancies. Surgical predictive scores have been extensively studied as a promising way to assist and optimize management in cases of UPJO.</p><p><strong>Objective: </strong>Apply the pyeloplasty predictive score and evaluate its effectiveness in patients with UPJO treated at a tertiary care hospital.</p><p><strong>Study design: </strong>The Pyeloplasty Prediction Score (PPS) was retrospectively applied to patients diagnosed with UPJO and treated at a tertiary care hospital. The PPS is based on the Society for Fetal Urology grading system, the anteroposterior diameter of the pelvis, and the absolute percentage of the difference in renal length. The PPS ranges from 0 to 12 and is calculated by adding each of the scored variables, classifying surgical risk as low, intermediate, and high.</p><p><strong>Results: </strong>Out of the 48 kidney units studied, 18 did not undergo surgical treatment, and 30 underwent pyeloplasty. The number of units with low, intermediate, and high non-surgical PPS was 8, 8, and 2, respectively, and surgical PPS was 1, 8, and 21. The sensitivity of the PPS was 96.67 %, and the specificity was 44.44 %. The positive predictive value was 74.36 %, and the negative predictive value was 88.89 %.</p><p><strong>Discussion: </strong>The majority of surgical kidney units had a high score. The only patient operated on with low risk had associated vesicoureteral reflux in the same unit. Half of the non-surgical patients had a low score. The two high-risk non-surgical cases had megacalicosis as the final diagnosis.</p><p><strong>Conclusion: </strong>PPS may aid the clinical practice of UPJO due to its high sensitivity in high and low scores, necessitating an individualized clinical and radiological assessment in intermediate-risk cases.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958202","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":"Biplanar extra- and trans-peritoneal ureterocutaneostomy by laparoscopy (BETUL).","authors":"Beytullah Yağız","doi":"10.1016/j.jpurol.2025.08.016","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.016","url":null,"abstract":"<p><strong>Introduction: </strong>Although rare, incontinent diversions still has a place in the management of challenging conditions. Ureterocutaneostomy (in refluxing or non-refluxing moieties) is a viable option for relief of obstruction. It can be performed open or laaproscopically. Here we report our laparoscopic technique of extraperitoneal cutaneous ureterostomy with the help of transperitoneal laparoscopy.</p><p><strong>Material and methods: </strong>The patients who underwent laparoscopic ureterocutaneostomy between 2020 and 2024 are enrolled in the study and our hybrid technique is described.</p><p><strong>Results: </strong>Seven patients are enrolled in the study with a mean age of 60,57 ± 26,53 (12 days-16 years). Indications were bladder outlet obstruction, VUR and obstructing megaureter. Six patients received unilateral, 1 patient bilateral diversion. Sober Y ureterostomy was performed in 6 patients and loop ureterostomy in 1. One patient 1 unilateral Y ureterostomy needed stoma revision surgery for stenosis.</p><p><strong>Discussion: </strong>One 5 mm optical port was inserted from the umblicus. After inspection and deciding the stoma site, another port (3 or 5 mm) was inserted staying outside the peritoneum if possible. This port is directed to the ureter bluntly. If necessary, another 3 or 5 mm assistant port is introduced. The ureter is grasped and taken out through the port site and stoma is reconstructed outside. For Y ureterostomy; ureter is divided, one end is reserved for stoma and the other is anastomosed the other limb in an end-to-side fashion. For loop ureterostomy, one side of the ureteral wall is opened and reconstructed as standard loop stoma.</p><p><strong>Conclusion: </strong>Uretero-cutaneostomy is not a common procedure in children and surgical approach should be individualised for each patient as indications vary significantly as well as the anatomy of every single patient. Transperitoneal laparoscopic approach provides evaluation of the anatomy of the patient, extended vision and magnification, and guiding the decision of the proper site for the stoma.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992835","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 alkaline urine is associated with increased risk of calcium phosphate nephrolithiasis in medically complex children receiving enteral nutrition.","authors":"Jianjie Ju, Jingjing Chen, Shuo Lin","doi":"10.1016/j.jpurol.2025.08.014","DOIUrl":"10.1016/j.jpurol.2025.08.014","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958294","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":"Predictive factors for relapse in pediatric patients with primary monosymptomatic nocturnal enuresis treated with the desmopressin oral lyophilisate.","authors":"Djordje Topalovic, Jelena Milin Lazovic, Branislav Trifunovic, Ivana Filipovic, Marko Jovic, Sladjana Mihajlovic, Sasa Milivojevic","doi":"10.1016/j.jpurol.2025.08.012","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.012","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the predictive factors for relapse in pediatric patients with primary monosymptomatic nocturnal enuresis following the use desmopressin oral lyophilisate.</p><p><strong>Methods: </strong>A prospective cohort study was conducted from 2018 to 2025. We evaluated whether patient age and gender, compliance, method of therapy discontinuation, and other parameters affected relapse occurrence. The study included 168 children diagnosed with PMNE, comprising 94 with relapse and 74 without relapse.</p><p><strong>Results: </strong>Patients older than seven years were significantly more likely to remain relapse-free compared to younger children (56 % vs. 32.1 %, p = 0.002). Immediate cessation of therapy was significantly associated with relapse compared to structured withdrawal (66.7 % vs. 33.3 %, p = 0.005). A significant association was found between fluid intake after drug administration and relapse (61.6 % vs. 38.4 %, p = 0.037). A lack of adherence to dietary instructions was significantly associated with relapse (62.9 % vs. 37.1 %, p = 0.034). Functional daytime bladder capacity (FDBC) was significantly lower in patients who experienced relapse (p = 0.002). Multivariate analysis identified two independent predictors: age younger than seven years and abrupt therapy withdrawal as risk factors for relapse in PMNE patients.</p><p><strong>Conclusions: </strong>Patient age under seven years and abrupt therapy withdrawal are two strong risk factors associated with relapse in patients using desmopressin oral lyophilisate for primary monosymptomatic nocturnal enuresis. Fluid intake after medication use and non-compliance with dietary recommendations also influence relapse occurrence, but they do not act as independent factors.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958339","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}