Journal of Pediatric Urology最新文献

{"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":"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":"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":"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}

{"title":"Development of a novel scale for primary monosymptomatic nocturnal enuresis: Nocturnal Enuresis Symptom Score (NESS).","authors":"Cagri Akin Sekerci, Yunus Emre Genc, Onur Can Ozkan, Faruk Arslan, Ceyhun Ozdemiroglu, Raziye Ergun, Selcuk Yucel, Tufan Tarcan, Kamil Cam","doi":"10.1016/j.jpurol.2025.02.015","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.02.015","url":null,"abstract":"<p><strong>Introduction: </strong>Monosymptomatic nocturnal enuresis (MNE) is defined as urinary incontinence occurring during sleep in absence of daytime lower urinary tract symptoms. International Children Continence Society (ICCS) classifies treatment success as complete response (100 % resolution of symptoms), partial response (50-99 % reduction in symptoms) and no response (<50 % resolution of symptoms). There are no symptom scores for management or follow-up for MNE in the existing literature.</p><p><strong>Objective: </strong>In this study, we aimed to develop a symptom score for monitorization of MNE treatment.</p><p><strong>Study design: </strong>Existing symptom scores were investigated, experts' recommendations for items were collected and 20 children with MNE's caregivers were interviewed with open-ended questions to build the draft questionnaire. Generated items were applied to 20 different caregivers of children with MNE as a pilot study, and Nocturnal Enuresis Symptom Score was generated with a total of 9 questions with a 0-3 scale for each item. Stability, reliability and validity was analysed, A ROC curve was built to determine a cut-off value for response assessment.</p><p><strong>Results: </strong>The study included 85 children (51 (60 %) boys, 34 (40 %) girls) aged 9 (5-17) years. Cronbach's alpha for items was 0.867. One month follow-up showed non-response in 24 (28 %), partial response in 31 (37 %) and complete response in 30 (35 %) children based on ICCS classification Decreased number of wet nights were observed in 17 % (0-50), 73 % (50-87) and 100 %, whereas NESS score improvements were 7 %, 35 % and 78 % respectively (r = 0.708). With a cut-off NESS value of 25.6; 72 % of sensitivity and 70 % of specificity were achieved to discriminate between partial and non-responders. ICCS classification (<50 %) and NESS classification (<25 %) for non-responders were strongly correlated (r = 0.893). A cut-off value of NESS over 15.5 predicts the non-responder group with 69 % sensitivity and 62 % specificity with an AUC of 0.664.</p><p><strong>Discussion: </strong>In previous studies, different measurements were used to assess the outcomes of different management strategies for MNE such as the number of wet nights per 15 or 30 days or existing QoL questionnaires. Those studies were limited by a lack of standardized disease-specific methods for decision-making. Our symptom score may help clinicians to better classify treatment responses with a cut-off value of 25.6 % reduction. The major limitation is the lack of linguistic validation in different populations, which may be a topic for future research.</p><p><strong>Conclusion: </strong>NESS may be useful to monitor patients with MNE in a standardized manner.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515872","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}