Journal of Pediatric Urology最新文献

{"title":"Individual and systems level factors associated with odds of orchiectomy in testicular torsion in New York State.","authors":"Sara S Koh, Annie Chen, Jason Kim, Ezekiel Young","doi":"10.1016/j.jpurol.2026.106284","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106284","url":null,"abstract":"<p><strong>Introduction: </strong>Testicular torsion is a urologic emergency that can result in loss of the affected testicle. Although many studies have investigated factors affecting the odds of orchiectomy versus orchiopexy, they are often limited by small sample sizes and lack age-stratified analyses. This study seeks to identify factors associated with orchiectomy associated with testicular torsion within different pediatric age groups in New York State over a 15-year period.</p><p><strong>Material and methods: </strong>The Statewide Planning and Research Cooperative System (SPARCS) database was queried from 2003 to 18 for patients aged 1-18 years with testicular torsion (ICD-9608.2, ICD-10 N44.00) who underwent orchiectomy (CPT code 54,520) and orchiopexy (CPT codes 54,600, 54,620, 54,640, 54,650). Unadjusted and adjusted logistic regression models examined associations between orchiectomy and age, time and day of presentation, presentation to trauma center, insurance status and year. Patients were stratified into 3 age groups: 1-6 years, 7-12 years, and 13-18 years.</p><p><strong>Results: </strong>A total of 4159 children were included. 26% underwent orchiectomy. In unadjusted models, the odds of orchiectomy were higher during peak hours (5am-5pm) (OR = 1.35, p = 0.001) and lower during the weekend (OR = 0.79, p = 0.033). Individuals with government insurance (compared to private or self-pay) had higher odds of orchiectomy (OR = 1.55, p < 0.0001). In stratified and adjusted models, correlates varied by age group. Among children ages 1-6 (N = 766), odds of orchiectomy were lower on the weekend (OR = 0.46, p = 0.034). Among children 7-12 (N = 915), there was no difference in time or day of presentation; however, they had increased odds of orchiectomy if they had government insurance (OR = 1.5, p = 0.03) or self-pay (OR = 3.31, p = 0.014), and if they presented to a trauma center (OR = 1.5, p = 0.037). Children 13-18 (N = 2478) had higher odds of orchiectomy if they presented later in the day (1.05 for every hour after midnight [p < 0.0001]) and if they had government insurance (OR = 1.27, p = 0.046).</p><p><strong>Conclusions: </strong>Predictors of orchiectomy vary substantially across different pediatric age groups, with distinct patterns related to time and day of presentation, insurance type, and presentation to a trauma center. These findings have implications for a healthcare systems approach to improving pediatric urological outcomes.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106284"},"PeriodicalIF":2.2,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061975","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":"Low serum vitamin B12 is common in spina bifida, including patients without ileal urologic reconstruction: A case for routine screening.","authors":"Jin Kyu Kim, Zachary Eardley, Rosalia Misseri, Shelly J King, Konrad M Szymanski, Benjamin Whittam, Nikhil Batra, Martin Kaefer, Kirstan Meldrum, Mark P Cain, Richard C Rink, Joshua Roth","doi":"10.1016/j.jpurol.2026.106289","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106289","url":null,"abstract":"<p><strong>Introduction: </strong>Vitamin B12 deficiency is a recognized complication of bowel-based urinary reconstruction, but its prevalence among individuals with spina bifida without or before urologic reconstruction is unknown. We evaluated the prevalence of low serum vitamin B12 in patients with spina bifida and compared it with population-based estimates from the National Health and Nutrition Examination Survey (NHANES).</p><p><strong>Methods: </strong>Retrospective cross-sectional study of patients with spina bifida tested for serum vitamin B12 at a single institution between November 2004 and August 2023. Patients with no small-bowel reconstruction, and those reconstructed ≤5 years before measurement, were included. Low serum vitamin B12 was defined a priori as <200 pg/mL. Prevalence was compared with NHANES 1999-2002, the most recent cycles measuring serum vitamin B12, using indirectly standardized morbidity ratios (SMR).</p><p><strong>Results: </strong>Of 317 patients (159 children, 158 adults), 29 (9.1%) had low serum vitamin B12, more often adults than children (13.3% vs 5.0%, p = 0.012). No associations were seen with sex, race, ethnicity, or Distressed Communities Index quintile. Weighted NHANES prevalence was 1.84% (95% CI 1.61-2.10), giving an SMR of 7.72 (95% CI 5.17-11.09). SMRs were elevated both in patients without small-bowel reconstruction (7.27, 95% CI 4.55-11.01) and in those reconstructed within 5 years (9.61, 95% CI 3.85-19.80), and reconstruction was not associated with the outcome after adjustment for age and sex (odds ratio 0.73, 95% CI 0.25-2.08). Twenty-two of the 29 affected patients (76%) had no small-bowel reconstruction. The excess persisted at a stricter threshold of <150 pg/mL (SMR 16.14, 95% CI 8.05-28.89). Hemoglobin and mean corpuscular volume did not differ by vitamin B12 status.</p><p><strong>Conclusions: </strong>Low serum vitamin B12 was substantially more common among patients with spina bifida than expected for their age and was not confined to those with prior small-bowel reconstruction. Because reconstruction-triggered screening would have missed three quarters of affected patients, these findings support consideration of routine screening across the spina bifida population.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106289"},"PeriodicalIF":2.2,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111397","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":"Long-term surgical results and satisfaction in patients born with 46, XX, SRY-negative, ovotesticular-DSD and raised as male.","authors":"Hussein Ibrahim, Alaa El-Ghoneimi, Ugo Maria Pierucci, Amane-Allah Lachkar, Valeska Bidault-Jourdainne, Mahmoud Salah Amar, Éliane Josset-Raffet, Jean-Claude Carel, Annabel Paye, Matthieu Peycelon","doi":"10.1016/j.jpurol.2026.106285","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106285","url":null,"abstract":"<p><strong>Objectives: </strong>SRY-negative 46, XX,ovotesticular disorders of sex development (DSD) are considered a unique condition characterized by the development of testicular tissue in the absence of a Y chromosome. This study aims to report the clinical and surgical management of these patients raised as males.</p><p><strong>Patients and methods: </strong>Patients with a 46, XX, SRY-negative,ovotesticular-DSD raised as males who were referred to our multidisciplinary DSD center were identified (2006-2020). We retrospectively analyzed clinical and histological data, with special emphasis on surgical management (gonadal and reconstructive procedures) and postoperative complications. We also evaluated surgical and cosmetic outcomes, sexual activity and voiding symptoms in adulthood.</p><p><strong>Statistical analysis: </strong>descriptive.</p><p><strong>Results: </strong>Four patients were evaluated in our multidisciplinary DSD center for the first time at a median (IQR) age of 7.5 years (1 month-11 years) and followed-up for a median (IQR) time of 14 (12-16) years. Gonadal frozen section biopsies were performed in all of them. Ovotestis was found bilaterally (N = 1) or unilaterally (N = 3). Gonadal surgery was performed in all patients (left total gonadectomy (N = 1), bilateral total gonadectomy (N = 2), bilateral selective gonadectomy (N = 1)) at a median age of 9 years (2-11). Mullerian structures were removed laparoscopically (N = 2). Genital reconstructive surgery was performed at a median age of 8 years (2-12) (N = 4): one-stage (N = 2) (urethroplasty with double-face tubularized preputial island flap) and staged procedure (curvature correction, urethroplasty with preputial (N = 1) or bladder mucosal graft (N = 1)). Urethrocutanous fistula occurred in three (75%) patients and was successfully managed by elective closure. All patients received intramuscular testosterone therapy to increase growth velocity and pubertal progression. At the last follow-up, all patients reported cosmetic satisfaction, spontaneous erections, and no residual penile curvature. Gender affirmation was male for all patients. Two patients opted for bilateral testicular prosthesis.</p><p><strong>Conclusion: </strong>When managed by a dedicated multidisciplinary DSD center, this specific cohort of patients has acceptable surgical and cosmetic outcomes on long-term follow-up.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106285"},"PeriodicalIF":2.2,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111387","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":"Efficacy and safety of medical expulsive therapy (MET) after extracorporeal shockwaves lithotripsy (SWL) in pediatric patients.","authors":"Ahmed Bakr Eldesouky Hassan, Khaled Zaki Sheir, Ahmed Mohamed Elshal, Mahmoud Anees Bazeed, Ahmed Refat El-Nahas","doi":"10.1016/j.jpurol.2026.106288","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106288","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the impact of tamsulosin as a post-SWL adjunctive treatment for pediatric urolithiasis.</p><p><strong>Patients and methods: </strong>A randomized controlled trial (RCT) was carried out for children with renal stones amenable for SWL. Eligible children were randomized into 2 groups. Group 1 received tamsulosin (0.01 mg/kg once daily) for 2 weeks after each SWL session while group 2 served as a control. Stone clearance was defined as no residual fragments by low-dose non-contrast computed tomography (NCCT) at one and three months after last session.</p><p><strong>Results: </strong>A total of 106 patients were included (53 in each group). Pre-SWL patients and stone criteria were comparable between both groups. Stone clearance was achieved in 43 patients (81.1%) in group 1 and 36 patients (67.9%) in group 2 (P = 0.119). Time to stone clearance was comparable for both groups (P = 0.110). Post-SWL complications were encountered in one patient (1.9%) in group 1 and three patients (5.7%) in group 2 (P = 0.308). Tamsulosin minor adverse effects were observed in 18.9%, but no patients discontinue treatment.</p><p><strong>Conclusions: </strong>Tamsulosin treatment following SWL for renal stones in children showed trends for increasing SFR and decreasing complications in comparison with control group. However, statistically significant differences were not achieved.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106288"},"PeriodicalIF":2.2,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111237","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 \"Traversing from childhood surgery to adult life: Long-term functional and psychosexual outcomes in males with differences/disorders of sex development\".","authors":"Shilpa Sharma, Vivek K Singh","doi":"10.1016/j.jpurol.2026.106273","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106273","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106273"},"PeriodicalIF":2.2,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075065","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":"Urological outcomes of 5-year-old patients after open prenatal spina bifida aperta repair.","authors":"Luca Mazzone, Antonin Prouza, Timothy Mueller, Maya Horst","doi":"10.1016/j.jpurol.2026.106279","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106279","url":null,"abstract":"<p><strong>Introduction: </strong>Neurogenic lower urinary tract dysfunction (NLUTD) in patients with spina bifida aperta (SBA) is a severe burden. Furthermore, spinal inclusion cysts (IC) are recognized as contributors to the decline of lower urinary tract (LUT) function in SBA, primarily through mass effect and nerve root tethering. Considering the rationale for open prenatal SBA repair (PSBAR), we hypothesized a positive effect of PSBAR on urological outcome. The primary aim of this study was to assess LUT function in five-year-old patients after PSBAR. The secondary aim was to determine whether urological outcomes have changed since the start of the PSBAR program.</p><p><strong>Materials and methods: </strong>All patients undergoing open PSBAR at our institution have been enrolled in a prospective standardized follow-up protocol since 2010, with data recorded using a RedCap® registry. We retrospectively analyzed these data (Dec. 2010 to August 2025), focusing on bladder diary, urodynamic and ultrasound findings, clean intermittent catheterization (CIC) and anticholinergic use, and need for urological surgeries to answer the primary research question. For the secondary research question, a subgroup analysis of patients with PSBAR before 2018 and from 2018 onward was conducted to account for the surgical refinements during 2017-2018. Patients aged five years or older were included.</p><p><strong>Results: </strong>104 patients were included. 24 (23%) showed normal LUT function and were capable of volitional voiding. 80 (77%) showed NLUTD. CIC was performed by 72 (70%), and 58 (56%) required anticholinergics. Ultrasound of the urinary tract showed no abnormalities in patients with normal LUT function. 22 (28%) patients with NLUTD underwent one or more urological surgeries. The subgroup analysis of patients with PSBAR before 2018 and from 2018 onwards (55 vs 49 patients) demonstrated a statistically significantly higher percentage of normal LUT function in the later group (35% vs. 13%, p < 0.05). This correlates to a significant reduction in both IC formation and need for IC-related surgery, ultimately decreasing the number of patients with secondary deterioration of LUT function (41% vs 20%), p < 0.05).</p><p><strong>Conclusion: </strong>23% of patients with open PSBAR exhibit normal LUT function by the age of five, increasing to 35% among those who underwent surgery from 2018 onward. This suggests improvement in urological outcome compared to the incidence of normal LUT function after postnatal repair (∼5%). IC occurrence represents a key determinant of urological outcome. Refinement of PSBAR surgical technique appears to exert a decisive influence on the urological outcome, primarily by preventing the formation of IC.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106279"},"PeriodicalIF":2.2,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111385","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":"Upper urinary tract anomalies in patients with persistent cloaca: Prevalence, phenotype, and associations with anatomic complexity and renal risk.","authors":"Butool Hisam, Natalie Ewing, Melanie Bowser, Carolyn D Brookhart, Melissa R Meyers, Andrea Badillo, Marc A Levitt, Christina Ho, Allison C Mayhew, Briony K Varda","doi":"10.1016/j.jpurol.2026.106283","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106283","url":null,"abstract":"<p><strong>Background & objective: </strong>Upper urinary tract anomalies (UTAs) in patients with persistent cloaca are incompletely characterized. We aimed to define the prevalence and spectrum of UTAs and identify associated clinical and anatomic features.</p><p><strong>Methods: </strong>We performed a single-institution cohort study using a prospective database of patients with persistent cloaca (2020-2025). Patients undergoing primary cloacal repair were included. The outcome was any UTA identified on preoperative imaging, including the cloacagram. Component-level analyses evaluated high-grade vesicoureteral reflux (HG-VUR; grades III-V), high-grade urinary tract dilation (HG-UTD; SFU grades 3-4), and solitary kidney. Covariates include demographics, anatomic characteristics, and comorbidities.</p><p><strong>Results: </strong>Of 101 patients with persistent cloaca seen at our institution, 50 underwent primary repair. UTAs were identified in 44 patients (88%). The most common anomalies were HG-VUR in 29 (58%), HG- UTD in 20 (40%), and solitary kidney in 15 (30%). Complex cloaca (where CC ≥ 3 cm) was present in 21 patients (42%) and was associated with UTAs (100% vs. 79%, p = 0.03). The median CC length was longer in those with UTAs (2.8 vs. 1.4 cm, p < 0.001). Patients with HG-VUR had longer CC length compared to those without HG-VUR (4.6 vs. 2.2 cm, p = 0.04) and poor sacral ratio (9/12, 75% vs. 12/38, 32%; p = 0.01). HG-UTD was associated with CC length (4.6 vs. 1.9 cm, p = 0.001), shorter urethral length (1.1 vs. 2.1 cm, p = 0.003), and urethral atresia (5/6, 83% vs. 5/22, 23%; p = 0.05). Solitary kidney was linked to urethral atresia (5/6, 83% vs. 5/22, 23%; p = 0.01), vaginal atresia (7/9, 78% vs. 8/41, 20%; p < 0.001), and Müllerian agenesis (6/7, 86% vs. 9/43, 21%; p = 0.002). Notably, most solitary kidney cases (13/15, 87%) had an ipsilateral UTA.</p><p><strong>Discussion: </strong>UTAs cluster with increasing cloacal complexity, supporting a shared developmental basis rather than isolated pathology. Associations with common channel (CC) length, sacral development, and urethral anatomy suggest that more severe cloacal phenotypes confer greater upper tract disease burden. The strong relationship between solitary kidney and ipsilateral anomalies identifies a subgroup with limited renal reserve and structural risk, with implications for early risk stratification and surveillance. While known neonatal factors such as hydrocolpos may contribute to early urinary tract changes, these findings emphasize an underlying anatomic driver of risk.</p><p><strong>Conclusion: </strong>UTAs are highly prevalent in patients with persistent cloaca and are associated with anatomic complexity. Patients with solitary kidney frequently have additional ipsilateral anomalies, identifying a subgroup at risk for adverse renal outcomes.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106283"},"PeriodicalIF":2.2,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111314","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 \"Development and pilot evaluation of a simple, low-cost, reproducible simulation model for pediatric vesicoureteral reflux surgery training\".","authors":"Johannes Meyer","doi":"10.1016/j.jpurol.2026.106278","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106278","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106278"},"PeriodicalIF":2.2,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039358","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":"Long-term surgical outcomes of robotic versus open bladder neck reconstruction in a pediatric population.","authors":"Alexandra Bain, Cody Clark, Brenna Rachwal, Josh Bricker, Jennifer Smith, Venkata R Jayanthi, Molly E Fuchs, Daniel G DaJusta","doi":"10.1016/j.jpurol.2026.106281","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106281","url":null,"abstract":"<p><strong>Introduction: </strong>Robotic bladder neck procedures may offer unique benefits including improved visualization and suturing dexterity compared to an open approach. Our aim was to compare the short and long-term clinical outcomes of pediatric patients undergoing robotic versus open bladder neck reconstruction with slings at a single institution.</p><p><strong>Materials and methods: </strong>A retrospective review was performed of pediatric patients with neurogenic bladders undergoing robotic or open bladder neck reconstruction with slings between January 2015-July 2024. All open procedures were performed by one of three surgeons, and all robotic procedures were performed by one of two surgeons at a single institution. Patient demographics, intra-operative, and post-operative outcomes were collected and compared using Fischer's exact and Wilcoxon rank-sum tests, as appropriate. A p-value of ≤0.05 was considered statistically significant.</p><p><strong>Results: </strong>A total of 59 patients were identified (22 robotic and 37 open), with a median follow-up length of 5.5 years (interquartile range: 2.7-7.5 years). The robotic group had a significantly longer operative time (457.5 vs 275.0 min, p = 0.01). There was no significant difference in continence rates (86% vs 89% p = 1.00), 30-day complication rates (41% vs 38%, p = 1.00) or surgical revision rates (36% vs 46%, p = 0.80) between the robotic and open groups. The robotic group had a significantly shorter hospital stay even when excluding patients who underwent a concomitant augment or Monti creation (5.0 vs 8.0 days, p = 0.01).</p><p><strong>Conclusion: </strong>Robotic bladder neck reconstruction in a pediatric population is feasible with similar post-operative outcomes compared to an open approach with the benefit of significantly shorter hospital stays.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106281"},"PeriodicalIF":2.2,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111355","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 \"Development and pilot evaluation of a simple, low-cost, reproducible simulation model for pediatric vesicoureteral reflux surgery training\".","authors":"Pierce Plumlee, Jacob Palmer, Ching Man Carmen Tong","doi":"10.1016/j.jpurol.2026.106277","DOIUrl":"https://doi.org/10.1016/j.jpurol.2026.106277","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"106277"},"PeriodicalIF":2.2,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075069","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}