Journal of Pediatric Urology最新文献

{"title":"Letter to the editro re \"Early findings on OnabotulinumtoxinA for postoperative pain control in bladder exstrophy\".","authors":"Renu Sah, Ankita Mathur","doi":"10.1016/j.jpurol.2025.05.033","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.05.033","url":null,"abstract":"","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":"144958300","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":"Navigating the waters of LUTS from childhood to puberty - NOPIA meeting (ICI-RS 2024).","authors":"Mauro Van den Ende, Carol Joinson, Sanjay Sinha, Irina Verbakel, D Carolina Ochoa, Jason Lazar, Andrew Baird, Caroline Selai, Andries Van Huele, George Bou Kheir, Anne-Françoise Spinoit, Paul Abrams, Karel Everaert, François Hervé","doi":"10.1016/j.jpurol.2025.07.011","DOIUrl":"10.1016/j.jpurol.2025.07.011","url":null,"abstract":"<p><strong>Introduction: </strong>Lower urinary tract symptoms (LUTS) are known to significantly affect health-related quality of life, often leading to psychological and social challenges. Despite the prevalence of paediatric and adult LUTS, the needs for, and the process of transition from childhood to adolescence and young adulthood remain both poorly understood or defined, with many patients lacking organized follow-up care.</p><p><strong>Methods: </strong>This article summarizes discussions during an NOPIA Research Meeting following the International Consultation on Incontinence - Research Society (ICI-RS) 2024 on the topic of LUTS management practices in childhood and adolescence, and evaluates existing transition models in this population. Current gaps in research and clinical practice are highlighted, aiming to advance transitional care for persistent LUTS across age groups.</p><p><strong>Results: </strong>Consensus acknowledged that maturation from childhood to adolescence significantly changes the urinary system, driven by hormonal shifts, lifestyle factors, and neuroendocrine development. Puberty-related hormone surges in both genders influence bladder growth and control, while lifestyle habits, affect kidney function and nocturnal urine production. Psychological factors and changes in sleep pattern, also play a crucial role. Prospective research has identified risk factors for adolescent LUTS persisting into adulthood, including childhood urinary incontinence trajectories, biopsychosocial influences and adverse childhood experiences (ACEs), all of which are also linked to mental health challenges in adolescence. Recent advances in adolescent LUTS treatment options are numerous but current literature lacks protocols and guidance for effective transitional care processes, to effectively manage the individuals' complex ongoing needs.</p><p><strong>Conclusion: </strong>The persistence of childhood LUTS into adulthood requires an individualized, multidisciplinary approach and comprehensive transitional care system with management guidelines that need to be developed to ensure continuity of care through key developmental stages.</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":"144883072","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":"Sterile water or saline solution for inflating the balloon of pediatric catheters.","authors":"Isabella Guerrero Hurtado, Valentina CastilloBelalcázar, Mauricio Palacios Gómez","doi":"10.1016/j.jpurol.2025.08.008","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.008","url":null,"abstract":"<p><strong>Background: </strong>Urethral catheterization is a standard clinical procedure, but pediatric data on balloon-related complications remain scarce. Balloon failure during removal may be associated with the type of inflation media and the size of the catheter lumen. Adult findings may not apply to pediatric catheters due to structural differences.</p><p><strong>Objective: </strong>To compare the performance of sterile water and 0.9 % saline solution as inflation media in pediatric Foley catheters and evaluate balloon deflation and crystalline deposits under controlled in vitro conditions.</p><p><strong>Methods: </strong>Foley catheters (8Fr, 10Fr, 14Fr, 16Fr) were used. Balloon inflation channels were assessed by cross-sectional area and perimeter. A total of 236 catheters were filled with either sterile water or saline, immersed in artificial urine at 37 °C for 15 days, and later inspected for deflation performance and crystal deposits. Select samples were stained with eosin, toluidine blue, and aniline blue for microscopic analysis.</p><p><strong>Results: </strong>Pediatric catheters showed significantly smaller inflation lumens than adult catheters. Balloon integrity was preserved in 99.6 % of cases, with no significant volume loss differences between inflation solutions. However, eosin staining revealed crystalline deposits in two saline-inflated pediatric catheters. No deposits were observed with sterile water or under unstained conditions.</p><p><strong>Conclusion: </strong>While both inflation media performed similarly in short-term use, crystal formation in saline-filled catheters suggests sterile water may be preferable in prolonged pediatric catheterization.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958352","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 assessing the risk of voiding dysfunction in children with ureteroceles: A systematic review and meta-analysis.","authors":"Jin Kyu Kim, Rosalia Misseri","doi":"10.1016/j.jpurol.2025.08.010","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.010","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958356","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 percutaneous versus transurethral cystolithotripsy for the management of bladder calculi in the pre-school boys: Prospective randomized study.","authors":"Gregory E Tasian","doi":"10.1016/j.jpurol.2025.07.035","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.035","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054351","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 Navigating the waters of LUTS from childhood to puberty - NOPIA meeting (ICI-RS 2024.","authors":"John Samuel Wiener","doi":"10.1016/j.jpurol.2025.07.036","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.036","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958189","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 assessing the risk of voiding dysfunction in children with ureteroceles: A systematic review and meta-analysis.","authors":"Caleb P Nelson","doi":"10.1016/j.jpurol.2025.07.034","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.034","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958272","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":"Ultrasound elastographic evaluation of renal parenchyma in pediatric patients with vesicoureteral reflux.","authors":"Abdullah Kocaoglan, Melih Aksamoglu, Mehmet Sait Menzilcioglu, Mehmet Ozturk","doi":"10.1016/j.jpurol.2025.08.011","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.011","url":null,"abstract":"<p><strong>Objective: </strong>The most common chronic complication of vesicoureteral reflux (VUR) is the presence of renal scarring and dimercapto succinic acid (DMSA) renal scan is utilized for its detection. In this study, we have aimed to assess whether shear wave speed (SWS) differs between normal and refluxing kidneys.</p><p><strong>Materials and method: </strong>Fifty pediatric VUR patients and 21 healthy children with available DMSA obtained within the previous year were included in the study. In the patient group, with grade 3, 4 and 5 kidney reflux were defined as \"kidneys with high-grade reflux\", and were subdivided into scarred and unscarred kidneys. In the VUR group population, kidneys with grade 1 and 2 reflux were defined as \"r kidneys with low-grade reflux\", and in VUR group with unilateral reflux, kidneys on the non-reflux side were defined as \"contralateral non-refluxing kidneys\". A total of 42 kidneys in the non-VUR group of 21 patients were defined as \"non-VUR kidneys\". The control non-VUR group included children who had DMSA scans for non-urological reasons (e.g., unexplained fever or abdominal pain), and showed no VUR. Three VUR group had solitary kidney and a total of 139 kidneys were investigated. Ultrasound elastography evaluation of the upper, middle and lower zones of the kidneys was performed. Three regions of interest (ROIs) were placed in each zone to evaluate the cortex, excluding the capsule and medulla as much as possible during measurements. A total of 9 measurements were performed in each kidneys and the mean shearwave elastography (SWE) speeds of the parenchyma were recorded in m/sec.</p><p><strong>Results: </strong>We have found that the SWS were significantly higher in kidneys with DMSA-proven scarring compared to those without scarring and to the control group (p < 0.05). In the Receiver Operating Characteristic (ROC) analysis performed, SWS of 2.06 m/s had 83.7 % sensitivity (95 % confidence Interval (CI) 70.3-92.7) and 76.5 % specificity (95 % CI 50.1-93.2; p < 0.001; AUC: 0.795) in differentiating between scarred and non-scarred kidneys with high-grade reflux (Figure 2).</p><p><strong>Conclusion: </strong>In conclusion, shear wave elastography can differentiate between renal functional units with and without DMSA-proven scarring. Although the precise scar location was not assessed, SWE appears to reflect global changes in cortical stiffness. Its non-invasive nature and accessibility make it a promising adjunct to conventional imaging methods.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006303","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":"Abdominoscrotal hydrocele repair using a scrotal approach.","authors":"Silvia Ceccanti, Denis A Cozzi","doi":"10.1016/j.jpurol.2025.07.038","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.07.038","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958246","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":"Rotation of the corpora cavernosa for ventral penile curvature: A length-preserving approach.","authors":"Sonia Pérez-Bertólez","doi":"10.1016/j.jpurol.2025.08.009","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.009","url":null,"abstract":"<p><p>Ventral penile curvature (VPC) poses a significant surgical challenge, particularly in cases of severe angulation. Conventional techniques such as dorsal plication often result in penile shortening, while ventral grafting requires additional surgical stages. Corporal rotation offers an effective, length-preserving alternative but remains underutilized in pediatric patients. We describe a standardized technique for corporal rotation in children with or without hypospadias. In a series of 21 patients with long-term follow-up (median: 4.1 years), complete penile straightening was achieved in all cases, with no recurrence or significant shortening. This technique provides a reliable, reproducible option for VPC correction in pediatric urology.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958377","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}