Supul Hennayake, Mahmoud Marei Marei, Adrian Bianchi
{"title":"A commentary on the STAC technique: Preservation of the bulbospongiosus muscle and a broader perspective","authors":"Supul Hennayake, Mahmoud Marei Marei, Adrian Bianchi","doi":"10.1016/j.jpurol.2025.02.045","DOIUrl":"10.1016/j.jpurol.2025.02.045","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"21 4","pages":"Pages 1030-1031"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692558","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":"Robotically procured living donor kidneys transplanted into pediatric recipients","authors":"Enric Lledo Graell , Mahmoud Morsi , Marina M. Tabbara , Angel Alvarez , Jayanthi Chandar , Rodrigo Vianna , Gaetano Ciancio","doi":"10.1016/j.jpurol.2025.03.009","DOIUrl":"10.1016/j.jpurol.2025.03.009","url":null,"abstract":"<div><h3>Background</h3><div><span>Use of living donors for kidney transplantation in </span>pediatric<span> recipients provides optimal long-term graft and patient survival; however, it accounts for only 28.5 % of transplants performed in the United States in 2021. Robotic-assisted living donor nephrectomy<span> is shown to be a safe and feasible option, offering enhanced visualization and improved surgical dexterity, allowing for a potential increase in the living donor pool for pediatric kidney transplant recipients, even in cases of grafts with anatomical variants.</span></span></div></div><div><h3>Methods</h3><div>We reviewed all pediatric patients (≤18 years of age) that received an open kidney transplant with a robotically procured living donor graft at our institution between October 2022 and July 2023. Recipient and living donor demographics, peri- and post-operative data, and graft characteristics were obtained and analyzed.</div></div><div><h3>Results</h3><div><span><span>Eight pediatric recipients were evaluated. Mean recipient age was 11 years, and seven recipients were male. Four kidney grafts required back-table reconstruction: three underwent vascular reconstruction (two requiring deceased donor </span>vascular grafts<span> as extensions of renal veins; one requiring conjoining of two renal arteries), and one underwent cyst removal. Mean cold and </span></span>warm ischemia time<span> were 73 and 29 min, respectively. There were no cases of delayed graft function or post-operative vascular or urological complications. Mean serum creatinine value at 1, 3, 6, and 12 months post-transplant was 0.785 mg/dL (N = 8), 0.808 mg/dL (N = 8), 0.818 mg/dL (N = 8) and 0.9 mg/dL (N = 3), respectively.</span></div></div><div><h3>Conclusion</h3><div>Our study shows that robotically procured living donor kidney grafts, even with anatomical variants, are a safe and feasible source for pediatric kidney transplantation. Utilization of grafts with vascular abnormalities for transplantation after vascular reconstruction does not appear to increase the risk of developing complications and therefore, can increase the donor pool for pediatric transplant candidates.</div></div>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"21 4","pages":"Pages 973-981"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772501","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}
Christina B. Ching, Massimo Garriboli, Luis H. Braga, M. Irfan Dönmez, Bernhard Haid, Luke Harper, Caleb Nelson, Anka Nieuwhof-Leppink, Ilina Rosoklija, Salvatore Cascio
{"title":"Developing a standardized approach to defining urinary tract infection is critical to clinical research","authors":"Christina B. Ching, Massimo Garriboli, Luis H. Braga, M. Irfan Dönmez, Bernhard Haid, Luke Harper, Caleb Nelson, Anka Nieuwhof-Leppink, Ilina Rosoklija, Salvatore Cascio","doi":"10.1016/j.jpurol.2025.01.039","DOIUrl":"10.1016/j.jpurol.2025.01.039","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"21 4","pages":"Pages 823-825"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968370","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":"Combined use of Mathieu V incision sutured meatoplasty (MAVIS) and incision of the urethral plate (IP) in distal hypospadias repair, MAVIS-IP urethroplasty modification","authors":"Mustafa Ozgur Tan","doi":"10.1016/j.jpurol.2025.04.040","DOIUrl":"10.1016/j.jpurol.2025.04.040","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"21 4","pages":"Pages 881-882"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086325","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}
Ramesh Babu , Vvs Chandrasekharam , Tariq O. Abbas
{"title":"Objective assessment of penile curvature in hypospadias: A narrative review","authors":"Ramesh Babu , Vvs Chandrasekharam , Tariq O. Abbas","doi":"10.1016/j.jpurol.2025.05.004","DOIUrl":"10.1016/j.jpurol.2025.05.004","url":null,"abstract":"<div><h3>Background</h3><div><span>Hypospadias-associated ventral curvature (VC) exerts a critical influence on surgical decision-making and repair outcomes. Despite the clinical significance of VC, assessment is frequently performed by unaided visual inspection (UVI) which is prone to error. Alternative objective measurement techniques have therefore been proposed, including </span>goniometry, smartphone applications, and artificial intelligence (AI)-based tools.</div></div><div><h3>Objective</h3><div>This review aims to evaluate the various techniques available for VC measurement in hypospadias surgery, focusing on their accuracy, reliability, and clinical utility.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted using PubMed, MEDLINE, and the Cochrane Database, covering publications from 1994 to 2024. Included studies assessed VC measurement techniques, including UVI, standard goniometry, smartphone-based goniometry, and AI-based tools. Risk of bias was determined using the Robvis tool.</div></div><div><h3>Results</h3><div>Of 501 studies identified, 13 met the inclusion criteria. Findings revealed that UVI was associated with significant inaccuracy, leading to misclassification of VC severity and potential errors in surgical planning. Standard goniometry, while objective, was cumbersome in pediatric patients due to parallax errors and anatomical constraints. Smartphone-based goniometry provided improved accuracy and interobserver reliability. AI-based methods demonstrated the highest precision by minimizing subjectivity and enhancing standardization.</div></div><div><h3>Conclusion</h3><div>Objective measurement techniques, particularly smartphone-based and AI-driven approaches, are superior to UVI in assessing penile curvature in hypospadias. Future advances in AI technology and digital imaging may further refine VC assessment, leading to improved surgical outcomes. Adoption of standardized, objective measurement methods should be encouraged in clinical practice.</div></div>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"21 4","pages":"Pages 865-873"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094123","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 letter re: “Two-flip Mathieu's technique in distal hypospadias with small glans”","authors":"Vikesh Agrawal, Ramesh Babu","doi":"10.1016/j.jpurol.2025.04.039","DOIUrl":"10.1016/j.jpurol.2025.04.039","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"21 4","pages":"Pages 883-884"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132581","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":"April 2025 edition of dialogues in pediatric urology - Society for fetal urology fall 2024 case reports","authors":"Douglas W. Storm","doi":"10.1016/j.jpurol.2025.07.003","DOIUrl":"10.1016/j.jpurol.2025.07.003","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"21 4","pages":"Pages 830-831"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830698","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}
Ahmed O. Mohamed , Nadeem Al-Khafaji , George Bethell , Robert Peters , Harriet Corbett
{"title":"Management strategies for bilateral intra-abdominal testes: Insights from a tertiary paediatric centre","authors":"Ahmed O. Mohamed , Nadeem Al-Khafaji , George Bethell , Robert Peters , Harriet Corbett","doi":"10.1016/j.jpurol.2025.03.012","DOIUrl":"10.1016/j.jpurol.2025.03.012","url":null,"abstract":"<div><h3>Introduction</h3><div><span>Cryptorchidism, occurring in 2–4 % of male </span>newborns<span>, necessitates orchidopexy<span><span> to mitigate associated risks, preferably between ages 3–12 months. While unilateral cases are common, bilateral intra-abdominal testes (BIAT) present unique challenges. This study reviews outcomes following bilateral Fowler-Stephens orchidopexy (FSO) at a </span>paediatric surgical tertiary centre, aiming to enhance preoperative counselling and contribute to management consensus.</span></span></div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted at a tertiary paediatric centre, identifying BIAT cases between 2005 and 2021. Clinical records of patients undergoing bilateral staged orchidopexy were reviewed. Primary endpoints included testicular size and position, with secondary outcomes examining staged versus non-staged procedures.</div></div><div><h3>Results</h3><div>We identified thirty patients who underwent Fowler-Stephens orchidopexy (FSO) for bilateral intra-abdominal testes (BIATs) between 2005 and 2021. The procedures were performed using both open surgery (n = 6) and laparoscopic techniques (n = 24), based on consultant preference. Among these patients, three underwent single-stage procedures, with 2 out of 3 having both sides operated on the same day. For the remaining twenty-seven patients, staged procedures were performed. In 22 out of 27 cases, the first stages were conducted bilaterally during the same operation. The second stages were performed synchronously in 3 out of 27 patients and on a metachronous basis in 24 out of 27 patients. The mean age at the time of the first procedure was 1.7 years, ranging from 3 months to 10 years. Outcomes revealed a success rate of 82 %, with 14 % atrophy and 3.5 % ascent rates. Comorbidities were noted in 50 % of patients, and only eight boys underwent endocrine evaluation.</div></div><div><h3>Conclusion</h3><div>Management of BIATs requires tailored approaches, with staged FSO offering favourable outcomes. Further research is needed to establish consensus guidelines for optimal management strategies.</div></div>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"21 4","pages":"Pages 967-972"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787801","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}
Dana A. Soukup, Hanh T.D. Pham, Tomas Lence, Angelena B. Edwards, Gina M. Lockwood, Douglas W. Storm, Christopher S. Cooper
{"title":"Response to letter to the editor re: “Correlation between renal sonographic measurements and differential renal function obtained from nuclear renography in children with unilateral hydronephrosis”","authors":"Dana A. Soukup, Hanh T.D. Pham, Tomas Lence, Angelena B. Edwards, Gina M. Lockwood, Douglas W. Storm, Christopher S. Cooper","doi":"10.1016/j.jpurol.2025.03.022","DOIUrl":"10.1016/j.jpurol.2025.03.022","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"21 4","pages":"Page 1029"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008132","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}