Journal of Pediatric Urology最新文献

{"title":"Transperitoneal and retroperitoneal robot-assisted urology in infants ≤ 10 kg: A FRUCT multi-centre study.","authors":"Fabrizio Vatta, Alice Faure, Quentin Ballouhey, Nathalie Botto, Thomas Loubersac, Alexis Arnaud, Olivier Abbo, Kiarash Taghavi, Julien Rod, Thomas Blanc","doi":"10.1016/j.jpurol.2025.09.014","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.09.014","url":null,"abstract":"<p><strong>Objective: </strong>Robot-assisted surgery is now established in pediatric urology; however, data on indications and morbidity in children weighing less than 10 kg remain limited. This study evaluates the feasibility and outcomes of robotic surgery in infants.</p><p><strong>Study design: </strong>A retrospective analysis of prospectively collected multicentric data was performed over nine years (2015-2024) including infants weighing less than 10 kg who underwent robot-assisted urological surgery. Demographic data, perioperative characteristics, and complications were collected from seven university hospitals.</p><p><strong>Results: </strong>83 infants were included, with a median age at surgery of 12 months (IQR: 8-16) and a median weight of 9 kg (IQR: 8-10). The main procedures were pyeloplasty (n = 37, 44 %), nephrectomy (upper pole or total, n = 20, 24 %), and adrenalectomy (n = 14, 17 %). Twenty-one procedures (25 %) were performed using a retroperitoneal approach. There were three conversions to open surgery: two during Wilms tumor surgery and one during bilateral adrenalectomy. The median hospital stay was 2 days (IQR: 1-3). Regarding 30-day morbidity, 10 infants (12 %) experienced complications (Grade II Clavien-Dindo), including febrile UTI (5 cases), stent displacement following pyeloplasty (3 cases), and transient urinary retention after bilateral ureteral reimplantation (2 cases). Additional complications observed beyond 30 days included two urinary tract infections (Grade II), one recurrence of hydrocolpos requiring reoperation (Grade IIIb), and one recurrence of ureteropelvic junction obstruction requiring reoperation (Grade IIIb). Median follow-up was 25 months (IQR: 11-66).</p><p><strong>Conclusion: </strong>This study demonstrates that robot-assisted urological surgery is feasible and safe in infants as young as three months of age. The reduced workspace does not appear to limit this surgical approach, whether via transperitoneal or retroperitoneal approach.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308393","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 fascia sling for isolated stress incontinence in prepubertal girls: Robotic approach stepwise demonstrated.","authors":"Mauro Van den Ende, Caroline Jamaer, Jolien Van der Jeugt, Erik Van Laecke, Piet Hoebeke, Anne-Françoise Spinoit","doi":"10.1016/j.jpurol.2025.09.025","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.09.025","url":null,"abstract":"<p><strong>Introduction: </strong>Stress urinary incontinence (SUI) affects girls & women regardless of age, posing unique challenges in Adolescents and Young Adults (AYA) seeking fertility preservation and considering pregnancy. Autologous fascia slings remain the gold standard for isolated SUI, especially with a wide bladder neck, offering a natural hammock and reducing erosion and infection risk compared to synthetic mesh. This series illustrates the RA fascia sling technique.</p><p><strong>Material & methods: </strong>A cases series of 5 female patients, mean age 12 years old (IQR 8,5-17) with lifelong SUI unresponsive to physiotherapy underwent video-urodynamics confirming SUI during Valsalva without detrusor overactivity and showing a wide bladder neck.</p><p><strong>Results: </strong>All patients were positioned gynecologically docked with three 8-mm trocars. In 25-degree Trendelenburg, the retropubic space was dissected, exposing bladder and urethra. A tunnel was created caudally to the urethra, preserving the vaginal wall. Fascia harvested from rectus abdominis was passed through using a guide loop and secured to the pubic bone, creating a hammock for the bladder neck-urethra zone. Minimal blood loss (<5 mL) occurred; all patients were discharged on postoperative day one. Continence was maintained at one-year follow-up.</p><p><strong>Conclusions: </strong>Robotic autologous slings offer a minimally invasive solution for SUI in AYA females considering pregnancy, with excellent short- and long-term outcomes and rapid recovery.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275032","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":"Lower urinary tract and bowel functions in patients operated for sacrococcygeal teratoma.","authors":"G Kadakal Köken, S Moralıoğlu","doi":"10.1016/j.jpurol.2025.09.024","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.09.024","url":null,"abstract":"<p><strong>Introduction: </strong>Sacrococcygeal teratomas (SCT), which are the most common germ cell tumours in the neonatal period, have frequent long-term complications including gastrointestinal and urological problems due to the anatomical region of origin. This study evaluates the lower urinary tract and bowel functions in patients who underwent surgery for SCT.</p><p><strong>Patients and methods: </strong>Fifteen patients who underwent sacrococcygeal teratoma surgery between 2007 and 2021 were retrospectively evaluated for lower urinary tract and bowel functions. Bladder function was assessed using patient interviews, urinalysis, voiding diaries, uroflowmetry, ultrasonography, and pressure-flow studies. In the bowel function evaluation, constipation and continence were assessed. Descriptive statistics were used to present the results as mean, standard deviation, median, frequency, and percentage.</p><p><strong>Results: </strong>Consequently, 15 patients were included, with a mean follow-up period of 8.5 years. The majority of patients were female, with a female-to-male ratio of 2.75:1. Based on the Altman classification, 73.3 % of the patients had type I SCT, 20 % had type II, and 6.6 % had type IV. The mean follow-up period of the patients was 8.5 years (2 years-15 years). Of the 15 patients whose lower urinary tract functions were assessed, 13 achieved full urinary continence and exhibited normal voiding volumes and frequency for their age. Ultrasonography findings were normal in all evaluated patients, with no residual urine or bladder abnormalities detected. Urodynamic tests showed normal detrusor activity and bladder capacities in most cases, though one patient exhibited a higher-than-expected bladder capacity during the filling phase. Voiding phase assessments revealed normal patterns in most patients, except for an 8-year-old case with Altman type IV SCT showing staccato voiding pattern and pelvic floor electromyography (EMG) activity. Anorectal examinations revealed normal anal anatomy, though fecalomas were detected in two cases. (Altman type II and IV SCT). Constipation, based on Rome IV criteria, was identified in 3 patients (1 Altman type I, 1 type II, and 1 type IV SCT). Based on the Holschneider scale, 11 patients achieved normal scores, while 3 (2 Altman type I, 1 Altman type II SCT). demonstrated good scores, reflecting overall satisfactory bowel control.</p><p><strong>Conclusion: </strong>Bladder function was uneffected in Altman type I and II cases, except for dysfunction in one type IV case. Constipation was noted in one case each of types I, II, and IV, with no other bowel abnormalities detected. Non-invasive investigations should be prioritized for type I and II cases, while invasive methods may be necessary for those with intrapelvic extension.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280522","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 wider erection angle in hypospadias: A neglected feature affecting surgical outcomes.","authors":"İbrahim Ulman, Sibel Tiryaki, Yusuf Atakan Baltrak, Ali Tekin","doi":"10.1016/j.jpurol.2025.09.002","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.09.002","url":null,"abstract":"<p><strong>Introduction: </strong>Penile curvature often accompanies hypospadias, and numerous techniques have been described for its correction; however, in some cases, an abnormal erection angle may also be present, further exacerbating the perception of curvature.</p><p><strong>Objective: </strong>This study investigates the significance of the erection angle in hypospadias cases and its correlation with the severity of the anomaly.</p><p><strong>Study design: </strong>A retrospective analysis of intraoperative photographs of hypospadias cases operated between 2019 and 2023 was performed. Erection angle was measured with a digital goniometer during a full artificial erection. Erection angles in proximal and distal hypospadias cases were analyzed and compared to data from Kinsey's subgroups representing healthy male erection angles.</p><p><strong>Results: </strong>This study involved images of 68 patients, with 31 having proximal and 37 distal hypospadias. The median age of the whole group was 11 months (6-156, IQR 9). Median erection angle was 91 (63-119, IQR 11) for distal cases, whereas it was 96 (75-138, IQR 21) for proximal cases. The difference was statistically significant (p = 0.009). The erection angle distribution in our cohort, including both proximal and distal hypospadias cases, skewed toward wider angles, highlighting a distinct pattern compared to data constituted by Kinsey and Sparling.</p><p><strong>Discussion: </strong>Our findings indicate that the erection angle in hypospadias is significantly wider in proximal cases, suggesting a correlation between erection angle and severity of the hypospadias. While we acknowledge the limitation of comparing our prepubertal cohort with Kinsey's adult data, the absence of evidence suggesting significant post-pubertal changes in erection angle justifies this approach. Additionally, the use of digital images for angle assessment is not a standardized technique in hypospadias evaluation; these images were initially captured for curvature assessment. Despite these limitations, our study provides novel insights into seldom mentioned association with hypospadias - a wide erection angle, emphasizing the need for further research on its implications for surgical planning and long-term outcomes.</p><p><strong>Conclusion: </strong>This study introduces a wider erection angle as an additional characteristic of hypospadias particularly pronounced in proximal cases. To our knowledge, this is the first focused investigation on addressing this aspect of the condition. It emphasizes the need for further research on adults with wide post-repair erection angles to explore its long-term impact on sexual function and aesthetics.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113026","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 impact of medicaid circumcision coverage on pediatric urologists' practices.","authors":"Michael Sischka, Nicolette G Payne, Ryan J Hassen, Gwen M Grimsby, Carlos A Villanueva","doi":"10.1016/j.jpurol.2025.08.030","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.08.030","url":null,"abstract":"<p><strong>Introduction: </strong>Routine circumcisions are covered by Medicaid in some U.S. states and not others. Data on how this coverage impacts pediatric urologists' practices is limited.</p><p><strong>Objectives: </strong>This study aimed to compare urologists' practices regarding newborn and operative circumcisions, other penile surgeries, circumcision complication procedures, and foreskin related office visits in states with and without Medicaid coverage of newborn circumcision.</p><p><strong>Study design: </strong>American Board of Urology (ABU) physician case logs from 2003 to 2023 of CPT codes for newborn circumcision, operative circumcision, circumcision complication procedures, and other penile surgeries were reviewed. Clinic visits for foreskin related conditions were compared using ICD codes. States without newborn circumcision coverage by Medicaid were compared to states with newborn circumcision coverage by Medicaid. States where the coverage changed during the study period were excluded. The Kruskal-Wallis Test was used to compare the median number of procedures per surgeon and clinic visits per surgeon between covered and uncovered states.</p><p><strong>Results: </strong>No significant differences were found in the median number of newborn circumcisions, operative circumcisions, circumcision complication procedures, or other penile surgeries per urologist between states with and without Medicaid coverage of newborn circumcision. Urologists in states with Medicaid coverage of newborn circumcision reported more office visits for congenital chordee and hidden penis than states without coverage, but no other differences in clinic visits were observed for other foreskin related conditions.</p><p><strong>Discussion: </strong>Prior studies have suggested that states without Medicaid coverage of newborn circumcision have increased numbers of circumcisions and other foreskin related procedures done in the operating room compared with states without coverage of newborn circumcision which may adversely affect the training and practice of urologists. This study found no difference in the case volume of penile surgery between states with and without coverage. The main limitation of the study is the source of the data from the ABU for which no prior reports exist of its accuracy or limitations.</p><p><strong>Conclusions: </strong>This study suggests that Medicaid coverage of newborn circumcision does not significantly impact the practice patterns of pediatric urologists in either the operating room or clinic setting.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113645","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":"Treatment outcomes of functional urinary incontinence in children after structured urotherapeutic training.","authors":"C M Schad, F Wachter, A M Schmidt, P Richert, S Hughes, M Stehr, F M Schäfer","doi":"10.1016/j.jpurol.2025.09.018","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.09.018","url":null,"abstract":"<p><strong>Purpose: </strong>Functional (Nonorganic) urinary incontinence (FUI) in children is a prevalent disorder and a common presenting symptom in clinical practice. Non-pharmaceutical urotherapeutic approaches are increasingly important treatment tools, but have not been studied for effectiveness. This study aims to evaluate the outcomes of children with FUI following Standardized Urinary Incontinence Training (SUIT) based on the guidelines of the German Consensus Group on Continence Training (KgKS) and to identify potential influencing factors that may hinder successful urotherapy.</p><p><strong>Material and methods: </strong>A retrospective analysis on 297 children aged 5-16 who underwent SUIT between 2017 and 2022 was conducted. Patient data were gathered from institutional records and a follow-up questionnaire. Participants were categorized according to their diagnosis and symptoms, including non-monosymptomatic enuresis nocturna (Non-MEN), daytime urinary incontinence (DUI), and dysfunctional voiding (DV) without incontinence. The outcomes were evaluated at early and late follow-ups using the criteria of the International Children's Continence Society (ICCS), with statistical analyses performed to identify significant predictors of success.</p><p><strong>Results: </strong>214 patients were available for the evaluation of initial success rate. Partial response or better was noted in 88.3 % while 44.4 % achieved complete response. 83.0 % of the 94 patients available for long-term follow-up maintained complete success over two years. Female patients showed significantly higher initial success rates compared to males (p = 0.028). Multiple logistic regression identified voiding postponement incontinence (VPI) as a positive predictor for success, while age, psychosocial stress (PSS) and attention deficit hyperactivity disorder (ADHD) were associated with lower success rates (p = 0.0002). Patients with VPI were 2.5 times more likely to achieve treatment success than those without VPI symptoms, while ADHD patients were five times less likely to achieve treatment success compared to individuals without ADHD. Overall, in patients without PSS or ADHD, the initial success rate was 94.8 %, incorporating the partial and complete response categories, while 88.0 % of those patients exhibited complete success in the long-term category.</p><p><strong>Conclusion: </strong>SUIT is an effective first-line treatment for FUI in children, with significant improvements observed in patients without comorbidities. The findings highlight the importance of tailored interventions and the potential benefits of multidisciplinary approaches that address behavioral factors in therapeutic protocols.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206683","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":"Validation of the Turkish pediatric incontinence questionnaire (PinQ-TR): A reliable measure for assessing HRQoL in children with LUTD.","authors":"Ece Zeynep Saatçı, Halil Tuğtepe, Elif Elçin Dereli, W F Bower, Tuğba Kuru Çolak","doi":"10.1016/j.jpurol.2025.09.020","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.09.020","url":null,"abstract":"<p><strong>Background: </strong>Lower urinary tract dysfunction (LUTD) is a prevalent condition in childhood that adversely affects multiple dimensions of health-related quality of life (HRQoL). The Pediatric Incontinence Questionnaire (PinQ) is a widely used, disease-specific instrument for capturing the psychosocial impact of urinary incontinence in children. To date, no validated Turkish version of this tool has been available.</p><p><strong>Objectives: </strong>This study aimed to translate, culturally adapt, and psychometrically validate the Turkish version of the Pediatric Incontinence Questionnaire (PinQ-TR) for use in children with LUTD, ensuring its conceptual equivalence and measurement accuracy in the Turkish pediatric population.</p><p><strong>Methods: </strong>A methodological study was conducted with 120 children aged 6-16 years diagnosed with LUTD. The translation process followed internationally accepted guidelines for cross-cultural adaptation. Psychometric evaluation included internal consistency (Cronbach's alpha), test-retest reliability (intraclass correlation coefficient, ICC), and construct validity. Convergent and discriminant validity were tested through correlations with the Pediatric Quality of Life Inventory (PedsQL) and Dysfunctional Voiding and Incontinence Scoring System (DVISS), respectively.</p><p><strong>Results: </strong>The PinQ-TR demonstrated strong internal consistency (α = 0.79) and excellent test-retest reliability (ICC = 0.967). Moderate-to-strong correlations with PedsQL and DVISS scores confirmed its construct validity. Floor and ceiling effects were minimal, indicating a broad sensitivity to patient-reported outcomes.</p><p><strong>Conclusions: </strong>The PinQ-TR is a valid, reliable, and culturally appropriate instrument for assessing HRQoL in Turkish-speaking children with LUTD. Its integration into clinical and research contexts may enhance outcome tracking, patient-centered care, and cross-cultural comparability in pediatric urology.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206717","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":"Can inter-sphincteric and pelvic floor botulinum toxin type A injections enhance clinical outcomes in pediatric patients with non-neurogenic dysfunctional voiding?","authors":"Pooya Hekmati, Negar Mohammadi Ganjaroudi, Arash Hassanpour Dargah, Mahdiyar Jaberi, Mohammad Amin Siri, Alvand Naserghandi, Soroush Mozafari, Abdol-Mohammad Kajbafzadeh","doi":"10.1016/j.jpurol.2025.09.019","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.09.019","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of external urethral sphincter (EUS) and perineal body BTX-A injections on uroflowmetric factors as well as severity of dysfunctional voiding.</p><p><strong>Methods: </strong>In a prospective cohort study, patients diagnosed with refractory non-neurogenic voiding dysfunction were included in this study. All cases were evaluated pre-operatively by ultrasonography, uroflowmetric study and electromyography (EMG). Voiding cystourethrography or direct radionuclide cystography and other diagnostic modalities were performed if indicated. Using a rigid pediatric endoscope, the urethra and bladder evaluated for underlying concurrent anomalies. BTX-A injection of the perineal body and EUS, was performed transperineally or/and endoscopically. The uroflowmetric parameters and dysfunctional voiding scoring system (DVSS) were evaluated as therapeutic outcomes. Post-operative voiding satisfaction was assessed using a 7-point Likert-type scale with higher response values reflecting greater symptom improvement.</p><p><strong>Results: </strong>The study demonstrated significant improvements in DVSS and uroflowmetric parameters in the included cases after a mean follow-up period of 16.14 ± 6.14 months. Among the 82 included cases, 12 patients experienced transient post-injection urinary incontinence, which resolved on average within 0.32 ± 0.91 weeks post-injection. Post-operative voiding satisfaction demonstrated a median score of 7 with an inter-quartile range of 1.25. Several limitations can be addressed including single center cohort study and absence of control group.</p><p><strong>Conclusion: </strong>This study demonstrates the therapeutic potential of BTX-A injection in refractory non-neurogenic dysfunctional voiding pediatric cases. In addition, the BTX-A injection depicted promising improvements of post-operative voiding satisfaction.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232806","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":"Expanding the clinical and translational role of antegrade genitography in obstructive Müllerian malformations.","authors":"Cherdpong Choenklang, Patpicha Arunsan, Schawanya K Rattanapitoon, Nathkapach K Rattanapitoon","doi":"10.1016/j.jpurol.2025.09.010","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.09.010","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186173","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 the letter to the editor: Expanding the clinical and translational role of antegrade genitography in obstructive Müllerian malformations.","authors":"Yitzhak Elkis, Guy Hidas","doi":"10.1016/j.jpurol.2025.09.011","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.09.011","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191830","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}