Harnessing the Epic Electronic Medical Record to Track Indwelling Ureteral Stents in a Pediatric Population
Retention of indwelling ureteral stents due to loss to follow-up can result in significant harm to patients, often requiring multiple trips to the operating room. Despite widespread use of electronic medical records, there are few standardized options for urologists to track ureteral stents and no data on the rate of retained stents in a pediatric population. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 20, 2021 Category: Urology & Nephrology Authors: Kathryn Wagner, Srinath-Reddi Pingle, Kathryn Walker, Erin Floridia, Carlos Medina, Courtney K. Rowe Source Type: research

Progression of Asymptomatic Nephrolithiasis in Children: How Often Should Patients Receive Follow-up Ultrasound Imaging?
The natural history of asymptomatic nephrolithiasis (AN) in children is not well defined. Furthermore, there is no guidance on the utility of repeated renal ultrasound evaluations in this same population. Follow-up ultrasound studies are often obtained as frequently as every 6 months. The goal of this study is to assess the follow-up ultrasound interval in the management of these patients. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 19, 2021 Category: Urology & Nephrology Authors: John Jayman, Hannah Gibbs, Robert Mathias, Monica Epelman, Pamela Ellsworth Source Type: research

Prevalence and causes of meatal stenosis in Circumcised Boys
The prevalence of meatal stenosis after circumcision remains unclear, and its causes are unknown. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 19, 2021 Category: Urology & Nephrology Authors: Smail Acimi, Naima Abderrahmane, Lamia Debbous, Nacim Bouziani, Juba Mohammed Mansouri, Mohammed Ali Acimi, Youcef Boukhari, Naziha Hadjeb, Aboubakr Essedik Yazi Source Type: research

A machine learning-based approach for quantitative grading of vesicoureteral reflux from voiding cystourethrograms: Methods and Proof of Concept
The objectivity of vesicoureteral reflux (VUR) grading has come into question for low inter-rater reliability. Using quantitative image features to aid in VUR grading may make it more consistent. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 18, 2021 Category: Urology & Nephrology Authors: Adree Khondker, Jethro CC. Kwong, Mandy Rickard, Marta Skreta, Daniel T. Keefe, Armando J. Lorenzo, Lauren Erdman Source Type: research

Bilateral Ureteral Reimplantation at Complete Primary Repair of Exstrophy: Post-Operative Outcomes
The value of bilateral ureteral reimplant (BUR) at the time of complete primary repair of bladder exstrophy (CPRE) has been suggested, however, outcomes are poorly characterized in current medical literature. We hypothesize that BUR at time of CPRE will decrease the rate of recurrent pyelonephritis, post-operative vesicoureteral reflux (VUR), and the need for subsequent ureteral surgery. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 17, 2021 Category: Urology & Nephrology Authors: Susan L. Jarosz, John K. Weaver, Dana A. Weiss, Joseph G. Borer, John V. Kryger, Douglas A. Canning, Travis W. Groth, Ted Lee, Aseem R. Shukla, Michael E. Mitchell, Elizabeth B. Roth Source Type: research

Analysis of Videos about Vesicoureteral Reflux on YouTube
To assess the content, reliability and quality of information regarding vesicoureteral reflux in YouTube videos, as a source of patient information. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 14, 2021 Category: Urology & Nephrology Authors: Arife Toksoz, Mesut Berkan Duran Source Type: research

Ureteral Wall Thickness at the Stone Site: A Critical Predictor of Success and Complications in Children Undergoing Semi-Rigid Ureteroscopy
We retrospectively assessed the role of ureteral wall thickness (UWT) at the ureteral stone site in predicting the stone-free status and the complication rates in children undergoing semi-rigid ureterorenoscopy (URS). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 13, 2021 Category: Urology & Nephrology Authors: Elif Alt ınay Kırlı, Emre Bülbül, Onur Kaygısız, Sezgin Yeni, Günay Can, Onur Tutar, Bulent Onal Source Type: research

Sacral Nerve Stimulator Success after Filum Section for Refractory Dysfunctional Voiding
We report our experience with sacral nerve stimulator (SNS) placement for pediatric patients with refractory DV after failed FS with the primary outcome being complications and explantations. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 12, 2021 Category: Urology & Nephrology Authors: Adam J. Rensing, Konrad M. Szymanski, Sally Dunn, Shelly King, Mark P. Cain, Benjamin M. Whittam Source Type: research

Utility and safety of hyperbaric oxygen therapy as a rescue treatment in complicated cases of hypospadias: A systematic review and meta-analysis
Objective.This systematic review and meta-analysis aimed to define the current evidence and systematically summarize the relevant data regarding the utility and safety of hyperbaric oxygen therapy (HBOT) as an adjunctive treatment in complicated re-operative cases of hypospadias.Method.The authors systematically searched the PubMed, EMBASE, Web of Science, and Scopus databases on August 5, 2021. Patients were divided into two groups, i.e. HBOT and non-HBOT. The main outcomes were graft failure rate and the incidence of complications following urethroplasty. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 12, 2021 Category: Urology & Nephrology Authors: Sachit Anand, Nellai Krishnan, Minu Bajpai Tags: Review Article Source Type: research

Testicular blood supply and growth in children with high cryptorchidism treated with gubernaculum preserving vs. cutting laparoscopic orchiopexy: A pilot trial
It is still controversial whether the frenum of testis should be retained in laparoscopic testicular fixation. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 11, 2021 Category: Urology & Nephrology Authors: Jianguo Zhang, Xia Yang, Chao Zhang, Haowei Li, Yongxiang Zhao, Chaosheng Ku, Lin Qi, Yu Bai, Lin Yang, Hailong Zhang, Dongqing Yue, Wenfeng Wei, Haibin Yu Source Type: research

Commentary on “Time until maximum flow rate uroflowmetry: A new parameter for predicting failure of transcutaneous electrical nerve stimulation (TENS) in treating children and adolescents with overactive bladder”
We have read with great interest the contribution done by Dr. Cruz et  al., in their study: “Time until maximum flow rate uroflowmetry: a new parameter for predicting failure of transcutaneous electrical nerve stimulation (TENS) in treating children and adolescents with overactive bladder” [1]. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 7, 2021 Category: Urology & Nephrology Authors: Isabel Casal-Beloy, Miriam Garc ía González, María Alejandra García-Novoa, Oriol Martín Solé, Sonia Pérez Bertolez, Luís García-Aparicio, Iván Somoza Argibay Tags: Letter to the Editor Source Type: research

Comentary on “Time until maximum flow rate uroflowmetry: a new parameter for predicting failure of transcutaneous electrical nerve stimulation (TENS) in treating children and adolescents with overactive bladder”
We have read with great interest the contribution done by Dr. Cruz et al., in their study: “Time until maximum flow rate uroflowmetry: a new parameter for predicting failure of transcutaneous electrical nerve stimulation(TENS) in treating children and adolescents with overactive bladder”(1). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 7, 2021 Category: Urology & Nephrology Authors: Isabel Casal Beloy, Miriam Garc ía González, María Alejandra García-Novoa, Oriol Martí Solé, Sonia Pérez Bertolez, Luís García-Aparicio, Iván Somoza Argibay Tags: Letter to the Editor Source Type: research

New characteristics of testicular torsion in children during COVID-19
Dear editor, we read with great interest an article in your journal about the characteristics of testicular torsion in children during COVID-19 pandemic in your medical center [1]. Indeed, the onset of COVID-19 pandemic poses incalculable risks and challenges to overall health strategies that will affect the condition and prognosis of children with testicular torsion. Our approach to managing testicular torsion was modified recognising the risks of COVID-19 infection. Therefore, our aim was to share the change in our clinical practice of managing children admitted with testicular torsion, and to investigate short-term outc...
Source: Journal of Pediatric Urology - October 7, 2021 Category: Urology & Nephrology Authors: Xianqiang Yu, Yong Zhang Tags: Letter to the Editor Source Type: research

Commentary on: Referral Patterns for Undescended Testis: A 7 Year Comparative Analysis of Primary Care Providers
Lewis et al. present an interesting manuscript regarding the referral patterns from primary care physicians for undescended testicles1. Their study identifies that the majority of providers (including pediatrics, medicine/pediatrics, and family medicine) refer patients outside of the recommended timeframe as stated in the American Urological Association (AUA) guidelines. Additionally, they find that most referring providers cite their residency as their source of education although the majority of the respondents finished their residency prior to the publication of the cryptorchidism guidelines in 2014. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 7, 2021 Category: Urology & Nephrology Authors: Tyler Trump, Amr A. Elbakry, Osama Al-Omar Tags: Letter to the Editor Source Type: research

Preoperative Glans & Penile Dimensions in Different Hypospadias Grades
To report glans and penile dimensions in 1023 consecutive boys with hypospadias. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 4, 2021 Category: Urology & Nephrology Authors: Michael Sennert, Johannes Wirmer, Ahmed T. Hadidi Source Type: research

Systematic Review of Telemedicine in Pediatric Urology
Telemedicine has bridged the distance gap between patients and pediatric urologists for over a decade, yet many pediatric urologists have not embraced it as a major part of their practice. The purpose of this systematic review is to evaluate and clarify the optimal role of telemedicine in pediatric urology, as well as the benefits, barriers, risks, and other important considerations that must be accounted for in its optimal adoption. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 4, 2021 Category: Urology & Nephrology Authors: Samuel Pettit, Ezekiel Young, Ichabod Jung Tags: Review Article Source Type: research

Symptomatic recurrence rate of upper urinary tract calculi in children after endourological procedures
The recurrence rate of paediatric urolithiasis was less reported, especially in Asians. Our aim was to verify the symptomatic recurrence rate of Chinese paediatric urolithiasis and to determine the predictive factors for stone recurrence. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 1, 2021 Category: Urology & Nephrology Authors: Xiao-Chuan Wang, Yu Zhang, Fang-Zhou Zhao, Jun Li, Ye Yian Source Type: research

Diagnosis, Management and Recurrence Rates of Mitrofanoff Polyps
Intraluminal polyps are a known complication following creation of a urinary continent catheterizable channel (Mitrofanoff). These polyps can lead to difficult catheterizations in addition to symptomatic bleeding. However, there is limited data available regarding management and outcomes of these polyps. We aim to describe clinical presentation and management of a large series of polyps occurring in a Mitrofanoff channel. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 28, 2021 Category: Urology & Nephrology Authors: Nabeel Ismail, Michael Daugherty, Andrew C. Strine, W. Robert DeFoor, Eugene Minevich, Pramod P. Reddy, Brian A. VanderBrink Source Type: research

Robot-assisted laparoscopic urologic surgery in infants weighing ≤10 kg: A weight stratified analysis
Robot-assisted laparoscopic (RAL) urologic surgery is widely used in pediatric patients, though less commonly in infants. There are small series demonstrating safety and efficacy in infants, however, stratification by infant size has rarely been reported. Whether a cut-off weight, below which RAL surgery is not technically feasible, safe, or efficacious has not be determined. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 27, 2021 Category: Urology & Nephrology Authors: James T. Rague, Rachel Shannon, Ilina Rosoklija, Bruce W. Lindgren, Edward M. Gong Source Type: research

Robot-Assisted Laparoscopic Urologic Surgery in Infants Weighing ≤10kg: A Weight Stratified Analysis
Robot-assisted laparoscopic (RAL) urologic surgery is widely used in pediatric patients, though less commonly in infants. There are small series demonstrating safety and efficacy in infants, however, stratification by infant size has rarely been reported. Whether a cut-off weight, below which RAL surgery is not technically feasible, safe, or efficacious has not be determined. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 27, 2021 Category: Urology & Nephrology Authors: James T. Rague, Rachel Shannon, Ilina Rosoklija, Bruce W. Lindgren, Edward M. Gong Source Type: research

The efficacy of physiotherapeutic intervention with biofeedback assisted pelvic floor muscle training in children with dysfunctional voiding
Dysfunctional voiding (DV) in children is a common issue, which can be found in up to 30% of children with wetting problems. Biofeedback assisted pelvic floor muscle training (PFMT) is an established nonpharmacological method to treat DV. The aim of the present study was to evaluate the efficacy of physiotherapeutic intervention with biofeedback assisted PFMT in children with DV. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 24, 2021 Category: Urology & Nephrology Authors: Line Vibeke Jacobsen, Cecilie Siggaard J ørgensen, Karen Margrethe Kaas Sørensen, Lise Enemark, Søren Rittig, Konstantinos Kamperis Source Type: research

TeleBBD: Telehealth management of bladder bowel dysfunction – a provider survey of benefits and limitations
Bladder bowel dysfunction (BBD), defined by the International Children ’s Continence Society (ICCS) as a spectrum of lower urinary tract and bowel symptoms, represents to up to 40% of pediatric urology consults. Management of BBD involves strict behavioral management with frequent follow ups by urology advanced practice providers (APPs). If left untreated, patients m ay develop secondary comorbidities that impact their renal and/or bladder function, bowel function, and psychosocial well-being. Previous studies have reported feasibility for virtual post-operative visits and prenatal consultations, however, telehealth ...
Source: Journal of Pediatric Urology - September 24, 2021 Category: Urology & Nephrology Authors: Angel Chen Kuo, Bethany Geleris, Anne Arnhym Source Type: research

Quality of reporting for pilot randomized controlled trials in the pediatric urology literature –A systematic review
The conduct and reporting of pilot studies is important to assess the feasibility of future randomized controlled trials (RCT). The Consolidated Standards of Reporting Trials (CONSORT) statement extension to pilot/feasibility studies addresses the reporting quality of the pilot studies (Summary Table 1). The aims of this systematic review are (1) to assess the reporting quality of pilot studies in pediatric urology and (2) to explore the factors that are associated with the reporting quality of these studies. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 23, 2021 Category: Urology & Nephrology Authors: Melissa McGrath, Chen Chen, Luis H. Braga, Forough Farrokhyar Source Type: research

Quality of reporting for pilot randomized controlled trials in the pediatric urology literature – A systematic review
The conduct and reporting of pilot studies is important to assess the feasibility of future randomized controlled trials (RCT). The Consolidated Standards of Reporting Trials (CONSORT) statement extension to pilot/feasibility studies addresses the reporting quality of the pilot studies (Summary Table 1). The aims of this systematic review are (1) to assess the reporting quality of pilot studies in pediatric urology and (2) to explore the factors that are associated with the reporting quality of these studies. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 23, 2021 Category: Urology & Nephrology Authors: Melissa McGrath, Chen Chen, Luis H. Braga, Forough Farrokhyar Source Type: research

Surgical simulation of pediatric laparoscopic dismembered pyeloplasty: reproducible high-fidelity animal-tissue model
To provide a high-fidelity, animal tissue-based model for the advanced surgical simulation of laparoscopic dismembered pyeloplasty in infants and children. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 23, 2021 Category: Urology & Nephrology Authors: T. Jhala, S. Zundel, P. Szavay Source Type: research

Comparison of NeoAlisTM disposable circumcision device and sleeve technique in circumcision: Results from a referral health-care center in Turkey
Circumcision has been one of the most commonly performed surgical procedures worldwide since ancient times. Given the popularity of this procedure, the aim of this study was to evaluate the effectiveness, reliability, and results of circumcision performed using the NeoAlisTM clamp and compare them with those obtained using the sleeve technique. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 23, 2021 Category: Urology & Nephrology Authors: Uygar Micoogullari, Murat Yildirim, Ismail Hakki Gol, Ozer Ural Cakici Source Type: research

Peak retrograde flow a potential objective management tool to identify young adults with varicocele ‘at risk’ for a high sperm DNA fragmentation
PRF highlighted the prevalence of SDF, both in the total and vital fractions of the spermatozoa, providing opportunities to manage such ‘at-risk’ adolescents/young adults. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 22, 2021 Category: Urology & Nephrology Authors: G. De Win, D. De Neubourg, S. De Wachter, D. Vagan ée, U. Punjabi Source Type: research

Temporary vesicostomy in pediatrics: what are the potential predictors of functional and morphological improvement of the upper urinary tract?
Vesicostomy is a simple, well-tolerated, and reversible procedure with few complications that safeguards upper urinary tract (UUT), decreases VUR grade, decreases UTI, and preserves renal function and should be considered in patients with PUV who have undergone prior valve ablation and bladder function not improved, and in myelodysplastic children that do not respond to catheter drainage [1- 4]. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 21, 2021 Category: Urology & Nephrology Authors: Elsayed M. Salih, Abdrabuh M. Abdrabuh, Ahmed Hussein Okasha, Hussein Galal Source Type: research

Response to letter to the Editor re' 15-year varicocelectomy outcomes in pediatric age: Beware of genitofemoral nerve injury'
We would like to thank the author for the interest in our paper regarding nerve injury after laparoscopic varicocelectomy [1] and for the pertinent comments made. Nerve injury after laparoscopic surgery is, in fact, a known but commonly neglected complication of various procedures [2 –5]. The cause of this lesion is frequently not identified. In light of the comments made to our paper, we would like to clarify some details about the 3 cases of nerve injury reported by us. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 20, 2021 Category: Urology & Nephrology Authors: Carolina Soares-Aquino, Sofia Vasconcelos-Castro, Jos é Miguel Campos, Miguel Soares-Oliveira Tags: Letter to the Editor Source Type: research

Response to letter to the Editor re'  15-year varicocelectomy outcomes in pediatric age: beware of genitofemoral nerve injury'
We would like to thank the author for the interest in our paper regarding nerve injury after laparoscopic varicocelectomy [1] and for the pertinent comments made. Nerve injury after laparoscopic surgery is, in fact, a known but commonly neglected complication of various procedures.[2-5] The cause of this lesion is frequently not identified. In light of the comments made to our paper, we would like to clarify some details about the 3 cases of nerve injury reported by us. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 20, 2021 Category: Urology & Nephrology Authors: Carolina Soares-Aquino, Sofia Vasconcelos-Castro, Jos é Miguel Campos, Miguel Soares-Oliveira Tags: Letter to the Editor Source Type: research

Reply to Letter: Insights on Usage of NIRF ICG in pediatric Urology
We would thank the colleagues for their comments on our paper focused on the use of indocyanine green (ICG) near-infrared fluorescence (NIRF) imaging in the pediatric patients. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 19, 2021 Category: Urology & Nephrology Authors: Ciro Esposito, Maria Escolino Tags: Letter to the Editor Source Type: research

Insights on usage of NIRF ICG in Pediatric Urology
None to declare. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 18, 2021 Category: Urology & Nephrology Authors: Madhur Anand, Sanjoy Kumar Sureka Tags: Letter to the Editor Source Type: research

Genetics: The Diagnostic Frontier in Pediatric Urology
On April 25,1953 the world of science was inexorably changed when the Rosetta Stone of all life – DNA – was discovered.1 DNA consists of words, sentences and entire chapters made up of only four alternating letters corresponding to the 4 nucleic acids in DNA. This language in DNA holds the promise of unraveling mysteries ranging from how we appreciate the beauty of a flower to why certain individuals are likely to develop cancer. In little more than half a human lifetime, the incomprehensible size of this human blueprint along with many of the miraculous mechanisms for its replication and interpretation has bee...
Source: Journal of Pediatric Urology - September 18, 2021 Category: Urology & Nephrology Authors: Martin Kaefer Tags: Educational Article Source Type: research

Commentary on: 15-Year varicocelectomy outcomes in pediatric age: Beware of genitofemoral nerve injury
no financial support. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 18, 2021 Category: Urology & Nephrology Authors: Prof Zampieri Nicola Tags: Letter to the Editor Source Type: research

A new biomarker (RENALASE) for the diagnosis of blunt renal trauma in an experimental study
Kidneys are the most frequently injured organ in the genitourinary system, but there is no specific biological marker for this trauma. Renalase may be a descriptive biomarker of the pathology that causes renal ischemia, nephrotoxicity, and acute renal failure. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 16, 2021 Category: Urology & Nephrology Authors: Mehmet Sara ç, Unal Bakal, Tugay Tartar, Süleyman Aydin, Tuncay Kuloğlu, Ibrahim Akdeniz, Meltem Yardim, Mustafa Yilmaz, Ahmet Kazez Source Type: research

A new biomarker (RENALAZ) for the diagnosis of blunt renal trauma in an experimental study
Kidneys are the most frequently injured organ in the genitourinary system, but there is no specific biological marker for this trauma. Renalase may be a descriptive biomarker of the pathology that causes renal ischemia, nephrotoxicity, and acute renal failure. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 16, 2021 Category: Urology & Nephrology Authors: Mehmet Sara ç, Unal Bakal, Tugay Tartar, Süleyman Aydin, Tuncay Kuloğlu, Ibrahim akdeniz, Meltem Yardim, Mustafa Yilmaz, Ahmet Kazez Source Type: research

Prospective Evaluation of Radiation Dose with Conventional Fluoroscopic Voiding Cystourethrogram in Pediatric Patients
Skin entrance doses for voiding cystourethrogram (VCUG) have not been well characterized in the literature. Radiation exposure is measured as either dose area product (DAP) or air kerma, which estimates the effective dose, but does not accurately reflect absorbed dose at skin level. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 14, 2021 Category: Urology & Nephrology Authors: Rajeev Chaudhry, Pankaj P. Dangle, Glenn M. Cannon, Francis X. Schneck, Heidi A. Stephany Source Type: research

Neonatal Multicystic Dysplastic Kidney with Mass Effect: A Systematic Review
Multicystic Dysplastic Kidney (MCDK) is a common cause of palpable abdominal mass in a neonate, yet reports are few of resultant life-threatening extrinsic compression. This systematic review is the first to review all known neonatal MCDK cases complicated by external compression due to mass effect. Our aim is to foster communication about these unusual cases to inform management of future comparable cases. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 11, 2021 Category: Urology & Nephrology Authors: Samuel Pettit, David Chalmers Tags: Review Article Source Type: research

Ultrasound of retained gonads in children and young women with androgen insensitivity syndrome
Gonadal management in androgen Insensitivity syndrome (AIS) patients has been controversial due to low risk of testicular cancer. Our study evaluated the role of ultrasound (US) in screening for malignancy in retained gonads in AIS patients. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 9, 2021 Category: Urology & Nephrology Authors: Boaz Karmazyn, Amr Salama, S.Gregory Jennings, Martin Kaefer Source Type: research

A potpourri of pediatric urology
One hundred sixty-nine years ago and just down the road from here, Thoreau woke up at 6am and declared “the news, the froth and scum of the eternal sea”1. Sick burn, Henry, and regrettably it often seems that way. If we set aside the paper, Walden-style, and remember that “waves may cast up pearls and seaweed”2 as the Olympics just wrapped up I will include some pearls on the theme of gold. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 8, 2021 Category: Urology & Nephrology Authors: Michael Kurtz Source Type: research

Risk of Urinary Tract Infection in Patients with Hydroureter: An Analysis from the Society of Fetal Urology Prenatal Hydronephrosis Registry
Prenatal hydronephrosis is one of the most common anomalies detected on prenatal ultrasonography. Patients with prenatal hydronephrosis and ureteral dilation are at increased risk of urinary tract infection (UTI) and continuous antibiotic prophylaxis (CAP) is recommended. However, current guidelines do not define the minimum ureteral diameter that would be considered a dilated ureter in these patients. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 7, 2021 Category: Urology & Nephrology Authors: Sarah A. Holzman, Luis H. Braga, Rebecca S. Zee, C. D. Anthony Herndon, Carol A. Davis-Dao, Nora G. Kern, Joshua D. Chamberlin, Melissa McGrath, Kai-wen Chuang, Heidi A. Stephany, Elias J. Wehbi, Tiffany T. Nguyen, Anne G. Dudley, Valre W. Welch, Gina M. Source Type: research

The Effect of Preoperative Tamsulosin on Ureteroscopic Access in School-Aged Children
Flexible ureteroscopes are not tailored for pediatric ureteral size and may not pass at first attempt into the pediatric ureter. Administration of tamsulosin preoperatively in adults has been shown to facilitate ureteral access sheath placement. Several studies have shown tamsulosin to be safe and effective when utilized for medical expulsive therapy in pediatric patients, but its utility for preoperative ureteral dilation has not been studied to date. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 3, 2021 Category: Urology & Nephrology Authors: Lauren M. McGee, Bryan S. Sack, Julian Wan, Kate H. Kraft Source Type: research

Implementation and Sustainability of an Enhanced Recovery Pathway in Pediatric Bladder Reconstruction: Flexibility, Commitment, Teamwork
We describe a quality improvement initiative and outcomes after implementing a 24-element ERP at a single, freestanding children ’s hospital. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 3, 2021 Category: Urology & Nephrology Authors: Yvonne Y. Chan, David I. Chu, Josephine Hirsch, Soojin Kim, Ilina Rosoklija, Abbey Studer, Megan A. Brockel, Earl Y. Cheng, Mehul V. Raval, Nicholas E. Burjek, Kyle O. Rove, Elizabeth B. Yerkes Source Type: research

The effect of meatal correction on daytime urinary incontinence in girls with an anterior deflected urinary stream
Girls with an anterior deflected urinary stream (ADUS) are known to wet the toilet rim and their buttocks while voiding. This deviation may prevent adopting an ideal toileting position and can thus develop into a functional voiding disorder. Although surgical correction of the urinary stream by a meatotomy is part of standard care in girls with ADUS and lower urinary tract symptoms (LUTS) at our center, little is known about the effect of this procedure on daytime urinary incontinence (DUI). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 3, 2021 Category: Urology & Nephrology Authors: Frank-Jan van Geen, Anka J. Nieuwhof-Leppink, Renske Schappin, Aart J. Klijn, Laetitia M.O. de Kort Source Type: research

Long-term functional and psychosocial outcome in adolescents and young adults treated for lower urinary tract dysfunction in childhood Long-term outcomes of childhood urinary symptoms
This study presents long-term functional outcome, psychological outcome and quality of life (QOL) of adolescents and young adults treated for childhood LUTD compared to healthy age-matched controls. In addition, association with past treatment outcomes is evaluated. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 2, 2021 Category: Urology & Nephrology Authors: L.L. De Wall, M.M. Kouwenberg, J.G.L. Cobussen-Boekhorst, W.F. Feitz, Y.R. Tak Source Type: research

Symptomatic corpus spongiosum deficiency in adolescents and young adults who underwent distal hypospadias repair during childhood
Several popular surgical techniques have been described for the repair of distal hypospadias; however, the role of repairing the corpus spongiosum was rarely discussed. Herein we review our experience with adolescents who underwent hypospadias repair during childhood. Their main complaints were partially or totally related to spongiosum deficiency, the surgical outcomes are also discussed. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 1, 2021 Category: Urology & Nephrology Authors: David Ali, Moneer K. Hanna Source Type: research

What the Editors are Reading: Quality Improvement and Patient Safety
As Covid-19 has entered its fourth wave, yet again, the annual in-person meetings of both the ESPU and AUA/SPU, have been cancelled. Clearly this impacts our comradery and ability to network, not to mention the knowledge we gain from de-facto, informal meeting at coffee breaks and other social opportunities which arise at face to face meetings that we have been so accustomed to attending. The lack of personal contact and perpetuation of virtual communication influences our well-being and resiliency, and how we educate one another and those I who we are training. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 31, 2021 Category: Urology & Nephrology Authors: Martin A. Koyle, Jacob Albersheim, Christopher Corbett Tags: What the Editors are Reading Source Type: research

Response to letter re ‘Persistent urothelial differentiation changes in the reconstructed exstrophic bladder: Congenital or acquired dysfunction of the epithelial barrier?’
We thank the authors from Baltimore for their positive comment on our work. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 23, 2021 Category: Urology & Nephrology Authors: Peter Rubenwolf, Wolfgang H. R ösch Tags: Letter to the Editor Source Type: research

Response to letter re 'Persistent urothelial differentiation changes in the reconstructed exstrophic bladder: congenital or acquired dysfunction of the epithelial barrier?'
We thank the authors from Baltimore for their positive comment on our work. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 23, 2021 Category: Urology & Nephrology Authors: Peter RUBENWOLF Tags: Letter to the Editor Source Type: research

Comment on: Persistent urothelial differentiation changes in the reconstructed exstrophyic bladder: congenital or acquired dysfunction of the epithelial barrier?
We would like to commend the authors on their work to further describe the urothelium in the exstrophic bladder. Analyzing 115 CBE specimens, they found persistent urothelial differentiation changes in the majority of bladders at the time of subsequent continence procedure after a successful primary closure. At present, the ability to foresee which bladders will grow capacity to gain continence continues to elude the pediatric urologist, and our best predictor continues to be a successful primary closures. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 23, 2021 Category: Urology & Nephrology Authors: Matthew Kasprenski, John P. Gearhart Source Type: research