Comparison of hypospadias phenotype pixel segmentation to GMS score.
Hypospadias phenotype assessment determines if the anatomy is favorable for reconstruction. Glans-Urethral Meatus-Shaft (GMS) has been adopted in an effort to standardize hypospadias classification. While extremely subjective, GMS has been widely used to classify the severity of the phenotype to predict surgical outcomes. The use of digital image analysis has proven to be feasible and prior efforts by our team have demonstrated that machine learning algorithms can emulate an expert ’s assessment of the phenotype. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 24, 2024 Category: Urology & Nephrology Authors: Joshua Caldwell, Meghan Noonavath, Adam Maxwell, Viktoriya Sapkalova, Margarett Shnorhavorian, Nicolas Fernandez Source Type: research
Commentary to Clinical Characteristics and Surgical Treatment of Children with 45, X/46, XY Differences of Sex Development
Intersex, disorders of sexual development (DSD) or variations of sexual development is still an issue of major controversy. Since the end of the last century discussion has intensified. Patient groups, stakeholders, medical professionals, ethicists, social scientists, psychologists, advocates and others constantly try to delineate what is in the best interest of the individuals with a variant of sex development. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 23, 2024 Category: Urology & Nephrology Authors: Alexander Springer Source Type: research
What the Editors are Reading: Bladder Bowel Disorder
Gubbiotti M, Balzarro M, Zocante L, Di Gennaro G, Marchiafava M, Bedetti C, Rubilotta E. National Survey on bladder and bowel dysfunctions in Autism Spectrum Disorder population. Front. Psychiatry, March 2024 15:1140113. http://dx.doi.org/10.3389/fpsyt.2024.1140113 (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 23, 2024 Category: Urology & Nephrology Authors: Ubirajara Barroso Source Type: research
Bladder dysfunction in adolescents with type 1 diabetes
It is increasingly significant that adults with diabetes experience lower urinary tract symptoms, however, there has been limited research in younger individuals with type 1 diabetes. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 22, 2024 Category: Urology & Nephrology Authors: Vinni Faber Rasmussen, Mathilde Thrys øe, Páll Karlsson, Mette Madsen, Esben Thyssen Vestergaard, Jens Randel Nyengaard, Astrid Juhl Terkelsen, Konstantinos Kamperis, Kurt Kristensen Source Type: research
Long-term psychosexual adjustment of adults born with classic bladder exstrophy.
In literature studies exploring long-term psychosexual development and intimacy of adults living with the complex genitourinary conditions associated with classic bladder exstrophy (BE) are scarce, with small sample sizes and lacking in methodology. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 22, 2024 Category: Urology & Nephrology Authors: Irene Paraboschi, Gianluca Sampogna, Massimo Di Grazia, Waifro Rigamonti, Alfredo Berrettini Source Type: research
Four hour voiding observation study in infants with posterior urethral valves
Posterior urethral valves (PUV) are often associated with bladder dysfunction. Our primary aim was to investigate bladder status following primary valves resection to gather evidence of function and to guide early clinical management. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 20, 2024 Category: Urology & Nephrology Authors: Shimaa Ibrahim, Katerina Prodromou, Pankaj Mishra, Anne Wright, Joanna Clothier, Massimo Garriboli Source Type: research
Correspondence to - “A machine learning algorithm predicting risk of dilating VUR among infants with hydronephrosis using UTD classification”
We recently read the paper by Wang et al. with great interest, which is a single institutional study with 280 patients (540 renal units) using a machine learning-based model to differentiate which patients with prenatal hydronephrosis are most likely to “benefit” from VCUG, i.e., most likely to have high-grade reflux [1]. With the advent of better imaging techniques and greater awareness regarding routine prenatal imaging, the incidence of antenatally diagnosed cases of hydronephrosis has been increasing over the past decade. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 20, 2024 Category: Urology & Nephrology Authors: Somya Bhatt, Arvind Sinha, Manish Pathak, Kirti Kumar Rathod Source Type: research
Commentary to “Accuracy in reporting incontinence in adults with spina bifida: a pilot study”
Comprehending the true impact of incontinence on quality of life would be an invaluable tool in the pediatric urologist ’s toolkit when counseling patients and families on potential interventions and for stratifying severity of symptoms. Often the confluence of objectivity and subjectivity belies the “true” nature of something so personal as “bother.” Here, the authors attempted to determine how immediate r ecall of bother secondary to urinary or fecal incontinence in the spina bifida (SB) population compared to a daily diary chronicling episodes of incontinence1. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 20, 2024 Category: Urology & Nephrology Authors: Hersh Trivedi, Hans C. Arora Source Type: research
Urinary stone in infants; should vitamin d prophylaxis be stopped?
This study investigated the effect of the discontinuation of vitamin D supplementation on kidney stone formation in children under 2 years of age. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 16, 2024 Category: Urology & Nephrology Authors: Aykut AKINCI, Murat Can KARABURUN, Eralp KUBILAY, Vahid Talha SOLAK, Adem SANCI, Tarkan SOYGUR, Berk BURGU Source Type: research
Surgical Patterns in the Endoscopic Management of Pediatric Ureterocele: A Systematic Review and Meta-Analysis
To assess the results of endoscopic ureterocele treatments as well as the effects of ureterocele location (intravesical vs. ectopic) and anatomy (single vs. duplicated system) on treatment outcomes. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 13, 2024 Category: Urology & Nephrology Authors: Hanieh Salehi-Pourmehr, Behzad Lotfi, Mohsen Mohammad-Rahimi, Fatemeh Tahmasbi Source Type: research
Factors Contributing to Telemedicine Efficacy in Pediatric Urology
Despite swift implementation of telemedicine with the coronavirus disease 2019 pandemic, there is a paucity of research on its use for management of pediatric urology patients. Specifically, there is limited knowledge and inconsistent data on the effectiveness of telemedicine for various pediatric urologic conditions. Our aim was to evaluate the efficacy of pediatric urological care provided via video visits (VVs) at a large tertiary care children ’s hospital. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 13, 2024 Category: Urology & Nephrology Authors: Austin Schults, Regina L. Tham, Caleb P. Nelson, Julia B. Finkelstein Source Type: research
A potpourri of pediatric urology: Adolescent
‘Early in the history of mankind, human genetics selected for humane behaviors that furthered the good of the tribe. Tribes became villages, villages became cities and the sophistication of healers adjusted accordingly.’Dr David Bloom J Urol 2003 (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 12, 2024 Category: Urology & Nephrology Authors: Dan Wood Source Type: research
Reducing Fistula Rate in Hypospadias Repair: A Comparative Study Between Standard Tubularized Incised Plate Repair and Incorporation of a Layer of Spongiosum Tissue
The most prevalent complication in hypospadias repair is fistula formation. Adhering to the principle of providing urethroplasty coverage to mitigate fistula occurrence, we implemented a modification by integrating a spongiosum layer between the urethroplasty and the dartos flap. Our hypothesis posited that this approach would result in a reduced fistula formation rate. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 11, 2024 Category: Urology & Nephrology Authors: Omri Schwarztuch Gildor, Andrew Shumaker, Ilia Beberashvili, Kobi Stav, Amos Neheman Source Type: research
Response to commentary re 'commentary to surgical and functional outcomes of dorsal inlay graft urethroplasty in revision vs primary hypospadias repair in the pediatric age"
We thank the Authors of this comment for taking an interest in both our original article and the editorial commentary [1,2]. It provides a detailed digression on the anatomical structures that constitute and support the glandular urethra, and we appreciate the importance of a thorough understanding of the penile anatomy when embarking on complex reconstructive procedures such as hypospadias repairs. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 9, 2024 Category: Urology & Nephrology Authors: Michele Gnech, Carolina Bebi, Alfredo Berrettini, Gianantonio Manzoni Source Type: research
Long-term outcome of gender assignment in Individuals with 46, XY DSD assigned female sex in multicultural society
The decision regarding sex rearing in patients with Disorders of Sex Development (DSD) is heavily connected to the shared decision-making model within multidisciplinary team. Some of these patients might develop gender dysphoria, when they become adults. We have aimed to evaluate the long-term outcomes of patients with XY DSD who underwent female gender assignment at our center. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 9, 2024 Category: Urology & Nephrology Authors: Binyamin B. Neeman, Jawdat Jaber, Stanislav Kocherov, Floris Levy-Khademi, Amicur Farkas, Boris Chertin Source Type: research
