Letter to the Editor re 'Variations of sex development: The first German interdisciplinary consensus paper
In the paper “Variations of sex development: the first German interdisciplinary consensus paper” published in this journal [2019, April 15(2): 114-123], the authors state that “recent outcome studies also indicate that the results of past treatments are far worse than expected”, referring, among others, to two works from our group, respectively “Anatomical and functional outcomes of feminizing genitoplasty for ambiguous genitalia in patients with virilizing congenital hyperplasia” (ref.2) and “Long-term surgical outcomes of masculinizing genitoplasty in large cohort of patients wit...
Source: Journal of Pediatric Urology - July 20, 2019 Category: Urology & Nephrology Authors: Maria Helena Palma Sircili, Francisco Tibor D énes, Berenice B. Mendonca Tags: Letter to the Editor Source Type: research

Response to letter to the Editor re'Variations of sex development First German interdisciplinary Consensus Paper'
I apologize that you felt attacked by our wording “results of past treatments are far worse than expected“. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 20, 2019 Category: Urology & Nephrology Authors: Susanne Krege Tags: Letter to the Editor Source Type: research

Automated electronic discharge summary for patients undergoing acute scrotal exploration: does it improve accuracy and quality?
The acute scrotum is a common emergency presentation and the priority is to exclude testicular torsion, which typically requires scrotal exploration. The accuracy of electronic discharge summaries for patients undergoing acute scrotal exploration have previously been shown to be poor. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 18, 2019 Category: Urology & Nephrology Authors: Benjamin Starmer, Matthew Barton, Harriet Corbett Source Type: research

Implementation of the Accelerated Care of Torsion (ACT) pathway: a quality improvement initiative for testicular torsion
Timely diagnosis and management of testicular torsion is of paramount importance. Furthermore, time to surgical intervention is a benchmark for the quality of care provided by pediatric urologists included in US News and World Report (USNWR) methodology. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 17, 2019 Category: Urology & Nephrology Authors: Rebecca S. Zee, Christopher E. Bayne, Patrick T. Gomella, Hans G. Pohl, H. Gil Rushton, Tanya D. Davis Source Type: research

Spinal Anesthesia in Children: Most Pediatric Urologists Are Not On Board
Thank you for this thoughtful comment. Several of the authors are in agreement with your points and are advocates for the use of spinal anesthesia in selective infants undergoing urological surgery. We need to emphasize though that the goal of our study was not to espouse our views of the state of the science in this area, but rather to report on the current opinions of pediatric urologists regarding the use of spinal anesthesia in their cases. Whether their patients might be better served by using more spinal anesthesia is a different question, but we did find that general anesthesia remains the preferred option and that ...
Source: Journal of Pediatric Urology - July 16, 2019 Category: Urology & Nephrology Authors: Alexandra Rehfuss, Guy Bogaert, Barry A. Kogan Tags: Letter to the Editor Source Type: research

Infant spinal anesthesia: a safe, efficient, and worthwhile collaboration
I read with interest Dr. Rehfuss and colleague ’s work regarding her survey of pediatric urologists’ opinions on use of spinal anesthesia as opposed to general anesthesia in young children.(1) This is an important exploration of a misunderstood topic. However, several important benefits of spinal anesthesia in infants were unfortunately omit ted from her manuscript. Notably, spinal anesthesia allows for avoidance of intubation and subsequent risk of hypoxia associated with airway manipulation, as well as improved hemodynamic stability, with minimal risk of hypotension and bradycardia. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 16, 2019 Category: Urology & Nephrology Authors: Ashlee Holman, Bishr Haydar, Kate Kraft, John Park Tags: Letter to the Editor Source Type: research

Can Distal Ureteral Diameter Measurement Predict Primary Vesicoureteral Reflux Clinical Outcome and Success of Endoscopic Injection?
To evaluate the predictive value of distal ureteral diameter ratio(UDR) on outcome of primary vesicoureteral reflux(VUR) and reflux resolution after endoscopic injection. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 13, 2019 Category: Urology & Nephrology Authors: Ay şe Demet Payza, Münevver Hoşgör, Erkin Serdaroğlu, Arzu Sencan Source Type: research

Transinguinal laparoscopic evaluation of contralateral side during unilateral inguinal hernia repair for children
Inguinal hernia repair is a common procedure in daily pediatric surgical practice. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 13, 2019 Category: Urology & Nephrology Authors: Gulnur Gollu, Ufuk Ates, Kutay Bahadir, Ergun Ergun, Aydin Yagmurlu, Murat Cakmak, Tanju Aktug, Huseyin Dindar, Meltem Bingol-Kologlu Source Type: research

Occupational exposure to endocrine disrupting chemicals and other parental risk factors in hypospadias and cryptorchidism development: a case-control study
Endocrine disrupting chemicals (EDC) are exogenous agents that are capable of altering the endocrine system functions, including the regulation of developmental processes. The aim of this study was to investigate the association between endocrine disrupting chemicals (EDC) exposure and other parental factors in the aetiology of hypospadias and cryptorchidism. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 12, 2019 Category: Urology & Nephrology Authors: Blanca Estors Sastre, Carlos Campillo Artero, Yurema Gonz ález Ruiz, Rafael L. Fernández Atuan, Paolo Bragagnini González, Guillem Frontera Juan, Jesús Gracia Romero Source Type: research

Accuracy of point-of-care ultrasound by pediatric emergency physicians for testicular torsion
Acute scrotum is a common presentation to the pediatric emergency department, and ultrasound is frequently used to narrow the differential diagnosis. Point-of-care ultrasound is increasingly used by urologists and emergency physicians, and could potentially be used to detect pediatric testicular torsion. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 12, 2019 Category: Urology & Nephrology Authors: Nir Friedman, Zachary Pancer, Ranko Savic, Felicia Tseng, Michelle S. Lee, Lianne Mclean, Darius J. Bagli, Mark O. Tessaro Source Type: research

Cystoscopic transurethral incision in simple and duplex ureteroceles – is it the definitive procedure?
The aim of this study is to evaluate the efficacy of primary cystoscopic transurethral incision (CTUI) in the management of pediatric ureteroceles. The secondary aim is to compare the efficacy of CTUI between simplex and duplex systems. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 11, 2019 Category: Urology & Nephrology Authors: Kimberley Aikins, Kiarash Taghavi, Megan Grinlinton, Peter Reed, Neil Price, Vipul Upadhyay Source Type: research

Ewing ’s sarcoma/primitive neuroectodermal tumor of the urogenital system in children: a retrospective observational case series
Pediatric ES/PNET occurring in the genitourinary system has been rarely reported. And the result of long-term follow-up is still a matter of debate. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 5, 2019 Category: Urology & Nephrology Authors: Yuzhu He, Ning Sun, Weiping Zhang, Xiaoli Ma, Xin Ni, Mei Jin, Jihang Sun, Hongcheng Song Source Type: research

Do prune belly syndrome and neural tube defects change testicular growth? a study in human fetuses
There are no reports comparing testicular volume between normal, prune belly syndrome (PBS) and anencephalic fetuses. Our hypothesis was that PBS, and especially anencephaly, alter the testicular volume during the human fetal period. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 5, 2019 Category: Urology & Nephrology Authors: Rodrigo S. Pires, Carla M. Gallo, Francisco J.B. Sampaio, Luciano A. Favorito Source Type: research

Parent Perceptions of Psychosocial Care for Children with Differences of Sex Development
Children affected by differences/disorders of sex development (DSD) and their families are vulnerable to significant risks across developmental stages that threaten quality of life and psychosocial functioning. Accordingly, both experts in DSD treatment and patient advocacy groups have endorsed the incorporation of psychosocial care into interdisciplinary management of DSD conditions. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 4, 2019 Category: Urology & Nephrology Authors: Canice E. Crerand, Hillary M. Kapa, Jennifer L. Litteral, Leena Nahata, Bethanie Combs, Justin A. Indyk, Venkata R. Jayanthi, Yee-Ming Chan, Amy C. Tishelman, Jennifer Hansen-Moore Source Type: research

The Role of Anatomic Pelvic Dissection in the Successful Closure of Bladder Exstrophy: An Aid to Success
Classic bladder exstrophy is one of the rarest congenital anomalies compatible with life. Surgical treatment of bladder exstrophy has progressed but the goal of surgery remains a successful primary bladder closure. Several factors have been identified to decrease the risk of failed closure, including appropriate use of osteotomy, and adequate postoperative immobilization and analgesia. However, the role of the radical anatomic pelvic dissection, including dissection of the urogenital diaphragm fibers, in a successful closure has not yet been extensively explored. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 4, 2019 Category: Urology & Nephrology Authors: Rachel Davis, Mahir Maruf, Emily Dunn, Heather DiCarlo, John P. Gearhart Source Type: research

What The Editors Are Reading This Month ’s Review: Adolescent Urology
(Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 2, 2019 Category: Urology & Nephrology Authors: Rosalia Misseri Tags: What the Editors are Reading Source Type: research

Totally fluoroless retrograde intrarenal surgery technique in pre-stented patients - tips and tricks
Treatment of urolithiasis has evolved greatly as retrograde intrarenal surgery (RIRS) has gained popularity being nowadays a gold-standard therapy for renal stones up to 2cm. Endourological procedures are traditionally fluoroscopic guided, thus an increasing concern is the harm of radiation exposure, especially in the pediatric population. Therefore, performing fluoroless RIRS should be a feasible option for pediatric urologists. Herein we describe the technique of totally fluoroless RIRS in presented patients and the tips to avoid radiation use at most. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - July 2, 2019 Category: Urology & Nephrology Authors: Esteban Emiliani, Guilherme Lang Motta, Erika Llorens, Yesica Quir óz, Andrés Koey Kanashiro, Oriol Angerri, Joan Palou, Anna Bujons Tags: How I do it Source Type: research

Biomarkers and their future use in clinical diagnostics and treatment
Biomarkers can be used to, at least partly, explain underlying mechanisms of a symptom or condition as in the article by Girisgen et al where both non-mono and mono-symptomatic bedwetting is the topic of investigation. During the last 3-4 decades there have been several studies showing that in the normal prepubertal child, the lowering of the nighttime diuresis is accompanied by a nightly increase in plasma arginine-vasopressin (AVP) with a peak in the first third of the night (2). Children with the polyuric type of bedwetting lack this increase on wet nights albeit if they have a dry night they may also display a nightly ...
Source: Journal of Pediatric Urology - June 29, 2019 Category: Urology & Nephrology Authors: Jens Christian Djurhuus Source Type: research

Commentary to 'Impact of Pelvic Immobilization Techniques on the Outcomes of Primary and Secondary Closures of Classic Bladder Exstrophy'
The authors' report the outcomes of bladder exstrophy closure based on the type of post-operative immobilization techniques from patients seen at their institution. Patients included in the study were closed at both their own institution and other institutions. They conclude that success rate was highest with Buck ’s and Bryant’s traction and lowest when using spica casting. However, none of the patients who were closed with spica casting in their study population were closed at their institution. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 29, 2019 Category: Urology & Nephrology Authors: Dr. Travis Groth Source Type: research

Comment on the “Letter to Editor” related to the article “Neurogenic bladder in the settings of Congenital Zika Syndrome: a confirmed and unknown condition for urologists”
We read with great interest the “Letter to the Editor” commenting on our article “Neurogenic bladder in the settings of Congenital Zika Syndrome (CZS): a confirmed and unknown condition for urologists”[1] and welcomed the opportunity to further discuss this very intriguing topic. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 29, 2019 Category: Urology & Nephrology Authors: Lucia M. Costa Monteiro, Glaura N. de O. Cruz, Ana C. Monteiro, Maria Elizabeth L. Moreira Tags: Letter to the Editor Source Type: research

Neurogenic bladder and congenital Zika syndrome
we read the publication on “Neurogenic bladder in the settings of congenital Zika syndrome (CZS): a confirmed and unknown condition for urologists [1]” with a great interest [1]. Costa Monteiro et al. concluded that “NB is a common condition among our patients with CZS and microcephaly [1].” We would like to share ide as and view from our setting in tropical Indochina. In our setting, although the infection is not uncommon [2] and there are many silent immunoreactive case [3] most cases are asymptomatic [2]. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 28, 2019 Category: Urology & Nephrology Authors: Beuy Joob, Viroj Wiwanitkit Tags: Letter to the Editor Source Type: research

Crossed fused renal ectopia in children: a review of clinical profile, surgical challenges, and outcome
Crossed fused renal ectopia is a rare congenital malformation, wherein both kidneys are present unilaterally, with the ureter of the crossed kidney opening into the bladder on the contralateral side. It has varied presentation from incidental detection to renal impairment. In this largest series of crossed fused renal ectopia, the authors assessed the clinical profile of these children and also attempted to shed light on the challenges in the surgical management. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 26, 2019 Category: Urology & Nephrology Authors: A.K. Loganathan, H.S. Bal Tags: Review Article Source Type: research

Crossed-fused renal ectopia in children: a review of clinical profile, surgical challenges and outcome
Crossed-fused renal ectopia is a rare congenital malformation, wherein both kidneys are present unilaterally, with the ureter of the crossed kidney opening into the bladder on the contralateral side. It has varied presentation from incidental detection to renal impairment. In this largest series of crossed-fused renal ectopia, we assessed the clinical profile of these children and also attempted to shed light on the challenges in the surgical management. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 26, 2019 Category: Urology & Nephrology Authors: A.K. Loganathan, H.S. Bal Tags: Review Article Source Type: research

A Clinical Pathway To Minimize Computed Tomography For Suspected Nephrolithiasis in Children
Ultrasound (US) imaging is preferred in the initial evaluation for children with suspected nephrolithiasis; however, computed tomography (CT) continues to be used in this setting with resultant unnecessary ionizing radiation exposure. Our institution implemented a standardized clinical pathway to reduce rates of CT utilization for children with nephrolithiasis. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 25, 2019 Category: Urology & Nephrology Authors: Jonathan S. Ellison, Claudia S. Crowell, Holly Clifton, Kathryn Whitlock, Wren Haaland, Tony Chen, Paul Merguerian, Russell Migita, Surabhi B. Vora Source Type: research

The Use of Steroid Cream for Physiologic Phimosis in Male Infants with History of UTI and Normal Renal Ultrasound is Associated with Decreased Risk of Recurrent UTI
An uncircumcised male infant with a history of urinary tract infection (UTI), physiologic phimosis, and a normal renal ultrasound is a common patient referred to our clinic. Topical steroid creams have been shown to effectively release physiologic phimosis. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 25, 2019 Category: Urology & Nephrology Authors: Catherine J. Chen, Arthi Satyanarayan, Bruce J. Schlomer Source Type: research

Commentary to ‘Topical estradiol increases epidermal thickness and dermal collagen of foreskin prior to hypospadia surgery – randomized double blinded controlled trial’
In this study, the authors examine the effects of administering pre-operative topical estradiol to boys with hypospadias. In contrast to testosterone, estradiol does not, and is not intended to, increase penile size [2]. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 22, 2019 Category: Urology & Nephrology Authors: C.J. Long, D.A. Weiss Source Type: research

Risk of re-operation after outpatient distal hypospadias repair in a large, multistate cohort
Repair of distal hypospadias is one of the most common pediatric urology procedures in the US. However, the risk of postsurgical complications has been reported primarily from single-institution and tertiary center studies, with short duration of patient follow-up. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 22, 2019 Category: Urology & Nephrology Authors: Y.V. Sebasti ão, C.T. Brown, J.N. Cooper, D.J. McLeod, D.G. DaJusta Source Type: research

Risk of Reoperation After Outpatient Distal Hypospadias Repair in a Large, Multi-State Cohort
Repair of distal hypospadias is one of the most common pediatric urology procedures in the U.S. However, the risk of post-surgical complications has been reported primarily from single-institution and tertiary center studies, with short duration of patient follow-up. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 22, 2019 Category: Urology & Nephrology Authors: Yuri V. Sebasti ão, Christopher T. Brown, Jennifer N. Cooper, Daryl J. McLeod, Daniel G. DaJusta Source Type: research

Urothelial Cell Carcinoma of the Bladder in Pediatric Patients: A Systematic Review and Data Analysis of the World Literature
Urothelial cell carcinoma (UCC) of the bladder is exceedingly rare in pediatric patients. Limited data is available to guide management in this population. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 22, 2019 Category: Urology & Nephrology Authors: Michael E. Rezaee, Charlene M. Dunaway, Michael L. Baker, Frank J. Penna, David R. Chavez Tags: Review Article Source Type: research

Commentary to 'topical estradiol increases epidermal thickness and dermal collagen of foreskin prior to hypospadia surgery - randomized double blinded controlled trial'
In this study, the authors examine the effects of administering preoperative topical estradiol to boys with hypospadias. In contrast to testosterone, estradiol does not, and is not intended to, increase penile size. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 22, 2019 Category: Urology & Nephrology Authors: Christopher J. Long, Dana A. Weiss Source Type: research

Computed Tomograpy Evaluation Of Ureteral Length In Children
Although ureteral length (UL) is highly variable in children, reliable data on this topic are scarce. During urinary tract surgery, the use of an inappropriately dimensioned ureteral stent is associated with adverse effects. We sought to evaluate UL as a function of the child ’s age, using contrast-enhanced computed tomography (CT) of the abdomen and pelvis, and to calculate a new equation for predicting UL (and thus the optimal length of ureteral stents) in children. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 21, 2019 Category: Urology & Nephrology Authors: Thomas Forzini, Marion Demouron, Marine Uhl, S ébastien Mesureur, Cédric Renard, C. Klein, Elodie Haraux Source Type: research

Comparing micropercutaneous nephrolithotomy and retrograde intrarenal surgery in treating 1 –2 cm solitary renal stones in pediatric patients younger than 3 years
To compare the effects of micropercutaneous nephrolithotomy (micro-PCNL) and retrograde intrarenal surgery (RIRS) in treating 1 –2 cm solitary renal stones in pediatric patients aged less than 3 years. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 20, 2019 Category: Urology & Nephrology Authors: W. Wang, Y. Ge, Z. Wang, L. Wang, J. Li, Y. Tian Source Type: research

Extracorporeal Shock Wave Lithotripsy Versus Ureteroscopy for Management of Pediatric Nephrolithiasis in Upper Tract Urinary Stones: Multi-Institutional Outcomes of Efficacy and Morbidity
As the incidence of pediatric nephrolithiasis rises, understanding the efficacy and morbidity of surgical treatment options is critical. Currently, there is limited comparative data assessing shock wave lithotripsy (SWL) and ureteroscopy (URS) outcomes in children. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 20, 2019 Category: Urology & Nephrology Authors: Kathryn Ann Marchetti, Ted Lee, Nicholas Raja, Lauren Corona, Kate H. Kraft, Julian Wan, Jonathan S. Ellison Source Type: research

Comparing Micro-Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in Treating 1 –2 cm Solitary Renal Stones in Pediatric Patients Younger Than 3 Years
To compare the effects of micropercutaneous nephrolithotomy (micro-PCNL) and retrograde intrarenal surgery (RIRS) in treating 1 –2 cm solitary renal stones in pediatric patients aged less than 3 years. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 20, 2019 Category: Urology & Nephrology Authors: Wenying Wang, Yucheng Ge, Zhipeng Wang, Lei Wang, Jun Li, Ye Tian Source Type: research

Impact of body mass index on 30-day postoperative morbidity in pediatric and adolescent patients undergoing continent urinary tract reconstruction
Obesity has been thought to increase the risk of complications and need for additional resources with surgery, but only a limited amount of evidence is available in the pediatric population. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 19, 2019 Category: Urology & Nephrology Authors: Andrew C. Strine, Brian A. VanderBrink, Tal May, Abbey C. Riazzi, Marion Schulte, Paul H. Noh, William R. DeFoor, Eugene Minevich, Curtis A. Sheldon, Pramod P. Reddy Source Type: research

Do pediatricians routinely perform genitourinary examinations during well-child visits? A review from a large tertiary pediatric hospital
The male genital examination is a common source of discomfort for the patient and medical provider. Performance of male genital examination is imperative; however, as many treatable diagnoses can be made. Undescended testicles (UDTs), hernias, testicular tumors, and urethral abnormalities are all potentially concerning findings which can be discovered on routine examination. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 19, 2019 Category: Urology & Nephrology Authors: J.A. Gerber, A. Balasubramanian, C.J. Jorgez, M.A. Shukla, J.S. Jacob, H. Zhu, K.R. Sheth, A. Mittal, D.D. Tu, C.J. Koh, N. Janzen, M.-H. Wang, P.F. Austin, E.T. Gonzales, D.R. Roth, A. Seth Source Type: research

The Efficacy of Unilateral Laparoscopic Nephrectomy in the Pediatric Hypertensive Patient
Secondary hypertension due to a poorly functioning or nonfunctional kidney may be refractory to medical management. In such cases nephrectomy can improve or cure hypertension. With the routine use of laparoscopy, nephrectomy can be performed in a minimally invasive manner, but surgery still carries inherent risks and complications. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 19, 2019 Category: Urology & Nephrology Authors: Kunj R. Sheth, James Anaissie, Shiv Patel, Jeffrey T. White, Abhishek Seth Source Type: research

Outcomes of staged Lingual Mucosal Graft Urethroplasty for redo hypospadias repair
The objective of this study was to present the outcomes for redo hypospadias repair using lingual mucosal graft (LMG) (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 18, 2019 Category: Urology & Nephrology Authors: Hussein Abdelhameed Aldaqadossi, Hossam Shaker, Hamada Youssof, Youssof Kotb, Mahmoud Eladawy Source Type: research

Voiding cystourethrography and 99MTC-MAG3 renal scintigraphy in pediatric vesicoureteral reflux: what is the role of indirect cystography?
Primary vesicoureteral reflux (VUR) is the most common urological anomaly in children. Voiding cystourethrography (VCUG) is considered the reference standard for the diagnosis of VUR. Even if it is a secure and standardized technique, it is still an invasive method, hence, the effort to find an alternative method to diagnose VUR. The aim of the study is to evaluate the diagnostic accuracy of 99mTC-MAG3 scintigraphy with indirect cystography in detecting VUR and to estimate any interobserver variability in 99mTC-MAG3 scintigraphy interpretation. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 17, 2019 Category: Urology & Nephrology Authors: V. Capone, F. Taroni, M.A. Pavesi, M. Castellani, D. Consonni, A. Berrettini, B. Crapella, G. Marra, D. De Palma, P. Zucchetta, G.A. Manzoni, G. Montini Source Type: research

VCUG and 99MTC-MAG3 Renal Scintigraphy in Pediatric VUR: What is the Role Of Indirect Cystography?
Primary vesicoureteral reflux (VUR) is the most common urological anomaly in children. Voiding cystourethrography (VCUG) is considered the reference standard for the diagnosis of VUR. Even if it is a secure and standardized technique, it is still an invasive method. Hence the effort to find an alternative method to diagnose VUR. The aim of our study is to evaluate the diagnostic accuracy of 99mTC-MAG3 scintigraphy with indirect cystography in detecting VUR and to estimate any interobserver variability in 99mTC-MAG3 scintigraphy interpretation. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 17, 2019 Category: Urology & Nephrology Authors: Valentina Capone, Francesca Taroni, Maria Angela Pavesi, Massimo Castellani, Dario Consonni, Alfredo Berrettini, Barbara Crapella, Giuseppina Marra, Diego De Palma, Pietro Zucchetta, Gian Antonio Manzoni, Giovanni Montini Source Type: research

Response to a commentary to ‘Assessment of serum levels of copeptin and corticotropin-releasing factor in children with monosymptomatic and nonmonosymptomatic nocturnal enuresis’
The changes in both copeptin and corticotropin-releasing factor (CRF) that were shown in our study in monosymptomatic and non-monosymptomatic enuretic children may contribute to the pathogenesis of nocturnal enuresis. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 15, 2019 Category: Urology & Nephrology Authors: İ. Girisgen, E. Avcı, S. Yüksel Tags: Letter to the Editor Source Type: research

Response to Commentary to 'Assessment of serum levels of copeptin and corticotropin-releasing factor in children with monosymptomatic and nonmonosymptomatic nocturnal enuresis'
The changes in both copeptin and CRF which was showed in our study in monosymptomatic and nonmonosymptomatic enuretic children may contribute to the pathogenesis of nocturnal enuresis. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 15, 2019 Category: Urology & Nephrology Authors: İlknur Girisgen, Esin Avcı, Selçuk Yüksel Tags: Letter to the Editor Source Type: research

Experience of pediatric urogenital tract inserted objects: 10-year single-center study
Urogenital tract FBs have been rarely reported in children and the management is still challenging. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 15, 2019 Category: Urology & Nephrology Authors: Yuzhu He, Weiping Zhang, Ning Sun, Guoshuang Feng, Xin Ni, Hongcheng Song Source Type: research

Which agent should be used to reduce ischemia-reperfusion injury after testicular torsion: A comparative animal experiment
Testicular torsion is an acute urological emergency that causes severe damage of testis. In order to prevent testicular damage, early diagnosis and surgical intervention is esential. Also pain management in both preoperative and post period remains a challenging entity. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 15, 2019 Category: Urology & Nephrology Authors: Bilge Bugra Keseroglu, Berat Cem Ozgur, Hatice Surer, Elmas Og üs, Sema Hucemenoglu, Elif Ozer, Koray Agras, Cem Nedim Yuceturk, Tolga Karakan Source Type: research

Response to letter to the Editor re ‘electrical stimulation for overactive bladder in children: a pilot study’
I would like to express thanks for the interest shown in our article and this new way of treating lower urinary tract dysfunction in children and adolescents. Perhaps we have not  been clear and have been misunderstood regarding our comments about percutaneous electrical nerve stimulation (PENS) being more convenient than transcutaneous electrical nerve stimulation (TENS). In fact, PENS can be performed once per week, and, by coming close to S3 and without the impedance of the skin, the effectiveness may be greater. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 14, 2019 Category: Urology & Nephrology Authors: U. Barroso Tags: Letter to the Editor Source Type: research

Response to Letter to the Editor re 'electrical stimulation for overactive bladder in children: a pilot study'
I would like to express thanks for the interest shown in our article and this new way of treating lower urinary tract dysfunction in children and adolescents. Perhaps we have not been clear and have been misunderstood regarding our comments about percutaneous electrical nerve stimulation (PENS) being more convenient than transcutaneous electrical nerve stimulation (TENS). In fact, PENS can be performed once per week and, by coming close to S3 and without the impedance of the skin, the effectiveness may be greater. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 14, 2019 Category: Urology & Nephrology Authors: Ubirajara Barroso Tags: Letter to the Editor Source Type: research

Commentary on ‘Percutaneous electrical stimulation for overactive bladder in children: a pilot study’
We have read with great interest the recent contribution done by Barroso et  al. [1]. They showed the beneficial effect of percutaneous electrical nerve stimulation (PENS) in the sacral region on the overactive bladder (OVB) in children, and we would like to add some considerations on the administration of this treatment. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 11, 2019 Category: Urology & Nephrology Authors: I. Casal-Beloy, I. Somoza Argibay, M. Garc ía González, M.A. García-Novoa Tags: Letter to the Editor Source Type: research

Comentary on “Percutaneous electrical stimulation for overactive bladder in children: a pilot study”
We have read with great interest the recent contribution done by Dr. Barroso et al.(1). They showed the beneficial effect of percutaneous electrical nerve stimulation (PENS) in the sacral region on overactive bladder (OVB) in children, and we would like to add some considerations on the administration of this treatment. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 11, 2019 Category: Urology & Nephrology Authors: Isabel Casal Beloy, Iv án Somoza Argibay, Miriam García González Tags: Letter to the Editor Source Type: research

Comparison of open and pneumovesical approaches for Politano-Leadbetter ureteric reimplantation: A single-center long-term follow-up study
To report our experience with the laparoscopic pneumovesical approach for Politano-Leadbetter ureteric reimplantation and to compare the results to those obtained using a traditional open approach. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 8, 2019 Category: Urology & Nephrology Authors: Bum Sik Tae, Byeong Jo Jeon, Hoon Choi, Jae Young Park, Jae Hyun Bae Source Type: research

Pyeloplasty vs. nephrectomy for ureteropelvic junction obstruction in poorly functioning kidneys (differential renal function < 20%): A multicentric study
Management of poorly functioning kidneys with ureteropelvic junction obstruction (UPJO) is controversial with some recommending direct nephrectomy, other direct pyeloplasty and other temporary diversion. We aimed to determine whether pyeloplasty is associated with higher complication rate than nephrectomy under these circumstances, and whether it allows for functional recovery. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 7, 2019 Category: Urology & Nephrology Authors: Michele Gnech, Alfredo Berrettini, Roberto Iglesias Lopes, Paulo Moscardi, Ciro Esposito, Pietro Zucchetta, Francisco Tibor D énes, Gianantonio Manzoni, Luis H. Braga, Marco Castagnetti Source Type: research