“Should we correct hypospadias during childhood?” A question of facts and values
Wirmer et al.[1] report on 81 patients (15-43 y/o, Mage = 19.7) who underwent hypospadias surgery before age 2, stating 90% “were satisfied with early hypospadias surgery,” with decisional regret (DR) in 21% (14.8% mild; 6.2% moderate). Dismissing DR classifications as misleading,1 they conclude their findings “support the current practice of operating hypospadias in early childhood.” We commend the authors for i nvestigating patient, not only parent, attitudes. But it is premature to answer “Yes” to their broader question: “Should we correct hypospadias during childhood?” “Should” implies an ethical ev...
Source: Journal of Pediatric Urology - January 27, 2024 Category: Urology & Nephrology Authors: Morgan Carpenter, Cynthia Kraus, Brian D. Earp Tags: Letter to the Editor Source Type: research
Response to the letter to the editor “Non-invasive erections induced by perineal compression may be reflex”
Thank you for your interest in our work and we appreciate your comments [1]. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - January 26, 2024 Category: Urology & Nephrology Authors: Ahmed T. Hadidi Tags: Letter to the Editor Source Type: research
Response to the letter to the Editor: “Should we correct hypospadias during childhood?” A question of facts and values
We appreciate the interest in our work [1]. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - January 26, 2024 Category: Urology & Nephrology Authors: Ahmed T. Hadidi Tags: Letter to the Editor Source Type: research
Response to the letter to the Editor JPUROL-D-24-00009 re JPUROL-D-23-00582
We appreciate the interest in our work [1]. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - January 26, 2024 Category: Urology & Nephrology Authors: Ahmed T. Hadidi Tags: Letter to the Editor Source Type: research
Response to the letter to the editor JPUROL-D-24-00005 re JPUROL-D-23-00172
Thank you for your interest in our work and we appreciate your comments. (1). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - January 26, 2024 Category: Urology & Nephrology Authors: Ahmed T. Hadidi Tags: Letter to the Editor Source Type: research
Response to the letter to the Editor JPRUOL-D-24-00009 re JPUROL-D-23-00582
We appreciate the interest in our work (1). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - January 26, 2024 Category: Urology & Nephrology Authors: Ahmed T. Hadidi Tags: Letter to the Editor Source Type: research
Non-invasive erections induced by perineal compression may be reflex
Hadidi et al [1] suggest a new method for induction of “natural” erections during hypospadias surgery and hypothesize that the physiology of their induced erections is based on venous compression and “milking” arterial blood from the perineum to the penis. I respectfully suggest an alternative mechanism depending on reflex erections secondary to pelvic floor stimulation. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - January 25, 2024 Category: Urology & Nephrology Authors: Lisieux Eyer de Jesus Tags: Letter to the Editor Source Type: research
Penile reconstruction after complete bladder exstrophy repair
The decreased penile length in patients born with bladder exstrophy (BE) results partly from pubic symphysis diastasis and the separation of the corporal bodies. Also, intrinsic shortening of anterior corporal compartment,residual penile dorsal curvature, and postsurgical scarred skin share in creation of short penile length. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - January 25, 2024 Category: Urology & Nephrology Authors: Hisham M. Hammouda, Amr M. Abdelgawad, Ahmed A. Shahat Source Type: research
Adult outcomes of urinary, sexual functions and fertility after pediatric management of Differences in Sex Development: who should be followed and how?
The management of Differences of Sex Development (DSD) has evolved considerably in recent years. The questioning of systematic early childhood treatment of DSD requires a better understanding of the outcomes of such treatments and long-term studies are therefore essential to better evaluate the prognosis of DSD. Unfortunately, limitations are numerous including the limited size of the series, the absence of standardized methodology, the evaluation of managements that no longer take place today and the absence of prospective and comparative studies. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - January 25, 2024 Category: Urology & Nephrology Authors: Nicolas KALFA, Josefin NORDENSTR ÖM, Gunter DE WIN, Piet HOEBEKE Tags: Review Article Source Type: research
Clinical phenotyping of children with nocturnal enuresis: a key classification to improve the approach
The literature shows that nocturnal enuresis is not an isolated phenomenon of urinary loss during sleep, but encompasses a set of systemic clinical manifestations that significantly influence children's quality of life and development. However, the understanding of the clinical and physiological relationship of these systemic manifestations remains a clinical challenge. The recognition of these manifestations and their subsequent categorisation, may provide better insights into integrated clinical manifestations, facilitating the understanding of pathophysiological mechanisms, and promote increased assertiveness in the ass...
Source: Journal of Pediatric Urology - January 24, 2024 Category: Urology & Nephrology Authors: Rita Pavione Rodrigues Pereira, Aline Mari Mazzali Pessoa Martins, Isabela Teixeira Mendes de Carvalho, Luana Daniele Kel de Souza, Patricia Francao, Cristiano Mendes Gomes, Rejane de Paula Bernardes, Karine Furtado Meyer, Eliane Maria Garcez Oliveira da Source Type: research
The GUDplay technique: a shift of paradigm in glans reconstruction for midshaft and penoscrotal hypospadias with moderate chordee. A proposal of a new approach
After 5 years experience with the GUD (glandular urethral disassembly) technique for distal hypospadias, we present the GUDplay technique, incorporating Thiersch-Duplay tubularization of the plate till the coronal area, disassembling the glans aggressively and refurbishing the glans. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - January 22, 2024 Category: Urology & Nephrology Authors: Antonio Macedo, S érgio Leite Ottoni, Gilmar Garrone, Raul Garcia Aragon, Taiane Rocha Campelo, Emanuelle Lima Macedo, Marcela Leal da Cruz Tags: Video Bank Source Type: research
Comment to “Volume of the normal prostate gland in Polish boys aged 1–17 years: Based on transabdominal ultrasound – Prospective study”
I reviewed with great interest the study by Kowalczyk et al. [1]. I appreciate the authors’ effort in developing nomograms for prostate size in the pediatric population. In many aspects of pediatric urology, nomograms serve as necessary and important reference tools in diagnostic and clinical decision-making processes [2]. However, we carefully need t o assess and consider the method, study population and statistical handling of data that give rise to new nomograms before uncritically applying them to our daily work routine. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - January 19, 2024 Category: Urology & Nephrology Authors: Andreas Ernst Source Type: research
Volume of the normal prostate gland in Polish boys aged 1-17 years: based on transabdominal ultrasound – prospective study
I reviewed with great interest the study by Kowalczyk et al.1. I appreciate the authors ’ effort in developing nomograms for prostate size in the pediatric population. In many aspects of pediatric urology, nomograms serve as necessary and important reference tools in diagnostic and clinical decision-making processes2. However, we carefully need to assess and consider the method, stud y population and statistical handling of data that give rise to new nomograms before uncritically applying them to our daily work routine. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - January 19, 2024 Category: Urology & Nephrology Authors: Andreas Ernst Source Type: research
TIP operation is not the panacea for distal hypospadias
We read with interest the recent article by Abbas et al1. The authors tried to validate an objective method to assess the urethral plate (UP) quality for tubularised incised plate (TIP) urethroplasty using their POST score published earlier. We commend the authors for their interesting idea and scientific rigor. However, there are some important messages in this paper which we would like to highlight here. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - January 19, 2024 Category: Urology & Nephrology Authors: V.V.S. Chandrasekharam, J Khyati Kiran, Ramesh babu Tags: Letter to the Editor Source Type: research
Learning from the Past: How Lessons from Hinman Syndrome Can Inform the Psychological Management of Lower Urinary Tract Dysfunction
Pediatric patients with lower urinary tract dysfunction (LUTD) experience a variety of medical and psychosocial concerns that can negatively impact their clinical management and quality of life. When initially described by Drs Hinman and Baumann, patients with a form of severe LUTD, later dubbed Hinman syndrome, were characterized as having a “general attitude of being failures.” While this mention was noteworthy as it incorporated an understanding of the interplay between psychological factors and urologic conditions, there have been delays in implementing psychological intervention as a standard of care in patients w...
Source: Journal of Pediatric Urology - January 19, 2024 Category: Urology & Nephrology Authors: Anne Dawson, Lillian C. Hayes, Jaclyn L. Papadakis, Daryl McLeod Tags: Review Article Source Type: research
