Cystoscopic-assisted laparoscopic excision of prostatic utricle
We present a video of our technique for resection of a large prostatic utricle (PU) in a patient who presented initially with disordered sexual development. His karyotype was 46XY, and phenotypically had penoscrotal hypospadias, bifid scrotum, and retractile right testis. An initial micturating cystourethrogram (MCUG) demonstrated the utricle but failed to cannulate the bladder. Being asymptomatic, we carried out staged repair of his hypospadias. Later, he started to have recurrent epididymo-orchitis with resistance to multiple antibiotics. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 27, 2017 Category: Urology & Nephrology Authors: Ibrahim A. Mostafa, Mark N. Woodward, Mohamed S. Shalaby Source Type: research

International Review Board (IRB)
At the University of Minnesota on March 26, 1954, Dr. Clarence Walton Lillehei performed the first successful open heart surgery using circulatory bypass on a 13-month old boy, Gregory Glidden, who was dying of cardiac failure due to a ventriculo-septal defect (VSD). The “cardio respiratory bypass machine” was actually the patient’s father who was connected to the circulatory system during the operation by intravenous and intra-arterial lines. For physicians currently practicing in the “modern era” it is difficult to even imagine this being allowed to take place. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 27, 2017 Category: Urology & Nephrology Authors: Anthony A. Caldamone, Christopher S. Cooper Tags: Editorial Source Type: research

Response to commentary re ‘Primary female epispadias: Perineal approach or Kelly repair?’
Once admitting that primary female epispadias is a heterogeneous malformation, the ultimate challenge remains to identify which tailored surgical approach can provide voided continence. The author of the commentary supports a strategy based on urethral lengthening in the first months of life to provide ‘some outlet resistance’, which unfortunately has proven insufficient in a large proportion of patients who will eventually require radical bladder neck surgery. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 26, 2017 Category: Urology & Nephrology Authors: M.-D. Leclair, Y. Heloury Tags: Letter to the Editor Source Type: research

Response to commentary re 'Reduction and standardization of surgical instruments in pediatric inguinal hernia repair'
Continuous process improvement, as the name implies, is a changing and ongoing process in the quest for positive gain in a system. The analogy is like in baseball: is a batter doing anything to keep the inning alive with the hope of the ‘team’ scoring the necessary winning run, knowing that hitting the walk-off home run is not always achievable? Stakeholder engagement and, importantly, executive/senior buy-in are the keys to implementing change, and to sustaining and promoting further change. To change a culture, abrupt and oft en-changing management philosophies can actually ‘disengage’ stakeholder...
Source: Journal of Pediatric Urology - October 26, 2017 Category: Urology & Nephrology Authors: M.A. Koyle Tags: Letter to the Editor Source Type: research

Anatomic findings associated with epispadias in boys: Implications for surgical management and urinary continence
Pre-operative physical examination of male epispadias allows for classification of epispadias level as glanular (GE), penile (PE) or penopubic (PPE), and for delineation of anatomic anomalies. The incidence of associated extragenital abnormalities, such as vesicoureteral reflux (VUR), bladder neck (BN) abnormality and abnormal pubic diastasis (PD), and their impact on urinary continence has not yet been systematically studied. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 26, 2017 Category: Urology & Nephrology Authors: M. Cendron, P.S. Cho, M. Pennison, I. Rosoklija, D.A. Diamond, J.G. Borer Source Type: research

Response to commentary re ‘Primary female epispadias: Perineal approach or Kelly repair?’
Once admitting that primary female epispadias is a heterogeneous malformation, the ultimate challenge remains to identify which tailored surgical approach can provide voided continence. The author of the commentary supports a strategy based on urethral lengthening in the first months of life to provide ‘some outlet resistance’, which unfortunately has proven insufficient in a large proportion of patients who will eventually require radical bladder neck surgery. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 26, 2017 Category: Urology & Nephrology Authors: M.-D. Leclair, Y. Heloury Tags: Letter to the Editor Source Type: research

Response to Commentary re 'Primary female epispadias : perineal approach or Kelly repair?'
Once admitting that primary female epispadias is a heterogeneous malformation, the ultimate challenge remains to identify which tailored surgical approach can provide voided continence. This supports a strategy based on urethral lengthening in the first months of life to provide ‘some outlet resistance’, which unfortunately has proven insufficient in a large proportion of patients who will eventually require radical bladder neck surgery. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 26, 2017 Category: Urology & Nephrology Authors: M.-D. Leclair, Y. Heloury Source Type: research

Response to commentary re 'Reduction and Standardization of Surgical Instruments in Pediatric Inguinal Hernia Repair'
Continuous process improvement, as the name implies, is a changing and ongoing process in the quest for positive gain in a system. The analogy is like in baseball: is a batter doing anything to keep the inning alive with the hope of the ‘team’ scoring the necessary winning run, knowing that hitting the walk-off home run is not always achievable? Stakeholder engagement and, importantly, executive/senior buy-in are the keys to implementing change, and to sustaining and promoting further change. To change a culture, abrupt and oft en-changing management philosophies can actually ‘disengage’ stakeholder...
Source: Journal of Pediatric Urology - October 26, 2017 Category: Urology & Nephrology Authors: M.A. Koyle Tags: Letter to the Editor Source Type: research

Anatomic findings associated with epispadias in boys: implications for surgical management and urinary continence
Pre-operative physical examination of male epispadias allows for classification of epispadias level as glanular (GE), penile (PE) or penopubic (PPE), and for delineation of anatomic anomalies. The incidence of associated extragenital abnormalities, such as vesicoureteral reflux (VUR), bladder neck (BN) abnormality and abnormal pubic diastasis (PD), and their impact on urinary continence has not yet been systematically studied. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 26, 2017 Category: Urology & Nephrology Authors: M. Cendron, P.S. Cho, M. Pennison, I. Rosoklija, D.A. Diamond, J.G. Borer Source Type: research

Ureteroscopy for paediatric calculi: The twin-surgeon model
We describe our ‘Tips and tricks’ of ureteroscopy and lasertripsy (URSL) for paediatric ureteric calculi. All regional referrals directed to the paediatric urologist are discussed in a formal stone multidisciplinary team (MDT) meeting with urologists, radiologists, and biochemical pathologist. A paediatric urol ogist (SG) and an experienced adult endourologist (BS) do these stone procedures jointly as a twin-surgeon team approach for each patient. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 25, 2017 Category: Urology & Nephrology Authors: Bhaskar K. Somani, Stephen Griffin Tags: How I do it Source Type: research

Ureteroscopy for paediatric calculi: the twin-surgeon model
We describe our ‘Tips and tricks’ of ureteroscopy and lasertripsy (URSL) for paediatric ureteric calculi. All regional referrals directed to the paediatric urologist are discussed in a formal stone multidisciplinary team (MDT) meeting with urologists, radiologists, and biochemical pathologist. A paediatric urol ogist (SG) and an experienced adult endourologist (BS) do these stone procedures jointly as a twin-surgeon team approach for each patient. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 25, 2017 Category: Urology & Nephrology Authors: Bhaskar K. Somani, Stephen Griffin Tags: How I do it Source Type: research

Is two-port laparoendoscopic single-site surgery (T-LESS) feasible for pediatric hydroceles? Single-center experience with the initial 59 cases
Although T-LESS is increasingly being used to treat pediatric inguinal hernia, there is no study regarding T-LESS for pediatric hydrocele. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 16, 2017 Category: Urology & Nephrology Authors: Furan Wang, Tiejun Shou, Hongji Zhong Source Type: research

Orchidopexy in children with Prader –Willi syndrome: Results of a long-term follow-up study
Prader –Willi syndrome (PWS) is a rare (1:20.000) genetic condition affecting both males and females. Among other features, in boys, the syndrome is characterized by cryptorchidism in 86–100% of cases, hypogonadism, delayed puberty and infertility. The aim of the present study is to appraise the result s of orchidopexy in this selected population of children. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 15, 2017 Category: Urology & Nephrology Authors: Maurizio Pacilli, Yves Heloury, Mike O'Brien, Tess Lionti, Margaret Rowell, John Hutson Source Type: research

Results of orchidopexy in children with Prader –Willi syndrome
Prader –Willi syndrome (PWS) is a rare (1:20.000) genetic condition affecting both males and females. Among other features, in boys, the syndrome is characterized by cryptorchidism in 86–100% of cases, hypogonadism, delayed puberty, and infertility. The aim of the present study is to appraise the resul ts of orchidopexy in this selected population of children. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 15, 2017 Category: Urology & Nephrology Authors: Maurizio Pacilli, Yves Heloury, Mike O ’Brien, Tess Lionti, Margaret Rowell, John Hutson Source Type: research

Urinary carbohydrate antigen 19-9/creatinine ratio: A non-invasive marker for follow-up of unilateral ureteropelvic junction obstruction in children
Ureteropelvic junction obstruction (UPJO) is the most common cause of hydronephrosis in children. One major challenge in the management of UPJO is to select the patients that must be subjected to early obstruction relief. Currently, there is no gold standard for this assessment. Therefore, the aim of the present study was to evaluate the urinary levels of carbohydrate antigen (CA) 19-9 and normalized CA 19-9 (Ca 19-9/Cr ratio) in UPJO patients before and after surgery and compare them with a control group to assess their potential clinical application as an assisting tool in diagnosis of UPJO patients. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 13, 2017 Category: Urology & Nephrology Authors: Farshid Alizadeh, Ali Mohammad Taefnia, Saeid Haghdani Source Type: research

Ultrasound guided ureteroscopy in children: Safety and success
Ureteroscopy has been shown to be a highly efficacious and safe modality for the treatment of pediatric urolithiasis. However, conventional ureteroscopy relies on fluoroscopy for intraoperative guidance, exposing both patient and operating room personnel to ionizing radiation. Pediatric urolithiasis patients are at a particularly increased risk from this radiation exposure. The use of ultrasound in place of fluoroscopy for intraoperative guidance has emerged as one modification that can reduce radiation exposure during ureteroscopy. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 13, 2017 Category: Urology & Nephrology Authors: Jeffrey C. Morrison, Jason P. Van Batavia, Kassa Darge, Christopher J. Long, Aseem R. Shukla, Arun K. Srinivasan Source Type: research

Comparison of intravesical (Cohen) and extravesical (Lich –Gregoir) ureteroneocystostomy in the treatment of unilateral primary vesicoureteric reflux in children
Various intravesical and extravesical techniques have been described for the surgical correction of vesicoureteral reflux (VUR). Among those techniques Cohen (intra-vesical) and Lich-Gregoir (extra-vesical) are the most commonly used ones. However, there are limited studies that compare those two surgical techniques in the literature. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 13, 2017 Category: Urology & Nephrology Authors: Mesrur Selcuk Silay, Turgay Turan, Yunus Kayal ı, İsmail Başıbüyük, Bilal Gunaydin, Turhan Caskurlu, M. İhsan Karaman Source Type: research

Ultrasound Guided Ureteroscopy in Children: Safety and Success
Ureteroscopy has been shown to be a highly efficacious and safe modality for the treatment of pediatric urolithiasis. However, conventional ureteroscopy relies on fluoroscopy for intraoperative guidance, exposing both patient and operating room personnel to ionizing radiation. Pediatric urolithiasis patients are at a particularly increased risk from this radiation exposure. The use of ultrasound in place of fluoroscopy for intraoperative guidance has emerged as one modification that can reduce radiation exposure during ureteroscopy. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 13, 2017 Category: Urology & Nephrology Authors: Jeffrey C. Morrison, Jason P. Van Batavia, Kassa Darge, Christopher J. Long, Aseem R. Shukla, Arun K. Srinivasan Source Type: research

Comparison of intravesical (Cohen) and extravesical (Lich –Gregoir) ureteroneocystostomy in the treatment of unilateral primary vesicoureteric reflux in children
The main goal in the management of patients with vesicoureteral reflux (VUR) is the preservation of kidney function by minimizing the risk of pyelonephritis. Various intravesical and extravesical techniques have been described for the surgical correction of VUR. Among those techniques Cohen (intravesical) and Lich –Gregoir (extravesical) are the most commonly used ones. However, there are limited studies that compare those two surgical techniques in the literature. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 13, 2017 Category: Urology & Nephrology Authors: Mesrur Selcuk Silay, Turgay Turan, Yunus Kayal ı, İsmail Başıbüyük, Turhan Çaşkurlu, M. İhsan Karaman Source Type: research

Urinary carbohydrate antigen 19-9/creatinine ratio: A non-invasive marker for follow-up of unilateral ureteropelvic junction obstruction in children
Ureteropelvic junction obstruction (UPJO) is the most common cause of hydronephrosis in children. One major challenge in the management of UPJO is to select the patients that must be subjected to early obstruction relief. Currently, there is no gold standard for this assessment. Therefore, the aim of the present study was to evaluate the urinary levels of carbohydrate antigen (CA) 19-9 and normalized CA 19-9 (Ca 19-9/Cr ratio) in UPJO patients before and after surgery and compare them with a control group to assess their potential clinical application as an assisting tool in diagnosis of UPJO patients. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 13, 2017 Category: Urology & Nephrology Authors: Farshid Alizadeh, Ali Mohammad Taefnia, Saeid Haghdani Source Type: research

Robot-assisted laparoscopic megaureter tapering with ureteral reimplantation: tips and tricks
We report on our preliminary experience. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 13, 2017 Category: Urology & Nephrology Authors: Belinda Li, Bruce W. Lindgren, Dennis B. Liu, Edward M. Gong Source Type: research

Imipramine for refractory daytime incontinence in the pediatric population
Lower urinary tract (LUT) and voiding dysfunction constitute a large percentage of pediatric urology referrals. Children with urinary incontinence unresponsive to behavioral modifications and traditional pharmacotherapy including anticholinergics and alpha blockers remain a challenge. We evaluated the impact of imipramine on treatment outcomes in children with refractory incontinence. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 9, 2017 Category: Urology & Nephrology Authors: Israel Franco, Angela M. Arlen, Therese Collett-Gardere, Paul F. Zelkovic Source Type: research

Primary female epispadias: Perineal approach or Kelly repair?
Primary female epispadias encompasses a spectrum of disease, presenting with a variable degree of incontinence. We hypothesized that although perineal urethrocervicoplasty can be a successful first-line procedure in patients with normal bladder, a more radical reconstruction was necessary to achieve continence in cases lying at the most severe end of the spectrum. Our aim was to assess the results of a surgical management using perineal approach in girls with normal bladder capacity, and Kelly radical soft-tissue mobilization (RSTM) in patients with inadequate bladder, based on the assumption that bladder capacity (BC) is ...
Source: Journal of Pediatric Urology - October 9, 2017 Category: Urology & Nephrology Authors: Marc-David Leclair, S ébastien Faraj, Thierry Villemagne, Julie Carrouget, Alexis Arnaud, Yves Heloury Source Type: research

Imipramine for Refractory Daytime Incontinence in the Pediatric Population
and objective: Lower urinary tract (LUT) and voiding dysfunction constitute a large percentage of pediatric urology referrals. Children with urinary incontinence unresponsive to behavioral modifications and traditional pharmacotherapy including anticholinergics and alpha blockers remain a challenge. We evaluated the impact of imipramine on treatment outcomes in children with refractory incontinence. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 9, 2017 Category: Urology & Nephrology Authors: Israel Franco, Angela M. Arlen, Therese Collett-Gradere, Paul F. Zelkovic Source Type: research

Primary female epispadias: perineal approach or Kelly repair ?
Primary female epispadias encompasses a spectrum of disease, presenting with a variable degree of incontinence. We hypothesized that although perineal urethrocervicoplasty can be a successful first-line procedure in patients with normal bladder, a more radical reconstruction was necessary to achieve continence in cases lying at the most severe end of the spectrum. Our aim was to assess the results of a surgical management using perineal approach in girls with normal bladder capacity, and Kelly radical soft-tissue mobilization (RSTM) in patients with inadequate bladder, based on the assumption that bladder capacity (BC) is ...
Source: Journal of Pediatric Urology - October 9, 2017 Category: Urology & Nephrology Authors: Marc-David Leclair, S ébastien Faraj, Thierry Villemagne, Julie Carrouget, Alexis Arnaud, Yves Heloury Source Type: research

The efficacy of probiotics in prevention of urinary tract infection in children: A systematic review and meta-analysis
A consensus has not been reached yet about the efficacy of probiotics in reducing the incidence of urinary tract infections (UTIs) in children. This systematic review and meta-analysis was designed to assess the efficacy of probiotics in prevention UTI in children. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 9, 2017 Category: Urology & Nephrology Authors: Mostafa Hosseini, Mahmoud Yousefifard, Neamatollah Ataei, Alireza Oraii, Jalaledin Mirzay Razaz, Anahita Izadi Source Type: research

Editorial Board
(Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 1, 2017 Category: Urology & Nephrology Source Type: research

Editorial
The impact factor is a publishing metric that is determined by Clarivate Analytics (previously known as Thompson Reuters) that objectively categorizes the impact of a journal based on the number of citations that it has. The calculation is such that the number of citations to published articles over a given period of time is divided by the number of new published articles over that same given period of time. The impact factor of the Journal of Pediatric Urology in 2014 was 0.898. This was a result of a transition that was taking place at the Journal from a full print journal to a hybrid journal and in order to make this tr...
Source: Journal of Pediatric Urology - October 1, 2017 Category: Urology & Nephrology Authors: Anthony A. Caldamone, Yves Heloury, C.D. Anthony Herndon, Piet Hoebecke, Dan Wood Source Type: research

A potpourri of pediatric urology
Since I was kindly asked to write this article, an enormous number of catastrophes both real and potential have occurred. The United States has been hit with three major hurricanes, obviously climate change is not real, these have left millions without electricity and in many cases without running water for days and weeks. Cyclone Mora hit Bangladesh displacing over 500,000 people. Mexico has undergone two enormous earthquakes. President Trump has threatened to “totally destroy North Korea” and in retaliation North Korea has indicated it is going to test an Atomic bomb. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 1, 2017 Category: Urology & Nephrology Authors: Duncan Wilcox Source Type: research

“Pseudo-prune belly syndrome”: an under-reported phenotypic variant of prune belly syndrome
Smith et al. [1] have provided interesting information in their recent article in your esteemed journal. Interestingly, a less common variant of prune belly syndrome that is often under-recognized is “pseudo prune belly syndrome” (PPBS). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 30, 2017 Category: Urology & Nephrology Authors: S. Kapoor Source Type: research

Comparative effectiveness of a pilot patient-centered ultrasound report in the management of hydronephrosis
Hydronephrosis is a common pediatric abnormality and can be associated with substantial parental anxiety, especially in the prenatal period. Radiology reports contain complex content that can be difficult for lay audiences to comprehend, potentially contributing to parental distress. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 28, 2017 Category: Urology & Nephrology Authors: Geolani W. Dy, John L. Gore, Wade W. Muncey, Jonathan S. Ellison, Paul A. Merguerian Source Type: research

Can bladder fibrosis in congenital urinary tract obstruction be reversed?
A variety of conditions exists in adults and children in which functional or anatomical urinary tract obstructions cause bladder fibrosis, which reduces the bladder ’s ability to store and empty urine. Current surgical procedures include removal of the obstructions to facilitate bladder emptying or prompt prenatal or postnatal spinal closure to prevent further neurogenic damage. Bladder fibrosis may occur, and it can get worse if a flow hindrance persists or deteriorates. Anti-fibrotic therapeutic strategies that target a variety of factors have been developed in animal models, but currently there are no anti-fibroti...
Source: Journal of Pediatric Urology - September 27, 2017 Category: Urology & Nephrology Authors: Yu Tao Lu, Stine Julie Tingskov, Jens Christian Djurhuus, Rikke N ørregaard, L. Henning Olsen Source Type: research

Voiding school as a treatment of daytime incontinence or enuresis: Children's experiences of the intervention
Daytime incontinence and enuresis are common problems in otherwise healthy children, and negatively influence their social lives and self-esteem. Motivation for treatment is often a real clinical problem. Children's experiences of their incontinence treatments have not been previously described. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 23, 2017 Category: Urology & Nephrology Authors: A. Saarikoski, R. Koppeli, S. Salanter ä, S. Taskinen, A. Axelin Source Type: research

Response to letter re “In pursuit of the perfect penis: Hypospadias repair outcomes”
The authors of the Letter to the Editor make many valid points with which we agree. However, they seem to have missed the point of our article. First of all, in our article we never refer to hypospadias repair as ‘cosmetic surgery’. We do, however, discuss in detail the shift in the balance of benefits of hypospadias repair from improvement in functional/cosmetic outcomes in more proximal repairs towards improvement in cosmetic outcomes in many distal repairs, particularly with glanular and glanulocorona l hypospadias. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 23, 2017 Category: Urology & Nephrology Authors: H. Gil Rushton, Hans G. Pohl, Brenton B. Winship Tags: Letter to the Editor Source Type: research

Construction of a scientific abstract
An abstract is a brief summary of a research article, thesis, review, conference proceeding, or any in-depth analysis of a particular subject [1]. It is used to help the reader quickly ascertain the authors ’ principle messages.The aim of this text is to strengthen the understanding of abstract writing, define its specific components, and to help the writer evaluate and complete their abstract with enhanced clarity and quality [2].Typically, the academic research abstract contains four elements: obje ctive and study design, materials and methods, results, and discussion/conclusions. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 23, 2017 Category: Urology & Nephrology Authors: G. Beckers, M. Kaefer, M. Fossum, ESPU Research Committee Tags: Editorial Source Type: research

Response to letter re 'In Pursuit of the Perfect Penis: Hypospadias Repair Outcomes'
The authors of the Letter to the Editor make many valid points with which we agree. However, they seem to have missed the point of our article. First of all, in our article we never refer to hypospadias repair as ‘cosmetic surgery’. We do, however, discuss in detail the shift in the balance of benefits of hypospadias repair from improvement in functional/cosmetic outcomes in more proximal repairs towards improvement in cosmetic outcomes in many distal repairs, particularly with glanular and glanulocorona l hypospadias. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 23, 2017 Category: Urology & Nephrology Authors: H.Gil Rushton, Hans G. Pohl, Brenton B. Winship Tags: Letter to the Editor Source Type: research

Voiding school as a treatment of daytime incontinence or enuresis: children ’s experiences of the intervention
Daytime incontinence and enuresis are common problems in otherwise healthy children, and negatively influence their social lives and self-esteem. Motivation for treatment is often a real clinical problem. Children ’s experiences of their incontinence treatments have not been previously described. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 23, 2017 Category: Urology & Nephrology Authors: A. Saarikoski, R. Koppeli, S. Salanter ä, S. Taskinen, A. Axelin Source Type: research

RE: Winship BB, Rushton HG, Pohl HG. In pursuit of the perfect penis: hypospadias repair outcomes. J Pediatr Urol 2017; 13: 285-8
The arrival of a new baby is usually a time of joy, unless there is a birth defect. It is well documented that birth defects stress the entire family, and according to the National Center for Biotechnology Information, healthcare professionals ‘play an important role in helping families cope’ [1]. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 20, 2017 Category: Urology & Nephrology Authors: Nicol Bush, Warren Snodgrass Tags: Letter to the Editor Source Type: research

Commentary on “Primary female epispadias: Perineal approach or Kelly repair?”
Complete female epispadias (CFE) is a rare but easily missed abnormality in children. While severe forms can be readily identified at birth, milder forms are easily missed and present later in childhood with ongoing urinary incontinence. CFE has always been considered a milder defect in the spectrum of exstrophy-epispadias [1]; however, continence in patients with CFE can be challenging to achieve. Leclair et  al. [2] present a series of girls that had reconstruction performed for the management of female epispadias, using bladder capacity as a marker to determine the appropriate procedure for continence. (Source: Jou...
Source: Journal of Pediatric Urology - September 18, 2017 Category: Urology & Nephrology Authors: Ranjiv I. Mathews Source Type: research

Predictive value of cortical transit time on MAG3 for surgery in antenatally detected unilateral hydronephrosis caused by ureteropelvic junction stenosis
In children with antenatally detected hydronephrosis caused by ureteropelvic junction (UPJ) stenosis, the main challenge is preserving renal function by identifying children who require early surgical intervention from those for whom watchful waiting may be appropriate because of the potential for spontaneous resolution without a significant loss of renal function. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 18, 2017 Category: Urology & Nephrology Authors: Jun Nyung Lee, Jun-Koo Kang, Shin Young Jeong, So Mi Lee, Min Hyun Cho, Yun-Sok Ha, Hyun Tae Kim, Tae-Hwan Kim, Eun Sang Yoo, Tae Gyun Kwon, Sung Kwang Chung Source Type: research

Commentary on “Primary female epispadias: perineal approach or Kelly repair?”
Complete female epispadias (CFE) is a rare but easily missed abnormality in children. While severe forms can be readily identified at birth, milder forms are easily missed and present later in childhood with ongoing urinary incontinence. CFE has always been considered a milder defect in the spectrum of exstrophy-epispadias [1]; however, continence in patients with CFE can be challenging to achieve. Leclair et al. [2] present a series of girls that had reconstruction performed for the management of female epispadias, using bladder capacity as a marker to determine the appropriate procedure for continence. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 18, 2017 Category: Urology & Nephrology Authors: Ranjiv I. Mathews Source Type: research

Editorial comment
I think that the CEVL tool is an excellent representation of the Botox injection technique for providers, trainees, and OR staff. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 18, 2017 Category: Urology & Nephrology Authors: Patricio C. Gargollo Tags: Editorial Source Type: research

CEVL interactive – it is feasible for Pediatric Urology fellows to create pediatric urological surgical plans: a case study of Botox endoscopic injection
Effectively and efficiently performing pediatric urological surgeries requires the pediatric urologist to ‘team’ with the entire operating room (OR) staff. Yet there are no existing methods with which to assure that the members of this team have working knowledge of the specific procedures they are expected to perform. Traditionally, surgeon training has relied on immersive clinical operative experi ence. Such real-time training may be supplemented with review of video clips, if available. Similarly, circulating nurses and surgical technicians typically train together under the supervision of the nursing staff,...
Source: Journal of Pediatric Urology - September 18, 2017 Category: Urology & Nephrology Authors: G.O. Huang, M. Maizels, C.J. Koh, D.D. Tu, P. Meade Tags: CEVL Source Type: research

Anterior deflected urinary stream
A three-and-a-half-year-old girl with an anteriorly deflected urinary stream (ADUS) secondary to a meatal shelf presented to the current institution. She could only void standing up, which was causing significant social distress. At presentation she had no symptoms suggestive of dysfunctional voiding (DV). An examination under anesthetic and division of a meatal shelf was performed, with immediate improvement in the direction of her stream. She was followed up for 10 months with no recurrence of her ADUS. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 18, 2017 Category: Urology & Nephrology Authors: W. Abbas, M. Woodward, M.S. Shalaby Tags: Video Bank Source Type: research

Urinary tract infection in children: diagnosis, treatment, imaging – comparison of current guidelines
The objective of this study was to critically compare current guidelines for the diagnosis and management of UTI in children, in light of new scientific data. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 18, 2017 Category: Urology & Nephrology Authors: M. Okarska-Napiera ła, A. Wasilewska, Ernest Kuchar Source Type: research