Commentary to 'Continence after BNR in the Complete Repair of Bladder Exstrophy (CPRE): A Single Institution Expanded Experience
This study reviews continence outcomes among 42 bladder exstrophy patients who underwent a modified Young-Dees Leadbetter bladder neck reconstruction (BNR). These patients had persistent, continuous incontinence following reportedly successful CPREs as infants and were referred to the authors ’ institution for further management. Although a quarter of these patients remained continuously incontinent after BNR, more than half achieved day and nighttime continence. The authors observed that a greater number of patients who improved had had osteotomies at initial CPRE and did not have an interval ureteral reimplant befo...
Source: Journal of Pediatric Urology - June 13, 2020 Category: Urology & Nephrology Authors: Briony K. Varda Source Type: research

Individualized Care for Patients with Intersex (Disorders/Differences of Sex Development): Part 3
The focus of this article is to review the complex determinants of gender assignment in a child with a disorder of sex development using four different clinical cases. While the care of patients with DSD may be shared across several specialties and opinions regarding their management may vary, this may be further complicated by psychosocial, cultural and economic factors. In this regard, access to behavioral health specialists with experience and specialization in the treatment of patients with DSD should be a foundational component of the standard of care and can greatly assist in the complex decision-making regarding gen...
Source: Journal of Pediatric Urology - June 11, 2020 Category: Urology & Nephrology Authors: Kanthi Bangalore Krishna, Barry A. Kogan, Michelle M. Ernst, Rodrigo L.P. Romao, Monica Serrano-Gonzalez, Jose Bernardo Quintos, Chanika Phornphutkul, Liza Aguiar, Fauzia Mohsin, Peter A. Lee Tags: Review Article Source Type: research

A novel urinary biomarker protein panel to identify children with ureteropelvic junction obstruction – A pilot study
Reliable urinary biomarker proteins would be invaluable in identifying children with ureteropelvic junction obstruction (UPJO) as the existing biomarker proteins are inconsistent in their predictive ability. Therefore, the aim of this study was to identify consistent and reliable urinary biomarker proteins in children with UPJO. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 10, 2020 Category: Urology & Nephrology Authors: Charan Kumar V. Devarakonda, Emily R. Shearier, Chaoran Hu, James Grady, Jeremy L. Balsbaugh, John H. Makari, Fernando A. Ferrer, Linda H. Shapiro Source Type: research

Practice Patterns of Preoperative Hormonal Stimulation in Pediatric Penile Surgeries —a Survey of Nigerian Pediatric Surgeons
Variable practice patterns exist in the use of Preoperative Hormonal Stimulation (PHS) prior to penile surgeries and there seems to be no generally agreed standards. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 10, 2020 Category: Urology & Nephrology Authors: U.O. Ezomike, E.I. Nwangwu, I.S. Chukwu, S.O. Ekenze Source Type: research

An institutional assessment of sperm cryospreservation and fertility counselling in pubertal male cancer survivors
Improved survivorship after treatment of pediatric malignancies has dramatically increased, while pre-treatment fertility preservation in this population has not kept pace. New guidelines emphasize fertility preservation in young adolescents, but the impact of these guidelines is unknown. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 9, 2020 Category: Urology & Nephrology Authors: Akash Kapadia, Poone Shoureshi, Jasper Bash, Da David Jiang, Susan Lindemulder, Jason Hedges, Casey Seideman Source Type: research

Inclusion of Surgical Antibiotic Regimens in Pediatric Urology Publications: A Systematic Review
Perioperative antibiotics prevent infections after surgery. Guidelines for antibiotic use allow the surgeon to balance the risks of adverse events and drug resistance with the benefit of reduced infection rates. However, due to a lack of evidence-based guidelines within pediatric urology, antibiotic practices vary widely. We performed a systematic literature review to investigate when and how authors report their antibiotic usage and infectious outcomes. Our aim was to analyze the available data on perioperative antibiotics and infection rates within pediatric urology. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 8, 2020 Category: Urology & Nephrology Authors: Elizabeth Snyder, Charan Mohan, Jamie Michael, Sherry Ross Source Type: research

The search for continence in bladder exstrophy: bladder neck transection and Macedo catheterizable reservoir to augment the native bladder
Bladder exstrophy remains one of the most challenging abnormalities in pediatric urology. We propose bladder neck transection and bladder augmentation with a catheterizable reservoir technique to achieve continence after previous anatomic reconstruction in stages. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 8, 2020 Category: Urology & Nephrology Authors: Antonio Macedo, S érgio Leite Ottoni, Gilmar Garrone, Ricardo Marcondes Mattos, Marcela Leal da Cruz. Tags: Video Bank Source Type: research

Penile Nerve Block Predicts Higher Revision Surgery Rate Following Distal Hypospadias Repair When Compared with Caudal Epidural Block: A Consecutive Cohort Study
Recent literature has suggested caudal epidural blocks (CEB) may increase revision surgery rates following hypospadias repair. We sought to investigate this using a large, multi-surgeon series. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 6, 2020 Category: Urology & Nephrology Authors: Alexander Ngoo, Peter Borzi, Craig A. McBride, Bhaveshkumar Patel Source Type: research

Trolox is More Successful than Allopurinol to Reduce Degenerative Effects of Testicular Ischemia/Reperfusion Injury in Rats
Reperfusion surgery following testicular ischemia is a reproductive health threatening status and may result with organ dysfunction in men. The high level of reactive oxygen species (ROS) and cease of blood flow to the testis is the most important cause of this ailment. Until today, numerous experimental studies reported that antioxidants might be efficient to alleviate oxidative stress induced organ dysfunction. For this purpose, in this study, we have investigated the protective effects of xanthine oxidase (XO) inhibitor, allopurinol, and ROS scavenger, trolox, in a comparative perspective in testicular ischemia reperfus...
Source: Journal of Pediatric Urology - June 5, 2020 Category: Urology & Nephrology Authors: Ugur Seker, Yusuf Nergiz, Ayfer Aktas, Murat Akkus, M. Ferit Ozmen, Emre Uyar, Sevda Soker Source Type: research

Incidence, Treatment, and Outcomes of Primary and Recurrent Non-Wilms Renal Tumors in Children: Report of 109 Patients treated at a Single Institution
Non-Wilms renal tumors represent a compelling subset of childhood renal tumors. However, their relative rarity renders accurate diagnosis, and therapy challenging which in some instance is inferred from their adult counterparts. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 5, 2020 Category: Urology & Nephrology Authors: Sajid S. Qureshi, Monica Bhagat, Kamlesh Verma, Subhash Yadav, Maya Prasad, Tushar Vora, Girish Chinnaswamy, Nayana Amin, Siddharth Laskar, Nehal Khanna, Vasundhara Smriti, Akshay Baheti, Mukta Ramadwar, Sneha Shah Source Type: research

RE: Clayton DB, Thomas JC, Brock III JW. Fetal repair of myelomeningocele: current status and urologic implications
We read with interest the above mentioned paper1. The initial MOMS publication in 2011 has been a landmark in myelomeningocele (MMC). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 3, 2020 Category: Urology & Nephrology Authors: Antonio Macedo, Marcela Leal da Cruz Tags: Letter to the Editor Source Type: research

Are Pressure Pop-Offs Beneficial To The Bladder In Boys With Posterior Urethral Valves?
Pressure pop-offs, such as high-grade vesicoureteral reflux with renal dysplasia, have historically been considered beneficial for renal and bladder outcomes in boys with posterior urethral valves (PUV). Recent longer-term studies have called into question the beneficial effects of pop-offs on renal function. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 3, 2020 Category: Urology & Nephrology Authors: Anthony D ’Oro, Theresa Meyer, Edward M. Gong, Ilina Rosoklija, Dennis B. Liu Source Type: research

TIME-DRIVEN activity-based costing identifies opportunities for process efficiency and cost optimization for robot-assisted laparoscopic pyeloplasty
Robot-assisted laparoscopic pyeloplasty (RALP) is a commonly performed procedure in children, but its actual cost implications on the healthcare ecosystem have not been adequately defined. Time-driven activity-based costing (TDABC) is a novel cost accounting method derived from value based healthcare systems that may offer one pathway to assess institutional costs. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 2, 2020 Category: Urology & Nephrology Authors: Y.J.L. Bodar, A.K. Srinivasan, A.R. Shah, T. Kawal, A.R. Shukla Source Type: research

Editorial Board
(Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 1, 2020 Category: Urology & Nephrology Source Type: research

A potpourri of pediatric urology
“And the people stayed home. And read books, and listened, and rested, and exercised, and made art, and played games, and learned new ways of being, and were still. And listened more deeply. Some meditated, some prayed, some danced. Some met their shadows. And the people began to think differently .And the people healed. And, in the absence of people living in ignorant, dangerous, mindless, and heartless ways, the earth began to heal. And when the danger passed, and the people joined together again, they grieved their losses, and made new choices, and dreamed new images, and created new ways to live and heal the eart...
Source: Journal of Pediatric Urology - June 1, 2020 Category: Urology & Nephrology Authors: Marie-Klaire Farrugia Source Type: research

Editorial
“Put light against light – you have nothing. Put dark against dark - you have nothing.It's the contrast of light and dark that each gives the other one meaning.”Painter and TV Host, Bob Ross, quoted in TheSmartSet.com (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 1, 2020 Category: Urology & Nephrology Authors: Anthony Caldamone, Yves Heloury, C.D. Anthony Herndon, Piet Hoebeke, Caleb Nelson, Dan Wood Source Type: research

Post-Operative Complications Following Feminizing Genitoplasty in Moderate to Severe Genital Atypia: Results from a Multicenter, Observational Prospective Cohort Study
This study uses prospective data from 12 institutions across the United States that specialize in DSD care. We focused on patients raised female. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 1, 2020 Category: Urology & Nephrology Authors: Avi Baskin, Amy B. Wisniewski, Christopher E. Aston, Paul Austin, Yee-Ming Chan, Earl Y. Cheng, David A. Diamond, Allyson Fried, Thomas Kolon, Yegappan Lakshmanan, Pierre Williot, Sabrina Meyer, Theresa Meyer, Bradley Kropp, Natalie Nokoff, Blake Palmer, Source Type: research

Low-dose antibiotic prophylaxis has no significant impact on the stability of the intestinal microbiome in children with urogenital tract malformations under 1 year of age
Accumulating data point at potentially lasting effects of early childhood therapeutic antibiotic exposure on the intestinal microbial. Little is known on the impact of low-dose longterm antibiotic prophylaxis on the developing intestinal microbiota in children during their first year of life. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 1, 2020 Category: Urology & Nephrology Authors: C. Strasser, W. Spindelboeck, K. Kashofer, J. Oswald, B. Haid Source Type: research

Demographics and baseline care among newly transitioning adult congenital urology patients
In 2017, UCSF established a formal Transitional Urology (TU) clinic co-run by pediatric and adult urology aimed at providing comprehensive urologic care for people progressing into adulthood with complex urologic histories. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 1, 2020 Category: Urology & Nephrology Authors: Natalia V. Leva, Hillary L. Copp, Kathryn Quanstrom, Lindsay A. Hampson Source Type: research

Renal Artery Angiography in Pediatric Trauma Using a National Data Set
With limited pediatric renal trauma management literature, treatment pathways for children have been extrapolated from the adult population. A shift to non-operative management has led to higher renal preservation rates; however, characterization of endovascular intervention in the pediatric trauma population is lacking. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 31, 2020 Category: Urology & Nephrology Authors: Angelena Edwards, Niccolo M. Passoni, Catherine J. Chen, Bruce J. Schlomer, Micah Jacobs Source Type: research

Sexual Function and Health Status in adult patients with Congenital Adrenal Hyperplasia
Congenital Adrenal Hyperplasia (CAH) is the most common reason for undifferentiated genital appearance in new-borns. Psychosexual outcome in women with CAH has been rarely evaluated, but it seems to be one of the most important factors determining the indications for the surgical treatment of CAH. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 31, 2020 Category: Urology & Nephrology Authors: Dobrowolska-Glazar Barbara, Honkisz Ireneusz, Sulislawski Janusz, Tyrawa Katarzyna, Wolnicki Michal, Chrzan Rafal Source Type: research

Hyperbaric oxygen therapy for pediatric “hypospadias cripple” – Evaluating the advantages regarding graft-take
It is good that others are also incorporating HBOT into their care of patients who have had unsuccessful hypospadias surgery. Until recently that use was largely anecdotal, and we were not aware of the series Dr Hanna describes, since it is not found by either a Google search or in pubmed. We hope Dr Hanna will not consider this as a slight, and his earlier use of HBOT, as well as that of Perrins and Cantab, and Kara et  al., were cited in a prior article by some of us [1]. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 29, 2020 Category: Urology & Nephrology Authors: Amos Neheman, Yishai H. Rappaport, Guy Verhovsky, Nicol Bush, Warren Snodgrass, Erez Lang, Amnon Zisman, Shai Efrati Tags: Letter to the Editor Source Type: research

Response to Letter to the Editor re ‘Fetal repair of myelomeningocele: Current status and urologic implications’
We thank Dr. Macedo and colleagues for their letter which appropriately highlights their group's recent prospective research in children following in utero myelomeningocele closure. We recognize their efforts in this challenging patient population, and we most certainly agree that their work has contributed significantly to the field of Pediatric Urology. The data presented in their letter and referenced studies are indeed important contributions to the existing literature and further reaffirm the need for careful, proactive management of patients with neurogenic bladder irrespective of the timing of closure. (Source: Jour...
Source: Journal of Pediatric Urology - May 29, 2020 Category: Urology & Nephrology Authors: Douglass B. Clayton Tags: Letter to the Editor Source Type: research

Commentary to Megaprepuce: Presentation of a modified surgical technique with excellent cosmetic and functional results
We read with great interest the article written by Hirsch et al. The study is well written with a precise description of their technical points. We thank the authors for their repeated references to our study published in JPUrol in 2012 about our experience in surgically treating megaprepuce (1). We considered, as previously postulated by Redman (2), that one of the anatomical characteristics of the buried penis is rather short penile shaft skin. For that reason, we achieved coverage of the penis by unfurling the inner prepuce after partial reduction (2). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 29, 2020 Category: Urology & Nephrology Authors: Jb Marret, P. Ravasse, J. Rod Tags: Letter to the Editor Source Type: research

Hyperbaric Oxygen Therapy for Pediatric "hypospadias Cripple" – Evaluating the Advantages regarding graft-take
There are no conflicts of interest to disclose by all authors. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 29, 2020 Category: Urology & Nephrology Authors: Amos Neheman, Yishai H. Rappaport, Guy Verhovsky, Nicol Bush, Warren Snodgrass, Erez Lang, Amnon Zisman, Shai Efrati Tags: Letter to the Editor Source Type: research

Response to letter to the Editor re 'Fetal Repair of Myelomeningocele: Current Status and Urologic Implications'
We thank Dr. Macedo and colleagues for their letter which appropriately highlights their group's recent prospective research in children following in utero myelomeningocele closure. We recognize their efforts in this challenging patient population, and we most certainly agree that their work has contributed significantly to the field of Pediatric Urology. The data presented in their letter and referenced studies are indeed important contributions to the existing literature and further reaffirm the need for careful, proactive management of patients with neurogenic bladder irrespective of the timing of closure. (Source: Jour...
Source: Journal of Pediatric Urology - May 29, 2020 Category: Urology & Nephrology Authors: Doug Clayton Tags: Letter to the Editor Source Type: research

Evaluation of Outcomes following Complete Primary Repair of Bladder Exstrophy at Three Individual Sites Prior to the Establishment of a Multi-Institutional Collaborative Model
The Multi-Institutional Bladder Exstrophy Consortium (MIBEC) was established in 2013 to refine technical aspects of the complete primary repair of bladder exstrophy (CPRE), to decrease complications, and to improve outcomes. In order to place outcomes from the consortium into context of historic outcomes, we evaluated continence and dry intervals in children who were repaired prior to the beginning of the consortium at these institutions. We hypothesized that continence (voiding with dryness) is rarely achieved after primary CPRE and surgery following CPRE improves dryness but may hinder voiding per urethra. (Source: Journ...
Source: Journal of Pediatric Urology - May 29, 2020 Category: Urology & Nephrology Authors: Dana A. Weiss, Aseem R. Shukla, Joseph G. Borer, Bryan S. Sack, John V. Kryger, Elizabeth B. Roth, Travis W. Groth, Jennifer R. Frazier, Michael E. Mitchell, Douglas A. Canning Source Type: research

Comment on, Hyperbaric Oxygen for pediatric hypospadias cripples, evaluating the advantages regarding graft take. By Amos Neheman Yishai H. Rappaport, Guy Verhovsky, Nicol Bush, Warren Snodgrass, Erez Lang, Amnon Zisman, Shai Efrati
I read with interest this article where the authors discussed the role of hyperbaric oxygen therapy (HBOT) in hypospadias surgery, but I have several concerns. In compiling the references, the authors appear to have ignored several contributions on the subject, some of them are mine. This may seem trivial, but recently inappropriate accreditation and misquotation appear to be occurring frequently in the literature of hypospadias. Nowhere in the manuscript is any credit given to the classic article by Perrins and Cantab who in 1967 first investigated the use of HBOT for skin grafts in humans (1). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 29, 2020 Category: Urology & Nephrology Authors: Moneer Hanna Tags: Letter to the Editor Source Type: research

The interest of oral calcium loads test in the diagnosis and management of pediatric nephrolithiasis with hypercalciuria: experience from a tertiary pediatric centre
The use of calcium load has been forgotten in pediatrics until recently whereas it is of utmost importance to have a practical approach to guide management of hypercalciuric nephrolithiasis. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 29, 2020 Category: Urology & Nephrology Authors: M élodie Mosca, Aurélia Bertholet-Thomas, Sandrine Lemoine, Charlotte Garnier, Christelle Machon, Arnaud Molin, Laurence Dubourg, Justine Bacchetta Source Type: research

Invited Commentary
Morin et al1 write a systematic review of pre-malignant and invasive germ cell tumors (GCTs) in patients with differences in sexual differentiation (DSD), reviewing 386 manuscripts over a 67-year period. They found that GCTs were more common when surgery was performed in children aged 15 years of age and older, with survival being worse when GCT was found rather than when gonadoblastoma or germ cell neoplasia in situ was present. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 29, 2020 Category: Urology & Nephrology Authors: Kathleen Kieran Source Type: research

Pitfalls of Prospective Non Randomized Studies: Why Study Results Mislead
We would like to congratulate Dr. Mohammadipour and his colleagues for their work in expanding the literature on the role of preoperative hormone stimulation (PHS) in hypospadias repair. The title chosen by the authors questions whether PHS is a facilitator or a confounder for improving hypospadias repair outcomes[1]. Facilitator in the context of hypospadias repair implies that PHS would improve (be beneficial to) surgical outcomes. Being a confounder means that a variable (PHS) is associated with both the exposure (hypospadias) and the outcome (fistula formation), and if not adjusted will lead to spurious results. (Sourc...
Source: Journal of Pediatric Urology - May 29, 2020 Category: Urology & Nephrology Authors: Yuding Wang, Melissa McGrath, Luis H. Braga Tags: Letter to the Editor Source Type: research

Response to commentary: Practice patterns in classic bladder exstrophy: A global perspective
The comment to the editor is well taken. The authors agree there is considerable heterogeneity between surgeons given bladder exstrophy is a rare condition and availability of appropriate resources, e.g. pediatric orthopedic surgeons, expert pain management team, trained cadre of nursing staff, may alter the approach taken for management. In regards to experience, even in the United States, the highest volume centers have single digit number of cases on average per year [1]. Having a global consortium or having dedicated centers of excellence around the world, not just localized in a few geographic regions, would certainly...
Source: Journal of Pediatric Urology - May 28, 2020 Category: Urology & Nephrology Authors: Mohammad H. Zaman, Mahir Maruf, Kelly T. Harris, Roni Manyevitch, Rachel Davis, Wayland J. Wu, Saran A. Hall, Heather DiCarlo, John Gearhart, Ezekiel E. Young, Christopher A. Hesh Tags: Letter to the Editor Source Type: research

Practice Patterns in Classic Bladder Exstrophy: A Global Perspective
The comment to the editor is well taken. The authors agree there is considerable heterogeneity between surgeons given bladder exstrophy is a rare condition and availability of appropriate resources, e.g. pediatric orthopedic surgeons, expert pain management team, trained cadre of nursing staff, may alter the approach taken for management. In regards to experience, even in the United States, the highest volume centers have single digit number of cases on average per year.1 Having a global consortium or having dedicated centers of excellence around the world, not just localized in a few geographic regions, would certainly he...
Source: Journal of Pediatric Urology - May 28, 2020 Category: Urology & Nephrology Authors: Mohammad H. Zaman, Ezekiel E. Young, Mahir Maruf, Christopher A. Hesh, Kelly T. Harris, Roni Manyevitch, Rachel Davis, Wayland J. Wu, Saran A. Hall, Heather DiCarlo, John Gearhart Tags: Letter to the Editor Source Type: research

Trans IL-6 signaling does not appear to play a role in renal scarring after urinary tract infection
While inflammation is an important innate defense mechanism against infection, it can also lead to local tissue damage. The trans signaling pathway of interleukin (IL)-6 is a known mediator of inflammation. We hypothesized that the trans IL-6 signaling pathway is associated with the development of post febrile urinary tract infection (UTI) renal scarring. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 28, 2020 Category: Urology & Nephrology Authors: Sudipti Gupta, Guillermo Yepes Junquera, Lauren Nicassio, Brian Becknell, Christina B. Ching Source Type: research

Calyceal Diverticulum of the Kidney in Pediatric Patients – Is it as rare as you might think?
Calyceal diverticulum (CD) is rarely diagnosed in children. It mimics other cystic lesions of the kidney and may be very difficult to identify. Displaying the communication of these fluid-filled cavities with the collecting system of the kidney via imaging methods is the key diagnostic method. The purpose of this study is to determine the presence of calyceal diverticulum in pediatric patients followed up due to simple renal cyst and/or parapelvic cyst. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 28, 2020 Category: Urology & Nephrology Authors: Demet Alaygut, Hilal Şahin, Seçil Arslansoyu Çamlar, Eren Soyaltın, Elif Perihan Öncel, Caner Alparslan, Fatma Mutlubaş, Önder Yavaşcan, Belde Kasap Demir Source Type: research

Point-of-Care Ultrasound is an Accurate, Time-saving, and Cost-effective Modality for Post-operative Imaging After Pyeloplasty
Dismembered pyeloplasty is considered the gold standard treatment for ureteropelvic junction obstruction (UPJO). Although the frequency and timing of follow up imaging after pyeloplasty is variable, renal ultrasound (RUS) is commonly utilized. With minimal training, point-of-care ultrasound (POCUS) can be easily performed by a urologist during a post-operative visit. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 28, 2020 Category: Urology & Nephrology Authors: Jeffrey Villanueva, Benjamin Pifer, Marc Colaco, Janelle Fox, Rajeev Chaudhry, Francis Schneck, Glenn Cannon Source Type: research

A Nomogram for Prediction of Distant Metastasis in Children with Wilms Tumor: A Study based on SEER Database
Accurate diagnosis of distant metastasis especially uncommon site of metastasis (UCM) in patients with Wilms tumor (WTs) is a demanding prerequisite for administration of appropriate therapy and achieving better survival outcome. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 28, 2020 Category: Urology & Nephrology Authors: Yangyue Huang, Weiping Zhang, Hongcheng Song, Ning Sun Source Type: research

I was Deployed to a Covid Unit
In addition to my clinical responsibilities as a Pediatric Urologist, I am the Residency Program Director of a Urology program in New York City. As Residency Program Director I am responsible for the education and wellness of twenty-five trainees. Over the years I have become familiar with the vocabulary of the ACGME (Milestones, work hours, case logs, wellness, burn-out, in service exams). In early March I had to learn a new vocabulary (Covid-19, PPE, redeployment, self-quarantine, social distancing, surge). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 28, 2020 Category: Urology & Nephrology Authors: Jeffrey A. Stock Tags: Letter to the Editor Source Type: research

Significant Rate of Lower Urinary Tract Dysfunction in Patients with Sacrococcygeal Teratomas
Sacrococcygeal teratoma (SCT) is the most commonly occurring presacral tumor and can affect the lower urinary tract by direct mass effect, or as a sequela from surgical resection. Despite the potential impact on urologic function, there is no current standard for urological involvement or follow-up for these patients. The purpose of this study was to evaluate the need for urologic involvement for lower urinary tract dysfunction (LUTD) in patients with SCTs at our institution. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 24, 2020 Category: Urology & Nephrology Authors: Alexandra Rehfuss, Devin Halleran, Jennifer Aldrink, Christina Ching Source Type: research

Commentary to “Renal ultrasound to evaluate for blunt renal trauma in children: A retrospective comparison to contrast enhanced CT imagingˮ
The use of a triple-phase CT imaging for the evaluation of blunt abdominal trauma has significantly decreased over the most recent decade [1]. Indeed, newer approaches to the traumatically injured patient with the use of FAST (focal abdominal sonogram for trauma), the use of serial physical evaluations of the patients while in the emergency room and when indicated the use of a split-dose contrast-enhanced single imaging CT scan, is currently the standard of care at most institutions [2]. This methodologic sequence significantly reduces the exposure of the patient to excessive radiation dosage, and has the added benefit of ...
Source: Journal of Pediatric Urology - May 22, 2020 Category: Urology & Nephrology Authors: Douglas A. Husmann Source Type: research

Commentary to "Renal Ultrasound to evaluate for blunt renal trauma in children: A retrospective comparison to contrast enhanced CT imaging"
The use of a triple-phase CT imaging for the evaluation of blunt abdominal trauma has significantly decreased over the most recent decade. [1] Indeed, newer approaches to the traumatically injured patient with the use of FAST (focal abdominal sonogram for trauma), the use of serial physical evaluations of the patients while in the emergency room and when indicated the use of a split-dose contrast-enhanced single imaging CT scan, is currently the standard of care at most institutions. [2] This methodologic sequence significantly reduces the exposure of the patient to excessive radiation dosage, and has the added benefit of ...
Source: Journal of Pediatric Urology - May 22, 2020 Category: Urology & Nephrology Authors: Douglas A. Husmann Source Type: research

Oncologic outcomes of pre-malignant and invasive germ cell tumors in patients with differences in sex development – A systematic review
To describe the rates of GCNIS-free and GCT-free pathology based on age at gonadal surgery and to describe long-term oncologic outcomes in patients with DSD who have GCNIS or GCT at the time of gonadal surgery. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 22, 2020 Category: Urology & Nephrology Authors: Jacqueline Morin, Leslie Peard, Timothy Vanadurongvan, Jonathan Walker, M. İrfan Dönmez, Amanda F. Saltzman Source Type: research

Continence after BNR in the Complete Repair of Bladder Exstrophy (CPRE): A Single Institution Expanded Experience
Several surgical methods have been used for primary repair of bladder exstrophy in the newborn. Complete primary repair of exstrophy (CPRE) aims to prevent the need for surgeries beyond the newborn period. Due to the rarity of bladder exstrophy, it has proven difficult in the past to analyze whether use of this method of closure truly does confer acceptable continence outcomes and hence minimizes the requirement for additional surgeries later in life. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 22, 2020 Category: Urology & Nephrology Authors: Heather N. Di Carlo, Roni Manyevitch, Wayland J. Wu, Mahir Maruf, Jason Michaud, Daniel Friedlander, John P. Gearhart Source Type: research

What the editors are reading: Social Media Section
Parental Perceptions of the Internet and Social Media as a Source of Pediatric Health Information. Bryan MA, Evans Y, Morishita C, Midamba N, Moreno M. Acad Pediatr 2020;20:31 –8. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 21, 2020 Category: Urology & Nephrology Authors: Christopher E. Bayne Tags: What the Editors are Reading Source Type: research

Urethro vaginal injuries associated with pelvic fracture – A spectrum of clinical presentation and management
Blunt trauma to the paediatric pelvis is associated with urethral rupture, sometimes even without a bony fracture. While such rupture of the male urethra has received considerable mention, female urethral injury is both less common and has received less attention. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 20, 2020 Category: Urology & Nephrology Authors: Jujju Jacob Kurian, Sudipta Sen, Ravi Kishore, Rohith Srinivas Source Type: research

Impact of COVID-19 on the future of Pediatric Urology practice. Do guidelines apply to medical practice worldwide?
After the announcement of the World Health Organization, where COVID-19 was declared a pandemic, healthcare systems in Europe and North America collapsed due to an overwhelming number of critical cases requiring management. Some countries in the western hemisphere that had not been hit so severely were able to prepare and allocate resources in order to avoid a saturation of their systems. The American College of Surgeons published their guidelines about how to prioritize and triage surgical management including cessation of elective surgery (1). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 20, 2020 Category: Urology & Nephrology Authors: Nicolas Fernandez, Juan Ignacio Caicedo Tags: Letter to the Editor Source Type: research

Long-Term outcomes of adult-size and size-matched kidney transplants in small pediatric recipients
Adult-size kidneys are usually used for kidney transplantation in small pediatric recipients, but the influence of graft size in transplant outcome remains controversial. Our aim is to compare long-term transplant outcomes of using adult-size and size-matched kidneys in small pediatric recipients. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 20, 2020 Category: Urology & Nephrology Authors: Maria Virginia Amesty, Carlota Fernandez, Laura Espinosa, Susana Rivas-Vila, Roberto Lobato, Shirley Monsalve, Pedro Carlos Lopez-Pereira, Maria Jose Martinez-Urrutia Source Type: research

Urethro vaginal injuries associated with pelvic fracture - A spectrum of clinical presentation and management
Blunt trauma to the paediatric pelvis is associated with urethral rupture, sometimes even without a bony fracture. While such rupture of the male urethra has received considerable mention, female urethral injury is both less common and has received less attention. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 20, 2020 Category: Urology & Nephrology Authors: Jujju Jacob Kurian, Sudipta Sen, Ravi Kishore, Rohith Srinivas Source Type: research

Caudal epidural block versus ultrasound-guided dorsal penile nerve block for pediatric distal hypospadias surgery: a prospective, observational study
The surgery of hypospadias is very painful in the postoperative period and requires long-term analgesia. A dorsal penile nerve block (DPNB) and caudal epidural block (CEB) are commonly used regional anesthesia techniques for postoperative pain control. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 19, 2020 Category: Urology & Nephrology Authors: Volkan Ozen, Do ğakan Yiğit Source Type: research

Burnout amongst members of the French-speaking Society of Pediatric and Adolescent Urology (SFUPA). Are there specific risk factors?
Burnout, which includes emotional fatigue, cynicism and low personal accomplishment is linked to poor job satisfaction, decreased empathy, job withdrawal, increased absenteeism and increased medical errors, and is present among pediatric urologists. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - May 19, 2020 Category: Urology & Nephrology Authors: L. Harper, D. Alshammari, C. Ferdynus, N. Kalfa Source Type: research