Re: The prostatic utricle: an under-recognized condition resulting in significant morbidity in boys with both hypospadias and normal external genitalia
We read with great interest the recent article entitled ‘The prostatic utricule: An under-recognized condition resulting in significant morbidity in boys with both hypospadias and normal external genitalia’ by Hester and Kogan which is published in Journal of Pediatric Urology. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 26, 2019 Category: Urology & Nephrology Authors: T. Aktu ğ, G. Ekberli̇ Tags: Letter to the Editor Source Type: research

Re: 'The prostatic utricle: An under-recognized condition resulting in significant morbidity in boys with both hypospadias and normal external genitalia'
We read with great interest the recent article entitled ‘’ The prostatic utricule: An under-recognized condition resulting in significant morbidity in boys with both hypospadias and normal external genitalia’’ by Hester et al1 which is published in Journal of Pediatric Urology. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 26, 2019 Category: Urology & Nephrology Authors: Gunay EKBERL İ, Tanju Aktuğ Tags: Letter to the Editor Source Type: research

Evidence-based medicine III: level of evidence
The present article is the third installment in a five-part series related to evidence-based medicine (EBM) provided by the European Society for Paediatric Urology Research Committee. It will present the different levels of evidence (i.e. systematic review, randomized controlled trial, cohort study) available to clinicians and researchers and describe the strengths of each study type. While EBM provides a valuable construct to aid in medical decision-making, it remains imperative that this information be interpreted and applied in the clinical context with a good dose of common sense. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 23, 2019 Category: Urology & Nephrology Authors: M. Kaefer, M. Castagnetti, K. Herbst, D. Bagli, G.M.A. Beckers, L. Harper, N. Kalfa, M. Fossum, ESPU research committee Tags: Educational Article Source Type: research

Embracing change —the time for pediatric enhanced recovery after surgery is now
The concept of enhanced recovery after surgery (ERAS) has increasingly been embraced by the study authors' adult surgical colleagues and has culminated in a new standard of care for a variety of surgical procedures [1]. To date, however, the concepts of ERAS have been embraced more slowly in the pediatric surgical subspecialties. On November 30th, 2018 at Virginia Commonwealth University in Richmond, Virginia, the first World Congress on Enhanced Recovery After Surgery in Pediatrics was held, bringing together experts from across the globe. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 23, 2019 Category: Urology & Nephrology Authors: K.O. Rove, M.A. Brockel, M.E. Brindle, M.J. Scott, C.D.A. Herndon, O. Ljungqvist, M.A. Koyle, Pediatric ERAS ® (Enhanced Recovery After Surgery) Society Tags: Editorial Source Type: research

Anterior approach retroperitoneal laparoscopic renal surgery in children
We report our experience with this novel approach in a prospective series of 69 children that includes 17 infants. Mean operating time was 225 minutes for reduction pyeloplasty. Peritoneal tear is not uncommon (22%) but often doesn’t require conversion. In our early experi ence, the conversion rate was 17% and postoperative complications 2.9%. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 23, 2019 Category: Urology & Nephrology Authors: Thomas P. Cundy, Azad S. Najmaldin Tags: How I do it Source Type: research

Impact of Pelvic Immobilization Techniques on the Outcomes of Primary and Secondary Closures of Classic Bladder Exstrophy
This study investigates the success rates of primary and secondary bladder closures based on various immobilization techniques from a high-volume exstrophy center. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 23, 2019 Category: Urology & Nephrology Authors: Mohammad Zaman, Matthew Kasprenski, Mahir Maruf, Karl Benz, John Jayman, Daniel Friedlander, Heather Di Carlo, Paul Sponseller, John Gearhart Source Type: research

Embracing Change —The Time for Pediatric ERAS is Now
The concept of Enhanced Recovery After Surgery (ERAS) has increasingly been embraced by our adult surgical colleagues and has culminated in a new standard of care for a variety of surgical procedures.[1] To date however, the concepts of ERAS have been embraced more slowly in the pediatric surgical subspecialties. On November 30th, 2018 at Virginia Commonwealth University in Richmond, Virginia, the first World Congress for Pediatric Enhanced Recovery After Surgery (ERAS) was held, bringing together experts from across the globe. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 23, 2019 Category: Urology & Nephrology Authors: Kyle O. Rove, Megan A. Brockel, Mary E. Brindle, Michael J. Scott, C.D. Anthony Herndon, Olle Ljungqvist, Martin A. Koyle, Pediatric ERAS ® (Enhanced Recovery After Surgery) Society Tags: Editorial Source Type: research

Evidence Based Medicine III; Level of evidence
The present article is the third installment in a five part series related to evidence based medicine (EBM) provided by the European society for pediatric urology (ESPU) research committee. It will present the different levels of evidence (i.e. systematic review, randomized controlled trial, cohort study) available to clinicians and researchers and describe the strengths of each study type. While EBM provides a valuable construct to aid in medical decision-making, it remains imperative that this information be interpreted and applied in the clinical context with a good dose of common sense. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 23, 2019 Category: Urology & Nephrology Authors: Martin Kaefer, Marco Castagnetti, Katherine Herbst, Darius Bagli, Goedele Beckers, Luke Harper, Nicolas Kalfa, Magdalena Fossum, ESPU research committee Tags: Educational Article Source Type: research

Point-of-care influences orchiectomy rates in pediatric patients with testicular torsion
To determine whether point-of-care (community hospitals vs. tertiary centers) or treatment-delaying variables (transfer, emergency room (ER) throughput, and distance travelled) affect orchiectomy rates in minors with testicular torsion (TT) using a National database. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 20, 2019 Category: Urology & Nephrology Authors: Rodrigo LP. Romao, Katherine H. Anderson, Dawn MacLellan, Peter AM. Anderson Source Type: research

The learning curve of contrast-enhanced ‘microbubble’ voiding urosonography—validation study
Vesicoureteral reflux (VUR) is a common pediatric urologic condition associated with urinary tract infection and pyelonephritis. It can be diagnosed via fluoroscopic voiding cystourethrogram (VCUG) and, more recently, contrast-enhanced voiding ultrasonography (ceVUS), which does not expose the patient to ionizing radiation. Voiding urosonography contrast agents used for the diagnosis of VUR have been widely available in Europe but were approved by the Food and Drug Administration for use in the United States only in 2016. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 19, 2019 Category: Urology & Nephrology Authors: M. Velasquez, M.G. Emerson, E. Diaz, W. Kennedy, E. Rubesova, R.A. Barth Source Type: research

Surprising interobserver and intra-observer variability in pediatric testicular ultrasound volumes
Testicular volume (TV) can be obtained by either scrotal ultrasound (SU) or orchidometer. Scrotal ultrasound allows for a more objective measurement; however, the interobserver and intra-observer variability of TV measurements has not been rigorously studied. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 19, 2019 Category: Urology & Nephrology Authors: C. Welliver, D. Cardona-Grau, L. Elebyjian, P.J. Feustel, B.A. Kogan Source Type: research

The Learning Curve of Contrast-Enhanced “Microbubble” Urosonography – A Validation Study
Vesicoureteric reflux (VUR) is a common pediatric urologic condition associated with urinary tract infection and pyelonephritis. It can be diagnosed via fluoroscopic voiding cystourethrogram (VCUG) and, more recently, contrast-enhanced voiding ultrasonography (ceVUS), which does not expose the patient to ionizing radiation. CeVUS contrast agents for the diagnosis of VUR have been widely available in Europe but were only FDA-approved for use in the United States in 2016. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 19, 2019 Category: Urology & Nephrology Authors: Monica Velasquez, Miriam G. Emerson, Edward Diaz, William Kennedy, Erika Rubesova, Richard A. Barth Source Type: research

Surprising Inter- And Intra-Observer Variability In Pediatric Testicular Ultrasound Volumes
Testicular volume (TV) can be obtained by either scrotal ultrasound (SU) or orchidometer. SU allows for a more objective measurement however the inter- and intra-observer variability of TV measurements has not been rigorously studied. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 19, 2019 Category: Urology & Nephrology Authors: Charles Welliver, Diana Cardona-Grau, Leon Elebyjian, Paul J. Feustel, Barry A. Kogan Source Type: research

Mental Health Status Of Individuals With Sexual Development Disorders: A Review
Health care recommendations for people with Disorders of Sex Development (DSD) include mental health attention and active participation of psychiatrists and psychologists in dedicated multidisciplinary teams. Thereby, it seems crucial for them to improve knowledges about specific difficulties and needs of these patients. The aim of this paper is to report in a synthesising manner the recent works evaluating the mental health and psychological status of individuals with DSD. After research conducted using PUBMED and SCIENCEDIRECT, 18 studies were inventoried and qualitatively analyzed in response to three main questions: do...
Source: Journal of Pediatric Urology - April 16, 2019 Category: Urology & Nephrology Authors: Marine Bohet, R émi Besson, Renaud Jardri, Sylvie Manouvrier, Sophie Catteau-Jonard, Maryse Cartigny, Estelle Aubry, Clara Leroy, Caroline Frochisse, François Medjkane Tags: Review Article Source Type: research

SENS-U: clinical evaluation of a full-bladder notification – a pilot study
In this study, the aim was to examine the performance of the SENS-U as a full-bladder –based notification system in children during daily life activities. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 15, 2019 Category: Urology & Nephrology Authors: P.G. van Leuteren, A.J. Nieuwhof-Leppink, P. Dik Source Type: research

Sens-U: Clinical Evaluation Of A Full Bladder Notification – A Pilot Study
In this study, the aim is to examine the performance of the SENS-U as a full-bladder-based notification system in children during daily life activities. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 15, 2019 Category: Urology & Nephrology Authors: P.G. van Leuteren, A.J. Nieuwhof-Leppink, P. Dik Source Type: research

Suprapubic grasper –assisted transvesical endoscopic ureterocele puncture: a novel technical innovation
Although endoscopic drainage remains treatment of choice for ureterocele in pediatric age group, often urologists, especially during the learning phase and difficult anatomy, feel a limitation because of inability to do intravesical manipulation. This can be attributed to absence of the second working channel in pediatric cystoscope owing to size limitation. Herein, we describe a novel technique for safe introduction of a grasper which acts as a second surgical arm for endoscopists and simultaneously facilitates both intravesical manipulation and drainage of ureterocele at an optimal location with minimal complications. (S...
Source: Journal of Pediatric Urology - April 13, 2019 Category: Urology & Nephrology Authors: V. Gupta, J. Usman, D.A. Mohammed, M. AlMarzouqi Tags: How I do it Source Type: research

Suprapubic Grasper assisted Transvesical Endoscopic Ureterocele Puncture (SATUP): A Novel Technical Innovation
Although endoscopic drainage remains treatment of choice for ureterocele in pediatric age group but often urologist especially during learning phase and difficult anatomy feel limitation due inability to do intra-vesical manipulation. This can be attributed to absence of second working channel in pediatric cystoscope owing to size limitation. Here in, we describe novel technique for safe introduction of grasper which acts as second surgical arm for endoscopist and simultaneously facilitates both intravesical manipulation and drainage of ureterocele at optimal location with minimal complications. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 13, 2019 Category: Urology & Nephrology Authors: Vipul Gupta, Usman Javaid, Diary A. Mohammed, Mamoun Marzouqi Tags: How I do it Source Type: research

Combined spinal/caudal catheter anesthesia: Extending the boundaries of regional anesthesia for complex pediatric urological surgery
Spinal anesthesia (SA) is an established anesthetic technique for short outpatient pediatric urological cases. In order to avoid general anesthesia (GA) and expand regional anesthetics to longer and more complex pediatric surgeries, we began a program using a combined spinal/caudal catheter technique (SCC). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 11, 2019 Category: Urology & Nephrology Authors: Venkata R. Jayanthi, Kristen Spisak, Ashley E. Smith, David P. Martin, Christina B. Ching, Tarun Bhalla, Joseph D. Tobias, Emmett Whitaker Source Type: research

The effect of intraurethral dexpanthenol in hypospadias repair: experimental rabbit study
In this study, the authors aimed to research the histopathologic effects of intraurethral use of dexpanthenol for hypospadias repair. Dexpanthenol is a derivative of pantothenic acid, a B complex vitamin. Pantothenic acid is a molecule contributing in the structure of coenzyme A. It decreases the release of myeloperoxidase from granulocytes and inhibits the formation of free oxygen radicals, and it exhibits an anti-inflammatory effect by increasing mitotic activity. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 7, 2019 Category: Urology & Nephrology Authors: T. Karakan, S. Ozcan, M. Bagcioglu, A. Ayd ın, O.G. Doluoglu, M.O. Yucel, Y. Adalı, O.F. Yagli Source Type: research

The Effect of Intraurethral Dexpanthenol in Hypospadias Repair:Experimental Rabbit Study
In our study we aimed to research the histopathologic effects of intraurethral use of dexpanthenol for hypospadias repair. Dexpanthenol is a derivative of pantothenic acid, a B complex vitamin. Pantothenic acid is a molecule taking part in the structure of coenzyme A. It decreases the release of myeloperoxidase from granulocytes and inhibits formation of free oxygen radicals, and it exhibits an anti-inflammatory effect by increasing mitotic activity. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 7, 2019 Category: Urology & Nephrology Authors: Tolga Karakan, Serkan Ozcan, Murat Bagcioglu, Arif Ayd ın, Omer Gokhan Doluoglu, Mehmet Ozgur Yucel, Yasemen Adalı, Omer Faruk Yagli Source Type: research

More anxious or more shy? Examining the social anxiety levels of adolescents with primary enuresis nocturna: a controlled study
Enuresis nocturna (EN) is very common worldwide, and psychiatric disorders are 1.3 –4.5 times higher in children with EN. When the authors focus on symptoms of individuals with EN, they figured out that the individuals were impaired in social and emotional skills because of the dramatic consequences of EN. The authors presume that, despite a lack of psychiatric comorbidity, prim ary enuresis nocturna (PEN) itself and its consequences may increase adolescents' social anxiety (SA), leading to adulthood mental diseases. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 5, 2019 Category: Urology & Nephrology Authors: Ş. Eray, D. Tekcan, Y. Baran Source Type: research

More Anxious or More Shy? Examining the social anxiety levels of adolescents with PEN: A controlled Study
Enuresis Nocturna (EN) is very common worldwide, and psychiatric disorders are 1.3 –4.5 times higher in children with EN. When we focus on symptoms of individuals with EN, we figured out that they were impaired in social and emotional skills because of the dramatic consequences of EN. We presume that, in spite, a lack of psychiatric comorbidity, Primer Enurezis Nocturna (PEN) it self and its consequences may increase adolescents' social anxiety (SA) leading to adulthood mental diseases. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 5, 2019 Category: Urology & Nephrology Authors: Şafak Eray, Demet Tekcan, Yasemin Baran Source Type: research

Significance of third trimester Ultrasound in detecting congenital abnormalities of kidney and urinary tract – a prospective study
Antenatal hydronephrosis (ANH) is defined as dilatation of the renal pelvis with or without dilatation of calyces in the developing fetus. Although second trimester scan is more sensitive in detecting congenital anomalies of kidney and urinary tract (CAKUT), it has been suggested that third trimester scan is more predictive of postnatal outcome. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 5, 2019 Category: Urology & Nephrology Authors: Mrinal Arora, Alpana Prasad, Rajeev Kulshreshtha, Ashok Baijal Source Type: research

Semen analysis in adolescents with familial mediterranean fever
In this study we aimed to search the frequency of sperm abnormalities of adolescent boys with FMF and also to investigate whether disease activity or colchicine treatment have negative effects on sperm parameters. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 5, 2019 Category: Urology & Nephrology Authors: G ülşah Kaya Aksoy, Mustafa Koyun, Mustafa Faruk Usta, Elif Çomak, Sema Akman Source Type: research

Factors associated with delay in undescended testis referral
Undescended testis (UDT) is one of the most common congenital disorders and is associated with infertility and testicular cancer. Multiple guidelines internationally have recommended orchiopexy by 18 months. Multiple large retrospective studies published in the last decade have found persistent delay in timing of orchiopexy. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 4, 2019 Category: Urology & Nephrology Authors: Da David Jiang, Ann Martinez Acevedo, Aaron Bayne, JChristopher Austin, Casey Seideman Source Type: research

Response to commentaries on ʻVariations of sex development first German interdisciplinary consensus paper’
The authors of the consensus paper represent the main medical clinics, institutions, and organizations in Germany involved with disorders of sexual development (DSD) patients. With regard to the structure of the consensus paper, there is a distinction between an S2k-  and S3-level paper. An S2k-level paper requires the participation of persons who represent those institutions/groups for whom the consensus is written. A formal consensus process has to be guaranteed, but a systematic review of the literature is not necessary. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 3, 2019 Category: Urology & Nephrology Authors: S. Krege Tags: Letter to the Editor Source Type: research

Persistent or recurrent ventral curvature after failed proximal hypospadias  repair
Persistent or recurrent ventral curvature (VC) in patients with complications after proximal hypospadias  repair is reported. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 3, 2019 Category: Urology & Nephrology Authors: W. Snodgrass, N.C. Bush Source Type: research

Laparoscopic pediatric pyeloplasty using the Flexdex ® articulating needle driver: step-by-step video
Ureteropelvic junction (UPJ) stenosis is the most common cause of pathological neonatal hydronephrosis. UPJ obstruction may be treated conservatively in some cases, but surgery is indicated if symptoms occur or renal function deteriorates.Pyeloplasty is the procedure of choice for UPJ stenosis. Pyeloplasty can be done by open laparoscopic or robotic technique. The laparoscopic technique is safe and may be associated with shorter length of hospital stay and reduced complications. Lately, robotic pyeloplasty has been done with similar results adding the benefits of easier suturing maneuverability, but with increased costs. (...
Source: Journal of Pediatric Urology - April 3, 2019 Category: Urology & Nephrology Authors: Antonio Rebello Horta Gorgen, Marcio Araldi, Artur de Oliveira Paludo, Aline Gularte Teixeira da Silva, Arthur Jose Ghissi, Andre Sobreiro Fernandes, Patric Tavares, Tiago Elias Rosito Tags: Video Bank Source Type: research

PERSISTENT or recurrent ventral curvature after failed proximal hypospadias repair
We report persistent or recurrent ventral curvature (VC) in patients with complications after proximal hypospadias repair. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 3, 2019 Category: Urology & Nephrology Authors: Warren Snodgrass, Nicol Corbin Bush Source Type: research

Can transient resting of the bladder with vesicostomy reduce the need for a major surgery in some patients?
Neuropathic bladder, voiding dysfunction, and posterior urethral valves may cause a great challenge in children. Preserving the kidney function is the main aim in all of these patients which can be done by cutaneous vesicostomy. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 3, 2019 Category: Urology & Nephrology Authors: Farzaneh Sharifiaghdas, Mahboubeh Mirzaei, Nadia Nikravesh Source Type: research

Response to commentaries re 'Variations of sex development First German interdisciplinary Consensus Paper'
The authors of the consensus paper represent the main medical clinics, institutions and organizations in Germany involved with DSD-patients. With regard to the structure of the consensus paper, there is a distinction between an S2k- and S3-level paper. An S2k-level paper requires the participation of persons who represent those institutions/groups for whom the consensus is written. A formal consensus process has to be guaranteed but a systematic review of the literature is not necessary. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 3, 2019 Category: Urology & Nephrology Authors: Susanne Krege Tags: Letter to the Editor Source Type: research

The overlooked association between lower urinary tract dysfunction and psychiatric disorders: A short screening test for clinical practice.
Lower urinary tract dysfunction (LUTD) often presents with other associated comorbidities such as urinary tract infections, constipation, fecal incontinence, and vesicoureteral reflux. However, the psychiatric conditions that can be associated with LUTD tend to go unnoticed. The evaluation, diagnosis, and treatment of children with LUTD and psychiatric disorders is difficult and time-consuming. Moreover, there is currently no accepted consensus on this subject. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 3, 2019 Category: Urology & Nephrology Authors: Mehmet Ali Özen, Tuba Mutluer, Işıl Necef, Moh’d Shabsog, Mehmet Taşdemir, Ilmay Bilge, Egemen Eroğlu Source Type: research

Editorial Board
(Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 1, 2019 Category: Urology & Nephrology Source Type: research

Editorial
‘The most entrenched conflict of interest in medicine is a disinclination to reverse a previous opinion.’Yudkin JS, Richter B, Gale EA, Lancet, 377:2011, 1221. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 1, 2019 Category: Urology & Nephrology Authors: A. Caldamone, Y. Heloury, C.D.A. Herndon, P. Hoebeke, D. Wood Source Type: research

Featuring: Renal cyst evolution in childhood: a contemporary observational study
This timely article was well received at the most recent Journal of Pediatric Urology Twitter Journal Club. There was good engagement with 2 main themes emerging as follows: (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 1, 2019 Category: Urology & Nephrology Authors: F. O'Kelly Tags: Pediatric Urology Journal Club Source Type: research

Computer-enhanced visual learning interactive: judging suitability for newborn circumcision
You may access this CEVL contribution at http://cevlforhealthcare.org/cevl/Products/Urology/JournalOfPediatricUrology/Menu/ (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 1, 2019 Category: Urology & Nephrology Authors: M. Maizels, P. Meade Tags: Computer Enhanced Visual Learning (CEVL) Source Type: research

Expert opinion: judging suitability for newborn circumcision
Circumcision remains a topic that generates significant medical and ethical controversy. Yet, approximately 30% of boys are circumcised worldwide. Newborn clamp circumcision is a relatively simple and low-risk surgical procedure, which is often performed by pediatricians, family physicians, and obstetricians. However, these physicians may lack formal training and experience on how to perform the procedure. Complications are rare  but potentially devastating and may result in additional surgery to say the least. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 1, 2019 Category: Urology & Nephrology Authors: J.R. Pereira Dos Santos Tags: Computer Enhanced Visual Learning (CEVL) Source Type: research

A potpourri of pediatric urology
On occasion, and by happenstance, the chronology and seasons of our lives correlate  with our celestial position. After a particularly long and hard winter on many fronts, I am warmed by the promise of a change in seasons. The calendar suggests spring should be in the air because it is March at the time of this writing. However, the temperature this morning on my way to work was - 6F (-21°C), and the air was devoid of life—still and silent. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 1, 2019 Category: Urology & Nephrology Authors: C. Cooper Source Type: research

Access for Retroperitoneoscopic Surgery
Retroperitoneoscopic surgery is utilised for a variety of renal and adrenal procedures in the paediatric population. This can be a challenging procedure but has advantages over open and trans-peritoneal laparoscopic approaches.This VideoBank article aims to aid the surgeon in gaining safe and efficient access for retroperitoneal surgery by demonstrating key steps including patient positioning and optimal trocar placement. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 1, 2019 Category: Urology & Nephrology Authors: Alexander Cho, Maria Asimakidou, Imran Mushtaq Tags: Video Bank Source Type: research

Commentary to Variations of sex development: First German Interdisciplinary Consensus Paper
This manuscript, resulting from a German interdisciplinary consensus conference studying management of children with DSDs, presents a series of 38 recommendations with supporting discussion. Not surprisingly, there is considerable agreement with the recommendations of the 2005 Chicago consensus conference, which it emulates. But there are also crucial differences that deserve our heightened attention and examination. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - April 1, 2019 Category: Urology & Nephrology Authors: David A. Diamond Source Type: research

Robot-assisted laparoscopic midureteral stricture repair and percutaneous stent placement in an infant
Mid-ureteral strictures in infants are a rare cause of hydronephrosis. In this surgical technique video we demonstrate a repair of a mid-ureteral stricture using a robot- assisted laparoscopic approach to mobilize and excise the stricture using the assistance of a hitch stitch as well as placement of a percutaneous stent. This technique was easily performed and successful for this patient. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 30, 2019 Category: Urology & Nephrology Authors: S.B. Starosta, A.A. Stec Tags: Video Bank Source Type: research

The use of nitrofurantoin for children with acute cystitis caused by extended-spectrum Β-lactamase–producing Escherichia coli
Acute cystitis in children caused by extended-spectrum β-lactamase (ESBL)–producing Escherichia coli (E. coli) is on the rise. Treatment of these is usually parenteral treatment. The aim of this study was to investigate the clinical and microbiological efficacy of oral nitrofurantoin treatment in children with lower urinary tract infection (UTI) caus ed by ESBL-producing E. coli. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 30, 2019 Category: Urology & Nephrology Authors: A. Kara, M.K. Gurgoze Source Type: research

The Use of Nitrofurantoin for Children with Acute Cystitis Caused by Extended Spectrum Β-Lactamase Producing Escherichia coli
Acute cystitis in children caused by extended spectrum β-lactamase (ESBL) producing Escherichia coli (E. coli) is increasing on the rise. Treatment of these is usually parenteral treatment. The aim of this study was to investigate the clinical and microbiological efficacy of oral nitrofurantoin treatment in children with lower urinary tract infection ( UTI) caused by ESBL-producing E. coli. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 30, 2019 Category: Urology & Nephrology Authors: Aslihan Kara, Metin Kaya Gurgoze Source Type: research

Robotic Assisted Laparoscopic Mid Ureteral Stricture Repair and Percutaneous Stent Placement in an Infant
With the widespread use of ultrasound during pregnancy, 1-3% of fetuses are diagnosed with hydronephrosis1. Commonly congenital obstructing lesions are located at the proximal and distal ends, and congenital mid ureteral strictures are relatively rare, reported as 4-5% of cases of urologic obstruction2. The treatment for an obstructing segment of the ureter is removal and anastomosis of the ureter3. Historically these were performed open, and then laparoscopically, but with the widespread use of robotic assistance for laparoscopic surgery, many pediatric urologists perform pyeloplasties using robotic assistance. (Source: J...
Source: Journal of Pediatric Urology - March 30, 2019 Category: Urology & Nephrology Authors: Sarah Bennett Starosta, Andrew Stec Tags: Video Bank Source Type: research

Reverse Pedicle Flap as a Barrier Layer for Circumcised Patients with Megameatus Hypospadias
Intact prepuce megameatus hypospadias is seen in approximately 5 % of all hypospadias cases. Unfortunately, many of these children are inadvertently circumcised at birth creating a dilemma for obtaining good barrier layer coverage at the time of surgical repair. Hill and Waxman etal described a novel way to provide coverage in the form of a reverse pedicle flap that is presented in this video. Over the past year 6 boys with megameatus variant hypospadias presented to our service in a circumcised state. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 30, 2019 Category: Urology & Nephrology Authors: Mark R. Zaontz, Christopher J. Long Tags: Video Bank Source Type: research

Surgery for no palpable testis before the age of one year: a risk for the testis?
Surgery for undescended testis (UDT) is now commonly recommended before the age of one year. However the risk of testicular atrophy or miss location after surgery at a young age has not been clearly evaluated. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 29, 2019 Category: Urology & Nephrology Authors: M.A.R.R.E.T. Jean-Baptiste, R.A.V.A.S.S.E. Philippe, B.O.U.L.L.I.E.R. Mathilde, B.L.O.U.E.T. Marie, D.O.L.E.T. Nathan, P.E.T.I.T. Thierry, R.O.D. Julien Source Type: research

Parental home removal of urethral catheters after urological surgery —a prospective benchmarking study
Many urological operations require placement of a urethral Foley catheter. The catheter often needs to remain in situ for a period of time after discharge; and patients subsequently require either a further hospital admission or community nurse review for catheter removal. Parents can easily remove the catheter at home by cutting the balloon port. This disrupts the valve and hence deflates the retaining balloon, thereby facilitating spontaneous passage of the catheter. The authors introduced this practice to their institution. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 28, 2019 Category: Urology & Nephrology Authors: S. Braungart, A. Goyal Source Type: research

Identifying systems delays in assessment, diagnosis, and operative management for testicular torsion in a single payer healthcare system
Testicular torsion (TT) is a common pediatric urologic emergency. Management of TT is time-sensitive, and often confirmed on scrotal doppler ultrasound (DUS). Acquiring DUS, however, can result in delays in the management of TT, affecting testicular salvage rates. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 28, 2019 Category: Urology & Nephrology Authors: Ernest Pang Chan, Peter Zhan Tao Wang, Frank Myslik, Hanny Chen, Sumit Dave Source Type: research

Parental home removal of urethral catheters following urological surgery – a prospective benchmarking study
Many urological operations require placement of a urethral Foley catheter. The catheter often needs to remain in situ for a period of time following discharge; and patients subsequently require either a further hospital admission or community nurse review for catheter removal.Parents can easily remove the catheter at home by cutting the balloon port. This disrupts the valve and hence deflates the retaining balloon, thereby facilitating spontaneous passage of the catheter. We introduced this practice to our institution. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 28, 2019 Category: Urology & Nephrology Authors: Sarah Braungart, Anju Goyal Source Type: research