Response to letter to the editor Are there anatomical limiting factors to foreskin reconstruction at the time of single-stage hypospadias repair?
We thank you for your comments relating to our study [1]. The study indeed describes using the TIP repair only in combination with foreskin reconstruction (FR). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 8, 2024 Category: Urology & Nephrology Authors: Hazem Mosa, Bartlomiej Olczak, Anu Paul, Pankaj Mishra, Arash Taghizadeh, Massimo Garriboli Tags: Letter to the Editor Source Type: research
Putting the Coach in the Game: Current and Future State of Surgical Coaching in Pediatric Urology
Surgical coaching has been proposed as a mechanism to fill gaps in proficiency and encourage continued growth following formal surgical training. Coaching benefits have been demonstrated in other surgical fields; however, have not been evaluated within pediatric urology. The aims of this study were to survey members of The Societies for Pediatric Urology (SPU) to assess the current understanding and utilization of surgical coaching while gauging interest, potential barriers and personal goals for participation in a coaching program. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 8, 2024 Category: Urology & Nephrology Authors: Hailey Silverii, Mark P. Cain, Jennifer Ahn, Nicolas Fernandez, Thomas Lendvay, Apeksha Gupta, Byron Joyner, Kathleen Kieran, Margarett Shnorhavorian, Paul Merguerian Source Type: research
Pelvic fracture urethral injury in adolescents – Predictors of outcomes and surgical complexity
Pelvic fracture urethral injury (PFUI) is more severe in younger individuals. The adolescent group is prone to protracted morbidity due to severity of the injury and its impact on lifestyle. Hence, treatment options and data on outcomes are crucial in planning management. The adolescents are a subgroup in several series of PFUI, but literature exclusively studying this group is sparse. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 7, 2024 Category: Urology & Nephrology Authors: Mudasir Farooq, Santhosh Nagasubramaniam, Sudhindra Jayasimha, Santosh Kumar, Lakshmanan Jeyaseelan, Praveen Kumar Chinniah, Chandra Singh J Source Type: research
Opioid Prescription Usage and Disposal after Provider Education and SMS-based Parent Education
Adequate pain control after outpatient pediatric urologic surgery is important for both providers and caregivers; however, opioid pain medications are often prescribed in excess of utilization. The resultant excess opioid medication has potential to be diverted or misused. While families are instructed to dispose of leftover opioids, a significant proportion may not dispose of leftover medication. We performed a quality improvement (QI) initiative within a tertiary academic care center to examine opioid excess, opioid disposal, and whether a two-component QI intervention of provider education and family education via autom...
Source: Journal of Pediatric Urology - March 7, 2024 Category: Urology & Nephrology Authors: Keerthana Mohankumar, Andrea H. Rossman, Raymond Yong, Angela Thao, Katie Sheridan, Elizabeth B. Roth Source Type: research
Clinical Characteristics and Surgical Treatment of Children with 45, X/46, XY Differences of Sex Development
In this study, we retrospectively analyze the clinical data of 18 children with 45,X/46,XY DSD, summarize their clinical characteristics and discuss the surgical treatment of gonads and Müllerian duct remnants.There were 5 patients presenting with female gender and 13 pati ents presenting with male gender. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 7, 2024 Category: Urology & Nephrology Authors: Liucheng Peng, Yifu Cheng, Jianjun Hu, Yaowang Zhao, Feng Qin Source Type: research
The Glanular-Frenular Collar (GFC) technique: dual approach to hypospadias reconstruction
The Glanular-Frenular Collar (GFC) technique has evolved since it was first described in 2017. The technique involves reconstruction of the septum glandis, which has been overlooked in the history of hypospadias, and formation of the frenulum, creating the ventral wall of the glanular urethra without dissecting the glans, leaving room for the formation of the navicular fossa. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 5, 2024 Category: Urology & Nephrology Authors: H üseyin Özbey Tags: Video Bank Source Type: research
Response to Commentary on: Staged laparoscopic orchiopexy of intra-abdominal testis: spermatic vessels division Vs traction ? a multicentric comparative study
Our team reported a comparative retrospective study between the gold-standard two-stage Fowler Stephens (FS) orchiopexy and Shehata spermatic pedicular traction (ST) for intra-abdominal testis (IAT)1. The aim of our study was to validate ST as an alternative to FS, as no comparative study existed on the subject with a long-term follow-up. Similar results have been reported between the two techniques at the end of the follow-up, in terms of scrotal testicular position and testicular atrophy. In our series, traction slippage occurred in 21% of cases, and no predicting factor of this slippage was found, since it occurred on i...
Source: Journal of Pediatric Urology - March 5, 2024 Category: Urology & Nephrology Authors: Valeska BIDAULT-JOURDAINNE, Nathalie BOTTO, Matthieu PEYCELON, Elisabeth CARRICABURU, Pauline LOPEZ, Arnaud BONNARD, Thomas BLANC, Alaa EL GHONEIMI, Annabel PAYE-JAOUEN Source Type: research
MINI ENDOSCOPIC COMBINED INTRA-RENAL SURGERY (MiniECIRS) WITH ENDOVIEW PUNCTURE IN A 12 MONTH BOY. A SAFE BUT CHALLENGING PROCEDURE
Associating minipercutaneous nephrolithotomy and retrograde flexible ureteroscopy (fURS) is called Mini Endoscopic Combined Intra-Renal Surgery (miniECIRS). It ’s a safe and efficient technique, also in children. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 5, 2024 Category: Urology & Nephrology Authors: Yesica Y. Quiroz, Erika Llorens, Irene Giron, Joan Palou, Juan Carlos Osorio, Anna Bujons Tags: Video Bank Source Type: research
Commentary to Staged laparoscopic orchiopexy of intra-abdominal testis: spermatic vessels division versus traction ? a multicentric comparative study
Bidault-Jourdainne et al report on their experience with a new technique to manage intra-abdominal testes without division of the spermatic vessels. Intra-abdominal testes brought down laparoscopically with transection of the spermatic vessels results in a scrotal position in 70% of single-stage and 85% of two-stage approaches. The expected rate of testicular atrophy may be up to 10%. The Shehata technique relies on stretching of the spermatic vessels rather than division thereby possibly reducing the risk of atrophy and has been successfully applied in approximately 239 reported cases with 98% achieving a scrotal position...
Source: Journal of Pediatric Urology - March 5, 2024 Category: Urology & Nephrology Authors: Andrew Stec, Hans G. Pohl Source Type: research
Commentary to “Urology Mythbusters: Does prevalence of vesicoureteral reflux in children vary by race?”
Cai and co-authors have highlighted a variety of shortcomings in the designs and statistical analyses of the existing studies that report a lower prevalence of VUR in black compared with white children, including several studies in which racial differences were inferred without direct racial comparison of prevalence of VUR [1]. The authors also emphasize how underlying societal bias can affect the results of studies in which racial differences are reported or inferred. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 1, 2024 Category: Urology & Nephrology Authors: H. Gil Rushton, Col. Steven J. Skoog, A. Barry Belman Source Type: research
Prospective Assessment of Entrance Skin Dose and Targets for Radiation Reduction during Abdominal Plain Films in Pediatric Urology Patients
Abdominal radiographs are frequently used for evaluation of bowel and bladder dysfunction in pediatric urology. However, the dose of radiation delivered with each study is estimated from machine settings as opposed to measurement of the true entrance skin dose. In addition, the correlation of radiographic constipation with patient symptoms has been questioned. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 1, 2024 Category: Urology & Nephrology Authors: Christopher J. Staniorski, Alyssa Paul, Rajeev Chaudhry Source Type: research
Commentary to"Urology Mythbusters: Does Prevalence of Vesicoureteral Reflux in Children Vary by Race?"
Cai and co-authors have highlighted a variety of shortcomings in the designs and statistical analyses of the existing studies that report a lower prevalence of VUR in black compared with white children, including several studies in which racial differences were inferred without direct racial comparison of prevalence of VUR. (1) The authors also emphasize how underlying societal bias can affect the results of studies in which racial differences are reported or inferred. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - March 1, 2024 Category: Urology & Nephrology Authors: H. Gil Rushton, Steve J. Skoog, A. Barry Belman Source Type: research
Reply to commentary by Rushton et al. on “Urology Mythbusters: Does prevalence of vesicoureteral reflux in children vary by race?”
We appreciate Rushton et al.‘s thoughtful commentary on our Mythbuster feature. Our rationale for concluding that no judgment should be rendered on this topic may not have been clearly expressed. We would argue that, regardless of one's assessment of the quality of the existing evidence, the premise upon which this lite rature is based is fundamentally flawed. “Race” is not a scientifically based biological parameter, so studying the association of “race” with biological phenomena is likewise fundamentally flawed. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - February 29, 2024 Category: Urology & Nephrology Authors: Peter Y. Cai, Michael P. Kurtz, Caleb P. Nelson Tags: Letter to the Editor Source Type: research
Reply to commentary by Rushton et al. on “Urology Mythbusters: Does prevalence of vesicoureteral reflux in children vary by race?”
We appreciate Rushton et al. ’s thoughtful commentary on our Mythbuster feature. Our rationale for concluding that no judgment should be rendered on this topic may not have been clearly expressed. We would argue that, regardless of one’s assessment of the quality of the existing evidence, the premise upon which this literat ure is based is fundamentally flawed. “Race” is not a scientifically based biological parameter, so studying the association of “race” with biological phenomena is likewise fundamentally flawed. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - February 29, 2024 Category: Urology & Nephrology Authors: Peter Y. Cai, Michael P. Kurtz, Caleb P. Nelson Tags: Letter to the Editor Source Type: research
Para-testicular injection of indocyanine green for laparoscopic immunofluorescence-guided lymphatic-sparing Palomo procedure: Promising preliminary results
This article describes the results of twelve consecutive patients where visualization and sparing were carried out successfully with para-testicular injection of ICG. Procedural details are reported thoroughly.Early experience shows convincing results, we believe that para-testicular injection leads to equally good visualization of testicular lymphatic vessels without the risk of testicular lesions. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - February 29, 2024 Category: Urology & Nephrology Authors: Sabine Zundel, Philipp Szavay Tags: How I do it Source Type: research
