Editorial Board
(Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 1, 2018 Category: Urology & Nephrology Source Type: research

Regional nerve blocks in everyday pediatric urology: 2. Ultrasound-guided regional anesthetic caudal block
This CEVL contribution is the second of a two-part series on implementing the practice of performing regional anesthesia blocks similarly by both pediatric urologists and anesthesiologists. Traditional work flow for pediatric urological surgery may involve provision of regional nerve blockade to supplement general anesthesia. The most common blocks used include groin and caudal blocks. Historically, these blocks have been performed ‘blindly’ by only the practitioner's instincts and palpation of landmarks. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 1, 2018 Category: Urology & Nephrology Authors: R. Shah, M. Maizels, P. Meade, S. Suresh Tags: Computer Enhanced Visual Learning (CEVL) Source Type: research

Expert opinion: regional nerve blocks in everyday pediatric urology: 2. Ultrasound-guided regional anesthetic caudal block
Ultrasonography is rapidly becoming the gold standard in regional anesthesia. Caudal blocks, when performed with ultrasound guidance, allow for greater safety and improved block efficacy. Medical education continues to evolve with advances in technology. CEVL in the medical field provides an  enhanced, realistic visualization of procedures and authentic context for learning and assessment, leading to a safer and more controlled environment that decreases risks to patients. The CEV-ule shown for caudal block provides trainees with a standardized, systematic approach to performing the b lock. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 1, 2018 Category: Urology & Nephrology Authors: D. Krodel Tags: Computer Enhanced Visual Learning (CEVL) Source Type: research

Expert opinion: regional nerve blocks in everyday pediatric urology: 2. Ultrasound-guided regional anesthetic caudal block
Anesthesia trainees are often put into new situations on a daily basis. Given the fast-paced nature of the operating room, educational tools such as this CEV-ule allow  trainees to prepare before meeting the patient. It provides the opportunity to learn the anatomy/physiology as well as logistics of the operating room and ultrasound techniques. Furthermore, it encourages standardized and safe practice, which is essential for patient care at all levels of training . I believe modules such as these are wonderful assets in the advancement of medical training in anesthesia. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 1, 2018 Category: Urology & Nephrology Authors: A. Vargas Tags: Computer Enhanced Visual Learning (CEVL) Source Type: research

Editorial
“Most of us prefer to surround ourselves with opinions that validate what we already believe. You notice the people who you think are smart are the people who agree with you. Funny how that works.”Barack Obama The Nelson Mandela Lecture, July 18, 2018 (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - October 1, 2018 Category: Urology & Nephrology Authors: A. Caldamone, Y. Heloury, C.D.A. Herndon, P. Hoebeke, D. Wood Source Type: research

Remote ischemic conditioning in a rat model of testicular torsion: does it offer testicular protection?
Testicular torsion is a surgical emergency mainly affecting adolescent boys, with a relatively high rate of missed torsion and testicular loss secondary to delay in prompt diagnosis and surgical intervention. With ischemic reperfusion injury as its underlying culprit, testicular torsion may respond favorably to remote ischemic conditioning (RIC) where a non-privileged site (e.g. limb) is concurrently rendered ischemic to divert the cascade of reperfusion injury from the privileged organ (e.g. testicle), thus offering a protective effect in improving salvage. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 24, 2018 Category: Urology & Nephrology Authors: M. Mansour, J. Degheili, I. Khalifeh, H. Tamim, R.F. Jaafar, Y. El-Hout Source Type: research

Modified staged repair of bladder exstrophy: a strategy to prevent penile ischemia while maintaining advantage of the complete primary repair of bladder exstrophy
Penile ischemic injury is a reported catastrophic complication after complete primary repair of exstrophy (CPRE). Aiming to improve the bladder exstrophy-epispadias repair outcomes, our institution adopted a modified staged exstrophy repair to incorporate the advantages of CPRE by avoiding concurrent epispadias repair and adding bilateral ureteral reimplantation and bladder neck tailoring (SRBE-BUR) at the initial repair. We hypothesized that such modifications minimize penile complications, prevent upper tract deterioration while enhancing bladder resistance and consequent capacity. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 24, 2018 Category: Urology & Nephrology Authors: Michael E. Chua, Jessica M. Ming, Nicolas Fernandez, Abby Varghese, Walid A. Farhat, Darius J. Bagli, Armando J. Lorenzo, Joao L. Pippi Salle Source Type: research

Remote Ischemic Conditioning (RIC) in a Rat Model of Testicular Torsion: Does it Offer Testicular Protection?
Testicular torsion is a surgical emergency mainly affecting adolescent boys, with a relatively high rate of missed torsion and testicular loss secondary to delay in prompt diagnosis and surgical intervention. With ischemic-reperfusion injury as its underlying culprit, testicular torsion may respond favorably to remote ischemic conditioning (RIC) where a non-privileged site (e.g. limb) is concurrently rendered ischemic to divert the cascade of reperfusion injury from the privileged organ (e.g. testicle), thus offering a protective effect in improving salvage. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 24, 2018 Category: Urology & Nephrology Authors: Mazen Mansour, Jad Degheili, Ibrahim Khalifeh, Hani Tamim, Rola Jaafar, Yaser El-Hout Source Type: research

Understanding of and misconceptions around monosymptomatic nocturnal enuresis: findings from patient and physician surveys
Monosymptomatic nocturnal enuresis (MNE) is a common paediatric condition, caused by the interaction of multiple physiological mechanisms. The condition can lead to psychiatric comorbidities that are detrimental to quality of life, but is under-recognised and misunderstood by society and healthcare providers. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 24, 2018 Category: Urology & Nephrology Authors: Michal Maternik Source Type: research

Commentary to ‘One-stage combined delayed bladder closure with Kelly radical soft-tissue mobilization in bladder exstrophy: preliminary results’
The authors present data from a retrospective review of 27 bladder exstrophy patients operated in a modified technique of the radical soft tissue mobilization (RSTM). According to their concept, they combined delayed bladder closure and RSTM as a single-stage procedure. Focussing on the safety of this modified concept, the main outcome criterion was the rate of bladder dehiscence. Secondary outcome criteria were UTI, urethral stenosis urethrocutaneous fistula and parietal hernia. Important technical details are keenly described and complemented by coherent drawings and video clips. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 20, 2018 Category: Urology & Nephrology Authors: W.H. R ösch Source Type: research

Commentary to ‚One-stage combined delayed bladder closure with Kelly radical soft-tissue mobilization in bladder exstrophy: preliminary results.’
The authors present data from a retrospective review of 27 bladder exstrophy patients, operated in a modified technique of the radical soft tissue mobilization (RSTM). According to their concept they combined delayed bladder closure and RSTM as a single-stage procedure. Focusing on the safety of this modified concept the main outcome criterion was the rate of bladder dehiscence. Secondary outcome criteria were UTI, urethral stenosis urethrocutaneous fistula and parietal hernia. Important technical details are keenly described and complemented by coherent drawings and video clips. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 20, 2018 Category: Urology & Nephrology Authors: Woolfgang R ösch Source Type: research

Sexual orientation of 46, XX patients with congenital adrenal hyperplasia: a descriptive review
Congenital adrenal hyperplasia (CAH) consists of a group of diseases characterized by an enzyme deficiency, particularly 21-hydroxylase deficiency. The condition may present in the simple virilizing form or in the salt-wasting form, with varying degrees of genital ambiguity. The non-heterosexual orientation is used in gender studies fields and include bisexual, homosexual, LGBTI and others. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 19, 2018 Category: Urology & Nephrology Authors: Rhaiana Gondim, Fernanda Teles, Ubirajara Barroso Tags: Review Article Source Type: research

The changing gender landscape of pediatric urology fellowship: Results from a survey of fellows and recent graduates
Women are entering the subspecialty of pediatric urology at an accelerated rate. Gender differences affecting fellowship and job selection have been identified in other fields of medicine. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 19, 2018 Category: Urology & Nephrology Authors: Lily C. Wang, Angela G. Mittal, Kathleen Puttmann, Nicolette Janzen, Lane S. Palmer, Elizabeth B. Yerkes, Sheila L. Ryan, Edmond T. Gonzales, David R. Roth, Chester J. Koh Source Type: research

A tailored surgical approach to the palpable undescended testis
Orchiopexy for a palpable undescended testis can be approached through a traditional inguinal incision or transscrotally. Despite the possible advantages of the scrotal approach, including reduced postoperative pain and shorter recovery, it is not consistently advocated. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 19, 2018 Category: Urology & Nephrology Authors: Amos Neheman, Max Levitt, Zvi Steiner Source Type: research

Birth prevalence of hypospadias and hypospadias risk factors in newborn males in the United States from 1997 to 2012
Hypospadias is a common genitourinary malformation and there is conflicting data on whether prevalence is increasing. Previous studies have described associations with risk factors including small for gestational age (SGA), multiple gestation, environmental influences, and maternal factors. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 19, 2018 Category: Urology & Nephrology Authors: Min-Jye Chen, Lefkothea P. Karaviti, David R. Roth, Bruce J. Schlomer Source Type: research

Predictors of becoming overweight among pediatric patients at risk for urinary tract infections
The association between obesity and urinary dysfunction in childhood has been described, albeit through retrospective analysis making temporal relationships difficult to establish. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 18, 2018 Category: Urology & Nephrology Authors: Thomas W. Gaither, Christopher S. Cooper, Zachary Kornberg, Laurence S. Baskin, Hillary L. Copp Source Type: research

Does a serious game increase intrinsic motivation in children receiving urotherapy?
Urotherapy is considered the treatment of choice for children suffering day time incontinence (DUI). Urotherapy intends to improve bladder dysfunction for children with DUI. For children with refractory DUI an intensive inpatient bladder training program exists, which focuses on relearning, concentration on and awareness of the bladder. Children ’s motivation and adherence are key determinants of a successful training outcome. We hypothesize that motivation endurance throughout the treatment process may be enhanced by a serious game training tool, which could make the training more appealing and rewarding. (Source: J...
Source: Journal of Pediatric Urology - September 18, 2018 Category: Urology & Nephrology Authors: Anka J. Nieuwhof-Leppink, Tom P.V.M. de Jong, Elise M. van de Putte, Renske Schappin Source Type: research

The biomechanical properties of the urethra in boys with hypospadias: A preliminary study
The ventral aspect of the penis in boys with hypospadias is composed of dysplastic tissue of the skin and the urethra.The aim of this study was to assess the pre-operative size and biomechanical properties of urethrae in boys with and without hypospadias using a more objective catheter-based system. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 18, 2018 Category: Urology & Nephrology Authors: I. Faurschou, A. Ernst, J. Zhao, D. Liao, L.H. Olsen Source Type: research

How to apply for a research grant: 10 tips and tricks
Research requires money. Many research grants are available, yet competition is fierce. Here are some tips that can help make your application successful. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 10, 2018 Category: Urology & Nephrology Authors: L. Harper, M. Castagnetti, K. Herbst, D. Bagli, M. Kaefer, G. Beckers, M. Fossum, N. Kalfa Source Type: research

Letter to the editor regarding: Rowe et al. Using social media for patient-reported outcomes: a study of genital appearance and sexual function in adult bladder exstrophy patients
Rowe et  al. should be commended for reporting patient-reported outcomes using validated questionnaires in men with classic bladder exstrophy (CBE) [1]. At the same time, whenever a questionnaire is used, it is critical that the most suitable instruments are administered in the appropriate population. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 6, 2018 Category: Urology & Nephrology Authors: K. Szymanski Tags: Letter to the Editor Source Type: research

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Rowe et al. should be commended for reporting patient-reported outcomes using validated questionnaires in men with classic bladder exstrophy (CBE).[1] At the same time, whenever a questionnaire is used, it is critical that is the most suitable instruments are administered in the appropriate population. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 6, 2018 Category: Urology & Nephrology Authors: Konrad Szymanski Tags: Letter to the Editor Source Type: research

An evaluation of the readability, quality, and accuracy of online health information regarding the treatment of hypospadias
Hypospadias is one of the most common genital anomalies. Treatment of hypospadias requires surgical repair, usually in childhood. Patients are increasingly using the internet to learn more about their health or that of their children, which can often empower patients to make well-informed healthcare decisions. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 5, 2018 Category: Urology & Nephrology Authors: T.I. Cisu, G.C. Mingin, L.S. Baskin Source Type: research

Tubulocystic anomalies of the mesonephric duct associated with ipsilateral renal dysgenesis
Renal agenesis and multicystic dysplastic kidney (MCDK) are usually associated with either an absent or atretic ureter. Occasionally, these renal anomalies may be associated with a dilated tortuous ureter, ureterocele or other cystic malformation of mesonephric duct (MND) remnants. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 5, 2018 Category: Urology & Nephrology Authors: Robert Coleman, Oliver Sanchez, Harmit Ghattaura, Katheryn Green, Harish Chandran, Liam McCarthy, Karan Parashar Source Type: research

An evaluation of the readability, quality, and accuracy of health information online regarding the treatment of hypospadias
Hypospadias is one of the most common genital anomalies. Treatment of hypospadias requires surgical repair, usually in childhood. Patients are increasingly using the internet to learn more about their health or that of their children, which can often empower patients to make well-informed healthcare decisions. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 5, 2018 Category: Urology & Nephrology Authors: Theodore I. Cisu, Gerald C. Mingin, Laurence S. Baskin Source Type: research

Gender identity in patients with 5-alpha reductase deficiency raised as females
5-alpha reductase deficiency (5-ARD) is a rare disorder of sex development. The lack of 5-alpha reductase, an enzyme that converts testosterone into dihydrotestosterone, results in external genitalia that may appear female, or predominantly male, albeit undervirilized, or, more often, ambiguous. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 5, 2018 Category: Urology & Nephrology Authors: Rodrigo Lessa Pena Nascimento, Ingrid Michele de Andrade Mesquita, Rhaiana Gondim, Robson Augusto Andrade Cardoso dos Ap óstolos, Maria Betania Toralles, Luciana Barros de Oliveira, Ana Karina Canguçu-Campinho, Ubirajara Barroso Source Type: research

Long-term follow-up of bladder outlet procedures in children with neurogenic urinary incontinence
Achieving continence in children with neurogenic sphincteric incompetence is a challenge. Awareness of the long-term outcome in this young patient population is important. In the past twenty-five years our institution has built experience in bladder outlet procedures such as bladder neck sling and bladder neck reconstructions. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - September 1, 2018 Category: Urology & Nephrology Authors: Toscane C. Noordhoff, Joop van den Hoek, Marit J. Yska, Katja P. Wolffenbuttel, Bertil F.M. Blok, Jeroen R. Scheepe Source Type: research

Robot-assisted laparoscopic excision of prostatic utricle in a 3-year old
Prostatic utricles have traditionally been excised via the open approach or laparoscopically. Recently, the robot-assisted laparoscopic approach has been described in a 19-year-old male. the case of a 3-year-old male with a disorder of sex  development (mosaic 45X/46 XY), with multiple associated anomalies, who presented with recurrent UTI is presented. Renal/bladder ultrasound revealed normal bilateral kidneys, and a 4.3 × 2.8 × 3.3 cm cystic mass in the midline posterior to the bladder. Voiding cystourethrogram demonstrated a large cystic mass behind the bladder, concerning for l...
Source: Journal of Pediatric Urology - August 28, 2018 Category: Urology & Nephrology Authors: A. Nguyen, H. Arora, J. Reese, J. Kaouk, A. Rhee Tags: Video Bank Source Type: research

Improving surgical training by identifying the most common feedback trainees receive for index cases
To make surgical training more effective, a proven method is needed to provide feedback to residents on their surgeries. Residency programs may make up for limited training time in the operating room by improving feedback that trainees receive about cases. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 28, 2018 Category: Urology & Nephrology Authors: M. Maizels, D. Liu, E. Yerkes, P. Meade, M. Biondi, R. Sutherland Source Type: research

Robotic-assisted laparoscopic excision of prostatic utricle in a 3 year old
We present the case of a 3 year old male with a disorder of sexual development (mosaic 45X/46 XY), with multiple associated anomalies, who presented with recurrent UTI. Renal/bladder ultrasound revealed normal bilateral kidneys, and a 4.3x2.8x3.3 cm cystic mass in the midline posterior to the bladder. Voiding cystourethrogram demonstrated a large cystic mass behind the bladder concerning for large prostatic utricle. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 28, 2018 Category: Urology & Nephrology Authors: Andrew Nguyen, Hans Arora, Jeremy Reese, Jihad Kaouk, Audrey Rhee Source Type: research

Improving surgical training by identifying the most common feedback trainees require for index cases
To make surgical training more effective, we need a proven method to provide feedback to residents on their surgeries. Residency programs may make up for limited training time in the operating room by improving feedback that trainees receive about cases. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 28, 2018 Category: Urology & Nephrology Authors: Max Maizels, Dennis Liu, Elizabeth Yerkes, Patrick Meade, Mandi Biondi, Richard Sutherland Source Type: research

Assessment of Pediatric Bowel and Bladder Dysfunction: a Critical Appraisal of the Literature
Bowel and Bladder Dysfunction (BBD) is a clinical syndrome defined by the co-existence of constipation and lower urinary tract symptoms. Although BBD is a common condition in pediatric urology and can cause significant stress to patients/parents, clinical diagnosis of BBD has not been standardized. BBD instruments have gained popularity over the past decade to aid in diagnosis. In this review, we summarized the currently published BBD symptom questionnaires, and provide an analysis on their psychometric validation process. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 28, 2018 Category: Urology & Nephrology Authors: Ruiyang Jiang, Maryellen S. Kelly, Jonathan C. Routh Source Type: research

Long-term results using a transanal irrigation system (Peristeen ®) for treatment of stool incontinence in children with myelomeningocele
Faecal incontinence due to constipation associated with myelomeningocele (MMC) is a frustrating problem. It could have bad impact on patients and their familie ’s quality of life. Conservative measures could be a starting point. In case of failure, Malone antegrade continence enema (MACE) is commonly considered. However, it is associated with higher complications.Peristeen Trans Anal Irrigation (TAI) depends on the injection of water into the colon throu gh a rectal catheter with an inflatable balloon to promote a controlled evacuation of large quantities of faecal contents. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 28, 2018 Category: Urology & Nephrology Authors: Hamdan Alhazmi, Mahmoud Trbay, Naif Alqarni, Fahad Alyami, Amnah Khatab, Raed Almannie, Khalid Fouda Neel Source Type: research

Stent-related complications after hypospadias repair: a prospective trial comparing Silastic tubing and Koyle urethral stents
There is a paucity of data comparing urethral stents after hypospadias repair. The aim of this study is to compare Silastic tubing vs  Koyle stents (Cook Medical), addressing outcomes related to stent-related complications, added visits to healthcare providers in the early postoperative period, and postoperative complications at clinic follow-up. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 24, 2018 Category: Urology & Nephrology Authors: L.C. Lee, A. Schr öder, D.J. Bägli, A.J. Lorenzo, W.A. Farhat, M.A. Koyle Source Type: research

Stent-Related Complications Following Hypospadias Repair: A Prospective Trial Comparing Silastic Tubing and Koyle Urethral Stents
There is a paucity of data comparing urethral stents following hypospadias repair. The aim of this study is to compare silastic tubing vs. Koyle stents (Cook Medical), addressing outcomes related to stent-related complications, added visits to healthcare providers in the early postoperative period, and postoperative complications at clinic follow-up. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 24, 2018 Category: Urology & Nephrology Authors: Linda C. Lee, Annette Schr öder, Darius J. Bägli, Armando J. Lorenzo, Walid A. Farhat, Martin A. Koyle Source Type: research

Acquired undescended testis and possibly associated testicular torsion in children with cerebral palsy or neuromuscular disease
Torsion of undescended testis (UDT) associated with cerebral palsy (CP) and neuromuscular disease (NMD) is an uncommon condition that is not well recognized by primary-care physicians or healthcare providers. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 23, 2018 Category: Urology & Nephrology Authors: Takuya Ito, Futoshi Matsui, Kota Fujimoto, Satoko Matsuyama, Koji Yazawa, Fumi Matsumoto, Kenji Shimada Source Type: research

Perineal hypospadias: back to the future Chordee Excision & Distal Urethroplasty
Perineal hypospadias correction has swung from two-stage repair in the 1960s to one-stage repair in the 1980s and back to two-stage repair in the 2000s. The author's experience with a technique in which Chordee Excision and Distal Urethroplasty (CEDU) was performed at the first operation leaving a 1-cm segment as perineal urethrotomy to be reconstructed at the second operation is presented. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 22, 2018 Category: Urology & Nephrology Authors: A.T. Hadidi Source Type: research

Perineal Hypospadias; Back To The Future Chordee Excision & Distal Urethroplasty (CEDU)
We present our experience with a technique where Chordee Excision and Distal Urethroplasty (CEDU) were performed at the first operation leaving a 1 cm segment as perineal urethrotomy to be reconstructed at the second operation. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 22, 2018 Category: Urology & Nephrology Authors: Ahmed T. Hadidi Source Type: research

Comparison of preputioplasty and circumcision in distal hypospadias correction: long-term follow-up
A normal penile cosmesis is an important goal in distal hypospadias repair. Depending on cultural standards, repairs are combined with a preputioplasty or circumcision to attain a ‘normal’ penile appearance. Although short-term complication rates of preputioplasty are available, data on long-term outcomes are scarce. Therefore, this study assessed long-term functional and cosmetic outcomes of distal hypospadias repair with either a preputioplasty or a circumcision. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 20, 2018 Category: Urology & Nephrology Authors: I.A.L. van den Dungen, S.P. Rynja, J.L.H.R. Bosch, T.P.V.M. de Jong, L.M.O. de Kort Source Type: research

Ipsilateral Ureteroureterostomy: Does Function of the Obstructed Moiety Matter?
Upper pole nephrectomy has been the traditional surgical management of children with poorly functioning upper pole moieties in duplex renal collecting systems having ureteral ectopia and ureterocele. However, ablative surgery confers a risk of functional loss to the remnant moiety due to vasospasm or vascular injury. We hypothesized Ipsilateral Ureteroureterostomy (IUU) is a safe and feasible approach for the management of these patients, and that residual function in the obstructed upper pole does not affect surgical outcomes. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 20, 2018 Category: Urology & Nephrology Authors: Trudy Kawal, Arun K. Srinivasan, Ruchika Talwar, David I. Chu, Christopher Long, Dana Weiss, Jason Van Batavia, Thomas Kolon, Aseem R. Shukla Source Type: research

Benefits of spinal anesthesia for urologic surgery in the youngest of patients
We report on our institution ’s outcomes with spinal anesthesia (SA) for urologic surgery in infants less than 90 days of age, and compare their outcomes with a matched cohort of patients who underwent general anesthesia (GA). (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 17, 2018 Category: Urology & Nephrology Authors: Kristin M. Ebert, Venkata R. Jayanthi, Seth A. Alpert, Christina B. Ching, Daniel G. DaJusta, Molly E. Fuchs, Daryl J. McLeod, Emmett E. Whitaker Source Type: research

Onabotulinum toxin A in children with refractory idiopathic overactive bladder: medium-term outcomes
This study aims to analyse the authors' experience to provide medium-term results of BtA in symptomatic refractory patients. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 14, 2018 Category: Urology & Nephrology Authors: J. Ingham, R. Angotti, M. Lewis, A. Goyal Source Type: research

Attitudes toward  ‘Disorders of Sex Development’ nomenclature among physicians, genetic counselors, and mental health clinicians
In 2006, nomenclature referencing atypical sex development (i.e., ‘intersex’) was updated, and the term disorder of sex development (DSD) was formally introduced. Clinicians, patients, and parents, however, have not universally accepted the new terminology, and some continue to use different nomenclature. This inconsistency in terminology can lead to confusion among clinicians and patients, affect clinician–patient relationships, and interfere with the recommended multidisciplinary model for DSD care. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 14, 2018 Category: Urology & Nephrology Authors: L. Miller, E.A. Leeth, E.K. Johnson, I. Rosoklija, D. Chen, S.A. Aufox, C. Finlayson Source Type: research

Onabotulinum toxin A in children with refractory idiopathic overactive bladder: medium term outcomes
This study aims to analyse our experience to provide medium term results of BtA in symptomatic refractory patients. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 14, 2018 Category: Urology & Nephrology Authors: Jack Ingham, Rossella Angotti, Malcolm Lewis, Anju Goyal Source Type: research

Urinary continence appears to enhance social participation and intimate relations in adolescents with myelomeningocele
The majority of adults with myelomeningocele (MMC) in western Sweden use incontinence pads.There is an ongoing discussion as to whether continence improves quality of life (QoL) in individuals with MMC as it has been hard to establish that an increase in QoL measured by generic health-related quality of life(HRQoL) instruments, is achieved by continence surgery. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 14, 2018 Category: Urology & Nephrology Authors: Magdalena Vu Minh Arnell, Kate Abrahamsson Source Type: research

Attitudes towards ‘Disorders of Sex Development’ (DSD) nomenclature among physicians, genetic counselors, and mental health clinicians
In 2006, nomenclature referencing atypical sex development (i.e., “intersex”) was updated, and the term disorder of sex development (DSD) was formally introduced. Clinicians, patients, and parents, however, have not universally accepted the new terminology and some continue to use different nomenclature. This inconsistency in terminology can lead to confusion among clinicians and patients, affect clinician-patient relationships, and interfere with the recommended multidisciplinary model for DSD care. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 14, 2018 Category: Urology & Nephrology Authors: Lauren Miller, Elizabeth A. Leeth, Emilie K. Johnson, Ilina Rosoklija, Diane Chen, Sharon A. Aufox, Courtney Finlayson Source Type: research

The amount of urine voided in bed by children with enuresis
Enuretic children wet their beds either because of nocturnal polyuria or nocturnal detrusor overactivity. Polyuric children often respond to desmopressin, whereas children with nocturnal detrusor overactivity are often therapy-resistant and may have low daytime voided volumes. It is logical to assume that the enuretic event in children with nocturnal polyuria occurs with a full bladder, i.e. with the enuretic voided volume (EVV) close to the child ’s expected bladder capacity (EBC) for his/her age. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 10, 2018 Category: Urology & Nephrology Authors: Tryggve Nev éus Source Type: research

Keloid formation after pediatric male genital surgeries: an uncommon and difficult problem to manage
Penile and genital keloids are uncommon despite frequent surgeries in the genital area. Keloid scar pathogenesis is not well understood, and a uniform effective therapeutic regimen for keloids has not yet been established. In the present study, the clinical features and subsequent management in cases of severe keloid formation after pediatric genital surgery are described. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 8, 2018 Category: Urology & Nephrology Authors: F. Alyami, N. Ferandez, M.A. Koyle, J.P. Salle Source Type: research

The local microbiome after pediatric bladder augmentation: intestinal segments and the native urinary bladder host similar mucosal microbiota
Next-generation sequencing (NGS) techniques have provided novel insights into the microbiome of the urinary bladder (UB). In children after bladder augmentation using either ileum (ileocystoplasty, ICP) or colon (colocystoplasty, CCP), the fate of the mucosal microbiome introduced into the urinary tract remains unknown. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 8, 2018 Category: Urology & Nephrology Authors: Z.F. Kispal, P. Vajda, D. Kardos, I. Klymiuk, C. Moissl-Eichinger, C. Castellani, G. Singer, H. Till Source Type: research

Early Transplantation into a Vesicostomy: A Safe Approach For Managing Patients With Severe Obstructive Lesions Who Are Not Candidates For Bladder Augmentation
Management of severe antenatally detected oligohydramnios with and without obstruction is improving with the result that more fetuses are surviving with early renal failure. Significant advances have occurred in all specialties involved in the management of these patients. All of these specialties working together have resulted in the survival of more patients born in renal failure. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 8, 2018 Category: Urology & Nephrology Authors: Aravind Viswanathan, Thomas Leffler, Neil Paloian, Mark Cain, Patrick H. McKenna Source Type: research

Keloid Formation After Pediatric male genital surgeries:: An Uncommon And Difficult Problem To Manage
Penile and genital keloids are uncommon despite frequent surgeries in the genital area. Keloid scar pathogenesis is not well understood and a uniform effective therapeutic regimen for keloids has not yet been established. In the present study, we describe the clinical features and subsequent management in cases of severe keloid formation after pediatric genital surgery. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - August 8, 2018 Category: Urology & Nephrology Authors: Fahad Alyami, Nicolas Ferandez, Martin A. Koyle, Joao Pippi Salle Source Type: research