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Specialty: Urology & Nephrology

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Total 124459 results found since Jan 2013.

Diagnostics, treatment, and immune response in BK polyomavirus infection after pediatric kidney transplantation
AbstractAfter pediatric kidney transplantation BK polyomavirus (BKPyV) infections are associated with an increased risk of graft loss by BKPyV-associated nephropathy (BkPyVAN). However, suitable prognostic markers for the individual outcome of BKPyV infections are missing and the management of therapeutic interventions remains a challenge to the success of pediatric kidney transplantation. This review gives an overview on current diagnostic and therapeutic strategies in the field of BKPyV infections after pediatric kidney transplantation. Methods determining the individual immune response to BKPyV are described and their u...
Source: Pediatric Nephrology - January 17, 2020 Category: Urology & Nephrology Source Type: research

Clinical and surgical consequences of the COVID-19 pandemic for patients with pediatric urological problems. Statement of the EAU guidelines panel for paediatric urology, March 30 2020. 2020
The COVID-19-pandemic forces hospitals to reorganize into a dual patient flow system. Healthcare professionals are forced to make decisions in patient prioritization throughout specialties. Most pediatric urology pathologies do not require immediate or urgent care, however, delay may compromise future renal function or fertility. Contact with patients and parents, either physical in safe conditions or by (video)telephone must continue.The Paediatric-Urology-Guidelines-panel of the EAU proposes recommendations on prioritization of care.
Source: Journal of Pediatric Urology - April 8, 2020 Category: Urology & Nephrology Authors: Josine S.L.T. Quaedackers, Raimund Stein, Nikita Bhatt, Hasan Serkan Dogan, Lisette Hoen, Rien J.M. Nijman, Christian Radmayr, Mesrur Selcuk Silay, Serdar Tekgul, Guy Bogaert Tags: How I do it Source Type: research

Benefits and Barriers to Pediatric Tele-urology During the COVID-19 Pandemic
We describe our experience in rapidly introducing video visits in a tertiary academic pediatric urology practice, serving primarily rural patients during the COVID-19 pandemic.
Source: Journal of Pediatric Urology - October 7, 2020 Category: Urology & Nephrology Authors: Andrew J. Winkelman, Haerin L. Beller, Kathryn E. Morgan, Sean T. Corbett, Susan V. Leroy, Sean W. Noona, Kaitlin L. Berry, Nora G. Kern Source Type: research

Antibody response to 2- and 3-dose SARS-CoV-2 mRNA vaccination in pediatric and adolescent kidney transplant recipients
ConclusionsOur results demonstrate that additional SARS-CoV-2 vaccine doses are not only safe and efficacious in pediatric and adolescent KTR, but may be necessary to optimize antibody response.Graphical AbstractA higher resolution version of the Graphical abstract is available asSupplementary information
Source: Pediatric Nephrology - December 19, 2022 Category: Urology & Nephrology Source Type: research

Evaluating the impact of accessible low-cost pediatric genetic testing on underserved communities in the United States
ConclusionsGenetic testing with the NATERA Renasight Panel provided a high positivity rate for genetic testing using next generation sequencing. It also allowed us to provide access to genetic testing to a larger population, specifically underserved and underrepresented patients.Graphical abstractA higher resolution version of the Graphical abstract is available asSupplementary information
Source: Pediatric Nephrology - July 11, 2023 Category: Urology & Nephrology Source Type: research

Bladder and Bowel Dysfunction: Evidence for Multidisciplinary Care
Conclusions: Patients with bladder and bowel dysfunction represent a homogeneous group that would potentially benefit from a multidisciplinary treatment approach involving urology, gastroenterology and psychology professionals.
Source: The Journal of Urology - May 13, 2013 Category: Urology & Nephrology Authors: Cortney Wolfe-Christensen, Alexandra Manolis, William C. Guy, Natalija Kovacevic, Najeeb Zoubi, Mohammad El-Baba, Larisa G. Kovacevic, Yegappan Lakshmanan Tags: Pediatric Urology Source Type: research

Sustaining life or prolonging dying? Appropriate choice of conservative care for children in end-stage renal disease: an ethical framework
Abstract Due to technological advances, an increasing number of infants and children are surviving with multi-organ system dysfunction, and some are reaching end-stage renal disease (ESRD). Many have quite limited life expectancies and may not be eligible for kidney transplantation but families request dialysis as alternative. In developed countries where resources are available there is often uncertainty by the medical team as to what should be done. After encountering several of these scenarios, we developed an ethical decision-making framework for the appropriate choice of conservative care or renal replacemen...
Source: Pediatric Nephrology - August 26, 2015 Category: Urology & Nephrology Source Type: research

Sleep disorders in pediatric chronic kidney disease patients
Abstract The prevalence of sleep disorders during childhood has been estimated to range from 25 to 43 %. The aim of this review is to determine the prevalence of sleep disorders and possible associations with chronic kidney disease (CKD)-related factors and health-related quality of life (HRQOL) in children with CKD. An electronic systematic literature search for sleep disorders in children with CKD in Pubmed, Embase and the Cochrane Library Databases identified seven relevant articles for review, all of which reported an increased prevalence of sleep disorders in children with CKD. Five studies included childre...
Source: Pediatric Nephrology - June 24, 2016 Category: Urology & Nephrology Source Type: research

Robot-assisted laparoscopic extravesical ureteral reimplant: a critical look at surgical outcomes
Robot-assisted laparoscopic extravesical ureteral reimplantation (RALUR) has become very popular. Although there are some practical and theoretical advantages to RALUR over open or pure laparoscopic ureteral reimplant, current literature provides mixed results regarding surgical success and complication rates. We provide a critical analysis of the relationship between patient characteristics and several surgical and non-surgical outcomes of a prospective series of 54 children who had RALUR over a 2.5-year period at our institution.
Source: Journal of Pediatric Urology - July 24, 2016 Category: Urology & Nephrology Authors: Daniel Herz, Molly Fuchs, Andrew Todd, Daryl McLeod, Jennifer Smith Source Type: research

Comparison of Laparoscopic Approaches for Dismembered Pyeloplasty in Children with Ureteropelvic Junction Obstruction: Critical Analysis of 11-Year Experiences in a Single-Surgeon
We present comparison of different approaches of LP in children and critical analysis of 11-year experiences in a single-surgeon. Material and methods: Of 1750 Patients (1889 sides) who underwent LP between 2003 and 2014 were reviewed. The diagnosis and outcomes of ureteropelvic junction obstruction (UPJO) were reviewed based on clinical and imaging data. Retroperitoneal laparoscopic pyeloplasty (RPLP) were performed in 451 cases (RPLP group), conventional transperitoneal laparoscopic pyeloplasty (CTLP) were performed in 311 cases (CTLP group), transumbilical single-site laparoscopic pyeloplasty (TSLP) were performed in 32...
Source: Urology - October 16, 2016 Category: Urology & Nephrology Authors: Dehong Liu, Huixia Zhou, Lifei Ma, Xiaoguang Zhou, Hualin Cao, Tian Tao, Xiaolong Luo, Shaojun Chen Tags: Pediatric Urology Source Type: research

Does perception of catheterization limit its use in pediatric UTI?
Urinary tract infections (UTIs) affect 3 –8% of febrile children annually, but correctly diagnosing UTI in young children can present a challenge. Diagnosis requires a non-contaminated urine sample, which requires catheterization or suprapubic aspiration in infants and young children that have not completed toilet training. To improve ad herence to these guidelines, it is critical to understand the barriers to urine testing and catheterization.
Source: Journal of Pediatric Urology - October 19, 2016 Category: Urology & Nephrology Authors: Rachel E. Selekman, Melissa T. Sanford, Lauren N. Ko, I. Elaine Allen, Hillary L. Copp Source Type: research

The mobile technology era: Potential benefits in pediatric urology
We describe an application of mobile phones in the evaluation of urinary symptoms in infants, neonates, and toddlers. We believe this is a cheap, accessible and easy-to-use solution in pediatric urology for physicians and nurses around the world. In this video, we demonstrate some unique features of various anatomic and functional pediatric urology conditions, which are detectable in voiding clips taken by a cellphone camera.
Source: Journal of Pediatric Urology - August 2, 2017 Category: Urology & Nephrology Authors: Sarah Mozafarpour, Reza Abbasioun, Abdol-Mohammad Kajbafzadeh Tags: Video Bank Source Type: research

Evaluation of the safety and efficacy of metoprolol infusion for children and adolescents with hypertensive crises: a retrospective case series
ConclusionAn infusion of metoprolol for a hypertensive emergency is a safe and effective treatment for pediatric patients.
Source: Pediatric Nephrology - October 2, 2017 Category: Urology & Nephrology Source Type: research

Ensuring safe drug administration to pediatric patients with renal dysfunction: a multicenter study
ConclusionsFor the majority of the investigated drugs, the awareness that we need to reduce dosages for patients with renal dysfunction was insufficient. To ensure safe drug administration, communication between physicians and pharmacists is paramount. There is an urgent need for the creation of a safe drug administration protocol for pediatric patients with renal dysfunction.
Source: Clinical and Experimental Nephrology - February 6, 2018 Category: Urology & Nephrology Source Type: research