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Specialty: Urology & Nephrology

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Total 124459 results found since Jan 2013.

Risk association of congenital anomalies in patients with ambiguous genitalia: A 22-year single-center experience
Ambiguous genitalia refers to a form of differences of sex development (DSD) wherein the appearance of the external genitalia is atypical. This rare condition presents challenges in decision-making and clinical management. Review of historical data may reveal areas for clinical research to improve care for patients with ambiguous genitalia.
Source: Journal of Pediatric Urology - November 2, 2017 Category: Urology & Nephrology Authors: Jennifer M. Heeley, Abby S. Hollander, Paul F. Austin, Diane F. Merritt, Victoria G. Wesevich, The Washington University School of Medicine in St Louis DSD Team, Ina E. Amarillo Source Type: research

Prolonged intermittent renal replacement therapy in children
AbstractWide ranges of age and weight in pediatric patients makes renal replacement therapy (RRT) in acute kidney injury (AKI) challenging, particularly in the pediatric intensive care unit (PICU), wherein children are often hemodynamically unstable. Standard hemodialysis (HD) is difficult in this group of children and continuous veno-venous hemofiltration/dialysis (CVVH/D) has been the accepted modality in the developed world. Unfortunately, due to cost constraints, CVVH/D is often not available and peritoneal dialysis (PD) remains the common mode of RRT in resource-poor facilities. Acute PD has its drawbacks, and intermi...
Source: Pediatric Nephrology - June 26, 2018 Category: Urology & Nephrology Source Type: research

Advising on the care of the uncircumcised penis: A survey of pediatric urologists in the United States
Parents of uncircumcised boys often report confusion regarding the proper care and hygiene practices for the uncircumcised penis. The lack of guidance from healthcare providers may be due to a lack of consensus on the proper care of the prepuce.
Source: Journal of Pediatric Urology - July 2, 2018 Category: Urology & Nephrology Authors: Belinda Li, Rachel Shannon, Neha R. Malhotra, Ilina Rosoklija, Dennis B. Liu Source Type: research

Evidence Based Medicine I Background
The Research Committee of the European Society of Pediatric Urology will present a series of short educational communications related to Evidence Based Medicine. The aim of the series is to emphasize the importance of grading evidence and thereby determining the best clinical practice for patients. Our goal is to guide the clinician in using tools for setting up a clinical question, finding appropriate information, searching appropriate databases and evaluating the results in correlation to the patient in mind.
Source: Journal of Pediatric Urology - November 22, 2018 Category: Urology & Nephrology Authors: Magdalena Fossum, Kathrine Herbst, Luke Harper, Marco Castagnetti, Goedele Beckers, Darius Bagli, Nicolas Kalfa, Martin Kaefer, ESPU research committee Tags: Educational Article Source Type: research

Evidence-based medicine I background
The Research Committee of the European Society of Pediatric Urology will present a series of short educational communications related to evidence-based medicine. The aim of the series is to emphasize the importance of grading evidence, thereby determining the best clinical practice for patients. The goal of this series is to guide the clinician in using tools for setting up a clinical question, finding appropriate information, searching appropriate databases, and evaluating the results in relation to the patient in mind.
Source: Journal of Pediatric Urology - November 22, 2018 Category: Urology & Nephrology Authors: M. Fossum, K. Herbst, L. Harper, M. Castagnetti, G. Beckers, D. Bagli, N. Kalfa, M. Kaefer, ESPU research committee Tags: Educational Article Source Type: research

Evidence-based medicine 1: Background
The Research Committee of the European Society of Pediatric Urology will present a series of short educational communications related to evidence-based medicine. The aim of the series is to emphasize the importance of grading evidence, thereby determining the best clinical practice for patients. The goal of this series is to guide the clinician in using tools for setting up a clinical question, finding appropriate information, searching appropriate databases, and evaluating the results in relation to the patient in mind.
Source: Journal of Pediatric Urology - November 21, 2018 Category: Urology & Nephrology Authors: M. Fossum, K. Herbst, L. Harper, M. Castagnetti, G. Beckers, D. Bagli, N. Kalfa, M. Kaefer, ESPU research committee Tags: Educational Article 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 - April 22, 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

Systematic radiologic detection of kidney stones in Canadian children: a new era of asymptomatic stones?
Asymptomatic, or incidental, pediatric kidney stones detected on abdominal imaging pose a clinical challenge as their significance and expected outcome are not well described. Our primary objective was to estimate the incidence of nephrolithiasis in pediatric patients undergoing abdominal ultrasound (US) or computerized tomography (CT), for all indications, in a pediatric tertiary care hospital. Our secondary objective was to determine the clinical outcome of these radiographically detected stones.
Source: Journal of Pediatric Urology - May 19, 2019 Category: Urology & Nephrology Authors: Raees Cassim, Carl Van Walraven, Luke T. Lavall ée, Kristen McAlpine, Kerri Highmore, Michael P. Leonard, Luis Guerra, Viviane Grandpierre, Jennifer Vethamuthu, Melise A. Keays Source Type: research

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

Impact of Trauma Center Designation in Pediatric Renal Trauma: National Trauma Data Bank Analysis
The pediatric kidney is the most common urinary tract organ injured in blunt abdominal trauma. Trauma care in the United States has been established into a hierarchical system verified by the American College of Surgeons (ACS). Literature evaluating management of pediatric renal trauma across trauma tier designations is scarce.
Source: Journal of Pediatric Urology - July 22, 2020 Category: Urology & Nephrology Authors: Amr Mahran, Austin Fernstrum, Michael Swindle, Kirtishri Mishra, Laura Bukavina, Richa Raina, Vaishnavi Narayanamurthy, Jonathan Ross, Lynn Woo Source Type: research

Editorial Comment for: Extracorporeal shock wave lithotripsy in Indian children: Predictors of outcome and validation of pre-treatment nomograms, J Pediatric Urology, 2020
We know that SWL is facing a loss in popularity compared to other minimally invasive endourological methods. However, we should always keep in mind that nowadays, SWL (shock wave lithotripsy) is the only non-invasive first-line treatment method for kidney stones smaller than 2 cm. The success rate depends on the patient and the stone-related factors (1), and the patient selection is one of the most critical factors to achieve high success rates in SWL treatment. It is wise to define the patients who will benefit the most from the SWL treatment, and nomograms have been developed for this purpose.
Source: Journal of Pediatric Urology - December 9, 2020 Category: Urology & Nephrology Authors: Bulent Onal Source Type: research

A Global View of Pediatric Urology
Over the course of approximately 60 years, the field of pediatric urology has evolved as a convergence of pediatric surgery, urology plastic surgery to address congenital anomalies of the urinary tract and genitalia in children. Guidelines for training and certification are narrowing in high-income countries (HICs) as the fertility rate is declining and the prevalence of complex genitourinary (GU) conditions is decreasing. In low-and middle-income countries (LMICs) large populations with few surgeons and underfunded systems to support surgical care are currently in a state of stress.
Source: Journal of Pediatric Urology - February 16, 2022 Category: Urology & Nephrology Authors: Catherine R. deVries Tags: Review Article Source Type: research

Incidence and Resolution of De Novo Hydronephrosis after Pediatric Robot-Assisted Laparoscopic Extravesical Ureteral Reimplantation for Primary Vesicoureteral Reflux
With the advent of robot-assisted laparoscopic ureteral reimplantation (RALUR) for primary vesicoureteral reflux (VUR), understanding and minimizing its complications continues to be critical. Incidence of de novo hydronephrosis after RALUR could be indicative of an outcome that needs further study or could be a benign transient finding.
Source: Journal of Pediatric Urology - April 12, 2022 Category: Urology & Nephrology Authors: Sahar Eftekharzadeh, Sameer Mittal, Aznive Aghababian, John Weaver, Christopher J. Long, Dana A. Weiss, Jason Van Batavia, Arun K. Srinivasan, Aseem R. Shukla Source Type: research

How Do Pediatric Urology Fellows Learn Outside of Direct Patient Care?: A Qualitative Study
A large proportion of time during pediatric urology fellowship training is focused on surgical skill development. While fellows begin their fellowship training with some knowledge of pediatric urology from residency, they rely on self-directed learning to expand their knowledge base.
Source: Journal of Pediatric Urology - August 10, 2022 Category: Urology & Nephrology Authors: Campbell Grant, Alexandra Szabova, Lynne Smith Source Type: research

Integration of Child Life services in the delivery of multi-disciplinary Differences in Sexual Development (DSD) and Congenital Adrenal Hyperplasia (CAH) care
Multiple studies have demonstrated the benefit of incorporating certified child life specialist (CCLS) services in various aspects of pediatric care. Although the significance of psychosocial support of patients with Disorders of Sexual Development (DSD) and Congenital Adrenal Hyperplasia (CAH) is increasingly recognized, the involvement of CCLS services into the DSD and CAH multidisciplinary care model has yet to be described.
Source: Journal of Pediatric Urology - August 15, 2022 Category: Urology & Nephrology Authors: Julie W. Cheng, Elizabeth McCauley, Lauren N. Nicassio, Patricia Y. Fechner, Anne-Marie E. Amies Oelschlager, Margaret P. Adam, Christina Fisher, Joanne Wetzler, Rachel Kinsinger, Paige Nelson, Nancy McCune, Mark P. Cain, Margarett Shnorhavorian Source Type: research