Showing papers by "Heidi A. Stephany published in 2016"
TL;DR: Sacral neuromodulation significantly improves quality of life and symptom severity in children with refractory bowel bladder dysfunction and children gain greater benefit if they show uninhibited bladder contractions on preoperative urodynamic evaluation.
28 citations
TL;DR: The Clavien-Dindo classification of surgical complications is not a reliable tool for use in pediatric urology, where its accuracy is significantly decreased compared to adult surgical cases.
23 citations
TL;DR: Overweight and obese stone forming children have decreased levels of urine citrate, phosphate and magnesium compared to patients with normal body mass index and the incidence of hypercalciuria is increased in overweight/obese patients.
19 citations
TL;DR: In prepubertal patients with symptomatic nephrolithiasis, ureteral stones with an average size of 3.5 mm or less are more likely to pass spontaneously, and watchful waiting is a reasonable option in clinically stable nonseptic patients with renal/ureteral Stones of this size.
Abstract: Introduction: No method currently exists for predicting which young child with a renal or ureteral stone will require surgery as opposed to pass the stone. Our goals were to analyze practice patterns at a major pediatric center and to identify factors that predicted spontaneous stone passage. Method: A retrospective review of all prepubertal patients (≤ 11 years) presenting to our institution from January 2005 to July 2014 with symptomatic nephrolithiasis was performed. Demographic data and stone details were reviewed, including anatomic location, size, and outcomes. Spontaneous stone passage was determined by parental report and/or stone absence on imaging obtained within 6 months after initial diagnosis. Results: A total of 119 eligible patients were identified, with an average age of 88.7 months (4–143). Forty eight (40.3%) patients spontaneously passed their stone and the remaining 59.7% required endoscopic intervention. Overall, 79.0% had symptomatic presentation (flank pain, hematuria) and ...
19 citations
TL;DR: The administration of extended prophylactic antibiotics showed no significant impact on the rate of UTI following minimally invasive pyeloplasty.
17 citations
TL;DR: Pediatric radiation exposure is not insignificant during urological procedures, and protocols to optimize fluoroscopic settings and minimize patient exposure, and guidelines for radiation based imaging should have a key role in all pediatric radiation safety initiatives.
16 citations
TL;DR: The majority of blunt pediatric renal injuries are low grade and can be managed nonoperatively, and nephrectomy is rarely required but is indicated for hemodynamic instability refractory to resuscitation.
14 citations
TL;DR: Patients who undergo RC are at high-risk for thromboembolic events and multimodal prophylaxis should be administered, and Clinicians should be especially vigilant in those who demonstrate factors associated with higher risk for VTE events.
Abstract: Objectives
To detect the incidence of immediate postoperative deep vein thrombosis (DVT) using screening lower extremity ultrasonography (US) in patients undergoing radical cystectomy (RC) and to determine the rate of symptomatic pulmonary embolism (PE) after RC and identify risk factors for venous thromboembolic (VTE) events in a RC population.
7 citations
TL;DR: In spite of small size and small body habitus, the ureteroscopic management of pediatric urolithiasis can be performed successfully in both the prepubertal and adolescent patients with acceptable and equivalent morbidity as well as successful clearance of stone.
4 citations
1 citations