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Showing papers in "Journal of Pediatric Urology in 2018"


Journal ArticleDOI
TL;DR: Despite an overall decline in pyeloplasties, RP utilization continues to increase, and there has been little change in cost over time, and RP remains more expensive because of equipment and OR costs.

75 citations


Journal ArticleDOI
TL;DR: ERAS decreased length of stay and 90-day complications after pediatric reconstructive surgery without increased re-admissions, re-operations or ED visits, and tenets of ERAS that appeared to drive improvements included maintenance of euvolemia through avoidance of excess fluids, multimodal analgesia, and early feeding.

45 citations


Journal ArticleDOI
TL;DR: This study presented one of the largest contemporary series of consecutive pediatric RALPs, and showed an overall success rate of 96%, substantiated the ongoing trend towards the adaptation of robotic-assisted surgery for the entire pediatric population.

43 citations



Journal ArticleDOI
TL;DR: Current trends in the diagnosis and treatment of torsion, potential pitfalls and consequent outcomes are presented, including: pathogenesis of injury, legal ramifications, fertility outcomes, novel management techniques, and recent advances in diagnostic technology.

36 citations


Journal ArticleDOI
TL;DR: New guidelines for education and screening for Mullerian anomalies in patients with unilateral renal agenesis and multicystic dysplastic kidney are proposed to guide providers, patients, and parents on proper identification and management.

33 citations


Journal ArticleDOI
TL;DR: The first evidence that incontinence matters to children and adolescents with spina bifida is reported, suggesting that the concept of "social continence" based on time interval has no HRQOL relevance in children, adolescents or adults with SB.

33 citations


Journal ArticleDOI
TL;DR: This study has shown a considerable late testicular loss rate, which must be relayed to families even after testicular salvage, and Delay in time to presentation is consistently found to predict poor outcomes.

32 citations


Journal ArticleDOI
TL;DR: The combination of scheduled non-opioid medications for maintenance and opioids for breakthrough pain provided satisfactory pain control after outpatient urologic surgery in children.

29 citations


Journal ArticleDOI
TL;DR: UTI in females was nearly twice as common than in males, and ampicillin was a poor empiric choice for pediatric UTIs, while cephalosporins were appropriate alternatives given their low resistance rates.

24 citations


Journal ArticleDOI
TL;DR: Indications for laparoscopic nephrectomy for Wilms' tumor can be extended for teams experienced in surgical oncology and laparoscopy after agreement at a multidisciplinary meeting (MDM).

Journal ArticleDOI
TL;DR: The incidence of local recurrence after laparoscopic transperitoneal radical nephrectomy (LTRN) is lower than previously reported after open resection, however, tumours amenable to minimally invasive surgery are smaller, with higher numbers of low stage and standard histology.

Journal ArticleDOI
TL;DR: A variety of useful tools for the assessment and measurement of bladder and bowel dysfunction and quality of life and behavioral comorbidities are presented together with their indications and potential pitfalls and a framework for choosing those that are most appropriate is provided.

Journal ArticleDOI
TL;DR: Given the low risk of hypertension and malignancy, which is similar to the general population, the current conservative non-operative pathway is an appropriate management strategy.

Journal ArticleDOI
TL;DR: This study is the first to report elevations in BD-1 and HIP/PAP in urinary tract obstruction, which suggests other roles for these AMPs outside of their antimicrobial properties, and likely is a reflection of the urothelial and tubular stress resulting from obstructive uropathy.

Journal ArticleDOI
TL;DR: Use of EPU stents provided a viable alternative, particularly in younger patients, to DJ stenting with comparable success and complications, while avoiding the need for an additional anesthetic.

Journal ArticleDOI
TL;DR: In this article, the learning curve of laparoscopic pyeloplasty for ureteropelvic junction obstruction in children was evaluated using a multi-outcome approach, accounting for patient complexity.

Journal ArticleDOI
TL;DR: Although BBD is a common pediatric urology condition; a large amount of heterogeneity exists in the questionnaires' psychometric testing and validation process and there is a need for consensus on the gold standard questionnaire measure.

Journal ArticleDOI
TL;DR: Evidence about long-term sequelae of FG are of low quality and methodologically limited by unphysiological sensitivity measurement methods that do not correspond to subjective reports of the patients, and should be uncommon in contemporaneous cohorts, because of new techniques.

Journal ArticleDOI
TL;DR: An overview of the various modalities of surgical simulation, the educational principles that underlie them, and potential applications in clinical practice is given.

Journal ArticleDOI
TL;DR: Vesicoscopic ureteral reimplantation is an approach that completely recreates all aspects of open cross-trigonal repair and is a minimally invasive procedure for the definitive repair of primary reflux.

Journal ArticleDOI
TL;DR: A collaboration between an adult and a pediatric urologist performing robotic surgery for children and young adults with suspicious or cancerous genitourinary (GU) lesions is described and the feasibility of using the robotic approach in carefully selected cases is demonstrated.

Journal ArticleDOI
TL;DR: It was found that using an upfront posterior flank core biopsy was safe and beneficial for differentiating Wilms tumor from other pediatric renal tumors that are less chemosensitive.

Journal ArticleDOI
TL;DR: The Kelly RSTM can be safely combined with delayed bladder closure without osteotomy in both primary and redo cases in classic bladder exstrophy.

Journal ArticleDOI
TL;DR: VUR, bladder trabeculations, EFP ≥40 cm H20, IV ≥50% of EBC, and DPIV >10 cm H2O were associated with subsequent DMSA abnormalities in young children with SD managed expectantly, and many of these parameters wereassociated with febrile UTI and early CIC.

Journal ArticleDOI
TL;DR: Age, side of PCNL, staghorn stones, tract size, operative time, and blood transfusion were independent predictors of FUTI, and first-, second-, and third-generation cephalosporins are equally effective for prophylaxis in prepubertal children undergoing PCNL.

Journal ArticleDOI
TL;DR: The safety profile reported herein supports performing this procedure while technological advances fulfill the requirements to make it a viable option for future fertility.

Journal ArticleDOI
TL;DR: The CEDU technique diverts urine away from the site of urethroplasty for 3 months without a catheter and reduces the hospital stay and patient discomfort, and has become a the standard technique in perineal hypospadias.

Journal ArticleDOI
TL;DR: TVF is a simple and reproductive technique for UCF repair, with a high success rate, and the risk of testicular atrophy has to be considered in case of associated undescended testis surgery, and careful attention must be given to the TVF dissection.

Journal ArticleDOI
TL;DR: DW-MRI has higher sensitivity for detecting acute renal inflammatory lesions and multifocal lesions than DMSA-SRS and the incidence of scars was low and corresponded with the anatomical location of acute and late lesions.