Urinary Tract Infection After Robot-assisted Laparoscopic Pyeloplasty: Are Urine Cultures and Antibiotics Helpful?To evaluate how variations in peri-operative urine culture (UCx) and antibiotic prophylaxis utilization following robot assisted laparoscopic pyeloplasty (RALP) affect post-RALP urinary tract infection (UTI) rates in children, then use data to generate a standardized care pathway.
Tubularized Reconstructed Plate Urethroplasty: An Alternative Technique for Distal Hypospadias RepairTo report current results of a new surgical technique, tubularized reconstructed plate urethroplasty (TRPU) in distal hypospadias repair which allows the tubularization of urethral plate without incision or grafting.
Immune Expression in Children With Vesicoureteral Reflux: A Pilot StudyTo perform an exploratory, descriptive pilot study of the systemic and local immune environment in patients with vesicoureteral reflux (VUR) and bladder-bowel dysfunction (BBD).
New Insights on the Basic Science of Bladder Exstrophy-epispadias ComplexThe exstrophy-epispadias complex is a rare congenital anomaly presenting as a wide spectrum of disorders. The complex nature of this malformation leads to continuous investigations of the basic science concepts behind it. Elucidating these concepts allows one to fully understand the mechanisms behind the disease in order to improve diagnosis, management, and treatment ultimately leading to improvement in patient quality of life. Multiple technological advancements within the last 10 years have been made allowing for new studies to be conducted.
Bladder Volume Assessment in Pediatric Patients With Neurogenic Bladder: Is Ultrasound an Accurate Method?To define the accuracy of ultrasound to determine bladder volume in pediatric patients with neurogenic bladder (NB).
Digital Pattern Recognition for the Identification and Classification of Hypospadias Using Artificial Intelligence vs Experienced Pediatric UrologistTo improve hypospadias classification system, we hereby, show the use of machine learning/image recognition to increase objectivity of hypospadias recognition and classification. Hypospadias anatomical variables such as meatal location, quality of urethral plate, glans size, and ventral curvature have been identified as predictors for postoperative outcomes but there is still significant subjectivity between evaluators.
The Impact of Adjuvant Sirolimus Therapy in the Surgical Management of Scrotal Slow-Flow Vascular MalformationsTo describe the effects of oral sirolimus administered before and after surgical resection of slow-flow vascular malformations of the scrotum in pediatric patients.
Buccal Mucosa Tube Graft for Failed Hypospadias Repair: Worth it or Not?To report the outcome of buccal mucosa tube graft (BMTG) over time in correcting failed hypospadias.
Study of Variations in Axial Pattern Vessels of Penile Dartos in Hypospadias and Implied Surgical SignificanceTo report the anatomical variations in axial pattern vessels of penile dartos in hypospadias.
Baseline Renal Volumes in Children Born With Cloacal AnomaliesTo better understand why children born with cloacal anomalies are at a high risk of renal insufficiency, this study aims to determine baseline renal volume in children with cloacal anomalies compared to controls. We hypothesized children with cloacal anomalies would be born with less renal volume.
Nonstented Tubularized Incised Plate Distal Hypospadias Repair: A Single Center 5 Years’ ExperienceTo report our immediate and delayed outcomes of nonstented tubularized incised plate (TIP) distal hypospadias repair.
A Novel Surgical Technique for Treatment of Renal Stones in Preschool-aged Patients: Initial Experience With Needle-percTo describe and evaluate our newly developed minimal instrumentation technique, needle-perc, for treatment of preschool-aged patients with renal stones. To the best of our knowledge, this is the smallest endoscopic equipment for percutaneous nephrolithotomy reported thus far.
Pediatric Urodynamic Study Without a Preprocedural Urine Culture, Is It Safe in Clinical Practice?To prove that incidence of UTI after a pediatric urodynamic study (UDS) is low, and that patients without urine culture (UC) analysis prior to a UDS will not have a significant increase in the incidence of UTI (post-UDS UTI).
Inflammatory Myofibroblastic Tumor of the Urinary Bladder and Ureter in Children: Experience of a Tertiary Referral CenterTo present the clinicopathological characteristics and outcome of children with bladder and ureteral inflammatory myofibroblastic tumors (IMTs) in our center.
Laparoscopic Abdominoscrortal Hydrocele: A Case SeriesTo evaluate the effect of laparoscopic percutaneous extraperitoneal closure (LPEC) of the internal inguinal ring for the treatment in pediatric abdominoscrotal hydrocele (ASH) and to assess the feasibility and safety of the procedures.
Modified Circumcision Using the Disposable Circumcision Suture Device in Children: A Randomized Controlled TrialTo evaluate and compare the surgical outcomes and complications of the modified circumcision using disposable circumcision suture device (device group) and the conventional dorsal slit circumcision (conventional group) in children.
In Support of a Simple Urethrocutaneous Fistula Closure Technique Following Hypospadias RepairTo evaluate the success rates of a simple posthypospadias urethrocutaneous fistula repair.
Urinary Tract Anomalies in Patients With Anorectal Malformations: The Role of Screening and Clinical Follow-UpTo evaluate the efficacy of the screening protocol and the clinical follow-up to detect urological anomalies (UA) in patients with ARM (ARM-P) in our institution. Secondary aim was to define the prevalence of UA and their relationship with severity of ARM.
Cystatin C, Neutrophil Gelatinase-associated Lipocalin, and Lysozyme C: Urinary Biomarkers for Detection of Early Kidney Dysfunction in Children With UrolithiasisTo screen for the presence of biomarkers involved in tubular injury and kidney damage in children with urolithiasis (RS), and to validate these proteins by ELISA.
Multi-instance Deep Learning of Ultrasound Imaging Data for Pattern Classification of Congenital Abnormalities of the Kidney and Urinary Tract in ChildrenTo reliably and quickly diagnose children with posterior urethral valves (PUV), we developed a multi-instance deep learning method to automate image analysis.
Botulinum Toxin Type A Therapy: Intravesical Injection or Electromotive Drug AdministrationTo compare the outcomes of intravesical injection of botulinum toxin A (BoNTA) with intravesical electromotive drug administration (EMDA) of BoNTA on urinary incontinence secondary to neuropathic detrusor overactivity (NDO) in children with myelomeningocele (MMC).
Utilization of Augmentation Cystoplasty for Myelomeningocele Patients Remained Stable Over the Past DecadeTo understand the utilization of augmentation cystoplasty (AC) for the management of neurogenic bladder in children with myelomeningocele (MMC). AC carries considerable risk. To mitigate this, recent studies have emphasized alternatives to AC, but it is unknown if these interventions have resulted in fewer ACs being performed. Our goal was to evaluate the use of AC in MMC patients over the past decade. We hypothesized that the use of AC had decreased and that the age at AC increased.
“You Can't Be What You Can't See”—Are Women in Pediatric Urology Visible at National Meetings?In 1995, 1.2% of board-certified urologists were women.1 Since then, the number of women urologists has risen with the 2018 American Urological Association census reporting 9.2% of all practicing urologists, 21.6% of urologists <45 years old, and 24% of American urology residents being women.2,3 This increase in the number of women over time is common throughout several fields of medicine, demonstrating the ongoing influx of women into both medicine in general and into historically male-dominant subspecialties.
Testicular Appendage Torsion—To Explore the Other Side or Not?To investigate and compare the risks vs benefits of synchronous contralateral scrotal compartment exploration when testicular appendage torsion is diagnosed intra-operatively.
International Publication Patterns on Operative Management of Wilms Tumor: A Review by Surgeon Specialty and Surgical ModalityTo review the temporal trends in the published literature of the surgical management of Wilms tumor (WT) relative to surgical modality and authorship by surgeon specialty (pediatric urology [PU] vs pediatric surgery [PS]).