Pediatrics

“We hope to learn more about the urinary tract and then be able to correlate predisposition to UTIs or other urological conditions with urobiome composition or marker microbe presence,” says Tatyana A. Sysoeva, PhD.

"But here at IU, we have an experimental protocol that's open that's called testicular tissue cryopreservation, and it's a collaboration with UPMC," says Amanda J. Saraf, DO.

"We've been working with families and other providers to learn the diagnostic criteria for what makes a urinary tract infection and to avoid treating when it's unnecessary," says Briony K. Varda, MD, MPH.

"Robotic surgery has some major advantages. One that rises to the top is that your magnification is anywhere from 10x-15x higher," according to Laurence S. Baskin, MD.

Join Urology Times and Contemporary Pediatrics for a discussion about controversies over circumcision and its implications.

A new national survey shows severe physician shortages among certain pediatric specialties, and pediatric urologists top the list of those registering long wait times for pediatric surgical care.

Stone disease and minimally invasive treatment approaches are once again leading issues in the pediatric urology section of the 2012 AUA annual meeting.

New data showing an increasing incidence of pediatric stone disease is stimulating more research to further describe and understand this troubling phenomenon.

Results of a survey of pediatricians' practice patterns for children with vesicoureteral reflux (VUR) are worrisome in showing these primary care practitioners are retaining their patients longer before referring them to a specialist.

Radiologically proven VUR was present in 11 mothers and seven fathers as well as in 36 second-degree relatives (aunts, uncles, grandparents) and 73 third-degree relatives (65 first cousins and eight great-aunts, -uncles or -grandparents) of 259 VUR patients in an Irish study.

Results of a retrospective study investigating risk factors for the development of renal parenchymal damage in young children with primary high-grade vesicoureteral reflux (VUR) underscore the importance of early detection and treatment to prevent renal damage or its progression from ongoing VUR.

Use of Dx/HA (Deflux) for the treatment of vesicoureteral reflux (VUR) in children increased rapidly after it gained FDA approval. Despite high rates of utilization and positive early findings, more recent reports are raising questions about long-term outcomes and prompting further research.

Downgrading of high-grade vesicoureteral reflux (VUR) after endoscopic treatment performed because of breakthrough urinary tract infections results in cessation of febrile UTIs and, often, spontaneous VUR resolution as well.

Although stone disease in pediatric patients is on the rise and minimally invasive techniques to deal with it are increasing, there is a lack of evidence-based standards to care for these patients.

Urologists' reports of stones in pediatric patients varies by region.

Hypocitraturia is the leading metabolic risk factor in children with stone disease, and the majority of a study's cohort had an identifiable metabolic cause for their urolithiasis.

Undiagnosed constipation, rather than problems with the bladder, may be to blame for nocturnal enuresis in some children, say researchers from Wake Forest Baptist Medical Center, Winston-Salem, NC.

Urologists think it's up to parents to decide whether circumcision should be performed on their child.

A population-based study evaluating 25-year trends in renal stone findings among children reported a 4% per year increase in incidence driven by consistently escalating renal stone rates in the 12- to 17-year age group.

Radiation and surgical techniques for treating kidney stones may not be appropriate in a pediatric population.

Tubularized urethras can be engineered from autologous cells and used successfully in the reconstruction of complex posterior urethral defects in children to maintain function long-term.

Continuing progress in the area of tissue engineering holds the greatest potential impact, not just in pediatric urology or even the entire specialty, but for medicine and society as a whole.

The first-ever nationwide survey of antibiotic use in children with urinary tract infections found that the use of third-generation cephalosporins more than doubled between 1998 and 2007.

Children who undergo a double hydrodistention-implantation technique injection with dextranomer/hyaluronic acid for primary vesicoureteral reflux are at low risk for recurrence.

Today, pediatric urology remains on the frontier of medicine, leading the way in tissue engineering and antenatal surgery, and many more innovations are sure to follow.

New data confirm earlier findings that hydrodistention-implantation technique is more effective than subureteric transurethral injection of dextranomer/hyaluronic acid for the treatment of vesicoureteral reflux in children.

An experimental scoring system has identified several key risk factors associated with the potential for renal damage and surgical intervention in vesicoureteral reflux.

The role of nurse practitioners in pediatric urology is growing. With the increasing work force shortage in pediatric urology and urology in general-it has to.

Denervating the kidney to ease the pain associated with autosomal dominant polycystic kidney disease shows promising success in early trials.

Many providers try to treat VUR on their own. And fewer than half are aware of the use of dextranomer/hyaluronic acid to treat VUR in children.