| Pediatric Urology Medal |
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Stephen A. Koff
19 August 2011
Steve Koff has been attending meetings of the Section on Urology at the American Academy of Pediatrics for more than 30 years, and I can think of no one more deserving of the 2010 Pediatric Urology Me...
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Venkata Ramakrishna Jayanthi
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1569-1570
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| Neuropathic Bladder/Spina Bifida |
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Ventriculoperitoneal Shunt Infections After Bladder Surgery: is Mechanical Bowel Preparation Necessary?
19 August 2011
Purpose: We investigated whether children with a ventriculoperitoneal shunt who undergo mechanical bowel preparation before bladder reconstruction with bowel have a lower rate of infection than childr...
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Kelly J. Casperson,
Carolyn M. Fronczak,
Georgette Siparsky,
Colin O'Donnell,
Mohan S. Gundeti,
Jeffrey B. Campbell,
Duncan T. Wilcox
et al.
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1571-1575
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Sacral Nerve Stimulator Revision Due to Somatic Growth
19 August 2011
Purpose: Sacral nerve modulation is a Food and Drug Administration approved treatment for refractory urgency, frequency, urge incontinence and nonobstructive urinary retention in adults. The sparse li...
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Curtis Clark,
Tin Ngo,
Craig V. Comiter,
Rodney Anderson,
William Kennedy
et al.
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1576-1580
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Long-Term Urological Impact of Fetal Myelomeningocele Closure
22 August 2011
Purpose: Between 1997 and 2002 a large number of fetal myelomeningocele closures were performed at our institution. Previously early reports showed little improvement in neonatal bladder function afte...
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Douglass B. Clayton,
Stacy T. Tanaka,
Lisa Trusler,
John C. Thomas,
John C. Pope,
Mark C. Adams,
John W. Brock
et al.
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1581-1585
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Editorial Comment
22 August 2011
Fetal surgery for various disorders has been 1 of the many technological advances in medicine that have yet to find universal application. Groups at many centers have proven its feasibility but what t...
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Nicholas M. Holmes
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1585
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Nephrogenic Adenoma in the Augmented Bladder
22 August 2011
Purpose: Nephrogenic adenoma is an uncommon, benign urothelial lesion. Risk factors for nephrogenic adenoma include trauma, chronic inflammation, immunosuppression and radiation. We characterized neph...
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Ethan I. Franke,
Rosalia Misseri,
Mark P. Cain,
Martin Kaefer,
Kirstan K. Meldrum,
Rong Fan,
Richard C. Rink
et al.
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1586-1589
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Editorial Comment
22 August 2011
There are 2 critically import points to take away from this study. 1) The incidence of NA in patients who undergo surveillance cystoscopy after bladder augmentation is 3%. 2) The article sounds the al...
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Douglas Husmann
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1589
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Transition of Care to an Adult Spina Bifida Clinic: Patient Perspectives and Medical Outcomes
19 August 2011
Purpose: Transitioning care of patients with spina bifida to adult centers poses a challenge. We sought patient and parent perspectives on the transition process at our center and correlated these per...
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Ashley Cox,
Lynn Breau,
Liette Connor,
P. Daniel McNeely,
Peter A. Anderson,
Dawn L. MacLellan
et al.
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1590-1594
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| Undescended Testis/Varicocele/Hernia |
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Article Title |
Author(s) |
Pages |
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Age at Cryptorchidism Diagnosis and Orchiopexy in Denmark: A Population Based Study of 508,964 Boys Born From 1995 to 2009
19 August 2011
Purpose: Early treatment for cryptorchidism may be necessary to preserve fertility. International guidelines now recommend that congenital cryptorchidism be treated with orchiopexy before age 1 year. ...
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Morten Søndergaard Jensen,
Lars Henning Olsen,
Ane Marie Thulstrup,
Jens Peter Bonde,
Jørn Olsen,
Tine Brink Henriksen
et al.
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1595-1600
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Impact of Anatomical and Socioeconomic Factors on Timing of Urological Consultation for Boys With Cryptorchidism
19 August 2011
Purpose: Cryptorchidism is a common finding in infants and young boys. Early repair lessens the extent of testicular injury. We hypothesized that anatomical and socioeconomic factors affect the timing...
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Aaron P. Bayne,
David G. Alonzo,
Michael H. Hsieh,
David R. Roth
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1601-1605
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Cremaster Muscle Myogenesis in the Tip of the Rat Gubernaculum Supports Active Gubernacular Elongation During Inguinoscrotal Testicular Descent
19 August 2011
Purpose: Cryptorchidism is a common abnormality and normal testicular descent is controlled by the gubernaculum. The cremaster may originate from abdominal muscles during gubernacular eversion or alte...
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Nicholas Sanders,
Silverton Buraundi,
Adam Balic,
Bridget R. Southwell,
John M. Hutson
et al.
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1606-1613
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Testicular Symmetry and Adolescent Varicocele—Does it Need Followup?
22 August 2011
Purpose: Appropriate management for adolescent varicocele with testicular symmetry is rarely discussed. We examined the natural history of varicocele in patients presenting with testicular symmetry to...
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Ruslan Korets,
Solomon L. Woldu,
Shannon N. Nees,
Benjamin A. Spencer,
Kenneth I. Glassberg
et al.
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1614-1619
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Editorial Comment
22 August 2011
Patients with varicocele need followup. However, this report, like other reports from the same institution (reference 15 in article), suggests that the condition is far less benign than it seems accor...
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Marco Castagnetti
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1619
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Reply by Authors
22 August 2011
Indeed, the distinction between less than 10% and 10% to 15% testicular asymmetry may be a matter of mm. Perhaps that is why the rates of worsening asymmetry were similar between the 2 groups. Our int...
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1619
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Analysis of the Clinical Significance and Cost Associated With the Routine Pathological Analysis of Pediatric Inguinal Hernia Sacs
19 August 2011
Purpose: Pediatric inguinal and scrotal surgeries for inguinal hernia, cryptorchidism and hydrocele are common and usually involve the excision of a hernia sac. Groups at many centers send hernia sacs...
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Brian Kim,
Michael P. Leonard,
Juan Bass,
Vladimir Ruzhynsky,
Joseph de Nanassy,
Luis Guerra
et al.
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1620-1624
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| Hypospadias/Penis/Sexual Differentiation Disorders |
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Author(s) |
Pages |
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How Much Does the Midline Incision Add to Urethral Diameter After Tubularized Incised Plate Urethroplasty? An Experimental Animal Study
22 August 2011
Purpose: We objectively quantified the gain in urethral diameter and the effect of stenting after tubularized incised plate urethroplasty in a rabbit hypospadias model. Materials and Methods: We creat...
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Waleed Eassa,
Xinying He,
Mohamed El-Sherbiny
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1625-1630
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Editorial Comment
22 August 2011
No technique in the history of hypospadias repair has been the subject of more clinical and animal studies than TIPU. Despite initial concerns the dorsal plate incision might induce obstruction only 5...
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Warren T. Snodgrass
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1629
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Reply by Authors
22 August 2011
The current animal study allows better understanding of the principle of the clinically successful technique. In the clinical setting it would be extremely useful to anticipate how much the midline in...
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1630
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Comparative Histological and Functional Controlled Analysis of Tubularized Incised Plate Urethroplasty With and Without Dorsal Inlay Graft: A Preliminary Experimental Study in Rabbits
22 August 2011
Purpose: We analyzed the histological and functional characteristics of the tubularized incised plate vs dorsal inlay graft urethroplasty in an experimental rabbit model. Materials and Methods: A tota...
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Bruno Leslie,
Lisieux E. Jesus,
Yaser El-Hout,
Katherine Moore,
Walid A. Farhat,
Darius J. Bägli,
Armando J. Lorenzo,
João L. Pippi Salle
et al.
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1631-1637
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Editorial Comment
22 August 2011
This is a significant original animal study with interesting preliminary results. These authors invented an ingeniously simple way to measure urine flow in a rabbit model. It will certainly have a str...
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Alaa El-Ghoneimi
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1637
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The Relationship Between Obesity and Complications After Neonatal Circumcision
22 August 2011
Purpose: Penile adhesions with hidden penis and penile skin bridges are complications after neonatal circumcision that seem to develop more often in overweight children. They could possibly be avoided...
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Douglas W. Storm,
Cheryl Baxter,
Stephen A. Koff,
Seth Alpert
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1638-1641
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Editorial Comment
22 August 2011
The problems of childhood obesity continue to mount with no end in sight. The issue has received national attention and is a major focus of the agenda of Mrs. Obama. There is increasing evidence that ...
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David R. Roth
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1641
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Gender Assignment for Newborns With 46XY Cloacal Exstrophy: A 6-Year Followup Survey of Pediatric Urologists
22 August 2011
Purpose: Gender assignment for newborns with ambiguous genitalia remains a challenge. An initial survey of colleagues on this subject was performed in 2004. Our objective was to understand the basis f...
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David A. Diamond,
Jeffrey P. Burns,
Lin Huang,
Ilina Rosoklija,
Alan B. Retik
et al.
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1642-1648
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Editorial Comment
22 August 2011
These authors highlight the change in attitude and perhaps in the treatment of males born with cloacal exstrophy. It was not that long ago that conventional wisdom dictated that these children undergo...
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Richard Grady
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1648
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Editorial Comment
22 August 2011
The topic of this review remains 1 of the major challenges of reconstructive pediatric urology. While there is little question that the patient with 46XY male cloacal exstrophy has male central nervou...
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Howard M. Snyder
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1648
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| Laparoscopic/Robotic Surgery |
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Article Title |
Author(s) |
Pages |
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Physiological Changes in Transperitoneal Versus Retroperitoneal Laparoscopy in Children: A Prospective Analysis
19 August 2011
Purpose: The choice of minimally invasive surgical approaches in pediatric urology is largely influenced by surgeon preference and experience. Little is known about the differences in physiological va...
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Cengiz Karsli,
Yaser El-Hout,
Armando J. Lorenzo,
Jacob C. Langer,
Darius J. Bägli,
João L. Pippi Salle,
Bruno Bissonette,
Walid A. Farhat
et al.
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1649-1652
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Laparoscopic Single Site Surgery: Initial Experience and Description of Techniques in the Pediatric Population
19 August 2011
Purpose: Recently new approaches to laparoscopic surgery, named natural orifice transluminal endoscopy and laparoendoscopic single site surgery, have been proposed to improve the cosmesis and decrease...
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Stanislav Kocherov,
Genady Lev,
Ofer Z. Shenfeld,
Boris Chertin
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1653-1657
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The Impact of the Alexander Technique on Improving Posture and Surgical Ergonomics During Minimally Invasive Surgery: Pilot Study
19 August 2011
Purpose: One of the main ergonomic challenges during surgical procedures is surgeon posture. There have been reports of a high number of work related injuries in laparoscopic surgeons. The Alexander t...
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Pramod P. Reddy,
Trisha P. Reddy,
Jennifer Roig-Francoli,
Lois Cone,
Bezalel Sivan,
W. Robert DeFoor,
Krishnanath Gaitonde,
Paul H. Noh
et al.
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1658-1662
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Human Capital Gains Associated With Robotic Assisted Laparoscopic Pyeloplasty in Children Compared to Open Pyeloplasty
22 August 2011
Purpose: Robotic assisted laparoscopic pyeloplasty is an emerging, minimally invasive alternative to open pyeloplasty in children for ureteropelvic junction obstruction. The procedure is associated wi...
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James W. Behan,
Steve S. Kim,
Frederick Dorey,
Roger E. De Filippo,
Andy Y. Chang,
Brian E. Hardy,
Chester J. Koh
et al.
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1663-1667
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Editorial Comment
22 August 2011
The purpose of this study is to add another consideration to the debate between those who advocate open pyeloplasty and those who recommend robotic pyeloplasty in the pediatric population. According t...
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Richard Schlussel
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1667
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| Vesicoureteral Reflux/Urinary Tract Infection/Inflammation |
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Article Title |
Author(s) |
Pages |
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Voiding Cystourethrogram—Are Our Protocols the Same?
19 August 2011
Purpose: Voiding cystourethrogram is the gold standard for evaluating and diagnosing vesicoureteral reflux. Reflux detection can potentially be affected by many parameters during voiding cystourethrog...
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Blake W. Palmer,
Faridali G. Ramji,
Charles T. Snyder,
Michael Hemphill,
Bradley P. Kropp,
Dominic Frimberger
et al.
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1668-1671
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Radiation Exposure During Pediatric Videourodynamics
22 August 2011
Purpose: Videourodynamics is useful for evaluating and treating neurological disorders in children. Traditional urodynamic parameters can be obtained while simultaneous visualization of the urinary sy...
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Tin C. Ngo,
Curtis J. Clark,
Colleen Wynne,
William A. Kennedy
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1672-1677
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Editorial Comment
22 August 2011
It is important that this study of radiation exposure during pediatric VUDS is being reported after having been presented at the American Academy of Pediatrics meeting in October 2010. Pediatricians, ...
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Stuart A. Royal
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1676-1677
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In Vitro Analysis of the Bactericidal Activity of Escherichia Coli Nissle 1917 Against Pediatric Uropathogens
19 August 2011
Purpose: The usefulness of prophylactic antibiotics to prevent recurrent urinary tract infections in children was recently questioned. Some groups have attempted to use probiotics, most commonly lacto...
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Douglas W. Storm,
Stephen A. Koff,
Dennis J. Horvath,
Birong Li,
Sheryl S. Justice
et al.
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1678-1683
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A Murine Model of Inflammatory Bladder Disease: Cathelicidin Peptide Induced Bladder Inflammation and Treatment With Sulfated Polysaccharides
19 August 2011
Purpose: Studies show that LL-37 is a naturally occurring urinary defensin peptide that is up-regulated during urinary tract infections. Although normal urinary LL-37 levels are antimicrobial, we prop...
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Siam Oottamasathien,
Wanjian Jia,
Lindsi McCoard,
Sean Slack,
Jianxing Zhang,
Aleksander Skardal,
Kathleen Job,
Thomas P. Kennedy,
Randal O. Dull,
Glenn D. Prestwich
et al.
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1684-1692
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| Hydronephrosis |
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Article Title |
Author(s) |
Pages |
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The Impact of Surgical Approach and Urinary Diversion on Patient Outcomes in Pediatric Pyeloplasty
22 August 2011
Purpose: Recent comparisons of the impact of the surgical approach on pediatric pyeloplasty outcomes have generally incorporated a form of internal ureteral drainage. We hypothesized that the surgical...
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Aaron P. Bayne,
Katie A. Lee,
Eric D. Nelson,
Lars J. Cisek,
Edmond T. Gonzales,
David R. Roth
et al.
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1693-1699
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Editorial Comment
22 August 2011
These authors report what is to our knowledge the first comparative analysis of unstented vs stented pyeloplasty using 3 approaches (LP, flank and dorsal lumbotomy). The study mainly reflects the prac...
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Luis H. Braga
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1698-1699
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Comparison of Endoscopic Ureterocele Decompression Techniques. Preliminary Experience—Is the Watering Can Puncture Superior?
22 August 2011
Purpose: The optimal endoscopic technique to manage an obstructing ureterocele would reliably relieve obstruction without creating de novo vesicoureteral reflux. The classic incision achieves decompre...
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Blake W. Palmer,
Hubert Greger,
Daniel B. Mannas,
Bradley P. Kropp,
Dominic Frimberger
et al.
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1700-1704
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Editorial Comment
22 August 2011
In recent years surgical treatment for ureterocele has evolved from complicated major surgery to minimally invasive endoscopic treatment, namely endoscopic puncture. However, some groups still advocat...
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Boris Chertin
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1703-1704
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Reply by Authors
22 August 2011
We appreciate the comments by Dr. Chertin, who has done a great deal of work to advance ureterocele management. His comments reflect the common challenges that arise while evaluating a relatively rare...
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1704
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Hydronephrosis in Children With Abdominal and Pelvic Neoplasms: Outcome and Survival Analysis of a Single Center Pediatric Oncology Series
19 August 2011
Purpose: We ascertained the incidence and outcome of hydronephrosis related to abdominal or pelvic neoplasms and survival in pediatric patients. Materials and Methods: We retrospectively reviewed our ...
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Angus Alexander,
Bryce Weber,
Armando Lorenzo,
Melise Keays,
Tarek El-Ghazaly,
Darius J. Bägli,
João L. Pippi Salle,
Meredith Irwin,
Walid Farhat
et al.
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1705-1709
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| Voiding Dysfunction/Enuresis |
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Author(s) |
Pages |
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High Risk of Sleep Disordered Breathing in the Enuresis Population
22 August 2011
Purpose: Enuresis is 1 of the most common complaints facing pediatric urologists and it has significant implications with respect to quality of life. Although the pathophysiology is incompletely under...
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Alexandra Bascom,
Todd Penney,
Mike Metcalfe,
Aaron Knox,
Manisha Witmans,
Trina Uweira,
Peter Douglas Metcalfe
et al.
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1710-1714
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Editorial Comment
22 August 2011
Nocturnal enuresis is a heterogeneous condition that occurs only during sleep. However, it is associated with somatic and psychological symptoms that occur during the day. These authors administered 3...
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Alexander von Gontard
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1713-1714
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The Usefulness of Lumbosacral Magnetic Resonance Imaging in the Management of Isolated Dysfunctional Elimination
19 August 2011
Purpose: Magnetic resonance imaging is sometimes used to rule out spinal pathology in patients with dysfunctional elimination, although its usefulness in this setting is unclear. We determined the use...
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Gregory J. Broughton,
Douglass B. Clayton,
Stacy T. Tanaka,
John C. Thomas,
Mark C. Adams,
John W. Brock,
John C. Pope
et al.
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1715-1720
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Simplifying the Diagnosis of 4 Common Voiding Conditions Using Uroflow/Electromyography, Electromyography Lag Time and Voiding History
22 August 2011
Purpose: Noninvasive uroflowmetry with simultaneous electromyography is useful to triage cases of lower urinary tract symptoms into 4 urodynamically defined conditions, especially when incorporating s...
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Jason P. Van Batavia,
Andrew J. Combs,
Grace Hyun,
Agnes Bayer,
Daisy Medina-Kreppein,
Richard N. Schlussel,
Kenneth I. Glassberg
et al.
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1721-1727
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Editorial Comment
22 August 2011
I sympathize with the difficulty in using the approved ICCS terminology. ICCS relied mainly on clinical history rather than on objective data (reference 11 in article). This study appropriately incorp...
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Patrick H. McKenna
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1726
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Editorial Comment
22 August 2011
These authors have persisted in their crusade to set a new classification of LUT conditions in childhood. The arguments are strong and the methods used are adequate but still I am left with dissatisfa...
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Piet Hoebeke
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1726-1727
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Reply by Authors
22 August 2011
The comments of Drs. McKenna and Hoebeke are greatly appreciated. We wholeheartedly agree with Dr. McKenna regarding the shortcomings of existing ICCS terminology on this subject. We have long thought...
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1727
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| Urolithiasis |
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Author(s) |
Pages |
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Use of the Ureteral Access Sheath During Ureteroscopy in Children
19 August 2011
Purpose: The use of ureteral access sheaths during ureteroscopy is common but there are sparse data on the safety and outcomes of ureteral access sheath use in children. We compared the outcomes of ur...
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Hsin-Hsiao Wang,
Lin Huang,
Jonathan C. Routh,
Paul Kokorowski,
Barley G. Cilento,
Caleb P. Nelson
et al.
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1728-1733
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Association Between Body Mass Index and Urolithiasis in Children
19 August 2011
Purpose: The prevalence of obesity and urolithiasis in children has increased with time. We evaluated the relationship between body mass and urolithiasis in children. Materials and Methods: We perform...
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Steve S. Kim,
Xianqun Luan,
Douglas A. Canning,
J. Richard Landis,
Ron Keren
et al.
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1734-1739
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| Outcomes/Epidemiology/Socioeconomics |
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Author(s) |
Pages |
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Results: Survey of Pediatric Urology Electronic Medical Records—Use and Perspectives
22 August 2011
Purpose: The $19.2 billion Health Information Technology for Economic and Clinical Health Act will have a dramatic effect on the adoption of electronic medical records in the United States by directly...
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Stephen James Canon,
Jody Ann Purifoy,
Gerald M. Heulitt,
William Hogan,
Christopher Swearingen,
Mark Williams,
Seth Alpert,
Diane Young
et al.
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1740-1745
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Editorial Comment
22 August 2011
These authors assessed the use and roadblocks to EMR use. The electronic medical (health) record is a reality of practice today regardless of medical specialty, including ours, since it is implemented...
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Lane S. Palmer
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1744
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Editorial Comment
22 August 2011
These authors examined the current use or adoption of EMRs by pediatric urologists in the United States. The current rate of use determined in this survey may be overstated, given the 65% response rat...
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David H. Ewalt
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1745
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Reply by Authors
22 August 2011
A 65% response rate is notable and represents evidence of the engagement of our community in relevant current issues in medicine. Since all pediatric urologists in the country did not complete the sur...
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1745
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