What is a Pediatric Urologist?

2021 ◽  
Keyword(s):  
Pediatric Urologist

scholarly journals Association between severity of prenatally diagnosed hydronephrosis and receipt of surgical intervention postnatally among patients seen at a fetal-maternal center

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zoë G. Baker ◽  
Arthi Hannallah ◽  
Melissa Trabold ◽  
Danielle Estell ◽  
Cherry Deng ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Renal Scarring ◽  
Tertiary Care ◽  
Rank Test ◽  
Kaplan Meier ◽  
Hazard Ratios ◽  
Age At Surgery ◽  
History Of ◽  
Pediatric Urologist ◽  
Tract Infections

Abstract Background Hydronephrosis (HN) is the most common abnormality detected on prenatal ultrasound. This study sought to stratify outcomes of patients by severity of prenatal HN with postnatal outcomes. Methods This was a retrospective review of patients referred to a tertiary care fetal-maternal clinic with diagnosis of prenatal HN from 2004 to 2019. HN severity was categorized as mild, moderate, or severe. Data were analyzed to determine the association between HN severity and surgical intervention. Decision for surgery was based on factors including history of multiple urinary tract infections, evidence of renal scarring, and/or reduced renal function. Surgery-free survival time was represented by the Kaplan–Meier method, and hazard ratios were calculated using the log-rank test. Results 131 kidneys among 101 infants were prenatally diagnosed with hydronephrosis; 35.9% had mild HN, 29.0% had moderate HN, and 35.1% had severe HN. 8.5% of patients with mild HN, 26.3% of patients with moderate HN, and 65.2% of patients with severe HN required surgery. Patients with severe HN were 12.2 (95% CI 6.1–24.4; p < 0.001) times more likely to undergo surgery for HN than patients with mild HN and 2.9 (95% CI 1.5–5.3; p = 0.003) times more likely to undergo surgery than patients with moderate HN. Patients with moderate HN were 4.3 times more likely to require surgery than patients with mild HN (95% CI 1.5–12.9; p = 0.01). Median age at surgery was 11.8 months among patients with mild HN (IQR 11.7–14.1 months), 6.6 months among patients with moderate HN (IQR 4.2–16.4 months), and 5.4 months among patients with severe HN (3.7–12.4 months). Conclusion Among this cohort of referrals from a fetal-maternal clinic, severity of HN correlated with increased likelihood of surgical intervention. Continued assessment of patients with prenatal HN should be evaluated to best determine the role of the pediatric urologist in cases of prenatal HN.

scholarly journals Surgical Correction of Penoscrotal Web: A Case Series With Literature Review

2020 ◽  
Author(s):  
Volkan Sarper Erikçi
Keyword(s):  
Surgical Treatment ◽  
Clinical Characteristics ◽  
Surgical Techniques ◽  
Case Series ◽  
Scrotal Skin ◽  
Penile Skin ◽  
Surgical Experience ◽  
Postoperative Results ◽  
Pediatric Urologist

INTRODUCTION: Penoscrotal webbing (PSW) is an anomaly of penis and it includes penile and scrotal skin aberration. There are various surgical techniques for repairing PSW with different terminologies. Herein we present our surgical experience of Z-plasty procedure in these cases. METHODS: In this retrospective study, 5 patients with an average age of 46 months who were diagnosed and under follow-up for PSW, between June 2017 and May 2019 were included. Along with demographic and clinical characteristics, treatment and follow-up records were collected. RESULTS: Isolated PSW was observed in 4 patients and one patient had an associated megameatus intact prepuce (MMIP) of a hypospadias variant in addition to PSW. Circumcision and ventral prepuce reconstruction of the penis with the aid of "Z-plasty" solved problem and acceptable postoperative results were obtained. DISCUSSION AND CONCLUSION: PSW is a condition that warrants surgical treatment. During the management of these children, in the case of suspicion of penile skin abnormality at the time of circumcision, it should be deferred and should be consulted to a pediatric surgeon or a pediatric urologist. Gentle surgical treatment is recommended for a favourable surgical and psychological result

REVIEW OF UROLOGY IN CHILDHOOD. Edited by Innes Williams. New York, Springer-Verlag. 1974, $57.00; 458 pp

PEDIATRICS ◽  
1977 ◽  
Vol 59 (3) ◽  
pp. 488-488
Author(s):  
Arthur M. Smith ◽  
John K. Lattimer
Keyword(s):  
New York ◽  
Surgical Repair ◽  
State Of The Art ◽  
Pediatric Urology ◽  
True State ◽  
Pediatric Urologist ◽  
Modern Textbook ◽  
Morphological Anomalies

A competent, modern textbook on pediatric urology must encompass more than just a description of morphological anomalies and techniques for surgical repair. To reflect the true state of the art, it must contain a sophisticated integration of information from many disciplines. The present-day pediatric urologist thinks in terms of genetic, metabolic, endocrinologic, neurologic, psychologic, oncologic, and nephrologic disease factors. A new text devoted to pediatric urology muust therefore incorporate a huge volume of information in order to justify its relevance.

Sigmoid neovaginoplasty in the androgen insensivity syndrome (AIS): the ideal technique for the pediatric urologist?

2007 ◽  
Vol 3 ◽  
pp. S83
Author(s):  
Antonio Macedo ◽  
Riberto Liguori ◽  
Luiz Luna ◽  
Petrus Oliva Souza ◽  
Daniel Alcântara Pereira ◽  
...  
Keyword(s):  
Pediatric Urologist ◽  
Ideal Technique ◽  
The Ideal

RE: EDITORIAL: GENDER ASSIGNMENT AND THE PEDIATRIC UROLOGIST

2000 ◽  
Vol 163 (3) ◽  
pp. 926-926
Author(s):  
K.I. Glassberg
Keyword(s):  
Gender Assignment ◽  
Pediatric Urologist

Diagnostic strategy of the pediatric urologist-andrologist when examining a newborn with sex differentiation disorders

Urologiia ◽  
2020 ◽  
Vol 6_2020 ◽  
pp. 170-173
Author(s):  
L.A. Deryugina Deryugina ◽  
N.V. Bolotova Bolotova ◽  
N.Y. Raigorodskaya Raigorodskaya ◽  
Keyword(s):  
Sex Differentiation ◽  
Diagnostic Strategy ◽  
Pediatric Urologist

RE: EDITORIAL: GENDER ASSIGNMENT AND THE PEDIATRIC UROLOGIST

2000 ◽  
pp. 926
Author(s):  
K. I. Glassberg
Keyword(s):  
Gender Assignment ◽  
Pediatric Urologist

The implications of fellowship expansion on future pediatric urologist surgical volumes

2018 ◽  
Vol 14 (3) ◽  
pp. 246-250 ◽  
Author(s):  
Travis W. Groth ◽  
William A. See ◽  
Sophie Ramsay ◽  
Christopher S. Cooper ◽  
John V. Kryger
Keyword(s):  
Pediatric Urologist

scholarly journals Distal Hypospadias, Treated or Untreated?: A Case Report

2020 ◽  
Vol 4 (1) ◽  
pp. 1-7
Author(s):  
Agus Santosa
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Glans Penis ◽  
Urinary Function ◽  
Central Java ◽  
Physical Examinations ◽  
Pediatric Urologist ◽  
Distal Hypospadias ◽  
Study Participants

Background: Treatment for distal hypospadias is a controversy among the experts. Some argue that it does not require any surgery if it does not interfere with the patient's urinary and sexuality. Purpose: This study aimed to determine whether patients with distal hypospadias need treated or untreated.Methods: The method used is a case study. Participants in this study is a 10-year-old male with distal hypospadias—location of the study in Purwokerto city, Banyumas district, Central Java. Participants were interviewed and physically examined by a doctor and nurse. The results of interviews and physical examinations are recorded and analyzed based on a literature review to determine the decision, treatment, or untreated. Results: A 10-year-old patient with hypospadias and the pediatric urologist do not give surgery advice, because the urethral opening is still close to the glans penis, and there are no symptoms of urinary dysfunction. Conclusion: Patients with distal hypospadias may be untreated as long as they do not interfere with urinary function

Sign in / Sign up

Export Citation Format

Share Document