Parent decisional regret regarding neonatal circumcision in an American outpatient pediatric urology clinic.

Introduction/background: Requests for circumcision revision are common in our American pediatric urology clinic. As parents are the surrogate decision maker for their child, there are several influences that can impact a parent's decision for or against circumcision.

Objective: We sought to assess parents' regret regarding their child's circumcision status and to correlate regret to factors that might have affected the original decision.

Bowel bladder dysfunction in control children in a pediatric urology office.

Introduction: Bowel bladder dysfunction (BBD) is common in children. Risk factors for BBD include age, gender, obesity, and behavioral issues such as ADHD. We investigated the modified Swedish Bowel-Bladder questionnaire as a sensitive indicator of BBD in healthy children.

Pediatric penile surgery by a nurse practitioner in the operating room.

Introduction: With the growing shortage of pediatric urological surgeons, it was our aim to streamline our system to get patients with less complex penile procedures performed in a timely manner. To do this, an advanced practice provider (APP) was trained to perform minor penile procedures in children in the operating room(OR).

Objectives: The goal of our study was to show that with proper training an APP could safely perform a circumcision in the OR.

Early experience with shared medical appointments for penile problems.

We examined the use of shared medical appointments (SMA) for educating and counseling children with penile problems. Forty-eight families were seen over 4 months with 21 participating in the SMA group and 27 in the traditional group. Using a questionnaire to assess adequacy of education, there was no difference in the overall scores between groups with a mean of 6.

Children's anxious reactions to an invasive medical procedure: The role of medical and non-medical fears.

This study investigated the relationship of medical and non-medical fears to children's anxiety, pain, and distress during an invasive medical procedure, the voiding cystourethrogram. Parents of 34 children completed the Fear Survey Schedule-II prior to their child's procedure. Child distress behaviors during the procedure were audiotaped and coded using the Child-Adult Medical Procedure Interaction Scale-Revised.

Is parental anxiety and coping associated with girls' distress during a VCUG? Preliminary findings.

Purpose: We investigated the relationship between parental anxiety/coping strategies and girls' distress during VCUGs.

Methods: Parents of 32 girls (age 4-10, mean 5.8 years) completed a trait anxiety measure and a measure of parental reactions to children's distress.

Bladder volume on voiding cystourethrogram correlates with indications and results in male infants.

Objectives: To evaluate whether the bladder size on the voiding cystourethrogram (VCUG) might be a proxy for voiding abnormalities. Voiding abnormalities have been implicated in the development of hydronephrosis, reflux, and urinary tract infections.

Methods: We evaluated the volume of contrast infused for 617 consecutive VCUGs.

The association of constipation with childhood urinary tract infections.

Objective: Previous studies have suggested a correlation between constipation and urinary tract infections (UTIs) in children. However, historical information about constipation may be unreliable and the relationship between a history of constipation and radiographic findings of fecal load is unclear.

Patients And Methods: A total of 133 children undergoing an abdominal X-ray were evaluated.

Variations in practice patterns regarding constipation in children with urinary tract infections.

Studies suggest a correlation between constipation and urinary tract infections (UTIs) in children. Diagnoses and treatment of constipation are not clear. This clinical practice was documented in urology offices.

The effects of anticholinergic drugs on attention span and short-term memory skills in children.

Aims: Studies have shown cognitive problems in adults treated with anticholinergics. It is unclear if children are also susceptible to anticholinergic adverse effects. This study evaluates the effects of long-acting oxybutynin and tolterodine on short-term memory and attention in children with urgency and urge incontinence.

The effect of obesity on treatment efficacy in children with nocturnal enuresis and voiding dysfunction.

Purpose: Obesity continues to be a leading public health concern in the United States. Our previous studies have suggested that there is a high rate of obesity in children with dysfunctional voiding, especially nocturnal enuresis. We investigated the correlation between body mass index and the efficacy of treatment in obese patients.

Reevaluating practice changes: return to standard precautions after an outbreak of multidrug-resistant Klebsiella oxytoca.

Change in medical practice is usually made to solve immediate problems. The continued use of these changes should then be reevaluated. Following an outbreak of K.