Publications by authors named "J Van Batavia"
Article Synopsis
- Testicular torsion is an emergency condition requiring timely surgery to either save or remove the affected testis, with urgency emphasizing the need to minimize ischemia time.* -
- The study aimed to explore how patient transfer impacts surgical outcomes, particularly focusing on race and socioeconomic factors, while determining the critical cutoff times for surgery to preserve the testis.* -
- Findings indicated that race and socioeconomic status did not significantly influence surgical success, but factors like age and timing from symptom onset were crucial, with optimal cutoffs identified at 10.5 hours for presentation and 14.5 hours for detorsion.*
Article Synopsis
- Hypospadias repair often leads to complications, and while factors like anatomy and surgeon experience are known contributors, the influence of social determinants of health on outcomes is less understood.
- The study aimed to explore how resources and community conditions, assessed through the Childhood Opportunity Index (COI), impact post-operative complications in children who underwent distal hypospadias repair.
- An analysis of 938 patients showed a 14.1% complication rate, but no significant correlations were found between COI, insurance type, race, and complications; however, anatomical factors like glans width and chordee degree were linked to complications.
Article Synopsis
- - The study investigates non-operative management of pediatric ureteroceles, finding that this approach leads to less frequent and later secondary surgical interventions compared to those who undergo immediate surgery.
- - Successful non-operative treatment is linked to factors such as smaller ureterocele size, absence of high-grade vesicoureteral reflux (VUR), and fewer comorbidities among patients.
- - Despite these findings, there is still no standard method for choosing which patients should receive non-operative care, highlighting the need for more consensus in managing ureteroceles.
Introduction: Bladder dysfunction, or more specifically lower urinary tract dysfunction (LUTD), remains a common reason for pediatric urology consultation, and the management of these patients is time consuming and frustrating for patients, families and providers alike. But what happens when the patient proves refractory to current treatment modalities? Is there a role for the use of videourodynamics (VUDS) to help guide therapy in the patient with refractory voiding dysfunction, and if so how might we select patients for this invasive study in order to increase the yield of useful information?
Objectives: To determine the role, if any, for VUDS in the evaluation of pediatric patients with refractory LUTD and to identify parameters that might be used to select patients for this invasive study in order to increase the yield of useful information.
Study Design: Through our IRB-approved prospectively maintained urodynamics database, we retrospectively identified 110 patients with non-neurogenic LUTD over a period from 2015 to 2022 who underwent VUDS.