Publications by authors named "K J Godlewski"
J Pediatr Urol
November 2024
Article Synopsis
- The study investigates how early imaging features related to posterior urethral valves (PUV) in children can predict the progression of chronic kidney disease (CKD) and potential renal failure. !*
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- Researchers analyzed data from 274 children diagnosed with PUVs to identify factors such as vesicoureteral reflux and nadir creatinine that correlate with CKD progression over an average follow-up of nearly 6 years. !*
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- Results indicated that the presence of vesicoureteral reflux and a low nadir creatinine level in the first year of life significantly predicted CKD progression, highlighting the usefulness of these early measurements in assessing future renal function. !*
J Pediatr Urol
October 2024
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.*
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- 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.*
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- 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
- The study evaluated the outcomes of robot-assisted laparoscopic ureteral reimplantation (RALUR) for treating primary vesicoureteral reflux (VUR) in pre-toilet trained children, comparing results to a group of toilet trained children.
- Researchers analyzed data from 158 patients, noting similar demographics and surgical outcomes between the two groups despite the pre-toilet trained group having more severe VUR grades.
- The findings indicate that RALUR is a safe and successful treatment option for both groups, making it a valid alternative to traditional open surgery.
J Pediatr Urol
September 2024
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.
