Publications by authors named "Paul F Zelkovic"

Introduction: It is known the prevalence of varicoceles in adolescent men is 14-29% but there is debate surrounding implications on fertility. As obtaining a semen analysis (SA) may be challenging, there is need for objective tests as measures of fecundity. Our aim was to investigate the relationship between testicular volume differential (TVD), varicocele grade, and total testicular volume (TTV) on seminal parameters including total motile sperm count (TMSC).

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  • This study reviews a 10-year experience at a pediatric urology practice focusing on bladder tumors in children, aiming to enhance the understanding of their presentation and management.
  • Researchers analyzed medical records of 30 pediatric patients diagnosed with various types of bladder tumors, excluding those with specific pre-existing bladder conditions, revealing a mix of tumor types and treatment methods used.
  • The findings indicate that while pediatric bladder tumors can be aggressive, most identified tumors were benign, and all patients showed no evidence of disease at their latest follow-ups.
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Introduction And Objective: Lower urinary tract (LUT) and voiding dysfunction constitute a large percentage of pediatric urology referrals. Children with urinary incontinence unresponsive to behavioral modifications and traditional pharmacotherapy including anticholinergics and alpha blockers remain a challenge. We evaluated the impact of imipramine on treatment outcomes in children with refractory incontinence.

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Objective: To report the first exclusively pediatric series of robot-assisted urachal remnant excisions in children.

Methods: We reviewed the medical records of all children who underwent robot-assisted excision of urachal remnants from 2010 to 2016. For the procedure, a 3-port approach was performed in all cases.

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Introduction: Aphallia is exceedingly rare (1/30 million births). Previous reports have provided limited detail on associated urinary tract findings.

Objective: We reviewed urinary tract anomalies in two boys with aphallia (patients 1 and 2) and a girl with urinary tract dysplasia, a similar external appearance and lack of corporal tissue (patient 3), also consistent with aphallia.

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  • Accessing the pudendal nerve (PN) offers a way to control multiple nerve pathways and genitourinary functions from one location, but the PN's inner structure is not well understood.
  • Researchers created fascicle maps from the PN by studying 12 specimens, revealing consistent anatomical patterns.
  • Findings support that it's possible to place a nerve cuff on the PN, which could enable targeted stimulation of specific distal nerves using a single electrode due to the PN's anatomy.
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Purpose Of Review: Energy-based tumor ablative techniques are under development for the minimally invasive treatment of renal cell carcinoma. Radiofrequency ablation has recently entered phase II clinical trials for the treatment of small renal tumors. The authors review the status of these clinical trials.

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