Third trimester ultrasound of fetal pyelectasis: predictor for postnatal surgery.

Objective: The ability to predict surgically relevant fetal renal pyelectasis is limited. We sought to determine whether the intrauterine timing of prenatal pyelectasis can predict the need for postnatal surgery.

Methods: We retrospectively reviewed all patients with ultrasound measurements of the fetal renal pelvis during the 2nd and 3rd trimesters and postnatally.

Clinical care of vesicoureteral reflux: preventing adoption of a procedure-driven algorithm.

Objectives: Although minimally invasive procedures have created a groundswell, supportive of early intervention as on expedient alternative to surveillance, we present a patient-driven model of care that weighs risk and benefit for each individual.

Methods: A practice review was performed for the period 2000-2006. The records of all patients diagnosed by, or referred to, our group (three full-time Pediatric Urologists with a regional service population of 1.

Results of a 2-year multicenter trial of endoscopic treatment of vesicoureteral reflux with synthetic calcium hydroxyapatite.

Purpose: With no FDA approved material available for endoscopic treatment of vesicoureteral reflux, in 2001 we began a prospective multicenter trial of synthetic calcium hydroxyapatite as a subureteral bulking agent in children with traditional indications for surgical repair.

Materials And Methods: A total of 98 patients (155 ureters) with grades II to IV reflux were enrolled at 10 sites in the United States to obtain 86 patients with completed protocol end points at 3 months. Of the 86 patients 74 underwent renal and bladder ultrasonography, blood count and serum chemistry analysis, and VCUG at 1 year.

Perinatal extravaginal torsion of the testis in the first month of life is a salvageable event.

Objectives: To determine the effectiveness of immediate surgical exploration in salvaging perinatal testicular torsion.

Methods: A retrospective analysis from 1995 to 2000 of boys younger than 30 days of age with surgically documented extravaginal testicular torsion was conducted. All cases were diagnosed after a normal testicular examination by a neonatologist, and all patients underwent urgent exploration to confirm the exact diagnosis and attempt testicular salvage by detorsion with bilateral orchiopexy.

Testicular torsion: direction, degree, duration and disinformation.

Purpose: We reviewed and contrast with the literature the cumulative clinical experience at our pediatric urological division in the last 20 years with managing testicular torsion, focusing specifically on the direction and degree of testicular torsion and the duration of symptoms before presentation. We also addressed the incidence of gastrointestinal symptoms, role of manual detorsion, residual torsion and incidence of atrophy.

Materials And Methods: We reviewed the medical records of 200 consecutive males 18 months to 20 years old who underwent surgical exploration by a pediatric urologist for a diagnosis of testicular torsion between 1980 and 2000.

Bladder calculus formation and urinary retention secondary to perforation of a normal bladder by a ventriculoperitoneal shunt.

Urinary retention due to bladder calculus formation is unusual in the pediatric population. This case report describes a rare sequence of events in which a bladder stone formed secondary to the erosion of a ventriculoperitoneal shunt through a normal bladder wall. A review of the literature is included.