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  1. Article: Management of High-Grade Penile Curvature Associated With Hypospadias in Children.

    Moscardi, Paulo R M / Gosalbez, Rafael / Castellan, Miguel Alfedo

    Frontiers in pediatrics

    2017  Volume 5, Page(s) 189

    Abstract: Penile curvature is a frequent feature associated with hypospadias with also a great variability of severity among each patient. While the low-grade curvature (<30°) can be relatively easily corrected by simple techniques like penile degloving and dorsal ...

    Abstract Penile curvature is a frequent feature associated with hypospadias with also a great variability of severity among each patient. While the low-grade curvature (<30°) can be relatively easily corrected by simple techniques like penile degloving and dorsal plication, severe cases often demand more complex maneuvers to manage it. A great number of surgical techniques have been developed to adequately correct curvatures greater than 30°; however, each one of them should be individualized to different patients and local conditions encountered. In this article, we will review the evaluation of the pediatric patient with penile curvature associated with hypospadias with a special attention to high-grade cases, their management, indications for surgical treatment, and several surgical options for their definitive treatment.
    Language English
    Publishing date 2017-09-04
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2017.00189
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Robotic Management of Urolithiasis in the Pediatric Population.

    Ballesteros, Natalia / Snow, Zachary A / Moscardi, Paulo R M / Ransford, George A / Gomez, Pablo / Castellan, Miguel

    Frontiers in pediatrics

    2019  Volume 7, Page(s) 351

    Abstract: A variety of surgical techniques exist for the management of urolithiasis. Minimally invasive techniques have replaced open surgery in the last few decades. For complex stone management, robotic-assisted laparoscopic surgery (RALS) has emerged as a safe ... ...

    Abstract A variety of surgical techniques exist for the management of urolithiasis. Minimally invasive techniques have replaced open surgery in the last few decades. For complex stone management, robotic-assisted laparoscopic surgery (RALS) has emerged as a safe and feasible alternative in adults. The literature for RALS for urolithiasis (RALS-UL) in the pediatric population is scarce. Herein, we present a review of the literature in both adult and pediatric patients as well as our experience using RALS-UL at our institutions. Special attention is given to the synchronous management of urolithiasis when surgery is performed for other conditions such as ureteropelvic junction obstruction (UPJO), and a supplemental video is provided.
    Language English
    Publishing date 2019-08-22
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2019.00351
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Voiding Cystourethrogram in Children With Unilateral Multicystic Dysplastic Kidney: Is It Still necessary?

    Blachman-Braun, Ruben / Camp, Michelle M / Becerra, Maria F / Guevara, Christian G / Velasquez, Maria C / Moscardi, Paulo R M / Ballesteros, Natalia / Gosalbez, Rafael / Labbie, Andrew S / Castellan, Miguel A / Restrepo, Ricardo / Alam, Alireza

    Urology

    2020  Volume 139, Page(s) 156–160

    Abstract: Objective: To evaluate the value of the voiding cystourethrogram (VCUG) in children with multicystic dysplastic kidney (MCDK) who have a normal versus abnormal contralateral kidney and bladder ultrasound (US), and assess the risk of having ... ...

    Abstract Objective: To evaluate the value of the voiding cystourethrogram (VCUG) in children with multicystic dysplastic kidney (MCDK) who have a normal versus abnormal contralateral kidney and bladder ultrasound (US), and assess the risk of having vesicoureteral reflux (VUR) or urinary tract infection (UTI) based on the US results.
    Methods: A retrospective chart review including children with unilateral MCDK with postnatal US and VCUG available at our institution between January 2008 and September 2017 was performed. Analysis was done to find association between abnormal contralateral US and contralateral VUR and UTI.
    Results: One hundred and fifty-six children were analyzed; 118(75.6%) patients had a normal contralateral kidney US, while 38(24.4%) had abnormal US. The rate of severe contralateral VUR (grade IV and V) was 2 (1.7%) and 5 (13.2%) in children with normal and abnormal contralateral US, respectively. The risk analysis demonstrated a significant association between severe VUR on the contralateral kidney and an abnormal contralateral US (odds ratio = 7.73; 95%CI: 1.43-41.81; P = 0.018) and no significant association with UTI (odds ratio = 1.58; 95%CI: 0.50-4.94; P = 0.435).
    Conclusion: Our data suggests, the rate of severe contralateral VUR in children with unilateral MCDK and normal contralateral kidney is low. VCUG should be considered for infants with proven MCKD and alterations on the contralateral kidney on US. Following patients with MCDK and normal contralateral kidney without the use of VCUG is a reasonable approach, unless there is development of signs and symptoms of recurrent UTI or deterioration of the renal function. We found that abnormal contralateral kidney US was associated with severe VUR.
    MeSH term(s) Child ; Female ; Follow-Up Studies ; Humans ; Infant ; Kidney/diagnostic imaging ; Male ; Multicystic Dysplastic Kidney/complications ; Multicystic Dysplastic Kidney/diagnosis ; Multicystic Dysplastic Kidney/physiopathology ; Risk Assessment/methods ; Risk Factors ; Ultrasonography/methods ; Ureter/diagnostic imaging ; Urinary Bladder/diagnostic imaging ; Urinary Tract Infections/diagnosis ; Urinary Tract Infections/etiology ; Urinary Tract Infections/prevention & control ; Urodynamics ; Urography/methods ; Vesico-Ureteral Reflux/diagnosis ; Vesico-Ureteral Reflux/etiology
    Language English
    Publishing date 2020-02-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2020.02.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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