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    Pediatric urology looks to advances in minimally invasive surgery

    This article is part of the State of Urology 2014

    Howard M. Snyder, III, MDDr. SnyderResearch in stone disease and minimally invasive surgery will also make its mark at the Society for Pediatric Urology (SPU) annual meeting, which runs concurrently with the first 3 days of the AUA meeting.

    “There are a lot of papers on stones and the minimally invasive revolution in medicine, including ways to treat stones, [use of] robotics, and reflux,” said Howard M. Snyder, III, MD, professor of surgery in urology at the University of Pennsylvania School of Medicine, Philadelphia. “I would point out the rising epidemic of stones and the ability to deal with this problem.”

    A group of five abstracts examines varicocele, which Dr. Snyder said continues to be controversial in terms of its management and effect.

    “How much varicocele contributes [to an abnormal sperm count] continues to be very questionable. Many more varicoceles are treated in general than is justified by any evidence,” he said.

    Also highly controversial are guidelines from the British National Institute for Health and Clinical Excellence (NICE) and the American Academy of Pediatrics (AAP) discussing the workup of febrile urinary tract infections in children. That will be the topic of the SPU’s John Duckett Memorial Lecture, which will be given by H. Gil Rushton Jr., MD.

    “Many of us [in pediatric urology] disagree with the guidelines pretty vehemently, with good reason. The statement that’s coming out of AAP and the NICE committee is that you should wait until the second infection with fever before getting a VCUG. As the yield is so high, most pediatric urologists pretty vehemently disagree with this recommendation. No parent wants their child to be at risk for having a ‘make-me-sick’ infection,” Dr. Snyder said.

    Among the can't-miss SPU/AUA 2014 abstracts selected by Dr. Snyder are the following:

    5: A single centre experience comparing miniperc and Shock wave lithotripsy(SWL) for treatment of radioopaque 1-2 cm renal calculi in children :A prospective randomized study
    Anup Kumar

    MP22: Upper Tract Calculi and Associated Surgical Complications in Spina Bifida patients
    HsinHsiao Wang

    MP26-16: Hypercalciuric renal stones linked to atherosclerosis: Proteomics-based evidence
    Larisa Kovacevic

    MP26-17: Characteristics of Pediatric Stone Formers with Positive Family History- Single Center Experience
    Necole M. Streeper

    Continue to next page for more abstracts.

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