http://urologytimes.modernmedicine.com/urologytimes/Pediatric+Urology/Article/list/9399 Treatment and research news and developments about vesicoureteral reflux and other pediatric urologic conditions. 2009-11-21T08:34:37Z http://urologytimes.modernmedicine.com/urologytimes/Modern+Medicine+Now/Soaring-stone-rates-post-op-B12-loss-raise-concern/ArticleStandard/Article/detail/593047?contextCategoryId=9399&ref=25 Whether it stems from an excess of dietary salt, underlying metabolic disorders, or simply from improved diagnostic techniques, urologists across the United States are reporting a marked increase in the number of children presenting with kidney stones. 2009-04-15T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/152009/593047null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Studies-Manage-blunt-renal-trauma-conservatively/ArticleStandard/Article/detail/573141?contextCategoryId=9399&ref=25 Two studies of blunt kidney trauma, one from Switzerland and one from the United States, reached essentially the same conclusion: Conservative management is likely to be the best path when confronting most cases of blunt renal trauma. 2009-01-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/522008/573141null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Endoscopic-treatment-of-complex-vesicoureteral-ref/ArticleStandard/Article/detail/573142?contextCategoryId=9399&ref=25 Vesicoureteral reflux (VUR) is a common congenital anomaly affecting close to 1% of all children. It is often associated with other ureteral anomalies, including ureteral duplication, ectopia, ureteroceles, and paraureteral (Hutch) diverticula. 2009-01-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/522008/573142null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Fertility-preservation-lacking-in-male-cancer-pati/ArticleStandard/Article/detail/563879?contextCategoryId=9399&ref=25 Physician attitudes, actions at odds over preserving fertility in adolescent men with cancer. 2008-11-01T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/452008/563879null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Bladder-control-within-reach-afer-spinal-injury/ArticleStandard/Article/detail/543670?contextCategoryId=9399&ref=25 Pediatric urologists have confirmed that environmental pollutants can impair male sexual development and fertility and that reinnervation of the bladder after spinal cord injury may be within reach. 2008-08-15T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/342008/543670null XML http://urologytimes.modernmedicine.com/urologytimes/Enews/Study-evaluating-antibiotic-use-in-kids-with-VUR-s/ArticleStandard/Article/detail/529333?contextCategoryId=9399&ref=25 Researchers conducting a study to learn whether children with vesicoureteral reflux should be treated with an extended course of antibiotics are seeking to enroll more participants. 2008-07-17T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/292008/529333null HTML http://urologytimes.modernmedicine.com/urologytimes/2008+AUA+News/Long-term-DxHA-implants-may-create-diagnostic-dile/ArticleStandard/Article/detail/517606?contextCategoryId=9399&ref=25 Young children who present with calcifications in the ureter on computed tomography scans may not have ureteral stones, but may simply have a history of receiving dextranomer/hyaluronic acid copolymer (Dx/HA [Deflux]) injections for the treatment of vesicoureteral reflux, according to pediatric urologists from Emory University in Atlanta. Their study findings were presented as a word of caution to radiologists and emergency room physicians who may suspect stones in children with abdominal pain and associated imaging findings. 2008-05-18T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/212008/517606null HTML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Lap-procedures-increasing-in-pediatric-urology/ArticleStandard/Article/detail/517411?contextCategoryId=9399&ref=25 In the office and the operating room, urologists are finding an array of more palatable approaches to managing pediatric cases. 2008-05-15T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/202008/517411null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Research-supports-endoscopic-surgery-to-treat-VUR/ArticleStandard/Article/detail/506896?contextCategoryId=9399&ref=25 Studies of vesicoureteral reflux in children show steady progress in treatment modalities and outcomes. 2008-04-01T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/142008/506896null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Pediatric-refractory-urgency-neuropsychiatric-diso/ArticleStandard/Article/detail/506905?contextCategoryId=9399&ref=25 Children who do not respond to treatment for urgency frequency syndrome may have underlying neuropsychiatric disorders that need treatment before UFS symptoms can be resolved. 2008-04-01T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/142008/506905null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Cerebral-palsy-incontinence-likely-due-to-underlyi/ArticleStandard/Article/detail/506904?contextCategoryId=9399&ref=25 Video urodynamic studies found serious underlying pathology in a majority of cerebral palsy children who had urinary incontinence. 2008-04-01T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/142008/506904null XML http://urologytimes.modernmedicine.com/urologytimes/Urinary+Incontinence%2FOveractive+Bladder/FDA-requests-new-prescribing-information-for-desmo/ArticleStandard/Article/detail/480232?contextCategoryId=9399&ref=25 The FDA has requested that manufacturers update the labels and prescribing information for tablet and intranasal formulations of desmopressin (DDAVP, Minirin, Stimate), used to treat pediatric nocturnal enuresis, to include important new information about the risk of severe hyponatremia and seizures. The action follows reports of 61 patients who experienced hyponatremia-related seizures linked to use of the drug, including two who died. 2007-12-20T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/512007/480232null HTML http://urologytimes.modernmedicine.com/urologytimes/Inflammation+and+Infection/Early-treatment-of-UTI-in-infants-may-not-prevent-/ArticleStandard/Article/detail/468960?contextCategoryId=9399&ref=25 Early and appropriate treatment of urinary tract infection, especially during the first 24 hours after the onset of symptoms, diminishes the likelihood of renal involvement during the acute phase of the infection, but does not prevent scar formation, researchers reported in Pediatrics (2007; 120:e922-e928). 2007-11-01T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/442007/468960null HTML http://urologytimes.modernmedicine.com/urologytimes/Pediatric+Urology/Therapy-reduces-UTIs-in-kids-with-vesicoureteral-r/ArticleStandard/Article/detail/449662?contextCategoryId=9399&ref=25 Hyaluronic acid/dextranomer gel (Deflux) reduced by 62% the incidence of recurrent urinary tract infections in children with vesicoureteral reflux, according to a study published in the Journal of Laparoendoscopic & Advanced Surgical Techniques (2007; 17:353-9). The therapy also eliminated the need for prophylactic antibiotics in 87% of patients. 2007-08-17T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/332007/449662null HTML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Minimally-invasive-techniques-often-appropriate-in/ArticleStandard/Article/detail/449854?contextCategoryId=9399&ref=25 Presentations in pediatric urology at the 2007 AUA annual meeting signaled changes in practice, increasing momentum in current trends, and some surprising findings on hot-button topics. 2007-08-15T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/332007/449854null XML http://urologytimes.modernmedicine.com/urologytimes/Pediatric+Urology/Study-Prophylactic-treatment-of-children-with-UTIs/ArticleStandard/Article/detail/442317?contextCategoryId=9399&ref=25 The use of prophylactic antibiotics after an initial urinary tract infection is not associated with reduced risk of recurrent UTIs, but is associated with an increased risk of resistant infections, according to a new study from the University of Pennsylvania Robert Wood Johnson Clinical Scholars Program, Philadelphia. 2007-07-19T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/292007/442317null HTML http://urologytimes.modernmedicine.com/urologytimes/Urologic+Surgery/Minimally-invasive-urologic-surgery-is-successful-/ArticleStandard/Article/detail/427796?contextCategoryId=9399&ref=25 It appears that ureteroscopy and other minimally invasive techniques, such as laser lithotripsy, are safe and effective in managing pediatric nephrolithiasis, including ureteric calculi, renal pelvic stones, and lower-pole stones. 2007-05-15T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/202007/427796null XML http://www.modernmedicine.com/modernmedicine/Urology/Retractile-testes-should-be-monitored-for-ascent/ArticleStandard/Article/detail/419006?contextCategoryId=9399&ref=25 Atlanta—Secondary testicular ascent (acquired cryptorchidism) remains a relatively rare condition, occurring in 3.2% to 6.9% of patients in a recent cohort study of boys with retractile testes. The diagnosis of ascent is becoming more commonplace, and ,therefore, boys with questionable testicular exams should have follow-up through adolescence, according to re-searchers from the Vanderbilt University Children's Hospital, Nashville, TN. 2007-02-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/152007/419006null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Research-on-bladder-tissue-regeneration-progresses/ArticleStandard/Article/detail/401893?contextCategoryId=9399&ref=25 Atlanta—Tissue engineering research has grown by leaps and bounds in the past decade and a half, yielding findings that may someday have a profound impact on the field of pediatric urology. At the 2006 American Academy of Pediatrics Section on Urology annual meeting here, several groups presented cutting-edge data on novel systems for organ generation, including research demonstrating the feasibility of generating a functioning bladder from stem cells. 2007-02-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/052007/401893null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Treatment-of-VUR-The-bar-is-raised-morbidity-lower/ArticleStandard/Article/detail/401883?contextCategoryId=9399&ref=25 The treatment paradigm for vesicoureteral reflux has undergone a significant shift in recent years. Endoscopic surgery has provided an effective, minimally invasive option that is gradually eliminating the need for prolonged antibiotic use, monitoring with voiding cystourethrograms (VCUGs), and open surgery in children with most grades and forms of VUR. 2007-02-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/052007/401883null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Adult-spina-bifida-patients-less-sexually-active/ArticleStandard/Article/detail/401891?contextCategoryId=9399&ref=25 Atlanta—Sexual activity is lower and more disturbed in adult patients with spina bifida than it is in the general population, according to a recent study by researchers from the Children's Hospital of Philadelphia. Interestingly, however, this diminished sexual activity does not appear to significantly affect spina bifida patients' quality of life, researchers said at the 2006 American Association of Pediatrics Section on Urology annual meeting here. 2007-02-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/052007/401891null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Growing-data-point-to-toxins-role-in-fetal-anomali/ArticleStandard/Article/detail/401892?contextCategoryId=9399&ref=25 Atlanta—The impact of environmental toxins on male sexual development has become a topic of keen interest among pediatric urologists, who have released a growing body of data suggesting environmental links to hypospadias, cryptorchidism, and other urinary tract anomalies and diseases. At the 2006 American Academy of Pediatrics Section on Urology annual meeting, several groups presented data on the effect of in utero exposure to endocrine disrupters on the developing fetus. 2007-02-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/052007/401892null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Pediatric-urologists-face-a-challenging-future/ArticleStandard/Article/detail/401888?contextCategoryId=9399&ref=25 Atlanta—Shifting patient and physician demographics, a rapidly changing medical marketplace, and evolving national health policies will create unique challenges for pediatric urology in the next decade, according to William J. Cromie, MD, MBA, a pediatric urologist who is CEO of Capital District Physicians' Health Plan, Inc. 2007-02-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/052007/401888null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/First-line-endoscopic-treatment-effective-in-sever/ArticleStandard/Article/detail/401879?contextCategoryId=9399&ref=25 Atlanta—Endoscopic treatment should be a front-line therapy for the management of grade V vesicoureteral reflux, according to the authors of a retrospective study from the National Children's Hospital in Dublin, Ireland. 2007-02-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/052007/401879null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Retractile-testes-should-be-monitored-for-ascent/ArticleStandard/Article/detail/401887?contextCategoryId=9399&ref=25 Atlanta—Secondary testicular ascent (acquired cryptorchidism) remains a relatively rare condition, occurring in 3.2% to 6.9% of patients in a recent cohort study of boys with retractile testes. The diagnosis of ascent is becoming more commonplace, and ,therefore, boys with questionable testicular exams should have follow-up through adolescence, according to re-searchers from the Vanderbilt University Children's Hospital, Nashville, TN. 2007-02-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/052007/401887null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/MRI-based-imaging-shows-value-in-pediatric-diagnos/ArticleStandard/Article/detail/401881?contextCategoryId=9399&ref=25 Atlanta—Magnetic resonance imaging has exciting new applications in diagnosing and evaluating of pediatric urologic conditions, according to several studies presented here at the 2006 American Academy of Pediatrics Section on Urology annual meeting. 2007-02-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/052007/401881null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Experts-debate-best-approaches-to-pediatric-renal-/ArticleStandard/Article/detail/401889?contextCategoryId=9399&ref=25 Atlanta—For a number of urologic conditions in adult patients, pure laparoscopic and robot-assisted laparoscopic procedures have taken urology by storm. Pediatric urology has been somewhat slower to adopt laparoscopic approaches, but many of the same questions arise in pediatric circles when arguing the relative merits and shortcomings of current laparoscopic and open surgical options: How do postoperative pain scores, operative times, and return to activities compare? What is the learning curve for laparoscopy, and does robotic assistance shorten it? In which patients, and for which indications, is one approach preferred over another? 2007-02-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/052007/401889null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Initiatives-will-support-VUR-hydronephrosis-resear/ArticleStandard/Article/detail/401890?contextCategoryId=9399&ref=25 Atlanta—A study funded by the National Institutes of Health and a new registry promise to provide needed information on the incidence, prevalence, and consequences of two important urologic conditions in children: vesicoureteral reflux and prenatal hydronephrosis. Both the study and the registry were highlighted at the American Academy of Pediatrics Section on Urology annual meeting here. 2007-02-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/052007/401890null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/A-simple-step-wise-approach-to-the-child-with-dayt/ArticleStandard/Article/detail/395070?contextCategoryId=9399&ref=25 A careful history, thorough physical examination, and limited diagnostic studies often point the way to the cause and successful treatment of this distressing disorder. 2007-01-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/conturo/522006/395070null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Crossing-vessel-transposition-optional-in-pyelopla/ArticleStandard/Article/detail/384331?contextCategoryId=9399&ref=25 Cleveland—Routine transposition of an anterior crossing vessel during laparoscopic pyeloplasty may be unnecessary, appears to depend on the surgeon's intraoperative subjective assessment of its obstructive nature, and seems to occur more often when a transperitoneal approach is used, Cleveland Clinic investigators reported. 2006-11-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/452006/384331null XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Wilms-tumor-Updated-strategies-for-evaluation-and-/ArticleStandard/Article/detail/382421?contextCategoryId=9399&ref=25 While Wilms' tumor is the most common genitourinary tumor of childhood, it is still quite rare, with approximately 500 new cases in the United States annually.1 The mean age at presentation is approximately 3 years. The vast majority of Wilms' tumors are sporadic, although familial transmission is noted in 1% to 2%.1 2006-11-01T05:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/conturo/432006/382421/CNTUR1106_CV1_10624_thumbnail.gif http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/conturo/432006/382421null XML http://urologytimes.modernmedicine.com/urologytimes/Pediatric+Urology/Therapy-cures-VUR-in-more-than-90-of-children/ArticleStandard/Article/detail/369932?contextCategoryId=9399&ref=25 Treatment with hyaluronic acid/dextranomer gel (Deflux) showed a cure rate of more than 90% in children with vesicoureteral reflux, with 82.2% showing resolution after just one treatment, according to a study published last month in Pediatrics (2006; 118:698-703). 2006-09-07T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/urologytimes/362006/369932null HTML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Minimally-invasive-surgery-makes-inroads-in-pediat/ArticleStandard/Article/detail/328135?contextCategoryId=9399&ref=25 Pediatric urologists trained solely in traditional surgical methods would be well advised to use their CME credits for courses in laparoscopic and robotic surgery techniques. That, says Howard M. Snyder, III, MD, is inevitably the direction in which the subspecialty is headed. 2006-05-15T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Interactive-games-help-kids-gain-bladder-control/ArticleStandard/Article/detail/328152?contextCategoryId=9399&ref=25 Clearwater Beach, FL—Pelvic floor therapy—teaching children to control their bladders through various exercises that include biofeedback techniques—has come of age, and Patrick H. McKenna, MD, has the statistics to prove its success. 2006-05-15T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Drug-therapy-rarely-warranted-in-incontinent-child/ArticleStandard/Article/detail/328153?contextCategoryId=9399&ref=25 Clearwater Beach, FL—Treating incontinence in children with systemic medications should be considered a last resort, and although several products are available for treatment of incontinence in adults, there have been few studies in children. 2006-05-15T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/The-case-for-sibling-reflux-screening/ArticleStandard/Article/detail/322904?contextCategoryId=9399&ref=25 Vesicoureteral reflux occurs at an increased rate in the siblings of known refluxers. The author presents a modified screening approach for these siblings. With appropriate screening, many cases of UTI and renal damage can be avoided or treated at an early stage. 2006-05-01T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Suspect-constipation-in-kids-with-UTIs-incontinenc/ArticleStandard/Article/detail/325508?contextCategoryId=9399&ref=25 Clearwater Beach, FL—Physicians who are faced with an incontinent, wet child should always ask that child if he or she is constipated, specialists suggest. 2006-05-01T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Urodynamic-studies-infrequently-necessary-in-kids/ArticleStandard/Article/detail/325507?contextCategoryId=9399&ref=25 Clearwater Beach, FL—In children with incontinence, urodynamic studies are warranted in a small minority of cases, according to pediatric urology experts. 2006-05-01T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Infection-not-VUR-tied-to-dysfunctional-voiding/ArticleStandard/Article/detail/325506?contextCategoryId=9399&ref=25 Clearwater Beach, FL—In the complex relationship between dysfunctional voiding in children and the role of vesicoureteral reflux, researchers suggest that the real problem is preventing urinary tract infections. 2006-05-01T04:00:00Z XML http://urologytimes.modernmedicine.com/urologytimes/Pediatric+Urology/Pediatric-patients-receive-laboratory-grown-bladde/ArticleStandard/Article/detail/317973?contextCategoryId=9399&ref=25 The first human recipients of laboratory-grown organs were reported this week by Anthony Atala, MD, of the Institute of Regenerative Medicine at Wake Forest University School of Medicine, Winston-Salem, NC. 2006-04-06T04:00:00Z HTML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Pediatric-PUVs-may-be-linked-to-adult-infertility/ArticleStandard/Article/detail/317930?contextCategoryId=9399&ref=25 Washington--Even after surgical ablation, posterior urethral valves (PUVs) in boys can cause bladder and kidney problems in later years. But now, for the first time, a team of pediatric urologists has shown that PUVs also can affect sex accessory glands and, ultimately, fertility. Justine M. Schober, MD, a pediatric urologist at Hamot Medical Center, Erie, PA, reported the group's findings here at the 2005 American Academy of Pediatrics Section on Urology annual meeting. 2006-04-01T05:00:00Z XML http://urologytimes.modernmedicine.com/urologytimes/Pediatric+Urology/Adolescent-cancer-patients-are-able-to-bank-sperm/ArticleStandard/Article/detail/312783?contextCategoryId=9399&ref=25 Most adolescent cancer patients who have been offered fertility preservation are able to bank sperm, according to a study published in the Archives of Disease in Childhood (2006; 91:149-52). 2006-03-16T05:00:00Z HTML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Studies-answer-questions-about-VUR-imaging-screeni/ArticleStandard/Article/detail/307320?contextCategoryId=9399&ref=25 Washington--The most common anomaly detected on prenatal ultrasound is hydronephrosis. Up to 38% of those patients will have vesicoureteral reflux in early life. What to do about it, however, isn't always clear. 2006-02-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Gender-identity-and-assignment-issues-spark-debate/ArticleStandard/Article/detail/307322?contextCategoryId=9399&ref=25 Washington--For children with ambiguous genitalia at birth, surgical techniques have improved vastly, but deciding when and whether to do surgery hasn't gotten easier. That was apparent from the lively and sometimes contentious panel and audience discussion here at the American Academy of Pediatrics Section on Urology annual meeting. 2006-02-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Data-shed-light-on-bladder-augmentation-risks/ArticleStandard/Article/detail/307321?contextCategoryId=9399&ref=25 Washington--Long-term experience with bladder augmentation in children is now giving pediatric urologists and parents a true picture of the risks and benefits of different bowel segments. No single segment was the obvious winner in two experimental studies presented here at the American Academy of Pediatrics Section on Urology annual meeting, but the maintenance and surveillance required has become clearer. Other than technical considerations, metabolic, rather than urodynamic considerations, may prove more important in deciding which segment to use. 2006-02-01T05:00:00Z XML http://urologytimes.modernmedicine.com/urologytimes/Pediatric+Urology/Pediatric-urologist-Dr-Fung-dies-at-42/ArticleStandard/Article/detail/279393?contextCategoryId=9399&ref=25 Leo Fung, MD, chief of pediatric urology at the University of Minnesota's Medical School, died of cancer on Dec. 10 at the age of 42 2006-01-05T05:00:00Z HTML http://urologytimes.modernmedicine.com/urologytimes/Pediatric+Urology/New-recommendations-say-children-will-outgrow-bedw/ArticleStandard/Article/detail/279396?contextCategoryId=9399&ref=25 If bedwetting does not upset a child, treatment probably isn't necessary, and the child will outgrow it, according to a new position statement from the Canadian Pediatric Society (CPS). 2006-01-05T05:00:00Z HTML http://urologytimes.modernmedicine.com/urologytimes/Enews/Maternal-progestin-intake-increases-hypospadias-ri/ArticleStandard/Article/detail/201323?contextCategoryId=9399&ref=25 New data from The National Birth Defects Prevention Study provide additional evidence that pregnancy-related intake of progestins is associated with increased hypospadias risk. 2005-11-18T05:00:00Z HTML http://www.modernmedicine.com/modernmedicine/News/Minimally-invasive-approaches-advance-in-pediatric/ArticleStandard/Article/detail/177458?contextCategoryId=9399&ref=25 Across a spectrum of indications, minimally invasive procedures are having a major impact on the practice of pediatric urology, said Howard Snyder, MD, professor of surgery in urology, University of Pennsylvania School of Medicine and Children's Hospital of Philadelphia. This observation was evident in a number of papers presented at the AUA annual meeting. 2005-08-15T04:00:00Z XML http://urologytimes.modernmedicine.com/urologytimes/News/Two-studies-argue-for-circumcision-to-prevent-UTI-/ArticleStandard/Article/detail/173462?contextCategoryId=9399&ref=25 Circumcision has fallen out of favor in recent years, but an Australian meta-analysis of published data and a French study for the country's National AIDS Research Agency may turn that trend. 2005-08-04T04:00:00Z HTML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Ambiguous-genitalia-consult-A-practical-approach-t/ArticleStandard/Article/detail/172893?contextCategoryId=9399&ref=25 A methodical and thorough physical examination, coupled with appropriate hormonal, radiographic, molecular, and genetic investigations, is the key to proper diagnosis of these challenging conditions. 2005-08-01T04:00:00Z http://urologytimes.modernmedicine.com/urologytimes/data/articlestandard/conturo/322005/172893/080105_cu_cv_6765_main.jpg XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Focus-on-intersex-conditions-Improving-psychologic/ArticleStandard/Article/detail/172894?contextCategoryId=9399&ref=25 Investigators are only now beginning to unravel the clinical implications of developmental errors that occur during prenatal sex differentiation—and the psychological implications of gender assignment after birth. Clinical guidelines have begun to emerge from extant research findings that can help urologists maximize the potential for a positive behavioral outcome. 2005-08-01T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/News/Endoscopic-Tx-of-VUR-shows-cure-rates-above-90/ArticleStandard/Article/detail/166367?contextCategoryId=9399&ref=25 Atlanta--Children treated with endoscopic intervention for vesicoureteral reflux continue to demonstrate cures that approach those of open surgery and have a high resolution rate after initial failure. In addition, incidence of febrile and non-febrile urinary tract infection after treatment is lower than after surgery, according to data presented here at the State-of-the-Art Symposium on Pediatric UTI, Reflux, Antibiotic Resistance, and Endoscopy. 2005-06-01T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Nonspadiac-penile-anomalies-Practical-management-i/ArticleStandard/Article/detail/164348?contextCategoryId=9399&ref=25 Development of the male genitalia occurs between the ninth and fourteenth week of gestation and is initiated by placental elaboration of human chorionic gonadotropin (hCG), which stimulates fetal Leydig cells to release testosterone. Next, testosterone is converted into the more potent androgen, dihydrotestosterone (DHT), by peripheral 5α-reductase. DHT subsequently interacts with androgen receptors in the epithelial and mesenchymal cells of the external genitalia to stimulate male genital development. 2005-06-01T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/State+of+Urology+2005/Lap-techniques-show-excellent-results-in-children/ArticleStandard/Article/detail/164407?contextCategoryId=9399&ref=25 When Howard M. Snyder, MD, was asked to moderate a session on the latest developments in pediatric urology at the American College of Surgeons clinical congress last fall, he didn't have to think twice about the topics he wanted to cover. 2005-05-15T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/More-data-show-increase-in-male-genitalia-anomalie/ArticleStandard/Article/detail/155113?contextCategoryId=9399&ref=25 San Francisco--Environmental factors have emerged as potential contributors to genetic anomalies affecting male genitalia, according to studies reported at the American Academy of Pediatrics Section on Urology annual meeting. 2005-04-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/News/Nocturnal-overdistension-may-cause-bladder-deterio/ArticleStandard/Article/detail/155115?contextCategoryId=9399&ref=25 San Francisco--A previously unrecognized syndrome of nocturnal overdistension of the bladder (NOB) can cause bladder deterioration in children with neurogenic bladder. However, the condition is amenable to treatment by nighttime bladder emptying. 2005-04-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/News/Urologists-agree-on-gender-assignment-surgery/ArticleStandard/Article/detail/155114?contextCategoryId=9399&ref=25 San Francisco--Considerable agreement exists among pediatric urologists regarding gender assignment in newborns with ambiguous genitalia, according to results of a survey of the American Academy of Pediatrics Section on Urology. 2005-04-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Lifestyle-impacts-fertility-in-formerly-cryptorchi/ArticleStandard/Article/detail/155112?contextCategoryId=9399&ref=25 San Francisco--Lifestyle factors may play a role in fertility among formerly unilateral cryptorchid men who have demonstrated fertility, according to a study reported at the American Academy of Pediatrics Section on Urology annual meeting here. 2005-04-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Surveys-reveal-shift-in-treatment-of-UPJ-obstructi/ArticleStandard/Article/detail/151002?contextCategoryId=9399&ref=25 Mumbai, India—Since the introduction of percutaneous endopyelotomy in the mid 1980s, the treatment of adult ureteropelvic junction obstruction has undergone a tremendous change. In addition, with the increasing use of laparoscopy to treat urologic diseases, various endoscopic and laparoscopic techniques now offer success rates comparable to those of the traditional open surgery while minimizing patient morbidity. 2005-03-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/Hands+On/When-and-how-to-perform-lap-pyeloplasty-for-UPJ-ob/ArticleStandard/Article/detail/151006?contextCategoryId=9399&ref=25 The ideal management strategy for correction of ureteropelvic junction (UPJ) obstruction remains undefined. Open pyeloplasty for correction of UPJ obstruction was first described by Anderson and Hynes over a century ago and remains the gold standard against which we must compare all alternative therapies. 2005-03-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/News/New-contralateral-VUR-post-implant-is-not-uncommon/ArticleStandard/Article/detail/151000?contextCategoryId=9399&ref=25 San Francisco—New contralateral vesicoureteral reflux occurs more often than previously thought following endoscopic treatment of unilateral VUR and may warrant further treatment, according to a report presented at the American Academy of Pediatrics Section on Urology meeting here. 2005-03-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/New-developments-mark-paradigm-shift-in-Tx-of-VUR/ArticleStandard/Article/detail/151217?contextCategoryId=9399&ref=25 Primary endoscopic treatment of VUR certainly offers a high level of success with minimal morbidity. 2005-03-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/News/Endoscopic-therapy-shows-high-success-rate-for-VUR/ArticleStandard/Article/detail/150998?contextCategoryId=9399&ref=25 San Francisco—Endoscopic therapy for vesicoureteral reflux has a high success rate and a low risk of obstruction compared with open surgery, but multiple treatments may be necessary to achieve a cure, results of a meta-analysis of published studies indicate. 2005-03-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/News/Some-VUR-patients-can-safely-stop-antibiotics/ArticleStandard/Article/detail/151003?contextCategoryId=9399&ref=25 San Francisco—Selected children with persistent vesicoureteral reflux can safely discontinue prophylactic antibiotics without a significant risk of upper tract infections or new renal scarring, according to results of a retrospective Canadian study. 2005-03-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/News/Advances-in-cryptorchidism-VUR-deliver-key-benefit/ArticleStandard/Article/detail/119868?contextCategoryId=9399&ref=25 Dextranomer/hyaluronic acid has the potential to lower the cost and also the morbidity of repeated voiding cystourethrograms in children. 2004-08-15T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/News/Varicocelectomy-results-improve-with-microsurgery/ArticleStandard/Article/detail/107234?contextCategoryId=9399&ref=25 San Francisco--The microsurgical approach is an effective method for varicocele repair in adolescents and offers the advantages of lower rates of persistence, recurrence, and hydrocele formation than alternative methods, according to the findings of two independent studies presented at the AUA annual meeting. 2004-08-01T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/How-to-perform-a-modified-STING-procedure-for-refl/ArticleStandard/Article/detail/107225?contextCategoryId=9399&ref=25 The goal of endoscopic intervention for vesicoureteral reflux should be the same as it is for open surgery-a 95% to 98% cure rate after one treatment with the option of excluding a postoperative voiding cystogram. 2004-08-01T04:00:00Z XML http://www.modernmedicine.com/modernmedicine/Urinary+Incontinence%2FOveractive+Bladder/How-to-evaluate-and-treat-pediatric-enuresis/ArticleStandard/Article/detail/92007?contextCategoryId=9399&ref=25 Inappropriate wetting and voiding habits are common in children, constituting 20% to 25% of new patients seen in the pediatric urology office setting. 2004-04-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Endoscopy-recommended-as-first-line-approach-to-VU/ArticleStandard/Article/detail/87927?contextCategoryId=9399&ref=25 New Orleans-After 17 years of positive experience, Italian urologists consider endoscopic treatment their first-line approach for children with vesicoureteral reflux. 2004-03-01T05:00:00Z XML http://www.modernmedicine.com/modernmedicine/Bladder%2C+Kidney%2C+and+Other+Urologic+Cancers/Prepubertal-testis-tumors-likely-to-be-benign/ArticleStandard/Article/detail/87903?contextCategoryId=9399&ref=25 Discrepancy may be due to a reporting bias; testis-sparing approach recommended 2004-03-01T05:00:00Z HTML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Dysfunctional-voiding-as-a-co-factor-of-recurrent-/ArticleStandard/Article/detail/112824?contextCategoryId=9399&ref=25 Recognition of the links between dysfunctional voiding and recurrent UTI in children has fostered better treatment methods and greatly improved results. 2004-03-01T05:00:00Z HTML http://www.modernmedicine.com/modernmedicine/Bladder%2C+Kidney%2C+and+Other+Urologic+Cancers/Research-on-reflux-testis-tumors-grab-headlines-at/ArticleStandard/Article/detail/87913?contextCategoryId=9399&ref=25 The endoscopic treatment of vesicoureteral reflux and the pathology of
 testis tumors were the subject of both important new research and lively
 discussion during the 2003 American Academy of Pediatrics Section on Urology
 meeting. Although many important topics were discussed at what is arguably
 the finest annual meeting on pediatric urology in the world, these two subjects
 deserve particular attention and are the focus of articles in this issue
 of Urology Times. 2004-03-01T05:00:00Z HTML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Practical-work-up-of-pediatric-UTI/ArticleStandard/Article/detail/111993?contextCategoryId=9399&ref=25 The evaluation of pediatric UTI is not a one-size-fits-all proposition. Factors such as age, sex, presentation, and findings on basic work-up must be taken into account. This article offers general urologists a practical method for evaluating this common childhood bacterial infection based on sound epidemiologic knowledge. 2003-05-01T04:00:00Z HTML http://www.modernmedicine.com/modernmedicine/Pediatric+Urology/Mitrofanoff-technique-Innovative-applications-in-c/ArticleStandard/Article/detail/111884?contextCategoryId=9399&ref=25 The Mitrofanoff principle has multiple applications for patients who require genitourinary reconstruction. Requirements for success include rational clinical and surgical judgment, attention to surgical detail, and awareness of the potential complications. 2003-01-01T05:00:00Z HTML