Journal of Pediatric Urology最新文献

{"title":"Response to Commentary on \"Additional diagnostic information and interobserver reliability of late imaging 120 minutes after tracer application in MAG3 scintigraphies in children with unilateral hydronephroses\".","authors":"Bernhard Haid, Christa Gernhold, Jonas Thüminger, Lukas Steinkellner","doi":"10.1016/j.jpurol.2026.105735","DOIUrl":"10.1016/j.jpurol.2026.105735","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105735"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146097283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the impact of a faculty focused coaching model on surgical training in pediatric urology","authors":"Hailey Silverii ,&nbsp;Jennifer Ahn ,&nbsp;Maya Gopalan ,&nbsp;Thomas S. Lendvay ,&nbsp;Apeksha Gupta ,&nbsp;Kathleen Kieran ,&nbsp;Margarett Shnorhavorian ,&nbsp;Byron Joyner ,&nbsp;Mark P. Cain ,&nbsp;Paul Merguerian ,&nbsp;Nicolas Fernandez","doi":"10.1016/j.jpurol.2026.105732","DOIUrl":"10.1016/j.jpurol.2026.105732","url":null,"abstract":"<div><h3>Background</h3><div>While surgical coaching has been proven beneficial, the impact of a faculty focused coaching model on a surgeon's teaching ability and trainee education is unknown. In this study we aim to evaluate whether a surgeon's teaching skills can improve with coaching and understand the impact of a faculty-targeted coaching model on trainee environment and autonomy.</div></div><div><h3>Methods</h3><div>We designed and implemented a coaching model specific to robotic-assisted laparoscopic cases and collected data via REDCap-hosted surveys. The System for Evaluation of Teaching Qualities (SETQ) was completed by trainees to measure faculty teaching skills. The trainees and coachee each completed the Zwisch scale to measure autonomy (scale 1–4, 4 = most autonomy). A <em>de novo</em> 360 Review Form was completed by OR staff to assess trainee environment and engagement. Survey data from July 1, 2023–March 31,2024 were analyzed.</div></div><div><h3>Results</h3><div>Two robotic surgeons at our institution were recruited as coachees with one surgeon recruited as a coach. Forty cases were included. We observed high SETQ scores without significant change throughout the study. The fellow experienced increased autonomy throughout the academic year. “Meaningful autonomy” (score of 3 or 4/4) was perceived by the trainee in 70.6 % of cases for the fellow, 50 % for senior residents (PGY4/5), and 8.3 % for junior residents (PGY2/3). The 360 Review Form showed a positive trainee environment without significant change throughout the study.</div></div><div><h3>Conclusions</h3><div>We observed high teaching evaluation scores, a positively perceived environment for trainees, and expected increased autonomy of the fellow trainee throughout the academic year with implementation of a new faculty-focused coaching model. These findings suggest that implementation of a faculty-focused coaching model does not detract from the traditional surgical training paradigm.</div></div>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"22 2","pages":"Article 105732"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146165343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prenatal diagnosis of urinary tract dilation: Comparative prognostic value of APDRP and UTD grading systems","authors":"Valeria Silecchia ,&nbsp;Davide Meneghesso ,&nbsp;Federica Fati ,&nbsp;Alessandro Morlacco ,&nbsp;Enrico Vidal","doi":"10.1016/j.jpurol.2026.105748","DOIUrl":"10.1016/j.jpurol.2026.105748","url":null,"abstract":"<div><h3>Purpose</h3><div>This study compares anteroposterior diameter of the renal pelvis (APDRP) and urinary tract dilation (UTD) prenatal grading systems for their accuracy in predicting postnatal outcomes.</div></div><div><h3>Materials and methods</h3><div>A retrospective multicenter study (June 2013–December 2024) included 211 patients classified prenatally using APDRP and UTD systems. Postnatal outcomes included spontaneous resolution, urinary tract infections (UTI), vesicoureteral reflux (VUR), urinary obstruction, and surgical need. ROC curve analysis was performed to assess predictive performance.</div></div><div><h3>Results</h3><div>46 % of cases encountered spontaneous resolution; both classifications showed strong correlation with dilation severity (p &lt; 0.001). For VUR endpoint, severe APDRP grade was associated with an OR of 4.24 (95%Cl 1.26–14.29, p = 0.02); UTD A2-3 had an OR of 3.12 (95%Cl = 1.02–9.58, p-value = 0.04). Regarding UTI, severe APDRP grade had an OR of 7.66 (95%Cl = 1.59–36.96, p-value = 0.01), while OR for UTD A2-3 was 5.59 (95%Cl = 1.25–25.01, p-value = 0.02). For obstructive uropathy, severe APDRP grade had an OR of 22.5 (95%Cl = 7.24–69.91, p-value &lt;0.001); OR of UTD A2-3 was 8.65 (95%Cl = 2.96–25.28, p-value &lt;0.001).</div><div>Regarding need for surgery, severe APDRP grade had an OR of 22.10 (95%Cl = 7.73–63.11, p-value &lt; 0.001), while UTD A2-3 had an OR of 11.41 (95%Cl = 3.93–33.14, p-value &lt;0.001). ROC analysis showed that APDRP outperformed UTD in predicting spontaneous resolution (AUC 0.811 vs. 0.736), VUR (0.649 vs. 0.614), UTI (0.690 vs. 0.650), obstruction (0.799 vs. 0.686), andsurgery (0.792 vs. 0.705).</div></div><div><h3>Conclusions</h3><div>The APDRP system appears to be more accurate than UTD for the prediction of spontaneous resolution of dilation, urinary tract obstruction and need for surgical intervention.</div></div>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"22 2","pages":"Article 105748"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146099871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Letter to the Editor re: \"Laparoscopic Mitrofanoff procedure in children: Feasibility and outcome analysis over 18 years in a single centre\".","authors":"Matthieu Peycelon, Alaa El-Ghoneimi","doi":"10.1016/j.jpurol.2025.10.023","DOIUrl":"10.1016/j.jpurol.2025.10.023","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105658"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Children with voiding dysfunction present deficits in motor performance.","authors":"Sabrina Orlandi Barbieri, Rita Pavione Rodrigues Pereira, Fernando Copetti, Nadia Cristina Valentini, Melissa Medeiros Braz","doi":"10.1016/j.jpurol.2025.11.011","DOIUrl":"10.1016/j.jpurol.2025.11.011","url":null,"abstract":"<p><strong>Background: </strong>Lower Urinary Tract Dysfunction (LUTD) is a prevalent condition in childhood. Children with enuresis often exhibit delayed maturation of the motor cortex and disruptions in sensory-motor integration, suggesting possible deficits in the acquisition of gross motor skills. However, this association remains underexplored in literature. This cross-sectional observational study had two primary objectives: (1) to compare the gross motor performance of school-aged children with and without lower LUTD; and (2) to examine whether LUTD diagnosis, lower limb strength, body mass index (BMI), age, and sex were associated with gross motor performance in these children. The secondary objective was to compare lower limb strength, BMI, age, and sex between children with and without LUTD.</p><p><strong>Methods: </strong>A total of 77 neurotypical schoolchildren aged 5-11 years were recruited from local schools and stratified into two groups: The LUTD group (LUTD-G; n = 34), identified through the Dysfunctional Voiding Scoring System, and a control group (Control-G; n = 43) composed of asymptomatic children. Gross motor skills were assessed using the Test of Gross Motor Development-Third Edition yielding a Gross Motor Index (GMI), and lower limb strength was evaluated via horizontal jump test. Sociodemographic characteristics, BMI, physical activity levels, and urinary habits were also assessed.</p><p><strong>Results: </strong>The sample was predominantly female (63.64 %), white (57.14 %) and within the normal BMI range (55.84 %). The two groups were comparable in sociodemographic characteristics, physical activity levels, and urinary habits. However, children in the LUTD-G showed significantly lower GMI scores (p < 0.001) and lower limb strength (p = 0.024) than the Control-G. Regression analysis identified LUTD (β = -0.62, p < 0.001) and lower limb strength (β = 0.41, p < 0.001) as the stronger predictors of gross motor performance, with age (β = -0.31, p = 0.002) and sex (β = 0.20, p = 0.036) also contributing to the model.</p><p><strong>Conclusion: </strong>Children with LUTD exhibited marked deficits in gross motor performance and lower limb strength, reinforcing the need for interdisciplinary collaboration among healthcare professionals. These findings highlight the importance of integrating motor assessments into LUTD evaluation protocols and support a comprehensive, functional approach to improve both urinary and motor outcomes in affected children.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105672"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145634494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor re: \"Laparoscopic Mitrofanoff procedure in children: Feasibility and outcome analysis over 18 years in a single centre\".","authors":"S Dhanya Dedeepya, Vaishali Goel, Nivedita Nikhil Desai","doi":"10.1016/j.jpurol.2025.10.027","DOIUrl":"10.1016/j.jpurol.2025.10.027","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105674"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145743017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Commentary on \"Laparoscopic single-stage orchidopexy followed by groin exploration: the best two-stage orchidopexy?\"","authors":"Karim Awad, Mohamed Sameh Shalaby, Laura Jackson, Mark N Woodward","doi":"10.1016/j.jpurol.2025.105701","DOIUrl":"10.1016/j.jpurol.2025.105701","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105701"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Commentary on \"Children with voiding dysfunction present deficits in motor performance\".","authors":"Sabrina Orlandi Barbieri, Rita Pavione Rodrigues Pereira, Fernando Copetti, Nadia Cristina Valentini, Melissa Medeiros Braz","doi":"10.1016/j.jpurol.2025.105706","DOIUrl":"10.1016/j.jpurol.2025.105706","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105706"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary to \"Additional diagnostic information and interobserver reliability of late imaging 120 minutes after tracer application in MAG3 scintigraphies in children with unilateral hydronephroses\".","authors":"George Steinhardt","doi":"10.1016/j.jpurol.2026.105736","DOIUrl":"10.1016/j.jpurol.2026.105736","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105736"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146113576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Letter to the Editor re: \"Ventral flap aided glans urethral disassembly (V-GUD) technique for distal hypospadias\".","authors":"Ramesh Babu, Nirmalan Shajini","doi":"10.1016/j.jpurol.2026.105782","DOIUrl":"10.1016/j.jpurol.2026.105782","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105782"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147284170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}