Journal of Pediatric Urology最新文献

{"title":"Long-term sexual outcomes in classic bladder exstrophy: Insights from standardized scores.","authors":"Sarah Abdellaoui, Fabiana Cazzorla, Paul Neuville, Pierre D E Mouriquand, Valeska Bidault, Alain Ruffion, Nicolas Morel-Journel, Delphine Demède","doi":"10.1016/j.jpurol.2025.105713","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.105713","url":null,"abstract":"<p><strong>Background: </strong>Reconstruction of the genitalia in patients with classic bladder exstrophy (CBE) is essential to support satisfactory sexual function and fertility. However, due to the complexity of both urinary and genital reconstructive procedures, long-term sexual function may be significantly impaired in adulthood.</p><p><strong>Objectives: </strong>To assess long-term sexual outcomes and the prevalence of sexual and erectile dysfunctions in patients with classic bladder exstrophy (CBE). Secondary objectives were to identify predictive factors of sexual dysfunction and describe fertility outcomes.</p><p><strong>Patients and methods: </strong>This retrospective single-center cohort study (part of QUALEXSTRO study) assessed sexuality and fertility in patients aged ≥15 years treated for CBE, using standardized and validated questionnaires: the Female Sexual Function Index (FSFI) for women and the Simplified International Index of Erectile Function (IIEF-5) for men.</p><p><strong>Results: </strong>Among 63 eligible patients (36 men and 27 women), 22 men and 20 women completed the questionnaire. Median [IQR] age and follow-up were 28 [20-37] and 26 [19-35] years in women, and 23 [17-30] and 21 [16-27] years in men. Thirteen (65 %) women underwent genital surgery (median [IQR] age at first genital surgery: 14 [12-17] years). Among women, 13 (65 %) were sexually active, their median [IQR] age was 34 [27-40] years. Median [IQR] FSFI was 28.4 [14.2-30.1], with 42.6 % meeting criteria for sexual dysfunction (FSFI<26.55). In men, the Ransley-Cantwell technique was mainly used for epispadias repair; 63.6 % required additional urethral surgeries. Twelve men (54.5 %) were sexually active, with a median [IQR] age of 28 [21-37] years. Among them, median [IQR] IIEF-5 score was 23 [16.5-23], and 4 patients (33.3 %) had ED (IIEF-5<22). Satisfaction with genital appearance was low (37.5 % in women, 11.8 % in men). Among sexually active women, 66.7 % became pregnant; 7 delivered 9 children. One man fathered two children naturally.</p><p><strong>Conclusions: </strong>Patients with CBE report high rates of sexual activity, but variable levels of satisfaction with genital appearance and sexual function. Standard scoring tools may not adequately reflect the specific anatomical and functional characteristics of this population, pointing out the need for adapted assessment instruments to evaluate surgical outcomes more accurately.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105713"},"PeriodicalIF":1.9,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145998384","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":"Effect of tele-nursing on parental anxiety and care satisfaction after circumcision: A quasi-experimental study","authors":"Asiye Balki ,&nbsp;Atiye Erbaş ,&nbsp;Selin Keskin Kiziltepe","doi":"10.1016/j.jpurol.2025.105708","DOIUrl":"10.1016/j.jpurol.2025.105708","url":null,"abstract":"<div><h3>Introduction</h3><div>Circumcision has been practised in almost every region of the world throughout human history for cultural, social, religious, and medical reasons. Although it is generally considered a simple procedure, studies have shown that parents of circumcised children often experience high levels of fear, anxiety, and worry during the process.</div></div><div><h3>Objective</h3><div>This study aimed to determine the effect of tele-nursing services provided to parents of circumcised children after discharge on their anxiety levels and satisfaction with care.</div></div><div><h3>Materials and methods</h3><div>This parallel-design, quasi-experimental study was conducted between November 2022 and July 2023 with 108 parents (54 in the intervention group and 54 in the control group) whose children had undergone circumcision. Participants were assigned to groups using the block randomisation method. The intervention group received tele-nursing follow-up after discharge, while the control group received routine discharge information only. Data collection tools included the participant information form, Beck Anxiety Scale, PedsQL Health Care Parental Satisfaction Scale, tele-nursing education content, and telephone counselling follow-up form. Data were analysed using non-parametric tests such as the chi-square, Mann–Whitney U, and Wilcoxon tests, with statistical significance set at p &lt; 0.05.</div></div><div><h3>Results</h3><div>The final measurement of anxiety scores indicated that parents in the intervention group had significantly lower anxiety than those in the control group (Z = −5.206, p = 0.000). Similarly, the final parental care satisfaction scores were significantly higher in the intervention group than in the control group (Z = −4.957, p = 0.000).</div></div><div><h3>Conclusion</h3><div>These findings demonstrate that tele-nursing services provided to parents of circumcised children after discharge effectively reduced parental anxiety and increased satisfaction with care. It is recommended that clinical nurses be supported and encouraged to provide tele-nursing services to maintain continuity of postoperative care, particularly for follow-up and education after surgical procedures.</div></div>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"22 2","pages":"Article 105708"},"PeriodicalIF":1.9,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080987","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":"https://doi.org/10.1016/j.jpurol.2025.105706","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105706"},"PeriodicalIF":1.9,"publicationDate":"2025-12-24","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 \"Children with voiding dysfunction present deficits in motor performance\".","authors":"Cristian Sager","doi":"10.1016/j.jpurol.2025.105707","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.105707","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105707"},"PeriodicalIF":1.9,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989781","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":"Laparoscopic pyeloplasty for pediatric UPJO: Clinical outcomes from five Arabian Gulf tertiary centers over ten years","authors":"Adel Aljneibi ,&nbsp;Hesham Soliman Safoury ,&nbsp;Mohamed Hobeldin ,&nbsp;Saif Abdelsalam ,&nbsp;Abdulnaser Alsaid ,&nbsp;Hamdan Alhazmi ,&nbsp;Khalid Alali ,&nbsp;Abdulrahman Almaghrabi ,&nbsp;Nausheen Nasir ,&nbsp;Sadikullah Khan ,&nbsp;Ashhad Ali Khan ,&nbsp;Ahmed Abdelhaseeb Youssef","doi":"10.1016/j.jpurol.2025.105709","DOIUrl":"10.1016/j.jpurol.2025.105709","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Ureteropelvic junction obstruction (UPJO) is frequently identified in infancy due to routine prenatal screening. While many cases resolve, true obstructions require surgery to preserve renal function. Laparoscopic pyeloplasty has increasingly replaced open surgery, even in infants, though optimal timing and approach remain debated.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;We report a 10-year multicenter experience with laparoscopic pyeloplasty in children across five tertiary centers in three Arabian Gulf countries.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study design&lt;/h3&gt;&lt;div&gt;A retrospective review of 422 patients (459 renal units) who underwent laparoscopic pyeloplasty from January 2014 to January 2024 was conducted. Demographic data, clinical presentation, investigative findings, surgical indications, intraoperative findings, and outcomes were retrieved from electronic records. Data were tabulated and examined for statistical significance.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Mean age at surgery was 38 ± 46 months; 152 were &lt;6 months and 230 &lt; 12 months. Transperitoneal pyeloplasty was used in 443 renal units, retroperitoneoscopic in 16. Aberrant vessels (5.9 %), retrocaval ureters (0.4 %), and other anomalies (2.8 %) were identified. Seven patients had prior failed pyeloplasty (mostly open). Conversion to open surgery occurred in 2 cases (&lt;1 %); no intraoperative complications were reported. Mean operative time was 209 ± 67 min, decreasing significantly over time (p &lt; 0.001). Nine patients (2.6 %) required redo pyeloplasty. Ultrasound outperformed MAG3 in predicting failure (sensitivity/specificity: 94 %/100 % vs 91 %/90 %).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;Laparoscopic pyeloplasty has become increasingly accepted, including for infants, as surgical expertise and familiarity with minimally invasive techniques have improved. Our multicenter series of 459 renal units represents one of the largest reported and affirms the safety and efficacy of laparoscopic pyeloplasty across a broad patient population. A substantial proportion of our patients were treated early in life, with 36 % under 6 months and 55 % under 12 months. Although younger age was historically considered a limitation, our findings support previous reports that younger infants can be safely and effectively managed laparoscopically in experienced hands. This study is limited by its retrospective nature and lack of a comparator group undergoing open pyeloplasty. However, as the field moves forward, future studies will likely focus on comparative outcomes between laparoscopic and robotic pyeloplasty rather than the open approach.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Laparoscopic pyeloplasty is safe and effective in infants and children, including redo and anatomically complex cases. Both transperitoneal and retroperitoneoscopic approaches yield excellent outcomes. Ultrasound is a reliable follow-up tool, potentially reducing reliance on radionuclide imag","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"22 1","pages":"Article 105709"},"PeriodicalIF":1.9,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939746","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":"Assessing associations of clinical factors and feeding practices with infantile urolithiasis: Insights from a nationwide study","authors":"Serra Sürmeli Döven ,&nbsp;Esra Genç ,&nbsp;Aylin Gençler ,&nbsp;Özgür Özdemir Şimşek ,&nbsp;Ali Tunç ,&nbsp;Fatma Mutlubaş ,&nbsp;Güldane Aylin İnal ,&nbsp;Rümeysa Yasemin Çiçek ,&nbsp;Yeşim Özdemir Atikel ,&nbsp;Güneş Işık ,&nbsp;Fatma Şemsa Çaycı ,&nbsp;Çınar Özen ,&nbsp;Hülya Gözde Önal ,&nbsp;Gizem Yıldız ,&nbsp;Ozan Karakaş ,&nbsp;Pelin Ertan ,&nbsp;Ayşe Ağbaş ,&nbsp;Ahmet Midhat Elmacı ,&nbsp;Funda Baştuğ ,&nbsp;Burcu Ayvacı ,&nbsp;Harika Alpay","doi":"10.1016/j.jpurol.2025.105705","DOIUrl":"10.1016/j.jpurol.2025.105705","url":null,"abstract":"<div><h3>Introduction</h3><div>The incidence of infantile urolithiasis (IU) has been rising, attributed to factors such as climate change, the widespread use of ultrasonography, dehydration, and alterations in nutritional practices. Studies investigating the influence of infant feeding practices on stone formation remain limited.</div></div><div><h3>Objectives</h3><div>This study aims to identify the risk factors associated with stone formation in infants and to evaluate whether formula feeding influence the development of IU.</div></div><div><h3>Study design</h3><div>Infants aged 1–12 months who were diagnosed with IU and followed up at pediatric nephrology clinics in 19 centers across Türkiye between January 2022 and January 2024 were included in the patient group. Healthy infants served as the control group. A structured questionnaire assessing nutritional, demographic, and clinical characteristics was administered to both groups. A comparative analysis was conducted between the patient and control groups.</div></div><div><h3>Results</h3><div>Among the 1.094 infants included in the study, 45.7 % (n = 500) comprised the patient group, while 54.3 % (n = 594) were in the control group. A history of urinary tract infection, family history of urolithiasis and stone surgery, and vitamin D supplementation were significantly more common in the patient group compared to the control group (p = 0.006, &lt;0.001, &lt;0.001, and &lt;0.001, respectively). Urine densities ranging from 1010 to 1020, as well as those greater than 1020, were more frequently observed in the patient group than in the control group (30.3 % vs. 20.1 % and 5.9 % vs. 0.4 %, respectively. Exclusively formula feeding (OR = 1.96 [1.094–3.521], p = 0.024), vitamin D consumption (OR = 3.994 [2.348–6.793], p &lt; 0.001), and a family history of stone surgery (OR = 2.423 [1.457–4.027], p = 0.001), were identified as independent risk factors for stone formation.</div></div><div><h3>Discussion</h3><div>Türkiye is an endemic region for urolithiasis due to factors such as a high animal-based diet and a hot climate. Urolithiasis is reported to affect 10–20 % of children, with infantile urolithiasis accounting for 9–23 % of this incidence. This study represents the largest case series on infantile urolithiasis, investigating the impact of nutrition on its development.</div></div><div><h3>Conclusions</h3><div>Exclusive breastfeeding should be encouraged, as it serves as a protective factor against stone formation in infants. Preventing dehydration is also essential. Infants receiving vitamin D supplementation, as well as those with a family history of urolithiasis or stone surgery, should be closely monitored for the potential development of urinary stones.</div></div>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"22 1","pages":"Article 105705"},"PeriodicalIF":1.9,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939641","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":"Implementation of deep learning for measurement of penile curvature on real 2D intraoperative images","authors":"Sriman Bidhan Baray ,&nbsp;Saidanvar Agzamkhodjaev ,&nbsp;Mansour Ali ,&nbsp;Muhammad E.H. Chowdhury ,&nbsp;Tariq O. Abbas","doi":"10.1016/j.jpurol.2025.105703","DOIUrl":"10.1016/j.jpurol.2025.105703","url":null,"abstract":"<div><h3>Background</h3><div>Penile curvature (PC) may occur in up to 10 % of male births worldwide and is typically associated with the birth defect hypospadias. While the extent of PC impacts surgical management and patient outcomes, curvature evaluation is inconsistent between surgeons due to a lack of reliable assessment techniques. Our goal was to create a dependable, automated deep-learning solution to precisely assess PC from real-time intraoperative 2D images.</div></div><div><h3>Materials and methods</h3><div>A dataset of 421 images was assembled and annotated by four human experts. Annotations were used to calculate PC angles and determine ground truth curvature degrees in each case. All images and ground truth angle information were used to train 3 different deep-learning models. A YOLOv8 model was trained to localize and crop the penile region, then a deep-learning model was employed to segment the shafts and generate binary mask images. In the final stage, a modified HRNet model was used to integrate angle error, predict four key points denoting mid-axes of the proximal and distal shaft, and then use these landmarks to calculate curvature automatically.</div></div><div><h3>Results</h3><div>The proposed system demonstrated a high level of reliability in localizing penile areas, as evidenced by a mean average precision score of 99.4 %. Furthermore, our pipeline exhibited strong performance in the segmentation task, achieving an impressive Intersection over the Union metric of 83.56 % and a Dice Similarity Coefficient of 91.02 %. In terms of angle prediction, the system achieved a mean absolute error of 7.9°. By comparison, variability among human raters ranged between 6.5 and 12.0° (median ≈ 8.9°), consistent with previously reported manual errors of 3.5–13.6°. Thus, the AI system matched or outperformed human raters, providing more consistent and reliable curvature estimation. The model achieved a median error of 7.8° across 421 images, with 82 % of predictions within ±10° of ground truth. Only 6 % of cases crossed the 30° surgical threshold, confirming the tool's reliability for clinical decision-making.</div></div><div><h3>Discussion</h3><div>This study demonstrates the successful implementation of deep learning and keypoint-based measurement of PC that could significantly improve patient assessment by surgeons and hypospadiology researchers.</div></div>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"22 2","pages":"Article 105703"},"PeriodicalIF":1.9,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146081022","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":"https://doi.org/10.1016/j.jpurol.2025.105701","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105701"},"PeriodicalIF":1.9,"publicationDate":"2025-12-22","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":"Glomerular Filtration Rate (GFR) measures in young children with cloacal malformations indicate early baseline renal dysfunction which is independently associated with congenital upper urinary tract anomalies","authors":"Christopher Staniorski ,&nbsp;Christopher Corbett ,&nbsp;Butool Hisam ,&nbsp;Melanie Bowser ,&nbsp;Allison Mayhew ,&nbsp;Christina P. Ho ,&nbsp;Hans G. Pohl ,&nbsp;Christina Feng ,&nbsp;Andrea Badillo ,&nbsp;Marc A. Levitt ,&nbsp;Melissa R. Meyers ,&nbsp;Briony K. Varda","doi":"10.1016/j.jpurol.2025.105704","DOIUrl":"10.1016/j.jpurol.2025.105704","url":null,"abstract":"<div><h3>Background</h3><div>Children with cloacal malformations have high rates of congenital anomalies of the genitourinary tract, voiding dysfunction and subsequent renal dysfunction. Rigorous study of early renal function in this population has not been previously published.</div></div><div><h3>Objective</h3><div>We aimed to characterize the baseline renal function of this cohort in early childhood and identify demographic, clinical and anatomical factors associated with lower baseline renal function.</div></div><div><h3>Study design</h3><div>A prospectively maintained institutional database of patients with cloaca enrolled between 2020 and 2025 was used to track those undergoing primary repair or revision. Patients were excluded if they had missing post-operative renal function measurements or a primary diagnosis of cloacal exstrophy. The primary outcome was estimated glomerular filtration rate (eGFR).</div></div><div><h3>Results</h3><div>52 patients met inclusion criteria. The median age at initial evaluation was 0.8 years (range 0.1–10.1) while the median age at last follow up was 1.6 years (range 0.3–10.3). Anatomic characteristics included 21 (40 %) with a complex cloaca (common channel [CC] length ≥3 cm), 26 (50 %) born with hydrocolpos, 48 (92 %) with an upper urinary tract anomaly (UTA) and 23 (44 %) with a severe UTA (defined as high grade hydroureteronephrosis [SFU grade 4], vesicoureteral reflux [grade IV-V] and/or solitary kidney with an ipsilateral anomaly). The median eGFR at the most recent evaluation was 82 ml/min/1.73 m² (IQR 64–101). 30 patients (58 %) had at least chronic kidney disease (CKD) stage 2, but only 4 (8 %) had CKD stage 3b or greater. In unadjusted analyses, public insurance, increasing CC length, decreasing urethral length, urethral atresia, and upper UTAs were associated with decreased eGFR. Only public insurance status and severe UTAs were independently associated with decreased eGFR.</div></div><div><h3>Discussion</h3><div>While many elements of cloacal anatomy were associated with eGFR, on adjusted analysis, only severe upper UTAs and insurance status remained associated. These data capture a relatively young cohort and suggest that early renal dysfunction is driven by congenital renal anomalies. Patients may develop voiding dysfunction and/or urinary tract infections that potentiate renal disease in this context. However, patients may also have intrinsic renal disease that is unmasked with somatic growth in late childhood and adolescence. Both scenarios must be anticipated and managed.</div></div><div><h3>Conclusions</h3><div>This study affirms a high rate of early renal dysfunction in this population and identifies renal anomalies as an important anatomic factor. These results emphasize the need for careful bladder management and renal surveillance protocols to reduce progression of renal disease.</div></div>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":"22 1","pages":"Article 105704"},"PeriodicalIF":1.9,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939642","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 \"Laparoscopic single-stage orchidopexy followed by groin exploration: the best two-stage orchidopexy?\"","authors":"Amr Hodhod, Wael M Moneir","doi":"10.1016/j.jpurol.2025.105702","DOIUrl":"https://doi.org/10.1016/j.jpurol.2025.105702","url":null,"abstract":"","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":"105702"},"PeriodicalIF":1.9,"publicationDate":"2025-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933761","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}