Urology Latest Topicshttps://pediatricsurgeryclub.com/forum/234-urology/Urology Latest TopicsenRenal Cystic Diseaseshttps://pediatricsurgeryclub.com/topic/3772-renal-cystic-diseases/

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]]>3772Sat, 16 Aug 2025 18:07:33 +0000Hydronephrosishttps://pediatricsurgeryclub.com/topic/3771-hydronephrosis/

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]]>3771Sat, 16 Aug 2025 18:05:55 +0000Mitrofanoff patient doing CIChttps://pediatricsurgeryclub.com/topic/3769-mitrofanoff-patient-doing-cic/

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]]>3769Sat, 16 Aug 2025 18:04:21 +0000phimosis vs paraphimosishttps://pediatricsurgeryclub.com/topic/3768-phimosis-vs-paraphimosis/

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]]>3768Sat, 16 Aug 2025 18:03:26 +0000Bladder capacity calculationhttps://pediatricsurgeryclub.com/topic/3767-bladder-capacity-calculation/

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]]>3767Sat, 16 Aug 2025 18:02:26 +0000Improve continence of Mitrofanoff procedurehttps://pediatricsurgeryclub.com/topic/3766-improve-continence-of-mitrofanoff-procedure/Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"To improve the efficacy of the antireflux mechanism, we suggest the following parameters: (a) suture the anastomotic line not only to the mucosa but also to the detrusor muscle to avoid excessive traction on the bladder mucosa; (b) suture the bladder to the abdominal wall, if the surgeon observes excessive traction; and © if it is possible according to the mesentery axes, the choice of the apex of the appendix for the bladder anastomosis would be easier to incorporate on the tunnel than the base of the appendix."

]]>3766Sat, 16 Aug 2025 18:01:48 +0000Posterior urethral valvehttps://pediatricsurgeryclub.com/topic/3765-posterior-urethral-valve/Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"It was found that neonatal valve ablation would protect the bladder functions and allow normal bladder cycling and healing. This underscores the importance of routine prenatal screening and early intervention for the valves. These findings suggest that the long-term prognosis of PUV might be improved by prenatal diagnosis [6, 14]."

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"The management of children with PUV is a continuous process that starts with the antenatal detection and early fulguration of the valves. The identification of the bladder dysfunction and its appropriate management will prevent the deleterious effects on the upper tracts and improves the long-term survival."

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"A small, contracted bladder in infancy that progresses to a large capacity, poorly compliant bladder, often found in the presence of persistent upper tract dilatation and nephrogenic diabetes insipidus, has been termed valve bladder. This can create a self-injurious cycle, with persistent dilatation leading to a renal concentrating defect and creating more work for bladder at risk of muscular failure. Regular urodynamic monitoring is crucial in the management of these patients."

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]]>3765Sat, 16 Aug 2025 18:01:19 +0000penis and telescope maneuvre during Cystourethroscopy.https://pediatricsurgeryclub.com/topic/3764-penis-and-telescope-maneuvre-during-cystourethroscopy/Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"Irrigation fluid—water if monopolar diathermy is used, saline if bipolar electrocautery"

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"Introduction of bipolar electroresection is reported to allow TUR in saline and to minimize the risk of the obturator reflex, which can predispose to bladder perforation [1]."


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]]>3764Sat, 16 Aug 2025 17:59:26 +0000Laparoscopic vs Retroperitonscopic nephrectomyhttps://pediatricsurgeryclub.com/topic/3761-laparoscopic-vs-retroperitonscopic-nephrectomy/Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"The main disadvantage of retroperitoneoscopy is that it is not possible to isolate the ureter arriving near the bladder as in laparoscopy. This is a problem because if the indication is VUR, you can leave a long ureteral stump with the risk to have a postoperative reflux with UTI and the risk to have a second procedure to remove the stump."

]]>3761Sat, 16 Aug 2025 17:55:35 +0000Grades of vesicoureteral refluxhttps://pediatricsurgeryclub.com/topic/3760-grades-of-vesicoureteral-reflux/

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]]>3760Sat, 16 Aug 2025 17:54:51 +0000vesicoureteral refluxhttps://pediatricsurgeryclub.com/topic/3759-vesicoureteral-reflux/

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]]>3759Sat, 16 Aug 2025 16:44:18 +0000Regarding extra vesical ureteral reimplantationhttps://pediatricsurgeryclub.com/topic/3758-regarding-extra-vesical-ureteral-reimplantation/

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]]>3758Sat, 16 Aug 2025 16:41:34 +0000Operative indications in VURhttps://pediatricsurgeryclub.com/topic/3757-operative-indications-in-vur/Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"According to recommendations from the European Association of Urology and the American Urological Association, we decided to operate on children with VUR grade III or more, with renal dysfunction (DMSA < 40%) or renal scarring demonstrated on isotope renography, and children developing recurrent pyelonephritis despite optimal medical treatment."

]]>3757Sat, 16 Aug 2025 16:40:47 +0000Management of blocked PD cathhttps://pediatricsurgeryclub.com/topic/3756-management-of-blocked-pd-cath/Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -

"Catheter occlusions secondary to fibrin or blood clot can be managed with tissue plasminogen activator (TPA). Two milligrams of TPA reconstituted in 40 cc of normal saline, and instilled in the catheter for 1 h, resulted in restoration of patency in 57 % of catheters [26]. Another technique described is the use of an endoscopic retrograde cholangiopancreatography cytology brush to manipulate a malfunctioning PD catheter, with subsequent flushing of the catheter with heparinized saline through the injection port to remove any clot or fibrin."

Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -

"If nonoperative treatments such as flushing, thrombolytics, and fluoroscopic manipulation are unsuccessful, then laparoscopy with catheter repositioning may be necessary"

]]>3756Sat, 16 Aug 2025 16:40:07 +0000Ureteropelvic junction obstruction in pediatricshttps://pediatricsurgeryclub.com/topic/3755-ureteropelvic-junction-obstruction-in-pediatrics/

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]]>3755Sat, 16 Aug 2025 16:39:21 +0000Pyeloplasty in UPJOhttps://pediatricsurgeryclub.com/topic/3754-pyeloplasty-in-upjo/

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]]>3754Sat, 16 Aug 2025 16:38:39 +0000Indications of pyeloplastyhttps://pediatricsurgeryclub.com/topic/3753-indications-of-pyeloplasty/

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]]>3753Sat, 16 Aug 2025 16:37:47 +0000Isolated Right sided varicocelehttps://pediatricsurgeryclub.com/topic/3752-isolated-right-sided-varicocele/

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]]>3752Sat, 16 Aug 2025 16:37:10 +0000treatment of varicocelehttps://pediatricsurgeryclub.com/topic/3751-treatment-of-varicocele/

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]]>3751Sat, 16 Aug 2025 16:36:35 +0000During laparoscopic varicocelectomyhttps://pediatricsurgeryclub.com/topic/3750-during-laparoscopic-varicocelectomy/

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]]>3750Sat, 16 Aug 2025 16:35:56 +0000Indications of varicocelectomy in pediatricshttps://pediatricsurgeryclub.com/topic/3749-indications-of-varicocelectomy-in-pediatrics/Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"The main indications for surgical treatment in the pediatric population are: (1) testicular asymmetry (involved testicle with a lower volume difference of more than 20% in comparison with the contralateral testicle), (2) grade III according to Dubin and Amelar classification, (3) bilateral varicocele in end-stage testicular development, (4) psychological or physical discomfort, and (5) pain [7]."


Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"above indications are still controversial because in children and adolescents varicocelectomy seems to be mainly prophylactic than therapeutic especially because the real impact of the varicocele itself or a varicocelectomy during the adolescence in the adulthood fertility and paternity is not clear [2, 6]. The parameter of testicular catch-up growth after varicocelectomy in children is controversial due to the influence of the testicular development and the normal asymmetric speed of growing [6]."

]]>3749Sat, 16 Aug 2025 16:34:56 +0000Surgical treatment of trapped penis post circumcisionhttps://pediatricsurgeryclub.com/topic/3747-surgical-treatment-of-trapped-penis-post-circumcision/

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]]>3747Sat, 16 Aug 2025 16:27:07 +0000Hypospadias surgical simulatorhttps://pediatricsurgeryclub.com/topic/3744-hypospadias-surgical-simulator/

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]]>3744Sat, 16 Aug 2025 16:24:45 +0000spongioplasty In hypospadias repairhttps://pediatricsurgeryclub.com/topic/3740-spongioplasty-in-hypospadias-repair/

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]]>3740Sat, 16 Aug 2025 16:17:41 +0000Difficult catheterization in hypospadiashttps://pediatricsurgeryclub.com/topic/3739-difficult-catheterization-in-hypospadias/

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