Challenges in pediatric urologic practice: a lifelong view

Wiener, John S.; Huck, Nina; Blais, Anne Sophie; Rickard, Mandy; Lorenzo, Armando J.; Carlo, Heather N.Mc Caffrey Di; Mueller, Margaret; Stein, Raimund

doi:10.1007/s00345-020-03203-1

Cited by 12 publications

(5 citation statements)

References 144 publications

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“…18 It is necessary to continue monitoring these patients to identify complications that may require reintervention in a timely manner as well as re-evaluating the psychological repercussions associated with this condition and long-term results of surgical interventions. 19 In a health system with limited resources such as ours, these patients are not prioritized because this is not considered a life-threatening condition. 20 Nonetheless, prompt surgical treatment prevents a secondary disability.…”

Section: Discussionmentioning

confidence: 99%

Geographical Distribution of Access to Healthcare in Patients Diagnosed with Hypospadias

Fernández

Santander

Pérez-Sosa

et al. 2021

Revista Urología Colombiana / Colombian Urology Journal

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Objective Hypospadias is a congenital disease of unknown etiology involving multiple epigenetic, genetic, and endocrinological factors. It is a highly incapacitating condition. Its surgical management is one of the most frequent surgical procedures done by pediatric urologists. Furthermore, the geographical distribution and healthcare access is limited in Colombia. The Colombian Ministry of Health has consolidated a nationwide registry called Integrated Social Protection Information System (SISPRO, in the Spanish acronym) to collect comprehensive information on the use and frequency of resources associated with health care in Colombia. The aim of the present study was to analyze the number of cases reported between 2014 and 2018 and the geographical distribution of access to healthcare of patients with hypospadias in Colombia. Methods An observational, retrospective study of hypospadias in Colombia, 2014–2018, was performed using data extracted from the Individual Health Records System (RIPS) in SISPRO. Satscan, version 9.6 was used to perform a distribution analysis of the georeferenced population using a Poisson model. To visualize the results, the software projected the result onto a Google Earth map. Results Between January 2014 and December 2018, a total of 8,990 cases of hypospadias were evaluated in Colombia. The geographical distribution in the national territory has areas with high evaluation rates. On average, the departments in which the majority of cases were evaluated during the study period were Bogotá, D.C., Antioquia, and Valle del Cauca (2,196, 1,818 and 1,151 cases, respectively). The statistical analysis of the space exploration (Fig. 1) identified the area with the highest concentration of cases (red) and the areas in which the lowest number of patients was evaluated (blue). The geographical distribution showed increasing trends in areas near the center of the country, especially in the cities of Bogotá, Cali, Ibagué, and Pereira. Conclusion There is a greater concentration of cases evaluated in the center of the country, where the cities with better access to subspecialized medical care are located. This highlights inequalities in health services and the opportunity for surgical care among regions of the country. If we consider that the prevalence rates of hypospadias remain stable, ∼ 87% of the patients with hypospadias will not be evaluated by a subspecialist.

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Section: Discussionmentioning

confidence: 99%

Geographical Distribution of Access to Healthcare in Patients Diagnosed with Hypospadias

Fernández

Santander

Pérez-Sosa

et al. 2021

Revista Urología Colombiana / Colombian Urology Journal

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“…Solitary VUR is also called primary VUR, which is present at birth due to the deficiency in the ureterovesical junction impairing the anti-reflux mechanism. When VUR is secondary to neurogenic bladder, video urodynamic studies should be recommended as the gold standard to evaluate the function of the lower urinary tract early and to regularly follow up and monitor the deterioration of bladder function for the first few years (103).…”

Section: Clinical Applications Of Intracavitary Ceus In Lower Genitou...mentioning

confidence: 99%

A narrative review on the applications of intracavitary contrast-enhanced ultrasonography in pediatric lower genitourinary anomalies

Ren

Huang

et al. 2023

Front. Pediatr.

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PurposeWe mainly aimed to perform a narrative review of clinical applications of the three intracavitary contrast-enhanced ultrasonography (CEUS) including contrast-enhanced voiding urosonography (ceVUS), contrast-enhanced retrograde urethrosonography (ceRUG), and contrast-enhanced genitosonography (ceGS) in pediatric lower genitourinary anomalies.MethodA literature search in the PubMed and Web of Science databases was conducted up to 1 July 2022 on all studies published in English using the search terms “contrast-enhanced voiding urosonography”, “contrast-enhanced retrograde urethrosonography”, and “contrast-enhanced genitosonography”. Trials were limited to pediatric subjects (ages ≤18 years) with no time restrictions. The inclusion criteria were studies on ceVUS, ceRUG, and ceGS to evaluate pediatric lower genitourinary anomalies. Two independent authors summarized the included articles.ResultsFinally, a total of 48 original articles and 6 case reports or case series were included, of which 50 (93%) were only relevant to ceVUS, 3 (5%) articles involved ceGS, while only one (2%) article involved ceRUG, and 87% of the applications of ceVUS were focused on vesicoureteral reflux (VUR). We also searched 24 related reviews, of which 20 involved ceVUS in diagnosing VUR and 4 involved ceRUG and ceGS for other lower genitourinary anomalies.ConclusionIntracavitary CEUS including ceVUS, ceRUG, and ceGS in pediatrics has many advantages over other radiological examinations in diagnosing lower genitourinary anomalies. Although ceVUS is widely used in detecting VUR, ceRUG and ceGS have also become promising techniques for evaluating the urethral pathologies and urogenital sinus.

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“…This syndrome can have serious implications, such as retrograde urinary tract infections and renal failure. [9] According to research, during their third decade, Although 66-67% of unreconstructed Ectopia Vesicae are dead, and others have recorded virtually normal life expectancy with rebuilt bladder exstrophy and follow-up, it is unusual to stumble across an unreconstructed Ectopia Vesicae case in late adulthood. Lack of understanding, ignorance, social shame, or even a lack of proper facilities could all contribute to a delayed presentation.Here,we present a case of 23 years old male with ectopic vesicae complaint of Dribbling of urine and using Diapers.…”

Section: Discussonmentioning

confidence: 99%

Ectopic Vesicae in Adult : A Rare Case Report

Alnewar¹

2022

jrn

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Urinary bladder exstrophy is a relatively uncommon genitourinary malformation characterised by incomplete closure of the lower abdominal wall, resulting in bladder protrusion. Incidence is 3 to 5 per 1,00,000 births. It occurs as an isolated sporadic defect, but it has also been linked to other anomalies such as omphalocele, anal defect, neural tube defect, cleft lip/palate, preterm birth, and others. Adult presentation is unusual because it is usually surgically corrected in the neonatal period. The prognosis of such cases is determined by the level of continence achieved. We report a rare case of 23 years old patient with Ectopia Vesicae with the chief complaint of Dribbling of urine and using Diapers. On elaborating the history, the parents of the patient told that the condition was from birth. He had a history of incontinence noted soon after birth and a history of past surgical intervention at the age of 5 years. On physical examination revealed that the patient had a scar mark over the lower part of the abdomen and scar mark present over the penile region with excoriation of skin, extravasation of urine from opening over the penile shaft region, and doctors’ advice for Hospitalization. After admission patient undergone with various diagnostic investigations like CBC, LFT, KFT, ultrasonography, 2D ECHO, and patient undergone with cystoscopy. According to reviews, it suggests that this procedure can also benefit patients and is especially appropriate for adult patients with limited financial resources. This may open up new surgical options for patients suffering from bladder exstrophy.

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Challenges in pediatric urologic practice: a lifelong view

Cited by 12 publications

References 144 publications

Geographical Distribution of Access to Healthcare in Patients Diagnosed with Hypospadias

Geographical Distribution of Access to Healthcare in Patients Diagnosed with Hypospadias

A narrative review on the applications of intracavitary contrast-enhanced ultrasonography in pediatric lower genitourinary anomalies

Ectopic Vesicae in Adult : A Rare Case Report

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