AUA 2009 - Pediatrics: Trauma, Tumors, Stone Disease and Infection, Imaging (I) - Session Highlights

CHICAGO, IL, USA (UroToday.com) -

TRAUMATIC DISRUPTION OF THE URETEROPELVIC JUNCTION IN PEDIATRIC PATIENTS
Janelle A Fox, Ty T Higuchi, Douglas A Husmann

The session began with Abstract 1054 by Fox et al. discussing the delayed diagnosis and repair of traumatic UPJ disruption. The group discussed that it is often associated with multi-system injury and well as a decreased success if diagnosed and treated late.

PEDIATRIC URETHRAL TRAUMA: EXPERIENCE AND OUTCOMES
Bryan B. Voelzke, Benjamin N Breyer, Jack W. McAninch

Abstract 1055 by Voelzke et al. showed that delayed repair of pediatric urethral trauma by a pernieal urethroplasty is very successful. I wonder if one operates at the time of diagnosis, if there is a greater chance of long term success because of the decreased scarring. The question arises…will the inflammatory reaction in the acute phase have any adverse effects on healing?

THE ANTIBACTERIAL ACTIVITY OF TRIMETHOPRIM IS NOT INCREASED BY THE ADDITION OF SULFAMETHOXAZOLE: A PROSPECTIVE MULTI-CENTER IN-VITRO EVALUATION
Hiep T. Nguyen, Richard S. Hurwitz, William R. DeFoor, Eugene Minevich, Susan M. Novak, Joel E. Mortensen, Jack S Elder

Abstract 1056 by Nguyen et al. evaluated the use of Trimethoprim without the Sulpha component. Trimethoprim alone was more than adequate and one can leave out the sulpha group allowing this drug to be administered to ones with sulpha allergies. I like this one quite a bit.

UROLOGIC DIAGNOSES AMONG INFANTS HOSPITALIZED FOR URINARY TRACT INFECTIONS
Michael H Hsieh, David R Roth

Abstract 1057 by Hsieh et al. showed that 37% of infants hospitalized with a UTI have a urologic anomaly.

RENAL ABSCESS IN THE PEDIATRIC POPULATION: DIAGNOSTIC AND MANAGEMENT RECOMMENDATIONS BASED ON A LARGE INSTITUTIONAL EXPERIENCE
Jonathan D Kaye, J Wyly, Andrew J Kirsch, Bradley D Figler, Kelly A Healy, Kelly A Healy, Wolfgang H Cerwinka, Edwin A Smith, James M Elmore, Charlotte A Massad, Hal C Scherz, Bruce H Broecker

Abstract 1058 discussed pediatric renal abscess treatment. They found that US is effective; management begins with broad spectrum antibiotics; drainage of encapsulated lesions that are resistant; and source of seeding is unknown.

PREDICTIVE FACTORS FOR ACUTE SCINTINGRAPHIC LESION AND ULTIMATE SCAR FORMATION IN PATIENTS WITH ACUTE FEBRILE UTI
Du Geon Moon, Mi Mi Oh, Sang Gan Nam, Myung Heon Jin, Hong Seok Park, Jun Cheon, Jeong Gu Lee, Je Jong Kim, Duck Ki Yoon

Abstract 1059 by Moon et al. evaluated the use of scintingraphy in the acute setting of pyelonephritis. They found that the presenc of VUR on the study was a common predictive factor of future scar formation.

THE CLINICAL ANALYSIS OF DOUBLE RENAL CALCULUS IN 50 INFANTS AND CHILDREN FED MELAMINE CONTAMINATED MILK POWDER
Jian Guo Wen, Zhen Zhen Li, Hong Zhang, Yan Wang, Jia Xiang Wang, Ying Zhong Fan

Abstract 1060 by Wen et al. addressed melamine and kidney stones. They found that melamine stones occurred most commonly in infants 6 to 18 months after feeding contaminated melamine powder. They felt US was the best imaging modality and conservative management was very appropriate.

THE CLINICAL ANALYSIS OF UROLITHIASIS IN 165 INFANTS AND CHILDREN WITH HISTORY OF FEEDING MELAMINE CONTAMINATED MILK POWDER
Jian Guo Wen, Hejun Yang, Yan Wang, Guixian Wang

Abstract 1061 continued with the melamine topic and concluded almost the same results as the previous abstract that the children formed stone 6 to 10 months after ingestion.

GENDER DISTRIBUTION AMONG PEDIATRIC STONE FORMERS
Thomas E Novak, Bruce J Trock, Yegappan Lakshmanan, John P Gearhart, Brian R Matlaga

Abstract 1062 showed that the gender distribution of pediatric stone disease was greater in females than males.

MEDICAL COMORBIDITIES ASSOCIATED WITH PEDIATRIC KIDNEY STONE DISEASE
Anthony J Schaeffer, Bruce J Trock, Brian R Matlaga

Abstract 1063 showed that children with stone disease were more likely to have diabetes, hypertension, and obesity compared to children without stone disease.

US HOSPITALIZATIONS FOR PEDIATRIC STONE DISEASE: CONTEMPORARY INCIDENCE AND DEMOGRAPHICS
Nicol Corbin Bush, Michael S. Holzer, Benjamin Brown, Brett Schuler, Liyue Tong, Lin Xu, Linda A. Baker

Abstract 1064 by Bush et al. from Dallas, Texas, USA showed that the hospitalization rate for childhood stone disease was 1/685 admissions.

OUTCOME OF PERCUTANEOUS SUPRAPUBIC STONE EXTRACTION FOR PEDIATRIC URETHRAL STONES
Ahmed S Safwat, Diaa A Hameed, Mohamed A Elgammal, Yasser M Abdel-Salam, Ahmad Abolyosr

The last abstract, 1065 by Safwat et al. provided a technique of percutaneous suprapubic stone extraction in children to be safe and efficacious.


Presented at the Annual Meeting of the American Urological Association (AUA) - April 25 - 30, 2009 - McCormick Place Convention Center - Chicago, Illinois, USA.




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