CHICAGO, IL, USA (UroToday.com) -
MOUND CALCIFICATION AFTER ENDOSCOPIC TREATMENT OF VESICOURETERAL REFLUX: A NORMAL VARIANT OF MOUND APPEARANCE?
Patricio C Gargollo, Anthony A Caldamone, Harriet Paltiel, Ilina Rosoklija, David A Diamond
The session started with Abstract 1240 by Gargallo et al. reporting mound calcifications after endoscopic injection of VUR. The mounds were thought to be stones and some were treated for that reason. We must inform our patients of the possibility of this entity for the future.
FACTORS PREDICTING VCUG RESULTS IN CHILDHOOD FEBRILE UTI: AN INSTITUTIONAL EXPERIENCE
Vanessa D Gulla, Michael E VanBibber, Daniel B Herz, Paul A Merguerian
Abstract 1241 by Gulla et al. showed that VUR is less likely to be present in males and those with afebrile UTIs. They also found that sedation does not appear to affect results.
IS ROUTINE RENOGRAM REQUIRED AFTER PYELOPLASTY?
Waleed Eassa, Fayez Almodhen, Alexander Brzezinski, Jean Paul Capolicchio, Roman Jednak, Mohamed T El-Sherbiny
Abstract 1242 by Eassa et al. questioned the use of routine renograms after pyeloplasty when the US is improved. I found this to be a very helpful abstract as it would change practice patterns.
PROGRESSION OF HYDRONEPHROSIS CORRELATES WITH WORSENING RENAL FUNCTION IN CHILDREN
Jonathan E Heinlen, Bradley P. Kropp, Dominic C Frimberger
Abstract 1243 by Heinlen et al. showed that in patients with preserved renal function, US might be sufficient enough to follow deterioration due to hydronephrosis.
THE NEW FINDINGS OF SIGNAL INTENSITY ON T2-WEIGHTED-MR IMAGING MAY ENABLE PREOPERATIVE DIAGNOSIS OF VANISHING TESTES
Toshiki Kato, Yoshiyuki Kojima, Kentaro Mizuno, Hideyuki Kamisawa, Shoichi Sasaki, Yutaro Hayashi, Kenjiro Kohri
Abstract 1244 by Kato et al. from Japan discussed the preoperative use of MRI for an undescended testis. Although the MRI was successful in finding the testis, it did not change their surgical intervention. Therefore the question remaining unanswered is…why do it?
THE “PYRIDIUM TEST” ELIMINATES THE NEED FOR ROUTINE VCUGS IN THE EVALUATION OF URACHAL ABNORMALITIES
Ilene Y Wong, Hillary L Copp, William A Kennedy
Abstract 1245 utilized pyridium for aiding in the diagnosis of a urachal anomaly connecting with the bladder. It seems to work better than VCUG!
ANGIOGRAPHIC FINDINGS IN PATIENTS WITH FAILED VARICOCELECTOMY AND SUBSEQUENT TREATMENT WITH SELECTIVE GONADAL VEIN EMBOLIZATION
Ardeshir R Rastinehad, Amin S Herati, Jordan Gitlin, Lane S Palmer, David N Siegel
Abstract 1246 by Rastinehad et al. showed the utilization of angiographic embolization of failed varicocele surgery. My question is…where are the semen analysis? It seems a lot for a child to go through if we don’t even know if the varicocele is truly causing a problem.
HIGH COST, MINIMAL BENEFIT OF ULTRASOUND IN ADOLESCENTS WITH A VARICOCELE
Adam R Walker, Barry A Kogan
Abstract 1247 showed that it might be reasonable to not use scrotal ultrasound to measure testes in regard to a varicocle and that an orchidometer is sufficient on its own.
UTILIZATION OF NEPHRON-SPARING SURGERY AMONG CHILDREN WITH RENAL TUMORS: VARIATION BY SURGICAL SPECIALTY
Jonathan C Routh, Dionne A. Graham, Caleb P. Nelson
Abstract 1248 by Routh et al. pointed out that if a child needed renal surgery for a malignancy, a pediatric surgeon would more likely perform a complete nephrectomy while pediatric urologists would perform a partial over 30% of the time.
IS THERE A SIZE LIMIT FOR LAPAROSCOPIC RADICAL NEPHRECTOMY IN WILMS' TUMOR AFTER CHEMOTHERAPY?
Ricardo J Duarte, Lilian M Cristofani, Francisco T Denes, Vicente Odone-Filho, Miguel Srougi
Abstract 1249 showed that there is a limit to utilizing laparoscopy for a Wilm’s Tumor. The tumor showed by less than 10% of the child height. This is still a very large tumor, but nonetheless shows that laparoscopy plays a role in childhood malignancy.
PREOPERATIVE GUIDANCE OF TESTIS SPARING SURGERY FOR TESTICULAR TUMOR IN CHILDREN
Ji Sung Park, Sung Woo Park, Wan Lee, Jeong Zoo Lee, Moon Kee Chung, Sang Don Lee
Abstract 1250 by Park et al. reiterated what was presented by Dr. Jayanthi at the SPU meeting: testis sparing surgery can be used in prepubertal children with a benign frozen section and normal tumor markers.
CYTOLOGIC FINDINGS IN PATIENTS WITH PRIOR AUGMENTATION CYSTOPLASTY
Rosalia Misseri, Brian VanderBrink, Mark P. Cain, Ashley Rogers, Kirstan K. Meldrum, Martin Kaefer, Richard C. Rink
The session concluded with Abstract 1251 presented by VanderBrink et al. from Indiana. They found that in their bladder augmented patients, there was a high concordance between cystoscopic findings and cytologic descriptions in regards to surveillance. They believe that cytology is important as the pathologists can differentiate between inflammatory and malignant.
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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