EAU Guidelines on Paediatric Urology&lt;sup&gt;1&lt;/sup&gt;

Riedmiller, H.; Androulakakis, P. A.; Beurton, D; Kočvara, R; Gerharz, Elmar W.

doi:10.1159/000049841

Cited by 122 publications

(70 citation statements)

References 24 publications

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“…The parents of 100 children with grade III reflux (38 boys and 62 girls, mean age 4 years, range [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] were provided with detailed information about the three treatment options available for treating VUR (antibiotic prophylaxis, open surgery and endoscopic treatment), including the mode of action, cure rate and possible complications, and the practical advantages and disadvantages. They were then presented with a questionnaire asking them to choose their preferred treatment.…”

Section: Methodsmentioning

confidence: 99%

“…The AUA guidelines do not recommend endoscopic treatment for VUR because the long-term safety and efficacy of materials used for the injection were not confirmed at the time the guidelines were reported [4]. Similarly, the European Association of Urology do not recommend endoscopic treatment for VUR because they consider that experience with the technique is not yet sufficient [6].…”

Section: Introductionmentioning

confidence: 99%

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Treatment of vesico‐ureteric reflux: a new algorithm based on parental preference

et al. 2003

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Authors from Rome evaluated parental preference for treatment in children with grade III VUR. Parents were provided with detailed information about the three treatment options: antibiotic treatment, open surgery, endoscopic treatment. Most parents chose endoscopic management; with this in mind, the authors proposed a new treatment algorithm for VUR. OBJECTIVE To assess parental preference (acknowledged in treatment guidelines as important when choosing therapy) about treatments for vesico‐ureteric reflux (VUR, commonly associated with urinary tract infection and which can cause long‐term renal damage if left untreated), as at present there is no definitive treatment for VUR of moderate severity (grade III). SUBJECTS AND METHODS The parents of 100 children with grade III reflux (38 boys and 62 girls, mean age 4 years, range 1–15) were provided with detailed information about the three treatment options available for treating VUR (antibiotic prophylaxis, open surgery and endoscopic treatment), including the mode of action, cure rate and possible complications, and the practical advantages and disadvantages. They were then presented with a questionnaire asking them to choose their preferred treatment. RESULTS Most parents preferred endoscopic treatment (80%), rather than antibiotic prophylaxis (5%) or open surgery (2%); 13% could not decide among the three options and endoscopic treatment was recommended. CONCLUSION Given the strong preference for endoscopic treatment we propose a new algorithm for treating VUR; endoscopic treatment would be considered as the first option for persistent VUR, except in severe cases where open surgery would still be recommended.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Treatment of vesico‐ureteric reflux: a new algorithm based on parental preference

et al. 2003

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“…As there is no evidence that early treatment of varicocoele in an adolescent boy will offer a better outcome than an operation performed later in life, the most recent AUA guideline regarding varicocoele in children and adolescents favours a more conservative, non-surgical approach (Riedmiller et al, 2001;Tekgü l et al, 2011). There is no evidence that early treatment increases the odds of conception in adult men with varicocoeles according to a Cochrane review conducted by Evers et al (2008).…”

Section: To Treat or Not?mentioning

confidence: 99%

Adolescent varicocoele management controversies

2012

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SUMMARYVaricocoele is defined as excessive dilatation of the pampiniform venous plexus of the spermatic cord. Varicocoele frequently appears during early puberty and is recognized to be the most common surgically correctable cause of male infertility. However, the actual incidence in adolescents, pathophysiology and the association with male factor infertility all remain somewhat controversial. The most accurate diagnostic technique for identifying young men who will benefit from surgical treatment has yet to be established. Observations of testicular asymmetry and deteriorating semen quality helped establish current guidelines and recommendations for surgical treatment. Further studies, comparing observation with surgical intervention, are needed to refine the current indications for varicocoele repair in the adolescent male.

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“…Oligohydramnios is a common consequence, and renal dysplasia may also be present. Using postnatal fluoroscopic VCUG, the gold standard for diagnosis of PUV and other lower urinary tract obstructions (Riedmiller et al, 2001), the classic finding for PUV is a linear filling defect in the column of radiocontrast filling a markedly dilated posterior urethra. However, this distinct linear radiolucent band corresponding to the "valve" is not always seen, because the obstructing membrane can become distended and take on a more sail-like or windsock appearance, as shown in Figure 4.…”

Section: Posterior Urethral Valvesmentioning

confidence: 99%