Single scrotal incision orchiopexy - a systematic review

Objective: To conduct a systematic review on single scrotal incision orchiopexy. Materials and Methods: A search was performed using Pubmed, through which 16 articles were selected out of a total of 133. the following conditions were considered exclusion criteria: other surgical methods such as an inguinal procedure or a laparoscopic approach, retractile testes, or patients with previous testicular or inguinal surgery.Results: A total of 1558 orchiopexy surgeries initiated with a transcrotal incision were analyzed. Patients' ages ranged between 5 months and 21 years. Thirteen studies used high scrotal incisions, and low scrotal incisions were performed in the remainder of the studies. in 55 cases (3.53%), there was a need for inguinal incision. Recurrence was observed in 9 cases, testicular atrophy in 3, testicular hypotrophy in 2, and surgical site infections in 13 cases. High efficacy rates were observed, varying between 88% and 100%.Conclusions: Single scrotal incision orchiopexy proved to be an effective technique and is associated with low rates of complications.Univ Fed Bahia, BR-41170290 Salvador, BA, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilWeb of Scienc

Cross-cultural adaptation of the dysfunctional voiding score symptom (DVSS) questionnaire for Brazilian children

PURPOSE: To translate and culturally adapt the Dysfunctional Voiding Symptom Score (DVSS), questionnaire into Brazilian Portuguese. MATERIALS AND METHODS: The 10-item Dysfunctional Voiding Symptom Score (DVSS) was translated into Brazilian Portuguese according to a standard methodology: translation, synthesis, back-translation, Expert Committee, and pre-testing. After the translation process the final version was pre-tested and patient responses were analyzed to identify necessary modifications. Reliability was evaluated using the test-retest method, and internal consistency was assessed using Cronbach’s alpha. RESULTS: The Cronbach’s alpha coefficient was calculated in the test and retest phases. Internal consistency was found to be satisfactory, as confirmed by a Cronbach’s alpha coefficient of 0.76 for the test and 0.77 for the retest. A high degree of stability was found in the test/retest, with an intraclass correlation coefficient (ICC) of 0.960 (p < 0.001; 95% CI: 0.943-0.972). CONCLUSION: The cross-cultural adaptation process of the Dysfunctional Voiding Symptom Score questionnaire to be used on Brazilian children was successfully completed following internationally accepted methodologies.Pernambuco State University Division of Pediatric UrologyFederal University of Bahia Division of Pediatric UrologyFederal University of Juiz de Fora Division of Pediatric UrologyUrology and Nephrology Institute Division of Pediatric UrologyFederal University of São Paulo Division of Pediatric UrologyHospital for Sick Children Division of Pediatric UrologyUNIFESP, Division of Pediatric UrologySciEL

Outcome of ureteral reimplantation in children with non-neurogenic lower urinary tract dysfunction

BV UNIFESP: Teses e dissertaçõe

Nonpharmacological treatment of lower urinary tract dysfunction using biofeedback and transcutaneous electrical stimulation: a pilot study

OBJECTIVE To report a series of children with lower urinary tract dysfunction (LUTD) whose urge syndrome was treated by electrical stimulation, and their voiding dysfunction by biofeedback; none of the children were using anticholinergic drugs during treatment.PATIENTS and METHODS in all, 36 children who presented with symptoms of urinary urgency and/or daily incontinence completed the treatment and were prospectively evaluated. the mean (range) follow-up was 13.8 (4-24) months, and their mean age 7 (3-14) years, 17 children were aged < 5 years. the children were divided into two groups: group 1, with urge syndrome treated with superficial parasacral electrical stimulation, and group 2, with voiding dysfunction, treated with biofeedback.RESULTS in group 1, the mean (range) number of electrical stimulation sessions was 13.1 (4-20). of the 19 children treated, 12 had a complete clinical improvement, six a significant improvement, and one a mild improvement. in group 2, the mean (range) number of biofeedback sessions was 6 (4-14). of the 17 children treated, there was complete improvement of symptoms in 10, significant improvement in two and mild improvement in five. Six children who had no resolution of symptoms after biofeedback had salvage therapy with electrical stimulation, after which four had complete improvement of symptoms, and two a 90% and 40% improvement, respectively. Taking the two groups together, after treatment, four children developed isolated episodes of urinary tract infection. of 21 children with nocturnal enuresis, bed-wetting continued in 13 (62%) after treatment.CONCLUSION in this short-term follow-up, the nonpharmacological treatment of voiding dysfunction using biofeedback, and of urge syndrome by electrical stimulation, was effective for treating LUTD in children.Univ Fed Bahia, Sect Paediat Urol, Div Urol, Bahiana Sch Med & Publ Hlth, BR-41170290 Salvador, BA, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilWeb of Scienc

Comparative analysis of the frequency of lower urinary tract dysfunction among institutionalised and non-institutionalised children

Moreira Júnior, Edson Duarte “Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento”.Submitted by Ana Maria Fiscina Sampaio ([email protected]) on 2017-06-20T12:19:30Z No. of bitstreams: 1 Barroso Jr U Comparative analysis of the frequency.....pdf: 58620 bytes, checksum: 4a229fa914ace7307cf1f030c241f5f8 (MD5)Approved for entry into archive by Ana Maria Fiscina Sampaio ([email protected]) on 2017-06-20T12:34:34Z (GMT) No. of bitstreams: 1 Barroso Jr U Comparative analysis of the frequency.....pdf: 58620 bytes, checksum: 4a229fa914ace7307cf1f030c241f5f8 (MD5)Made available in DSpace on 2017-06-20T12:34:34Z (GMT). No. of bitstreams: 1 Barroso Jr U Comparative analysis of the frequency.....pdf: 58620 bytes, checksum: 4a229fa914ace7307cf1f030c241f5f8 (MD5) Previous issue date: 2006Federal University of Bahia. Division of Urology. Section of Paediatric Urology. Salvador, BA, Brazil / São Rafael Hospital. Salvador, BA, Brazil / Bahiana School of Medicine and Public Health. Salvador, BA, BrazilFederal University of Bahia. Division of Urology. Section of Paediatric Urology. Salvador, BA, Brazil / São Rafael Hospital. Salvador, BA, Brazil / Bahiana School of Medicine and Public Health. Salvador, BA, BrazilFederal University of Bahia. Division of Urology. Section of Paediatric Urology. Salvador, BA, Brazil / São Rafael Hospital. Salvador, BA, Brazil / Bahiana School of Medicine and Public Health. Salvador, BA, BrazilFederal University of Bahia. Division of Urology. Section of Paediatric Urology. Salvador, BA, Brazil / São Rafael Hospital. Salvador, BA, Brazil / Bahiana School of Medicine and Public Health. Salvador, BA, BrazilFederal University of Bahia. Division of Urology. Section of Paediatric Urology. Salvador, BA, Brazil / São Rafael Hospital. Salvador, BA, Brazil / Bahiana School of Medicine and Public Health. Salvador, BA, BrazilFederal University of Bahia. Division of Urology. Section of Paediatric Urology. Salvador, BA, Brazil / São Rafael Hospital. Salvador, BA, Brazil / Bahiana School of Medicine and Public Health. Salvador, BA, BrazilFederal University of Bahia. Division of Urology. Section of Paediatric Urology. Salvador, BA, Brazil / São Rafael Hospital. Salvador, BA, Brazil / Bahiana School of Medicine and Public Health. Salvador, BA, BrazilTo evaluate the level of symptoms of lower urinary tract dysfunction (LUTD) in orphans in institutions, and compare these data with schoolchildren of the same age group who were not institutionalised, as LUTD in children is related to factors such as social isolation and low self-esteem, with other psychological changes also being cited, although it is unknown whether these problems are primary or secondary to the symptoms of LUTD