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Salevitz D, Grimsby G. Response to letter re "Risk factors for mortality in children with hemorrhagic cystitis after hematopoietic transplant". J Pediatr Urol 2024:S1477-5131(24)00177-3. [PMID: 38561303 DOI: 10.1016/j.jpurol.2024.03.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Accepted: 03/21/2024] [Indexed: 04/04/2024]
Affiliation(s)
| | - Gwen Grimsby
- Phoenix Children's, Division of Urology, United States.
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2
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Salevitz D, Lin CY, Alcanzo B, Namjoshi A, Lee P, Monteilh C, Grimsby G. Standardization of the management of pediatric urolithiasis in the emergency department. J Pediatr Urol 2024; 20:89.e1-89.e6. [PMID: 37919215 DOI: 10.1016/j.jpurol.2023.10.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Revised: 10/11/2023] [Accepted: 10/13/2023] [Indexed: 11/04/2023]
Abstract
INTRODUCTION The incidence of urolithiasis in the pediatric population is rising and medical expulsive therapy (MET) using alpha-adrenergic antagonists has been found to be effective in aiding in the passage of ureteral stones in children. A prior review of patients presenting to our quaternary children's hospital with urolithiasis found only 54 % were prescribed MET and these patients had increased rates of spontaneous stone passage. Thus, an ED urolithiasis management protocol was created to standardize evaluation and care of children with suspected urolithiasis. OBJECTIVE To compare management of children with urolithiasis presenting to the ED before and after urolithiasis management protocol implementation. METHODS This is a retrospective review of patients with urolithiasis who presented to our children's ED from 2011 to 2022. The primary outcome was rate of MET prescribing before and after pathway implementation in July 2017, thus the pre-implementation group comprises patients who presented to the ED from July 2011 to July 2017, and the post-protocol group includes those who presented from August 2017 to April 2022. Secondary outcomes included CT utilization in the ED, surgical intervention rate, proportion with spontaneous stone passage, and frequency of urology consultation. Two-sample t-test and Fisher's exact test were used to compare the outcomes of interest before and after protocol implementation. RESULTS Of 337 patients who presented to the ED after protocol implementation, 120 met inclusion criteria. When comparing outcomes before and after implementation of the protocol, there was significantly decreased use of CT scans (79 % vs 50 %, p < 0.0001) and increased prescribing of MET (54 % vs 82 %, p < 0.0001). There was a significant decrease in opioids prescribed (44 % vs 26.7 %, p = 0.0040), and an increased rate of spontaneous stone passage (34 % vs 46 %, p = 0.0483). Lastly, there was a significant reduction in the rate of surgery for stone management after the implementation of protocol (35 % vs 17 %, p = 0.0020) DISCUSSION: As the ED is the primary site of presentation for many children with urolithiasis, standardization of evaluation and management provides an opportunity to improve outcomes in this population. We found that implementation of an ED urolithiasis management protocol was associated with decreased use of CT scans, decreased opioid prescribing, increased spontaneous stone passage, and decreased rate of surgical management for children with ureteral stones. CONCLUSIONS This study demonstrates the positive impact of standardizing care for children presenting to the ED with urolithiasis.
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Affiliation(s)
| | - Chung-Yon Lin
- University of Arizona, College of Medicine, Phoenix, United States
| | - Bernice Alcanzo
- University of Arizona, College of Medicine, Phoenix, United States
| | - Abhijeet Namjoshi
- Department of Pediatrics, Phoenix Children's Hospital, United States
| | - Philip Lee
- Department of Pediatrics, Phoenix Children's Hospital, United States
| | - Cecilia Monteilh
- Department of Emergency Medicine, Phoenix Children's Hospital, United States
| | - Gwen Grimsby
- Division of Urology, Phoenix Children's Hospital, United States.
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Panagiotakopoulos L, Chulani V, Koyama A, Childress K, Forcier M, Grimsby G, Greenberg K. The effect of early puberty suppression on treatment options and outcomes in transgender patients. Nat Rev Urol 2020; 17:626-636. [PMID: 32968238 DOI: 10.1038/s41585-020-0372-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/01/2020] [Indexed: 12/17/2022]
Abstract
In the past 10-15 years, paediatric transgender care has emerged at the forefront of several general practice and subspecialty guidelines and is the topic of continuing medical education for various medical disciplines. Providers in specialties ranging from family medicine, paediatrics and adolescent medicine to endocrinology, gynaecology and urology are caring for transgender patients in increasing numbers. Current and evolving national and international best practice guidelines recommend offering a halt of endogenous puberty for patients with early gender dysphoria, in whom impending puberty is unacceptable for their psychosocial health and wellness. Pubertal blockade has implications for fertility preservation, transgender surgical care and psychosocial health, all of which must be considered and discussed with the patient and their family and/or legal guardian before initiation.
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Affiliation(s)
| | - Veenod Chulani
- Department of Paediatrics, Chief of Adolescent Medicine, Phoenix Children's Hospital, Phoenix, AZ, USA
| | - Atsuko Koyama
- Department of Paediatrics, Emory University, Atlanta, GA, USA
| | | | - Michelle Forcier
- Warren Alpert School of Medicine, Brown University, Providence, RI, USA.,Division of Adolescent Medicine, Hasbro Children's Hospital, Providence, RI, USA
| | - Gwen Grimsby
- Division of Adolescent Medicine, Departments of Paediatrics and Obstetrics/Gynecology, University of Rochester Medical Center, Rochester, NY, USA
| | - Katherine Greenberg
- Division of Paediatric Urology, Phoenix Children's Hospital, Phoenix, AZ, USA
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4
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Weidler EM, Grimsby G, Garvey EM, Zwayne N, Chawla R, Hernandez J, Schaub T, Rink R, van Leeuwen K. Evolving indications for surgical intervention in patients with differences/disorders of sex development: Implications of deferred reconstruction. Semin Pediatr Surg 2020; 29:150929. [PMID: 32571514 PMCID: PMC7322933 DOI: 10.1016/j.sempedsurg.2020.150929] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Rare medical conditions are difficult to study due to the lack of patient volume and limited research resources, and as a result of these challenges, progress in the care of patients with these conditions is slow. Individuals born with differences of sex development (DSD) fall into this category of rare conditions and have additional social barriers due to the intimate nature of the conditions. There is also a lack of general knowledge in the medical community about this group of diverse diagnoses. Despite these limitations, progress has been made in the study of effective ways to care for patients who are born with chromosomal or anatomical differences of their internal reproductive organs or external genitalia. Advocacy groups have placed a spotlight on these topics and asked for a thoughtful approach to educate parents of newborns, medical providers, and the adolescents and young adults themselves as they mature.1 There is growing interest in the approaches to surgical reconstruction of the genitalia and the management of internal gonads, specifically the timing of procedures and the indications for those procedures.2 Advocates suggest deferring surgical procedures until the affected individual can participate in the decision-making process. This approach requires a roadmap for addressing the long-term implications of delayed surgical management. Presented here is a review of the specific issues regarding the complex management of the various categories of DSD.
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Affiliation(s)
- Erica M Weidler
- Division of Pediatric Surgery, Phoenix Children‟s Hospital, Phoenix, AZ
| | - Gwen Grimsby
- Division of Pediatric Urology, Phoenix Children‟s Hospital, Phoenix, AZ
| | - Erin M Garvey
- Division of Pediatric Surgery, Phoenix Children‟s Hospital, Phoenix, AZ
| | - Noor Zwayne
- Division of Pediatric and Adolescent Gynecology, Phoenix Children‟s Hospital, Phoenix, AZ
| | - Reeti Chawla
- Division of Pediatric Endocrinology, Phoenix Children‟s Hospital, Phoenix, AZ
| | - Janett Hernandez
- Division of Pediatric Surgery, Phoenix Children‟s Hospital, Phoenix, AZ
| | - Timothy Schaub
- Division of Plastic Surgery, Phoenix Children‟s Hospital, Phoenix, AZ
| | - Richard Rink
- Division of Pediatric Urology, Riley Hospital for Children, Indianapolis, IN
| | - Kathleen van Leeuwen
- Division of Pediatric Surgery, Phoenix Children's Hospital, Phoenix, AZ, 85006, United States.
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van Leeuwen K, Grimsby G, Weidler EM. Preface: Challenges in caring for patients with disorders of sex development. Semin Pediatr Surg 2019; 28:150837. [PMID: 31668294 DOI: 10.1016/j.sempedsurg.2019.150837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
| | - Gwen Grimsby
- Phoenix Children's Hospital, Phoenix, AZ, United States
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Abstract
Adult and pediatric urologists, gynecologists, and surgeons are often faced with primary reconstruction of complex congenital defects of the vagina as seen in cloacal anomalies, disorders of sexual development (DSD), and vaginal agenesis as well as with the secondary repair of post-surgical or radiation-induced vaginal stenosis or foreshortening. Many options have been reported and the choice of a particular method is influenced by surgeon experience, regional trends, availability of multidisciplinary teams and many other social and age-related factors. No one option has become the solution for all patients of all ages and anatomical challenges. Here we discuss a newer approach that can be used as an option for bridging the gap in young patients with a long distance from the perineum to the vaginal structures, for total vaginoplasty in some cases of primary vaginal agenesis in adolescents or young adults, and for correction of stricture in patients who have undergone previous reconstructions. Our initial experience using autologous buccal mucosa for reconstructions on eight patients with varying diagnoses is retrospectively reviewed.
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Affiliation(s)
- Kathleen van Leeuwen
- Department of Pediatric Surgery, Phoenix Children's Hospital, 1919 E. Thomas Road, Phoenix AZ, 85106, USA
| | - Linda Baker
- Children's Health, 2350 North Stemmons Freeway, Dallas TX, 75207, USA
| | - Gwen Grimsby
- Department of Pediatric Urology, Phoenix Children's Hospital, 1919 E. Thomas Road, Phoenix, AZ 85016, USA.
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Iqbal NS, Jascur TA, Harrison S, Chen C, Arevalo MK, Wong D, Sanchez E, Grimsby G, Wilson K, Baker LA. Copy number variations in a population with prune belly syndrome. Am J Med Genet A 2018; 176:2276-2283. [PMID: 30285310 DOI: 10.1002/ajmg.a.40476] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Revised: 06/21/2018] [Accepted: 06/22/2018] [Indexed: 12/13/2022]
Abstract
Prune Belly Syndrome (PBS) is a congenital multisystem myopathy with mild to lethal severity. While of uncertain etiology, 95% male predominance and familial occurrence suggest a genetic basis. As copy number variations (CNVs) can cause unexplained genetic disorders, we tested for novel CNVs in a large PBS population. We genotyped 21 unrelated PBS patients by high-resolution array comparative genomic hybridization (aCGH) and phenotyped using a novel PBS severity scoring system. Available parents were screened for detected CNV via quantitative PCR (qPCR). We additionally screened for recurrence of identified novel candidate CNVs on 106 PBS probands by qPCR. We identified 10 CNVs in 8 of 21 PBS patients tested (38%). Testing confirmed inheritance from an unaffected biological parent in six patients; parental samples were unavailable in two probands. One candidate CNV includes duplication of the X-chromosome AGTR2 gene, known to function in urinary tract development. Subsequent screening of the larger PBS cohort did not identify any recurrent CNVs. Presence of CNV did not correlate with PBS severity scoring. CNVs were uncommon in this large PBS population, but analysis of identified variants may inform disease pathogenesis and reveal targets for therapeutic intervention for this rare, severe disorder.
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Affiliation(s)
- Nida S Iqbal
- University of Texas Southwestern Medical Center at Dallas, Children's Health, Center for Pediatric Urology, Dallas, TX
| | - Thomas A Jascur
- University of Texas Southwestern Medical Center at Dallas, Children's Health, Center for Pediatric Urology, Dallas, TX
| | | | - Catherine Chen
- University of Texas Southwestern Medical Center at Dallas, Children's Health, Center for Pediatric Urology, Dallas, TX.,Phoenix Children's Medical Group, Phoenix, AZ
| | - Michelle K Arevalo
- University of Texas Southwestern Medical Center at Dallas, Children's Health, Center for Pediatric Urology, Dallas, TX
| | - Daniel Wong
- University of Texas Southwestern Medical Center at Dallas, Children's Health, Center for Pediatric Urology, Dallas, TX
| | | | | | - Kathleen Wilson
- University of Texas Southwestern Medical Center at Dallas, Children's Health, Center for Pediatric Urology, Dallas, TX
| | - Linda A Baker
- University of Texas Southwestern Medical Center at Dallas, Children's Health, Center for Pediatric Urology, Dallas, TX.,Phoenix Children's Medical Group, Phoenix, AZ
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Abstract
BACKGROUND Nephrolithiasis, or urinary stone disease, in children causes significant morbidity, and is increasing in prevalence in the North American population. Therefore, medical and dietary interventions (MDI) for recurrent urinary stones in children are poised to gain increasing importance in the clinical armamentarium. OBJECTIVES To assess the effects of medical and dietary interventions (MDI) for the prevention of idiopathic urinary stones in children aged from one to 18 years. SEARCH METHODS We searched multiple databases using search terms relevant to this review, including studies identified from the Cochrane Central Register of Controlled Trials (CENTRAL, 2017, Issue 1), MEDLINE OvidSP (1946 to 14 February 2017), Embase OvidSP (1980 to 14 February 2017), International Clinical Trials Register (ICTRP) Search Portal and ClinicalTrials.gov. Additionally, we handsearched renal-related journals and the proceedings of major renal conferences, and reviewed weekly current awareness alerts for selected renal journals. The date of the last search was 14 February 2017. There were no language restrictions. SELECTION CRITERIA Randomized controlled trials of at least one year of MDI versus control for prevention of recurrent idiopathic (non-syndromic) nephrolithiasis in children. DATA COLLECTION AND ANALYSIS We used standard methodologic procedures expected by Cochrane. Titles and abstracts were identified by search criteria and then screened for relevance, and then data extraction and risk of bias assessment were carried out. We assessed the quality of evidence using GRADE. MAIN RESULTS The search identified one study of 125 children (72 boys and 53 girls) with calcium-containing idiopathic nephrolithiasis and normal renal morphology following initial treatment with shockwave lithotripsy (SWL). Patients were randomized to oral potassium citrate 1 mEq/kg per day for 12 months versus no specific medication or preventive measure with results reported for a total of 96 patients (48 per group). This included children who were stone-free (n = 52) or had residual stone fragments (n = 44) following SWL. Primary outcomes:Medical therapy may lower rates of stone recurrence with a risk ratio (RR) of 0.19 (95% confidence interval (CI) 0.06 to 0.60; low quality evidence). This corresponds to 270 fewer stone recurrences per 1000 (133 fewer to 313 fewer) children. We downgraded the quality of evidence by two levels for very serious study limitations related to unclear allocation concealment (selection bias) and a high risk of performance, detection and attrition bias. While the data for adverse events were incomplete, they reported that six of 48 (12.5%) children receiving potassium citrate left the trial because of adverse effects. This corresponds to a RR of 13.0 (95% CI 0.75 to 224.53; very low quality evidence); an absolute effect size estimate could not be generated. We downgraded the quality of evidence for study limitations and imprecision.We found no information on retreatment rates. SECONDARY OUTCOMES We found no evidence on serum electrolytes, 24-hour urine collection parameters or time to new stone formation.We were unable to perform any preplanned secondary analyses. AUTHORS' CONCLUSIONS Oral potassium citrate supplementation may reduce recurrent calcium urinary stone formation in children following SWL; however, our confidence in this finding is limited. A substantial number of children stopped the medication due to adverse events. There is no trial evidence on retreatment rates. There is a critical need for additional well-designed trials in children with nephrolithiasis.
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Affiliation(s)
- Adam Kern
- Anne Arundel Medical CenterAnnapolisMDUSA
| | | | - Helen Mayo
- The University of Texas Southwestern Medical CenterUT Southwestern Library5323 Harry Hines BlvdDallasTXUSA75390
| | - Linda A Baker
- Children's Medical Center/University of Texas SouthwesternDepartment of Urology, Division of Pediatric UrologyDallasTXUSA75390
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Grimsby G, Jacobs MA. Response to Editorial re 'Barriers to Transition in Young Adults with Neurogenic Bladder'. J Pediatr Urol 2016; 12:260. [PMID: 27555450 DOI: 10.1016/j.jpurol.2016.05.018] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2016] [Accepted: 05/17/2016] [Indexed: 11/16/2022]
Affiliation(s)
- Gwen Grimsby
- Phoenix Children's Hospital, Urology, 1920 East Cambridge Ave, Building E, Suite 302, Phoenix, AZ 85006, United States.
| | - Micah A Jacobs
- Department of Urology, UT Southwestern Medical Center, Dallas, TX, United States; Department of Pediatric Urology, Children's Health, Dallas, TX, United States.
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Schlomer B, Keays M, Grimsby G, Granberg C, DaJusta D, Bergu B, Ostrov L, Sheth K, Hill M, Sanchez E, Huang R, Harrison C, Jacobs M, Hennes H, Baker L. MP40-03 TRANS-SCROTAL NEAR INFRARED SPECTROSCOPY IN THE EMERGENCY DEPARTMENT TO DIAGNOSE TESTICULAR TORSION IN PEDIATRIC PATIENTS PRESENTING WITH ACUTE SCROTUM. J Urol 2015. [DOI: 10.1016/j.juro.2015.02.1185] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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11
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Sheth KR, Keays M, Grimsby G, Granbery C, DaJusta DG, Ostrov L, Hill M, Sanchez E, Harrison C, Jacobs M, Huang R, Burgu B, Hennes H, Schlomer B, Baker L. MP40-05 DOES NEAR INFRARED SPECTROSCOPY IMPROVE TWIST SCORE IN THE DIAGNOSIS OF TESTICULAR TORSION? J Urol 2015. [DOI: 10.1016/j.juro.2015.02.1187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Snodgrass W, Grimsby G, Bush NC. Coronal fistula repair under the glans without reoperative hypospadias glansplasty or urinary diversion. J Pediatr Urol 2015; 11:39.e1-4. [PMID: 25736838 DOI: 10.1016/j.jpurol.2014.09.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2014] [Accepted: 09/04/2014] [Indexed: 11/28/2022]
Abstract
BACKGROUND Coronal fistulas present a potential dilemma in management. Successful closure requires reoperative glansplasty when there is only a thin band of tissue separating the urethral meatus from the fistula, indicating glans dehiscence. However, we avoided reoperative glansplasty during coronal fistula repair when the glans wings remained well-fused, given the increased risk for complications, including recurrent fistula, following reoperative glansplasty. PURPOSE We report coronal fistula closure without reoperative glansplasty in patients with preserved fusion of the glans wings. We also compare this closure done with versus without postoperative urinary diversion. The primary outcome was recurrent fistula. MATERIALS Consecutive patients with coronal fistula and no glans dehiscence (Figure) underwent repair by dissecting the fistula tract under the glans rather than re-opening the glans wings. A midline incision facilitated creation of a ventral dartos barrier flap, used in all cases, as well as selective skin revision when needed. Initial patients had postoperative urinary diversion, whereas later consecutive patients did not. Data was recorded prospectively at the time of service into a database. RESULTS WS performed 122 fistula repairs from 2001 to 2013, of which 78 were coronal. Of these, 33 had glans dehiscence with only a thin band of skin separating the fistula from the distal meatus and underwent reoperative hypospadias repair. The other 45 met inclusion criteria with maintained glans wings fusion and had only fistula closure. These 45 patients all had fistulas </= 3 mm, and none had evidence of meatal stenosis, defined as calibration <8 Fr in prepubertal and <12 Fr in pubertal males. Median age at fistula closure was 3 y (1-51), and mean follow up in 37 of the 45 patients was 18 m (1.6-84). Recurrent fistulas occurred in 2 (5%), with no difference in those with versus without urinary diversion. DISCUSSION There was a 5% fistula recurrence rate after dissecting under the glans and closing the urethral defect without reopening the glans in patients with well-fused glans wings. All patients had a ventral dartos barrier flap which covered the urethral defect. There was no difference in outcomes based on use of urinary diversion or not, and so we no longer use postoperative catheter drainage. Ours is the first report on fistula repair using a standardized protocol in consecutive patients, and it is difficult to compare our results to other published series which included fistulas in various locations, heterogeneity in decision-making based on "simple vs "complex" designations, and varied use of urinary diversion. Other reported recurrence rates vary from 4% to 30%. All our patients had primary fistulas <3 mm in size, and so we cannot comment on use of this technique for recurrent fistulas and/or larger defects. We report outcomes during a mean of 18 months follow up, and it is possible there will be additional recurrences with longer follow up. CONCLUSIONS This study is the first on fistula repair using a standardized procedure in consecutivepatients with prospectively recorded data. We found coronal fistulas ≤3 mm under well-fused glans wings can be repaired with low risk for recurrence by elevating the glans rather than re-opening the wings for reoperative glansplasty. Postoperative urinary diversion did not impact the recurrence rate and so is no longer used.
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Affiliation(s)
- Warren Snodgrass
- PARC Urology, 5680 Frisco Square Blvd., Suite 2300, Frisco, TX 75034, USA.
| | - Gwen Grimsby
- UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-9142, USA.
| | - Nicol Corbin Bush
- PARC Urology, 5680 Frisco Square Blvd., Suite 2300, Frisco, TX 75034, USA.
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Affiliation(s)
- Gwen Grimsby
- Children's Medical Center/University of Texas Southwestern; Department of Urology, Division of Pediatric Urology; Dallas TX USA 75207
| | - Helen Mayo
- The University of Texas Southwestern; UT Southwestern Library; 5323 Harry Hines Blvd Dallas TX USA 75390
| | - Micah A Jacobs
- Children's Medical Center/University of Texas Southwestern; Department of Urology, Division of Pediatric Urology; Dallas TX USA 75207
| | - Linda A Baker
- Children's Medical Center/University of Texas Southwestern; Department of Urology, Division of Pediatric Urology; Dallas TX USA 75207
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Grimsby G, Castle E, Andrews P, Mihalik L, Chang YH, Humphreys M. 2112 LONG TERM RENAL FUNCTION AFTER DONOR NEPHRECTOMY: A DOUBLE-BLINDED RANDOMIZED CONTROLLED TRIAL OF KETOROLAC VERSUS PLACEBO. J Urol 2013. [DOI: 10.1016/j.juro.2013.02.2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Grimsby G, Humphreys M. 2165 THE HOLEP EFFECT: CHANGING PRACTICE PATTERNS AND RESIDENT EDUCATION AT A TERTIARY CARE CENTER. J Urol 2013. [DOI: 10.1016/j.juro.2013.02.2074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Guralnick ML, Grimsby G, Liss M, Szabo A, O’Connor RC. Objective differences between overactive bladder patients with and without urodynamically proven detrusor overactivity. Int Urogynecol J 2009; 21:325-9. [DOI: 10.1007/s00192-009-1030-7] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2009] [Accepted: 10/13/2009] [Indexed: 11/30/2022]
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Carpenter SG, Stucky CC, Dueck AC, Grimsby G, Giurescu M, Apsey H, Gray RJ, Pockaj BA. Scientific Presentation Award: The impact of magnetic resonance imaging on surgical treatment of invasive breast cancer. Am J Surg 2009; 198:475-81. [DOI: 10.1016/j.amjsurg.2009.06.015] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2009] [Revised: 06/14/2009] [Accepted: 06/14/2009] [Indexed: 10/20/2022]
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