Pediatric urology and the internet--does an uncommon topic decrease content quality?Jonathan C Routh
Department of Urology, Children s Hospital Boston, Boston, Massachusetts 02115, USA
J Urol 182:1569-74. 2009
..We sought to determine if Web pages addressing common and uncommon pediatric urology topics differ in terms of quality or characteristics...
Variation in surgical management of vesicoureteral reflux: influence of hospital and patient factorsJonathan C Routh
Children s Hospital Boston, Department of Urology, 300 Longwood Ave, HU 355, Boston, MA 02115
Pediatrics 125:e446-51. 2010
..The objective of this study was to identify patient and hospital factors associated with the choice of EI for children undergoing antireflux surgery...
Dextranomer/hyaluronic acid for pediatric vesicoureteral reflux: systematic reviewJonathan C Routh
Children s Hospital Boston, Department of Urology, Boston, MA 02115, USA
Pediatrics 125:1010-9. 2010
..Our objective of this study was to assess whether underlying patient or study factors could explain the heterogeneity in reported Dx/HA success rates...
Epidemiological trends in pediatric urolithiasis at United States freestanding pediatric hospitalsJonathan C Routh
Department of Urology, Children s Hospital Boston, Boston, Massachusetts 02115, USA
J Urol 184:1100-4. 2010
..The objective of this study was to examine trends in the epidemiology of urolithiasis at pediatric hospitals nationwide...
Trends in imaging and surgical management of pediatric urolithiasis at American pediatric hospitalsJonathan C Routh
Harvard Pediatric Health Services Research Fellowship Program, Harvard Medical School, Boston, Massachusetts, USA
J Urol 184:1816-22. 2010
..Little is known of current practice patterns for pediatric urolithiasis. We examined recent trends in imaging and surgical management...
Management strategies for Mayer-Rokitansky-Kuster-Hauser related vaginal agenesis: a cost-effectiveness analysisJonathan C Routh
Department of Urology, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts, USA
J Urol 184:2116-21. 2010
..Progressive perineal dilation is a minimally invasive method with high success rates. However, the economic merits of progressive perineal dilation compared to surgical vaginoplasty are unknown...
Costs and consequences of universal sibling screening for vesicoureteral reflux: decision analysisJonathan C Routh
Children s Hospital Boston, Department of Urology, 300 Longwood Ave, HU 355, Boston, MA 02115, USA
Pediatrics 126:865-71. 2010
..Our objective was to evaluate screening for vesicoureteral reflux (VUR) among siblings of patients with VUR, in terms of cost, radiation exposure, and number of febrile urinary tract infections (fUTIs) averted...
Unilateral vesicoureteral reflux: does endoscopic injection based on the cystoscopic appearance of the ureteral orifice decrease the incidence of de-novo contralateral reflux?Jonathan C Routh
Department of Urology, Mayo Clinic, 200 1st Street SW, Rochester, MN 55901, USA
J Pediatr Urol 4:260-4. 2008
..We evaluate the effectiveness of this practice...
Utility of dextranomer/hyaluronic acid injection in setting of bladder and ureteral anomaliesJonathan C Routh
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA
Urology 71:435-8. 2008
..We attempted to determine whether these factors reduce the efficacy of Dx/HA injection compared with that in otherwise normal patients...
Regional variations in small intestinal submucosa evoke differences in inflammation with subsequent impact on tissue regeneration in the rat bladder augmentation modelRichard A Ashley
Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA
BJU Int 105:1462-8. 2010
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Multivariate comparison of the efficacy of intraureteral versus subtrigonal techniques of dextranomer/hyaluronic acid injectionJonathan C Routh
Department of Urology, Mayo Clinic, Rochester, Minneapolis, Minnesota 55901, USA
J Urol 178:1702-5; discussion 1705-6. 2007
..We combined the results of 5 pediatric urologists to evaluate the efficacy of this technique compared to that of subtrigonal-only injection in relation to other factors...
Reassessing the diagnostic yield of saturation biopsy of the prostateRichard A Ashley
Department of Urology, Mayo Clinic, Rochester, MN, USA
Eur Urol 53:976-81. 2008
..This study was performed to determine whether saturation biopsy (>or= 24 cores) detects more prostate cancer than a standard 12-18 core office biopsy technique...
Economic and radiation costs of initial imaging approaches after a child's first febrile urinary tract infectionJonathan C Routh
Children s Hospital Boston, Harvard Medical School, Boston, MA, USA
Clin Pediatr (Phila) 51:23-30. 2012
..Further data are required to clarify the long-term clinical implications of this increase...
Vesicoureteral reflux in children with urachal anomaliesJanelle A Fox
Department of Urology, Mayo Clinic, Rochester, MN 55905, USA
J Pediatr Urol 7:632-5. 2011
..We report the largest known series of vesicoureteral reflux (VUR) in children with urachal anomalies (UA)...
Postoperative ureteral obstruction after subureteral injection of dextranomer/hyaluronic Acid copolymerDavid R Vandersteen
Department of Urology, Children s Hospitals, Minneapolis St Paul, Minnesota, USA
J Urol 176:1593-5. 2006
..Few studies document the incidence of surgically relevant postoperative obstruction or the characteristics of patients at risk...
Predicting renal outcomes in children with anterior urethral valves: a systematic reviewJonathan C Routh
Department of Urology, Mayo Medical School and Mayo Clinic, Rochester, USA
J Urol 184:1615-9. 2010
..We reviewed the literature and examined our clinical database to identify clinical features predicting a poor renal outcome, defined as azotemia, renal failure or death...
Use of the ureteral access sheath during ureteroscopy in childrenHsin Hsiao Wang
Department of Urology, Children s Hospital Boston, Boston, Massachusetts 02115, USA
J Urol 186:1728-33. 2011
..We compared the outcomes of ureteroscopy with vs without a ureteral access sheath in children...
Contemporary use of nephron-sparing surgery for children with malignant renal tumors at freestanding children's hospitalsJonathan C Routh
Department of Urology, Children s Hospital Boston, Harvard Medical School, Boston, MA 02115, USA
Urology 78:422-6. 2011
..However, RN is more frequently used in children. We sought to compare in-hospital outcomes after NSS and RN for malignant pediatric renal tumors...
Variation among internet based calculators in predicting spontaneous resolution of vesicoureteral refluxJonathan C Routh
Department of Urology, Children s Hospital Boston, Boston, Massachusetts 02115, USA
J Urol 183:1568-72. 2010
..We sought to determine whether currently available Internet based calculators for vesicoureteral reflux resolution produce systematically different results...
Does a controversial topic affect the quality of urologic information on the Internet?Jonathan C Routh
Department of Urology, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA
Urology 78:1051-6. 2011
..We sought to determine whether controversial urological topics are associated with decreased content quality or search characteristics...
Iatrogenic ureteral injury: can adult repair techniques be used on children?Jonathan C Routh
Department of Urology, Mayo Clinic, Rochester, MN 55905, USA
J Pediatr Urol 5:53-5. 2009
..We reviewed our experience in the management of iatrogenic pediatric ureteral injuries, particularly with respect to initial versus delayed diagnoses...
Histopathological changes associated with dextranomer/hyaluronic acid injection for pediatric vesicoureteral refluxJonathan C Routh
Department of Urology, Mayo Clinic, Rochester, Minnesota, USA
J Urol 178:1707-10. 2007
..We present the results of a histological review of a series of distal ureteral excisions in patients undergoing ureteroneocystostomy after failed dextranomer/hyaluronic acid injection...
Sacral neuromodulation in children with dysfunctional elimination syndrome: description of incisionless first stage and second stage without fluoroscopyShawn M McGee
Department of Urology, Mayo Medical School and Mayo Clinic, Rochester, Minnesota 55905, USA
Urology 73:641-4; discussion 644. 2009
..The drawbacks to SN include the use of fluoroscopy and the need to reopen recent skin incisions during the second stage. This results in increased radiation exposure, poor cosmesis, and possible wound infection...
B7-H1 expression in Wilms tumor: correlation with tumor biology and disease recurrenceJonathan C Routh
Department of Urology, Mayo Graduate School of Medicine, Mayo Clinic, Rochester, Minnesota, USA
J Urol 179:1954-9; discussion 1959-60. 2008
..We hypothesize that this finding may be true for Wilms tumor...
Single center experience with endoscopic management of vesicoureteral reflux in childrenJonathan C Routh
Department of Urology, Mayo Clinic, Rochester, Minnesota, USA
J Urol 175:1889-92; discussion 1892-3. 2006
..Dx/HA copolymer was approved by the Food and Drug Administration in 2001 for the treatment of VUR in children. Published results have varied widely, prompting us to report our single center experience with 300 consecutive patients...
Urachal anomalies: a longitudinal study of urachal remnants in children and adultsRichard A Ashley
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA
J Urol 178:1615-8. 2007
..We reviewed the clinical findings associated with these embryological structures and evaluated risk factors for cancer to define the optimal timing for intervention...
Predicting success in the endoscopic management of pediatric vesicoureteral refluxJonathan C Routh
Department of Urology, Children s Hospital Boston, Boston, Massachusetts, USA
Urology 76:195-8. 2010
..Despite a relative lack of comparative data, multiple studies have attempted to define the most important prognostic factors for injection success. This article is an attempt to summarize these findings...
Association of Urolithiasis with Systemic Conditions Among Pediatric Patients at Children's HospitalsPaul J Kokorowski
Department of Urology, Children s Hospital Boston, Boston, Massachusetts
J Urol 188:1618-22. 2012
..We investigated the association of urolithiasis with diabetes mellitus, hypertension and obesity among children with and without urolithiasis...
Ketorolac is underutilized after ureteral reimplantation despite reduced hospital cost and reduced length of stayJonathan C Routh
Department of Urology, Children s Hospital Boston, Boston, Massachusetts 02115, USA
Urology 76:9-13. 2010
..Multiple studies show that ketorolac markedly reduces postoperative pain after UR, but there is no information on whether ketorolac is routinely used...
Racial variation in timing of pyeloplasty: prenatal versus postnatal diagnosisJonathan C Routh
Department of Urology, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA
J Urol 186:2386-91. 2011
..The mechanisms behind this finding are unclear, since there is no known racial variation in the natural history of ureteropelvic junction obstruction. We used a detailed clinical database to explain this phenomenon...
Screening for malignancy after augmentation cystoplasty in children with spina bifida: a decision analysisPaul J Kokorowski
Department of Urology, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA
J Urol 186:1437-43. 2011
..Concerns regarding an increased risk of malignancy have prompted many centers to consider routine postoperative screening. We examine the potential cost-effectiveness of such screening...
Traumatic obliterative urethral strictures in pediatric patients: failure of the cut to light technique at long-term followupMatthew K Tollefson
Department of Urology, Mayo Medical School and Mayo Clinic, Rochester, Minnesota 55905, USA
J Urol 178:1656-8; discussion 1658. 2007
..We report long-term followup on 22 pediatric patients treated with this technique...
Patient and family impact of pediatric genitourinary diagnostic imaging testsCaleb P Nelson
Department of Urology, Department of Radiology JSC and Clinical Research Program SZ, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts
J Urol 188:1601-7. 2012
..The impact of diagnostic genitourinary imaging on patients and families is poorly understood. We measured patient and family reaction to commonly performed genitourinary imaging studies using a standardized measurement tool...
Prospective measurement of patient exposure to radiation during pediatric ureteroscopyPaul J Kokorowski
Department of Urology, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA
J Urol 187:1408-14. 2012
..Few data have been reported regarding radiation exposure during pediatric endourological procedures, including ureteroscopy. We measured radiation exposure during pediatric ureteroscopy and identify opportunities for exposure reduction...
Variations in timing of surgery among boys who underwent orchidopexy for cryptorchidismPaul J Kokorowski
Department of Urology, Children s Hospital Boston, Harvard Medical School, 300 Longwood Ave, HU 390, Boston, MA 02115, USA
Pediatrics 126:e576-82. 2010
..We sought to examine trends in surgical timing and to determine what factors are associated with age at surgery...
How long is too long? The effect of the duration of anaesthesia on the incidence of non-urological complications after surgeryJonathan C Routh
Department of Urology, Mayo Clinic, Rochester, MN 55905, USA
BJU Int 102:301-4. 2008
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Tunneled tunica vaginalis flap is an effective technique for recurrent urethrocutaneous fistulas following tubularized incised plate urethroplastyJonathan C Routh
Department of Urology, Mayo Clinic, Rochester, Minnesota, USA
J Urol 176:1578-80; discussion 1581. 2006
..Tunneled tunica vaginalis flap repair should be considered for treating urethrocutaneous fistula following initial failed tubularized incised plate hypospadias surgery, particularly in a repeat surgical setting...
Shock wave lithotripsy vs ureteroscopy: variation in surgical management of kidney stones at freestanding children's hospitalsHsin Hsiao Scott Wang
Department of Urology, Children s Hospital Boston, Boston, Massachusetts 02115, USA
J Urol 187:1402-7. 2012
..The factors determining procedure choice at individual centers are unclear. We sought to identify patient and hospital factors associated with the choice between shock wave lithotripsy and ureteroscopy...
Contemporary epidemiology and characterization of newborn males with prune belly syndromeJonathan C Routh
Department of Urology, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA
Urology 76:44-8. 2010
..Few population-based epidemiology or mortality data are available...
Increasing prevalence and associated risk factors for methicillin resistant Staphylococcus aureus bacteriuriaJonathan C Routh
Department of Urology, Mayo Clinic, Rochester, Minnesota, USA
J Urol 181:1694-8. 2009
..aureus is becoming a more common cause of bacteriuria and to determine if there are specific risk factors that may predict the development of methicillin resistant S. aureus bacteriuria...
Preventing pain during office biopsy of the prostate: a single center, prospective, double-blind, 3-arm, parallel group, randomized clinical trialRichard A Ashley
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA
Cancer 110:1708-14. 2007
..A prospective, double-blind, 3-arm, parallel group, randomized clinical trial was performed to compare 3 anesthetic techniques for preventing pain during prostate biopsy...
Long-term continence outcomes after immediate repair of pediatric bladder neck lacerations extending into the urethraJonathan C Routh
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA
J Urol 178:1816-8; discussion 1818. 2007
..It is unclear whether immediate repair of these injuries decreases long-term complications, such as urinary incontinence. We report our long-term results with immediate operative repair of these injuries...
Minimal contamination of the human peritoneum after transvesical incisionShawn M McGee
Department of Urology, Mayo Medical School and Mayo Clinic, Rochester, Minnesota 55905, USA
J Endourol 23:659-63. 2009
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Leukocyte inflammatory response in a rat urinary bladder regeneration model using porcine small intestinal submucosa scaffoldRichard A Ashley
Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104, USA
Tissue Eng Part A 15:3241-6. 2009
..009). Thus, the inflammatory processes change over time during SIS-mediated bladder regeneration. Similar cell densities are present between the native and SIS portions of the bladder, but neutrophils predominate in the graft areas...
Nonoperative management of nonvascular grade IV blunt renal trauma in children: meta-analysis and systematic reviewEric C Umbreit
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA
Urology 74:579-82. 2009
..To evaluate nonoperative management of grade IV blunt renal trauma in pediatric patients by performing a systematic review and meta-analysis of published studies...
Adenocarcinoma of the prostate: epidemiological trends, screening, diagnosis, and surgical management of localized diseaseJonathan C Routh
Department of Urology, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN 55905, USA
Mayo Clin Proc 80:899-907. 2005
..In all, this article aims to give the reader a broad overview of the basic elements of prostate cancer diagnosis and surgical treatment in the modem era...