A Move to Conservativism in Pediatric Urology

A Move to Conservativism in Pediatric Urology Curr Pediatr Rep (2017) 5:176–181 DOI 10.1007/s40124-017-0125-8 SURGICAL (J KARPELOWSKY, SECTION EDITOR) 1 1 1 1 Hemal Kodikara & Aurore Bouty & Mike O’Brien & Yves Heloury Published online: 10 July 2017 Springer Science + Business Media New York 2017 Abstract surgery. Pediatric urology is no different and this is demon- Purpose of Review To define the evidence on the move to con- strated by the pendulum swing in the last 20 years to conser- servative treatment in four areas of pediatric urology: laparoscop- vative management in patients with vesicoureteric reflux, ic ureteric clipping in non-functioning duplex kidney, manage- many of whom would previously have undergone open ure- ment of multicystic dysplastic kidney (MCDK), intravesical bot- teric reimplantation. In addition, more recently, there are a ulinum toxin injection in detrusor over activity, and risk stratifi- number of other areas of pediatric urology where conditions cation of gonadal tumors in disorders of sexual development. previously treated with open surgery have newer, less invasive Recent Findings Laparoscopic ureteric clipping has been val- treatment options. The following review will focus on four idated in one preliminary study. Lesser investigation and non- areas which typify this change in thinking in the last 5 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Pediatrics Reports Springer Journals

A Move to Conservativism in Pediatric Urology

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Copyright © 2017 by Springer Science + Business Media New York
Medicine & Public Health; Pediatrics
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