A Canadian national survey: understanding the differences in management of cryptorchidism among pediatric surgeons and pediatric urologists.


BACKGROUND:This investigation aims to assess the variability in practice patterns regarding management of children with cryptorchidism (UDT) among pediatric urologists (U) and pediatric surgeons (S) practicing in Canada. METHODS:All active members of Pediatric Urologists of Canada (PUC) and Canadian Association of Pediatric Surgery (CAPS) were invited to participate in an online multiple-choice type questionnaire with clinical scenarios in management of UDT. Responses were compared between U and S using Fisher's exact test. RESULTS:The response rates were 74% and 79% among CAPS members (54/73) and PUC members (27/34) respectively. CAPS members were more likely to order diagnostic ultrasounds prior to surgery (44.4% vs 18.5%, p = 0.027). For palpable testis, most (80%) CAPS members favored the classic inguinal approach, while most PUC members did not demonstrate a clear preference, and were flexible with their approach depending on the position of the palpated testes (55%; p < 0.001). There was no statistically significant difference in preferred approach to unilateral or bilateral nonpalpable testis. However, for both palpable and nonpalpable bilateral UDT, more CAPS members preferred metachronous correction, compared to PUC members who opted to approach them synchronously (p = 0.008, 0.002, respectively). CONCLUSION:Preferences with regard to use of diagnostic tools such as US, surgical approach for palpable testes and bilateral UDTs were not consistent between the two surgical specialties who perform orchidopexy across Canada. Both groups were compliant with guideline recommendations, with the exception of utilizing preoperative ultrasounds, which is uniformly not recommended by the most recent guidelines. LEVEL OF EVIDENCE:This is a level II evidence study.


J Pediatr Surg


Kim JK,Chua M,Braga L,Langer JC,Hancock BJ,Lorenzo AJ,Bagli D,Farhat WA,Koyle MA




Has Abstract


2019-09-01 00:00:00














  • Gastric tube esophagoplasty for pediatric esophageal replacement.

    abstract:BACKGROUND:Esophageal replacement in children is indicated in cases of esophageal atresia with or without fistula, in case of long gap esophageal atresia or failed primary repair. Intractable post corrosive esophageal stricture is considered also a major indication for replacement. METHODS:This is a cohort retrospecti...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Elfiky MM,El Tagy G,Mohamed W,Abdel Azim O,Elfiky MA

    更新日期:2017-04-01 00:00:00

  • A new role for androgen in testicular descent: permitting gubernacular cell proliferation in response to the neuropeptide, calcitonin gene-related peptide.

    abstract:BACKGROUND/PURPOSE:Cell proliferation at the gubernacular tip increases in response to exogenous calcitonin gene-related peptide (CGRP) during migration into the scrotum. Calcitonin gene-related peptide is contained in the masculinized sensory branches of the genitofemoral nerve. We tested the independent effects of ch...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Shenker NS,Huynh J,Farmer PJ,Hutson JM

    更新日期:2006-02-01 00:00:00

  • Endodermal sinus tumor: a clinical and pathological correlation.

    abstract::Endodermal sinus tumors occur in the gonads and in a variety of extragonadal locations, particularly as the malignant component of sacral teratomas. Light and electron microscopic studies as well as the presence of alpha fetoprotein support the concept that these lesions arise from germ cells that migrate from the ext...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Olsen MM,Raffensperger JG,Gonzalez-Crussi F,Luck SR,Kaplan WE,Morgan ER

    更新日期:1982-12-01 00:00:00

  • Successful treatment of Candida-infected caval thrombosis in critically ill infants by low-dose streptokinase infusion.

    abstract::Chronic central venous catheters are an important component in the management of chronically ill infants and children. Sepsis and thrombosis are common complications of these catheters. When the combination of Candida sepsis and caval thrombosis occurs, the prognosis is very poor. Lysis of the thrombus is critical to ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Lacey SR,Zaritsky AL,Azizkhan RG

    更新日期:1988-12-01 00:00:00

  • Successful embolization of a delayed splenic rupture following trauma in a child.

    abstract::Delayed rupture of the spleen following trauma is an exceedingly rare phenomenon in children. In the case we have experienced, arterial embolization was successfully performed, surgery was avoided, and functional splenic tissue was preserved. Embolization is of value in the management of blunt splenic injuries in hemo...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Vasseur Maurer S,Denys A,Lutz N

    更新日期:2009-06-01 00:00:00

  • Urological outcome in patients with Currarino syndrome.

    abstract:INTRODUCTION:Currarino syndrome is a type of caudal regression syndrome characterized by the association of hemisacrum, anorectal malformation and presacral mass. Only few studies on small series report the incidence of urinary dysfunction in Currarino syndrome. Our aim was to evaluate the urological outcome in patient...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Pio L,Piatelli G,Rossi A,Scarsi P,Merello E,Capra V,Cama A,Buffa P,Torre M

    更新日期:2014-11-01 00:00:00

  • Hepatocyte growth factor up-regulates SGLT1 and GLUT5 gene expression after massive small bowel resection.

    abstract:BACKGROUND/PURPOSE:Hepatocyte growth factor (HGF), originally known to stimulate hepatocyte DNA synthesis, also has been shown to stimulate growth of intestinal epithelial cells in vitro. The authors recently demonstrated that HGF can dramatically increase substrate absorption beyond the normal adaptive response after ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Kato Y,Yu D,Schwartz MZ

    更新日期:1998-01-01 00:00:00

  • Prenatal and postnatal urologic complications of sacrococcygeal teratomas.

    abstract:PURPOSE:Urologic complications are an underappreciated sequelae of the mass effect of sacrococcygeal teratoma (SCT) and its resection. The goal of this study was to evaluate the incidence and severity of urologic complications in patients with SCT. METHODS:A retrospective review of patients with a prenatal diagnosis o...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Le LD,Alam S,Lim FY,Keswani SG,Crombleholme TM

    更新日期:2011-06-01 00:00:00

  • Morbidity in obese adolescents who meet the adult National Institutes of Health criteria for bariatric surgery.

    abstract:PURPOSE:Some have suggested that the criteria for weight loss surgery in adolescents be stricter than those currently recommended for adults by the National Institutes of Health (NIH). The aim of the current study is to define the characteristics of adolescents who meet NIH consensus criteria for bariatric surgery in a...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Nadler EP,Brotman LM,Miyoshi T,Fryer GE Jr,Weitzman M

    更新日期:2009-10-01 00:00:00

  • Changes in the body composition of the surgical infant in the early postoperative period.

    abstract::The purpose of this study was to evaluate the effects of postoperative nutritional management on the body composition of infants after major surgery. We studied 13 full-term surgical infants (mean initial weight 2.88 +/- 0.19 kg; mean days postsurgery 5.0 +/- 0.5). Ten infants were receiving total parenteral nutrition...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Winthrop AL,Jones PJ,Schoeller DA,Filler RM,Heim T

    更新日期:1987-06-01 00:00:00

  • The role of aortopexy in severe tracheomalacia.

    abstract:PURPOSE:Aortopexy is the accepted operative treatment for severe and localized tracheomalacia (TM). The standard surgical approach involves a left anterior thoracotomy, often under bronchoscopic control. We report the results of aortopexy in 28 children with severe and localized TM; 12 had a left lateral muscle-sparing...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Dave S,Currie BG

    更新日期:2006-03-01 00:00:00

  • Telemedicine in pediatric surgery.

    abstract:IMPORTANCE:Telemedicine is an emerging strategy for healthcare delivery that has the potential to expand access, optimize efficiency, minimize cost, and enhance patient satisfaction. OBJECTIVE:To review the current spectrum, potential strategies, and implementation process of telemedicine in pediatric surgery. DESIGN...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,评审


    authors: Harting MT,Wheeler A,Ponsky T,Nwomeh B,Snyder CL,Bruns NE,Lesher A,Pandya S,Dickie B,Shah SR,APSA Informatics and Telemedicine Committee.

    更新日期:2019-03-01 00:00:00

  • Predictors of postoperative respiratory complications in premature infants after inguinal herniorrhaphy.

    abstract::There is a significant incidence of inguinal hernia in premature infants and the optimal timing of repair is controversial. A high rate of postoperative respiratory complications has been reported in this group. In this study, the records of 47 premature infants (mean gestational age, 30.3 weeks) who underwent hernior...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Gollin G,Bell C,Dubose R,Touloukian RJ,Seashore JH,Hughes CW,Oh TH,Fleming J,O'Connor T

    更新日期:1993-02-01 00:00:00

  • Lipid uptake by silicone enteral access feeding devices.

    abstract:BACKGROUND/PURPOSE:Deterioration of long-term enteral access devices remains a significant patient care and financial problem. Because it is known that lipids, particularly medium-chain triglycerides oil (MCT oil), can soften and break certain types of polymeric materials, the authors evaluated the effect of liquid ent...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Trudel J,Gauderer MW,Drews MJ,LaBerge M

    更新日期:1998-06-01 00:00:00

  • Liver transplantation for deterioration in native liver function after portoenterostomy for biliary atresia in Japan: Short- versus long-term survivors.

    abstract:PURPOSE:We reviewed our post-Kasai portoenterostomy biliary atresia (BA) patients who required liver transplantation (LTx) for deterioration in native liver (NL) function to investigate mortality in relation to age at LTx. METHODS:BA patients indicated for LTx when less than 18years old (U18; n=17) and when 18 or olde...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Ochi T,Nakamura H,Wada M,Tamura T,Koga H,Okazaki T,Urao M,Ishizaki Y,Kawasaki S,Kasahara M,Mizuta K,Lane GJ,Yamataka A

    更新日期:2018-02-01 00:00:00

  • Gastroschisis: Bellwether for neonatal surgery capacity in low resource settings?

    abstract:INTRODUCTION:Economic disadvantage may adversely influence the outcomes of infants with gastroschisis (GS). Gastroschisis International (GiT) is a network of seven paediatric surgical centres, spanning two continents, evaluating GS treatment and outcomes. MATERIAL AND METHODS:A 2-year retrospective review of GS infant...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Ford K,Poenaru D,Moulot O,Tavener K,Bradley S,Bankole R,Tshifularo N,Ameh E,Alema N,Borgstein E,Hickey A,Ade-Ajayi N

    更新日期:2016-08-01 00:00:00

  • What is the best option for 10-20mm renal pelvic stones undergoing ESWL in the pediatric population: stenting, alpha blockers or conservative follow-up?

    abstract:OBJECTIVE:In this study we aimed to identify the effect of three different modalities (stenting, doxazosin and conservative follow-up) on stone free rates and complication rates for 10-20mm renal pelvic stones in pediatric patients who underwent shock wave lithotripsy. PATIENTS AND METHODS:In this study data from 241 ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Telli O,Gokce MI,Ozturk E,Suer E,Mermerkaya M,Afandiyev F,Ozcan C,Guclu AG,Soygur T,Burgu B

    更新日期:2015-09-01 00:00:00

  • Pneumonostomy in the management of pediatric lung abscess.

    abstract::Emergency pneumonostomy was curative in a critically ill child with acute lung abscess. This procedure may be indicated for the rare acute lung abscess which fails to respond to medical therapy. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Lacey SR,Kosloske AM

    更新日期:1983-10-01 00:00:00

  • Urodynamic performance in boys with Y-type urethral duplication.

    abstract:PURPOSE:The aim of this study was to elucidate the urodynamic features of patients with Y-type urethral duplication. METHODS:Patients with Y-type urethral duplication were retrospectively analyzed. Clinical presentation, urodynamic findings, surgical methods, and treatment outcomes were reviewed. RESULTS:From 2014 to...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Zhang Y,Qu Y,Jiao L,Zhang W,Sun N,Tian J,Li M,Song H

    更新日期:2018-07-01 00:00:00

  • Meconium ileus: is a stoma necessary?

    abstract::During the 15 years from 1970 to 1984, 38 infants, all with cystic fibrosis, were treated for meconium ileus at The Montreal Children's Hospital and Ste-Justine Hospital for Children. Thirteen patients (34%) had complicated meconium ileus that included 7 perforations (2 colon, 5 ileum), 4 volvulus, and 2 atresia with ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Nguyen LT,Youssef S,Guttman FM,Laberge JM,Albert D,Doody D

    更新日期:1986-09-01 00:00:00

  • Infraumbilical entry into the peritoneal cavity through a small incision for the identification and cannulation of an umbilical artery.

    abstract::An infra-umbilical entry into the peritoneal cavity through a small incision, without anesthesia, for the identification and cannulation of an umbilical artery was employed for monitoring and therapy in five prematurely born neonates. The extra-peritoneal approach to umbilical artery identification and cannulation had...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Moore TC,Leake RD

    更新日期:1977-04-01 00:00:00

  • Perinatal management of congenital diaphragmatic hernia: when and how should babies be delivered? Results from the Canadian Pediatric Surgery Network.

    abstract:PURPOSE:A prenatal diagnosis of congenital diaphragmatic hernia (CDH) enables therapeutic decision making during the intrapartum period. This study seeks to identify the gestational age and delivery mode associated with optimal outcomes. PATIENTS AND METHODS:A national data set was used to study CDH babies born betwee...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Safavi A,Lin Y,Skarsgard ED,Canadian Pediatric Surgery Network.

    更新日期:2010-12-01 00:00:00

  • Use of angioembolization as an effective technique for the management of pediatric solid tumors.

    abstract:PURPOSE:In oncology practice, angioembolization has been reported for tumor reduction before surgery, treatment of life-threatening conditions, and for palliative care. Nevertheless, the overall experience with angioembolization for the treatment of tumors is limited. We report our experience in 7 nonvascular solid ped...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Krauel L,Albert A,Mora J,Sola T,Cruz O,Mortera C,Ribó JM

    更新日期:2009-09-01 00:00:00

  • Laparascopic Ladd's procedure as treatment alternative, when parenteral or prolonged hospital nutrition is not an option for superior mesenteric artery syndrome.

    abstract:OBJECTIVES:Superior mesenteric artery syndrome (SMAS) is an uncommon cause of duodenal obstruction in pediatric patients. It is extremely rare in young infants. The classic treatment for SMAS has been an open or laparoscopic duodenojejunostomy when conservative medical therapy failed to resolve the obstruction. We here...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Bing L,Shun-Lin X,Ji-Hua O,Wei-Bing C,Ye-Bo W

    更新日期:2020-03-01 00:00:00

  • Management of perforated appendicitis in children: a decade of aggressive treatment.

    abstract::Perforated appendicitis in children continues to be associated with significant morbidity. In 1976, a treatment algorithm was begun at the authors' institution, which included immediate appendectomy, antibiotic irrigation of the peritoneal cavity, transperitoneal drainage through the wound, and 10-day treatment with i...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Lund DP,Murphy EU

    更新日期:1994-08-01 00:00:00

  • Focal gastrointestinal perforations not associated with necrotizing enterocolitis in very low birth weight neonates.

    abstract::Nine very low birth weight (VLBW) neonates (< 1,000 g) undergoing abdominal exploration for peritonitis were found to have focal perforations of the gastrointestinal (GI) tract and no clinical or histologic evidence of necrotizing enterocolitis (NEC) or other mechanical cause. Although most patients presented initiall...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Mintz AC,Applebaum H

    更新日期:1993-06-01 00:00:00

  • Long-term follow-up of patients treated with ileoendorectal pull-through and right colon onlay patch for total colonic aganglionosis.

    abstract:BACKGROUND/PURPOSE:This study was performed to assess the long-term follow-up of five patients who underwent one-stage ileoendorectal pull-through with right colon onlay patch for total colonic aganglionosis (TCA) at Kaiser Permanente Medical Center. METHODS:A retrospective review of inpatient and outpatient charts an...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Emslie J,Krishnamoorthy M,Applebaum H

    更新日期:1997-11-01 00:00:00

  • Laparoscopic pancreatectomy for persistent hyperinsulinemic hypoglycemia of infancy.

    abstract:BACKGROUND:Persistent hyperinsulinemic hypoglycemia of infancy (PHHI) is considered the most common cause of persistent neonatal hypoglycemia. Management of PHHI involves use of medical agents and its failure is an indication of surgical intervention. Traditionally, an open pancreatectomy was the standard of care but r...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Al-Shanafey S,Habib Z,AlNassar S

    更新日期:2009-01-01 00:00:00

  • A new approach to the surgical correction of buried penis.

    abstract::Buried penis has been variously attributed to obesity with excessive suprapubic fat, severe phimosis with trapping of the penis within the prepubic tissues, and inadequate fixation of the penile shaft skin at the base resulting in tenting. Previous attempts at surgical correction, by excising suprapubic fat, fixing pe...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Joseph VT

    更新日期:1995-05-01 00:00:00

  • The treatment of abdominoscrotal hydrocele: Is there a role for nonoperative management?

    abstract:BACKGROUND/PURPOSE:Abdominoscrotal hydrocele (ASH) is an uncommon entity. Until now, the recommended treatment has been surgical. There is only one successful case of nonoperative management reported in literature. We report the largest series of children with ASH, and provide evidence in support of an initial nonopera...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Khorasani M,Jamieson DH,Langer K,Murphy JJ

    更新日期:2016-05-01 00:00:00