OBJECTIVE: To revise the American Academy of Pediatrics practice parameter regarding the diagnosis and management of initial urinary tract infections (UTIs) in febrile infants and young children. METHODS: Analysis of the medical literature published since the last version of the guidelinewas supplemented by analysis of data provided by authors of recent publications. The strength of evidence su...

OBJECTIVE: To revise the American Academy of Pediatrics practice parameter regarding the diagnosis and management of initial urinary tract infections (UTIs) in febrile infants and young children. METHODS: Analysis of the medical literature published since the last version of the guidelinewas supplemented by analysis of data provided by authors of recent publications. The strength of evidence su...

OBJECTIVE: To revise the American Academy of Pediatrics practice parameter regarding the diagnosis and management of initial urinary tract infections (UTIs) in febrile infants and young children. METHODS: Analysis of the medical literature published since the last version of the guidelinewas supplemented by analysis of data provided by authors of recent publications. The strength of evidence su...

OBJECTIVE: To revise the American Academy of Pediatrics practice parameter regarding the diagnosis and management of initial urinary tract infections (UTIs) in febrile infants and young children. METHODS: Analysis of the medical literature published since the last version of the guidelinewas supplemented by analysis of data provided by authors of recent publications. The strength of evidence su...

OBJECTIVE: To revise the American Academy of Pediatrics practice parameter regarding the diagnosis and management of initial urinary tract infections (UTIs) in febrile infants and young children. METHODS: Analysis of the medical literature published since the last version of the guidelinewas supplemented by analysis of data provided by authors of recent publications. The strength of evidence su...

OBJECTIVE: To revise the American Academy of Pediatrics practice parameter regarding the diagnosis and management of initial urinary tract infections (UTIs) in febrile infants and young children. METHODS: Analysis of the medical literature published since the last version of the guidelinewas supplemented by analysis of data provided by authors of recent publications. The strength of evidence su...

BACKGROUND The prevalence of vesicoureteral reflux (VUR) is higher in enuretic children than in non-enuretic children. Recent studies have reported VUR in 6-23% of children with enuresis. OBJECTIVES To clarify the association of nocturnal enuresis with vesicoureteral reflux (VUR) and to identify children who are at risk for VUR. PATIENTS AND METHODS During 2007-2009, neurologically normal c...

In 2011, the American Academy of Pediatrics (AAP) released an updated clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants from 2-24 months. Of particular note, previous guidelines had included the routine use of a Voiding Cysto Urethro Gram (VCUG) in the diagnostic evaluation of infants after a febrile UTI. The new guidelines, however, recommend on...

PURPOSE Little consensus exists regarding the choice of a specific modality of voiding cystography in the evaluation and management of vesicoureteral reflux. We hypothesized that choices of pediatric urologists are based on technical factors of the studies themselves, as well as institutional factors unique to their hospital(s). Therefore, we surveyed pediatric urologists to determine their cur...

CLINICAL PROBLEM We diagnosed 8 patients with late-stage posterior urethral valves (PUV) between 1 and 14 years of age. Five patients complained of symptoms related to voiding dysfunction. The other 3 patients required urethrocystoscopy for other reasons (hypospadias fistulae, difficulty with catheterisation and high-grade vesicoureteral reflux [VUR]). A second review of the first 2 patients' m...