Archive for urology
Undescended testicles: Why prompt referral is key
An estimated 3 percent of boys have undescended testicles at birth, making it a common problem encountered by pediatricians and urologists alike. Also known as cryptorchidism, an undescended testicle is one that hasn’t moved into its proper position in the scrotum before birth. Typically, only one testicle is affected, but in some cases, both may ... Read More
Drawing on data to revolutionize pediatric urology
At first blush, data analytics — sifting through raw data to discover patterns and draw conclusions from them — seems far afield from the practice of pediatric urology. One discipline involves crunching numbers at a computer, while the other involves caring for patients in the clinic or operating room (OR). But for members of Boston ... Read More
Building a bladder-specific Botox
Botulinum toxins are bacterial neurotoxins that also have a range of therapeutic uses. In urology, injections of these potent substances can relax the bladder muscle, helping treat conditions such as overactive bladder and neurogenic bladder. Of the seven types of botulinum toxin, two have been approved by the U.S. Food and Drug Administration (FDA): botulinum ... Read More
Building a better bladder: Reconstructive urologic surgery helps Mikey thrive
When Mikey Tibbetts’ parents, Johanna and Matt, take him trick-or-treating, the process can last for hours. “He knows everyone and wants to stop and talk,” laughs Johanna. “We call him the mayor.” Indeed, the “super-smart” 9-year-old has even memorized the entire map of his hometown in southeastern Massachusetts. Mikey’s popularity extends to Boston Children’s Hospital, ... Read More
Study links urinary incontinence in female athletes to low energy availability
Urinary incontinence (UI) is a common experience for female athletes that can significantly impact their enjoyment of and participation in sports. Previous studies have shown that female athletes who experience urinary incontinence are more likely to drop out of their sports. Noting a large number of female athletes presenting with urinary incontinence, physicians in the ... Read More
Predicting the best treatment for vesicoureteral reflux in kids: The power of machine learning
The result of abnormal formation of the normal valve between the kidney and bladder, vesicoureteral reflux (VUR) can lead to recurrent febrile urinary tract infections (UTIs) and kidney scarring in children. Previous research has shown that when taken continuously, prophylactic antibiotics can reduce the risk of recurrent UTI in about half of this population. However, ... Read More
Surgery during COVID-19: Answers for parents
Any time a child needs surgery, safety is a natural concern. With COVID-19, many parents are feeling more concerned than ever. “As a parent myself, one of the scariest things about this pandemic is that you’re often having to make decisions based on incomplete information, says Dr. Prathima Nandivada, an attending surgeon in the Department ... Read More
Innovative new shunt delivery system holds promise for treatment of fetal urinary tract obstruction
Urinary tract obstruction that occurs in utero can have serious consequences for the fetus. Such obstructions can block the flow of fetal urine, which makes up amniotic fluid. Without adequate levels of amniotic fluid, a fetus may not develop properly, especially in terms of the fetal lungs. Fetal urinary tract obstructions can range from mild ... Read More
Harnessing the power of machine learning to improve urology care
Urodynamics — a group of tests that evaluate how well the body collects, and then releases, urine — can be crucial for diagnosing urologic problems, particularly in children with spinal cord defects and other neurologic conditions. While urodynamics can provide clinicians with a rich set of data, the interpretation of these tests remains unstandardized. That ... Read More
At the forefront of kidney stone removal: Innovative approaches transform patient care
No longer considered just an adult problem, kidney stones increasingly affect children as well. The majority of children who cannot pass stones on their own can be treated with minimally invasive approaches such as extracorporeal shock wave lithotripsy, ureteroscopy, percutaneous nephrolithotomy, laparoscopic and robotic approaches and, rarely, open surgery. Now, two recent innovations provide additional ... Read More