Bow Lake, Banff
Evidence & Papers
Where the guidance actually comes from
Short, sourced write-ups tracking key guideline updates and notable papers in pediatric urology — the evidence behind the condition guides, in one place.
Bow Lake, Banff
Evidence & Papers
Short, sourced write-ups tracking key guideline updates and notable papers in pediatric urology — the evidence behind the condition guides, in one place.
What the guidelines say and leave unsaid, standard and debated technique, and how ideas on urethral development changed.
The current EAU/ESPU chapter carries only five recommendations, and the one rated Weak is the 30-degree threshold. Timing, testosterone, stents and antibiotics get none at all.
Only one recommendation covers technique: use the algorithm. Plate-preserving TIP, 5% versus 25% for curvature, 42% versus 21% proximally, and no definitive guidance for redo repair.
From ectodermal ingrowth (1954) to the double zipper (2015) and the direct canalization of the glans (2018) — what each of five papers changed, and what each could not show.
A four-part reading of AUA and EAU/ESPU with NICE and AAP: investigation, risk groups and follow-up, prophylaxis, surgery.
Whom to send for VCUG after a first febrile UTI: selection criteria in EAU/ESPU, NICE and AAP 2026, atypical infection, top-down imaging and sibling screening.
The EAU/ESPU risk table and AUA and AAP risk definitions. Has the stratification been validated, and when do reflux and kidney follow-up end?
RIVUR, Swedish, PRIVENT and PREDICT read by population and outcome. Recurrent infection and renal scarring are different results, and the evidence on when to stop is thin.
Criteria for moving to surgery, endoscopic injection versus reimplantation, open surgery as the reference against robotic repair, and how surgical success is judged.
AUA and EAU/ESPU compared item by item, and the pathophysiology behind the timing of surgery.
The single strong EAU/ESPU recommendation, the AUA’s silence, and the gaps in indications, timing and technique.