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135 results on '"Spinoit, A. F."'

2. Pathways to paediatric urology subspecialisation:a study of casemix, incumbent attitudes and opinions

Author

O’Kelly, F., t’Hoen, L. A., Banuelos Marco, B., Lammers, R. J.M., Sforza, S., Hiess, M., Bindi, E., Baydilli, N., Donmez, M. I., Paraboschi, I., Atwa, A., Spinoit, A. F., Haid, B., Silay, S., O’Kelly, F., t’Hoen, L. A., Banuelos Marco, B., Lammers, R. J.M., Sforza, S., Hiess, M., Bindi, E., Baydilli, N., Donmez, M. I., Paraboschi, I., Atwa, A., Spinoit, A. F., Haid, B., and Silay, S.

Abstract

Objective: To identify any self-reported differences or attitudes towards certification, publication, or practice patterns between adult urology and paediatric general surgery-trained paediatric urology providers. There are no known published differences in clinical/operative/research outcomes in either group. Methods: An 18-item cross-sectional survey was compiled through the EAU Young Academic Urologists (YAU) office and disseminated to a trans-Atlantic convenience sample of current practising paediatric urologists. This was created using a mini-Delphi method to provide current semi-quantitative data relating to current opinions and attitudes of this cohort. Results: A total of 228 respondents completed the survey, with female respondents representing 37% and 34% for urology and paediatric general surgery, respectively. Nearly 90% overall respondents felt that a full 2-year paediatric fellowship program was very important and 94% endorsed a collaborative dedicated paediatric urology on call service, with 92% supporting the joint development of transitional care. Urology managed higher numbers of bedwetting (p = 0.04), bladder bowel dysfunction (p = 0.02), endourological procedures (p = 0.04), and robotics (p = 0.04). Paediatric general surgery managed higher numbers of laparoscopic reconstruction (p = 0.03), and posterior urethral valve ablation (p = 0.002). Conclusion: This study represents the first time that a cross-sectional cohort of paediatric urologists from different training backgrounds were compared to assess their productivity, practice patterns and attitudes. Paediatric urology is in a unique position to have two contributing specialities, with the ability to provide optimal transitional and lifelong care. We believe that there should be a strong emphasis on collaboration and to remove any historically-created barriers under policies of equity, diversity and inclusivity.

Published
2024

4. Neuropsychiatric Developmental Disorders in Children Are Associated With an Impaired Response to Treatment in Bladder Bowel Dysfunction: A Prospective Multi-Institutional European Observational Study

Author

O’Kelly, F., primary, t’Hoen, L. A., additional, Silay, S., additional, Lammers, R. J. M., additional, Sforza, S., additional, Bindi, E., additional, Baydilli, N., additional, Donmez, M. I., additional, Paraboschi, I., additional, Atwa, A., additional, Spinoit, A. F., additional, and Marco, B. Banuelos, additional

Published
2023
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8. A cross-sectional analysis of paediatric urologists’ current practices, opinions and areas of perceived importance in the delivery of adolescent & transitional care

Author

O'Kelly, F., t'Hoen, L. A., Burgu, B., Banuelos Marco, B., Lammers, R. J.M., Sforza, S., Hiess, M., Bindi, E., Baydilli, N., Donmez, M. I., Paraboschi, I., Atwa, A., Spinoit, A. F., Haid, B., Radmayr, C., Silay, M. S., Urology, and Tıp Fakültesi

Subjects
Adolescent, Urology, Pediatrics, Perinatology and Child Health, Strategy, Workforce, Transitional Care, Needs Assessment
Abstract

Introduction: Complex urological anomalies often require continued care as patients reach adulthood. Adequate transition for adolescents with ongoing urological care needs is critical to allow for seamless care in adult hospitals. Studies have shown that this can lead to improved patient and parental satisfaction, and lower utilisation of unplanned inpatient beds and emergency department visits. There is currently no ESPU-EAU consensus on the adequate mechanism and very few individual papers examining the role of urological transition for these patients in a European setting. This study aimed to identify current practice patterns in paediatric urologists providing adolescent/transitional care, to assess their opinions towards formal transition and to look for variations in care. This has implications for long-term patient health and specialist care. Methods: An 18-item cross-sectional survey was compiled and pre-approved through the EAU-EWPU and ESPU board offices prior to dissemination to all registered ordinary members affiliated with the ESPU. This was created using a mini-Delphi method through the EWPU research meetings to provide current semi-quantitative data relating to current opinions and attitudes of this cohort. Results: A total of 172 respondents (55% paediatric general surgery; 45% urology) across 28 countries completed the survey. The majority of respondents were in practice >10 years and spent >80% time in paediatric urology. There was no formal transition process according to 50% respondents and over half of those that did have less than 1/month, with 70% units had no designated corresponding adult service. Furthermore, 93% paediatric believe a formal transition service to be very important, using a multidisciplinary framework. A pareto chart demonstrated 10 specific conditions to be of most interest in transition to adulthood. Conclusion: This is the first study to assess the requirements of paediatric urologists for adequate transitional care, however due to the nature of the survey's distribution, this was a non-scientific poll based on a convenience sample of respondents. It is critical that dual-trained or adult-trained urologists with a specific interest in paediatric urology work with current paediatric urologists in a multidisciplinary fashion to facilitate early transition based on the adolescent's developmental and biopsychosocial requirements. National urological and paediatric surgical societies need to make transitional urology a priority. The ESPU and EAU should collaboratively consider developing transitional urology guidelines to allow a framework by which this can occur.[Formula

Published
2023
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15. Remote consultations in paediatric urology–Not just for pandemics?

Author

Charnell, A.M. (Aimee M.), Hoen, L. (Lisette 't), Sforza, S. (Simone), Spinoit, A.-F. (Anne-Françoise), Radford, A. (Anna), Charnell, A.M. (Aimee M.), Hoen, L. (Lisette 't), Sforza, S. (Simone), Spinoit, A.-F. (Anne-Françoise), and Radford, A. (Anna)

Abstract

Although some centres have successfully integrated remote clinics into their paediatric urological practice, for many, remote clinics have developed due to the COVID-19 pandemic. One UK-based institution has integrated remote clinics in their practice for over two years and has developed guidelines considering which conditions may be suitable for remote consultations. These guidelines have been appraised by the European Association of Urology Young Academic Urologists paediatric working group. Through practical experience and anticipated difficulties, we have discussed considerations that paediatric urology departments should ponder when integrating remote clinics into their practice as we move forward from the pandemic.

Published
2021
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19. Long-term psychosexual outcome of men born with hypospadias

Author

Spinoit, A-F., primary, Tack, L., additional, Van Hoecke, E., additional, Springer, A., additional, Riedl, S., additional, Tonnhofer, U., additional, Hiess, M., additional, Weninger, J., additional, Van Laecke, E., additional, Hoebeke, P., additional, and Cools, M., additional

Published
2020
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48. Robot-Assisted Excision of a Pararectal Gastrointestinal Stromal Tumor in a Patient with Previous Ileal Neobladder

Author

Ploumidis, A., Mottrie, A., Spinoit, A. F., Gan, M., Ficarra, V., and Andrianne, R.

Subjects
Article Subject, neoplasms, digestive system diseases
Abstract

Gastrointestinal stromal tumors (GISTs) are the most frequent mesenchymal tumors of the gastrointestinal tract with surgical resection remaining the cornerstone of therapy. Pararectal lesions are considered to be technically difficult and pose in some cases a challenge. We report, to the best of our knowledge, the first robotic-assisted pararectal GIST excision. A 43-year-old man was referred to our center with pararectal GIST recurrence, despite treatment with targeted therapy. Eleven years ago, he underwent extensive abdominal surgery including cystoprostatectomy with ileal neobladder diversion due to GIST resection in the rectoprostatic space. Robot-assisted surgical resection was successfully performed without the need for temporary colostomy. The postoperative course of the patient was uneventful, and the pathology report confirmed a GIST recurrence with negative surgical margins and pelvic lymph nodes free of any tumor. Robotic-assisted pelvic surgery can be extended to incorporate excision of pararectal GISTs, as a safe, less invasive surgical alternative with promising oncological results and minimal injury to adjacent structures.

Published
2014
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