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20 results on '"Wehbi, Elias J."'

2. A multicenter study of acute testicular torsion in the time of COVID-19.

Author

Holzman, Sarah A, Ahn, Jennifer J, Baker, Zoe, Chuang, Kai-Wen, Copp, Hillary L, Davidson, Jacob, Davis-Dao, Carol A, Ewing, Emily, Ko, Joan, Lee, Victoria, Macaraeg, Amanda, Nicassio, Lauren, Sadighian, Michael, Stephany, Heidi A, Sturm, Renea, Swords, Kelly, Wang, Peter, Wehbi, Elias J, Khoury, Antoine E, and Western Pediatric Urology Consortium (WPUC)

Subjects
Western Pediatric Urology Consortium, Humans, Spermatic Cord Torsion, Orchiectomy, Retrospective Studies, Prospective Studies, Male, Pandemics, COVID-19, SARS-CoV-2, Pandemic, Testicular torsion, Urologic emergencies, Patient Safety, Clinical Research, Good Health and Well Being, Paediatrics and Reproductive Medicine, Urology & Nephrology
Abstract

BackgroundTesticular torsion is a surgical emergency, and time to detorsion is imperative for testicular salvage. During the COVID-19 pandemic, patients may delay emergency care due to stay-at-home orders and concern of COVID-19 exposure.ObjectiveTo assess whether emergency presentation for testicular torsion was delayed during the COVID-19 pandemic, and whether the rate of orchiectomy increased compared to a retrospective period.Study designPatients were prospectively enrolled in a multicenter study from seven institutions in the United States and Canada. Inclusion criteria were patients two months to 18 years of age with acute testicular torsion from March through July 2020. The retrospective group included patients from January 2019 through February 2020. Statistical analysis was performed using Kruskal-Wallis tests, Chi-square tests, and logistic regression.ResultsA total of 221 patients were included: 84 patients in the COVID-19 cohort and 137 in the retrospective cohort. Median times from symptom onset to emergency department presentation during COVID-19 compared to the retrospective period were 17.9 h (IQR 5.5-48.0) and 7.5 h (IQR 4.0-28.0) respectively (p = 0.04). In the COVID-19 cohort, 42% of patients underwent orchiectomy compared to 29% of pre-pandemic controls (p = 0.06). During COVID-19, 46% of patients endorsed delay in presentation compared to 33% in the retrospective group (p = 0.04).DiscussionWe found a significantly longer time from testicular torsion symptom onset to presentation during the pandemic and a higher proportion of patients reported delaying care. Strengths of the study include the number of included patients and the multicenter prospective design during the pandemic. Limitations include a retrospective pre-pandemic comparison group.ConclusionsIn a large multicenter study we found a significantly longer time from testicular torsion symptom onset to presentation during the pandemic and a significantly higher proportion of patients reported delaying care. Based on the findings of this study, more patient education is needed on the management of testicular torsion during a pandemic.

Published
2021

4. MP55-04 DO ALL INFANTS WITH PRENATAL HYDRONEPHROSIS NEED a SCREENING VCUG? ANALYSIS OF THE SOCIETIES FOR PEDIATRIC UROLOGY HYDRONEPHROSIS TASKFORCE

Author

Farkouh, Ala'a, primary, Davis-Dao, Carol, additional, Herndon, Anthony, additional, Kuang, Ruby, additional, Williamson, Sarah, additional, Zee, Rebecca, additional, Cheng, Kai Wen, additional, Song, Sikai, additional, Cannon, Shannon, additional, Braga, Luis H., additional, Wehbi, Elias J., additional, Lockwood, Gina M., additional, Welch, Valre, additional, Kern, Nora G., additional, McGrath, Melissa, additional, Dudley, Anne, additional, Chamberlin, David A., additional, Khoury, Antoine E., additional, and Chamberlin, Joshua D., additional

Published
2024
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5. MP72-18 THE CONUNDRUM OF HIGH-GRADE HYDRONEPHROSIS WITH INDETERMINATE LASIX RENAL SCAN

Author

Wehbi, Elias J., primary, Williamson, Sarah H., additional, Davis-Dao, Carol A., additional, Herndon, C. D. Anthony, additional, Chamberlin, Joshua D., additional, Dudley, Anne G., additional, Cannon, Shannon, additional, Lockwood, Gina M., additional, Kern, Nora G., additional, Zee, Rebecca S., additional, Braga, Luis H., additional, Welch, Valre W., additional, Chuang, Kai-Wen, additional, McGrath, Melissa, additional, Stephany, Heidi A., additional, and Khoury, Antoine E., additional

Published
2024
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6. MP72-06 PREDICTORS OF RISK OF SUBSEQUENT URINARY TRACT INFECTION IN A MULTICENTER COHORT OF PATIENTS WITH PRIMARY VESICOURETERAL REFLUX: PRELIMINARY INSIGHTS ON RISK PREDICTION

Author

Davis-Dao, Carol A., primary, Wehbi, Elias J., additional, Hinkel, Cameron, additional, Nguyen, Allen, additional, Alshehabi, Sara, additional, Farkouh, Ala'a, additional, Kuang, Ruby, additional, Chamberlin, David A., additional, Chuang, Kai-Wen, additional, Stephany, Heidi A., additional, Blum, Emily S., additional, Chamberlin, Joshua D., additional, Cooper, Christopher S., additional, Kirsch, Andrew J., additional, and Khoury, Antoine E., additional

Published
2024
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7. MP72-07 VARIATION IN URINARY TRACT INFECTION RISK BY RACE/ETHNICITY AMONG PATIENTS WITH VESICOURETERAL REFLUX: A MULTICENTER ANALYSIS

Author

Wehbi, Elias J., primary, Davis-Dao, Carol A., additional, Nguyen, Allen, additional, Alshehabi, Sara, additional, Hinkel, Cameron J., additional, Chuang, Kai-Wen, additional, Stephany, Heidi A., additional, Farkouh, Ala'a, additional, Kuang, Ruby, additional, Chamberlin, David A., additional, Blum, Emily S., additional, Chamberlin, Joshua D., additional, Cooper, Christopher S., additional, Kirsch, Andrew J., additional, and Khoury, Antoine E., additional

Published
2024
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12. Identifying variability in surgical practices and instrumentation for hypospadias repair across the Western Pediatric Urology Consortium (WPUC) network

Author

Yamashiro, Justine R., primary, Austin, J. Christopher, additional, Braga, Luis H., additional, Chuang, Kai-Wen, additional, Davis-Dao, Carol A., additional, Hecht, Sarah, additional, Holzman, Sarah A., additional, Khoury, Antoine E., additional, Kurzrock, Eric A., additional, Lerman, Steven E., additional, McGrath, Melissa, additional, Merguerian, Paul A., additional, Saltzman, Amanda F., additional, Schaeffer, Anthony J., additional, Seideman, Casey, additional, Singer, Jennifer S., additional, Wang, Peter, additional, Wehbi, Elias J., additional, Wu, Hsi-Yang, additional, and Sturm, Renea M., additional

Published
2023
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14. Recurrent ventral curvature after corporoplasty with tunica vaginalis flap

Author

Huen, Kathy H., primary, Macaraeg, Amanda, additional, Davis-Dao, Carol A., additional, Kashmiri, Himala, additional, Williamson, Sarah H., additional, Boswell, Timothy, additional, Thomas, Julia E., additional, Suhale, Zayn, additional, Chuang, Kai-wen, additional, Stephany, Heidi A., additional, Wehbi, Elias J., additional, and Khoury, Antoine E., additional

Published
2022
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15. Re: Letter to the editor ‘risk of urinary tract infection in patients with hydroureter: An analysis from the society of fetal urology prenatal hydronephrosis registry’

Author

Holzman, Sarah A., primary, Braga, Luis H., additional, Zee, Rebecca S., additional, Herndon, C.D. Anthony, additional, Davis-Dao, Carol A., additional, Kern, Nora G., additional, Chamberlin, Joshua D., additional, McGrath, Melissa, additional, Chuang, Kai-Wen, additional, Stephany, Heidi A., additional, Wehbi, Elias J., additional, Nguyen, Tiffany T., additional, Dudley, Anne G., additional, Welch, Valre W., additional, Lockwood, Gina M., additional, Farhat, Walid A., additional, and Khoury, Antoine E., additional

Published
2022
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16. Home bladder pressure measurements correlate with urodynamic storage pressures and high-grade hydronephrosis in children with spina bifida

Author

Huen, Kathy H., primary, Chamberlin, Joshua D., additional, Macaraeg, Amanda, additional, Davis-Dao, Carol A., additional, Williamson, Sarah H., additional, Beqaj, Linda, additional, Abdelhalim, Ahmed, additional, Mahmoud, Ranim, additional, Stephany, Heidi A., additional, Chuang, Kai-wen, additional, Wehbi, Elias J., additional, and Khoury, Antoine E., additional

Published
2022
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17. Continuous antibiotic prophylaxis in isolated prenatal hydronephrosis

Author

Chamberlin, Joshua D., primary, Braga, Luis H., additional, Davis-Dao, Carol A., additional, Herndon, C.D. Anthony, additional, Holzman, Sarah A., additional, Herbst, Katherine W., additional, Zee, Rebecca S., additional, McGrath, Melissa, additional, Kern, Nora G., additional, Welch, Valre W., additional, Dudley, Anne G., additional, Lockwood, Gina M., additional, Finup, Jennika L., additional, Macaraeg, Amanda M., additional, Vu, Emily Q., additional, Chuang, Kai-wen, additional, Stephany, Heidi A., additional, Wehbi, Elias J., additional, and Khoury, Antoine E., additional

Published
2022
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19. Risk of urinary tract infection in patients with hydroureter: An analysis from the Society of Fetal Urology Prenatal Hydronephrosis Registry

Author

Holzman, Sarah A., primary, Braga, Luis H., additional, Zee, Rebecca S., additional, Herndon, C.D. Anthony, additional, Davis-Dao, Carol A., additional, Kern, Nora G., additional, Chamberlin, Joshua D., additional, McGrath, Melissa, additional, Chuang, Kai-wen, additional, Stephany, Heidi A., additional, Wehbi, Elias J., additional, Nguyen, Tiffany T., additional, Dudley, Anne G., additional, Welch, Valre W., additional, Lockwood, Gina M., additional, Farhat, Walid A., additional, and Khoury, Antoine E., additional

Published
2021
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20. Recurrent ventral curvature after corporoplasty with tunica vaginalis flap.

Author

Huen, Kathy H., Macaraeg, Amanda, Davis-Dao, Carol A., Kashmiri, Himala, Williamson, Sarah H., Boswell, Timothy, Thomas, Julia E., Suhale, Zayn, Chuang, Kai-wen, Stephany, Heidi A., Wehbi, Elias J., and Khoury, Antoine E.

Abstract

Optimal means to correct ventral curvature (VC) is debated. Our preferred technique for curvature greater than 45° is corporoplasty using tunica vaginalis flap (TVF). We describe our complications with TVF for ventral lengthening. Forty-four boys who underwent ventral lengthening with a corporoplasty with TVF were identified in a prospective database for proximal hypospadias repair by a single surgeon from 2008 to 2021. Corporotomy was performed by incising the tunica albuginea of the corpora cavernosa transversely at the point of maximum curvature. Harvested TVF was tailored to the size of the corporotomy and anastomosed to the edges of the tunica albuginea and on laid to the corporal defect with the mesothelial side of the TVF abutting the erectile tissue. Median age at surgery was 1.0 years (IQR 0.72–1.82). Median follow-up time was 4.9 years (IQR 2.6–8.0). Thirteen patients (27%) were older than 10 years of age at last follow up (median 13.3, range 10–20). Twenty-two boys (50%) received preoperative testosterone. The most common location of the meatus after degloving was penoscrotal (41%). Median VC after degloving was 90° (IQR 80–100). The urethral plate was transected in 43/44 (98%) of boys, improving median VC to 60° (IQR 40–60). After corporotomy, the median longitudinal distracted distance was 15 mm (IQR 12–17). Urethral reconstruction was most commonly achieved with the transverse island preputial flap technique or its modifications (39/44; 89%). Erections were reported in 42 boys (95%). None developed corporal diverticula, and two patients (4.5%) had ascended testis associated with TVF harvest. Seven percent of boys had recurrent ventral curvature (RVC; 3/44). Median RVC was 30° (IQR 30–45). One patient had RVC at the penoscrotal junction (not at site of prior corporoplasty) identified 11 years post operatively at age 15, and underwent dorsal plication. The other 2 patients were diagnosed less than 1 year post operatively. Both patients received testosterone due to small glans size, had double-face tubularized transverse island preputial flap as urethral and ventral skin coverage, and had endocrine and genetic consultation. Both had scarring of the preputial flap and of the corporoplasty. Scar excision and superficial transverse incisions on the tunica albuginea corrected RVC. The five-year outcome of ventral penile lengthening using TVF for corporoplasty is favorable with 7% of boys with RVC, and 4.5% with ascended testes associated with TVF harvest. None developed corporal diverticula. [Display omitted] [ABSTRACT FROM AUTHOR]

Published
2023
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