- Urological Disorders and Treatments
- Pediatric Urology and Nephrology Studies
- Hernia repair and management
- Urinary and Genital Oncology Studies
- Pelvic floor disorders treatments
- Urinary Bladder and Prostate Research
- Ureteral procedures and complications
- Urologic and reproductive health conditions
- Healthcare Policy and Management
- Urinary Tract Infections Management
- Bladder and Urothelial Cancer Treatments
- Congenital Anomalies and Fetal Surgery
- Congenital Diaphragmatic Hernia Studies
- Intestinal Malrotation and Obstruction Disorders
- Renal and Vascular Pathologies
- COVID-19 and healthcare impacts
- Abdominal Trauma and Injuries
- Kidney Stones and Urolithiasis Treatments
- Abdominal Surgery and Complications
- Cardiac, Anesthesia and Surgical Outcomes
- Electronic Health Records Systems
- Gastrointestinal motility and disorders
- Telemedicine and Telehealth Implementation
- Mobile Health and mHealth Applications
- Nephrotoxicity and Medicinal Plants
Arkansas Children's Hospital
2012-2024
Texas Children's Hospital
2024
University of Arkansas for Medical Sciences
2011-2022
Triangle
2019
Indianapolis Zoo
2019
Kentucky Science Center
2019
John Wiley & Sons (United States)
2019
Arkansas Department of Agriculture
2011-2017
Nationwide Children's Hospital
2007-2011
Dell Children's Medical Center of Central Texas
2009
We conducted a retrospective study of paediatric urological surgery patients over 12-month period. compared followed up by telemedicine with those who had post-operative follow-up on site at the Arkansas Children’s Hospital (ACH) in Little Rock. All pre-operative living northwest were given opportunity to use from satellite clinic Lowell, 328 km hospital. Of 61 patients, 10 chose and 51 be evaluated ACH clinic. visits completed successfully, but four cases, video clarity images was not...
Cross-trigonal ureteral reimplantation is a commonly performed procedure for the correction of vesicoureteral reflux. Most previously described laparoscopic techniques have used an extravesical approach. A "vesicoscopic" technique analogous to standard open cross-trigonal repair in principle, except that 3 ports with insufflation bladder are perform reimplantation.A retrospective review was patients treated primary reflux either vesicoscopic or reimplantation. For 5 mm port placed dome and...
We investigated the effect of rectal distention on lower urinary tract function.Children were assigned to a constipation and symptoms group or only group. The definition was based pediatric Rome III criteria. Standard urodynamics done initially repeated during simultaneous barostat pressure controlled balloon after deflation. evaluated effects inflation deflation urodynamic parameters. Colonic transit time measurement, anorectal manometry Parenting Rating Scale child behavior also used.We...
Inguinal hernia repair is one of the most commonly performed surgical procedures in children. However, a number controversial issues, such as optimal timing and approach to repair, continue be debated. This publication reviews available data pertaining these issues identifies best practices management inguinal hernias
Hypospadias is one of the most common congenital malformations, with reportedly increasing rates prevalence but poorly defined etiological factors for disease and varying degrees manifestation. We characterize hypospadias in Arkansas consideration degree hypospadias.Data from State Birth Defects Surveillance Program Reproductive Health Monitoring System were used to identify cases all male births by women residing between 1998 2007. Categorization severity into first, second or third was...
Groups at multiple institutions have documented the efficacy of minimally invasive repair ureteropelvic junction obstruction with a retroperitoneoscopic or laparoscopic approach. To our knowledge no group has compared 2 operative procedures directly single institution.The records 49 consecutive patients history pyeloplasty transperitoneal for were reviewed retrospectively, whom 29 underwent attempted and 20 pyeloplasty. Retroperitoneoscopic cases performed first in series before changing to...
In Arkansas, telemedicine is used commonly in obstetrics through Antenatal and Neonatal Guidelines, Education Learning System (ANGELS), the existing statewide network. This network primarily for tele-ultrasound maternal-fetal medicine consultation. study a retrospective case series, describing all patients who had prenatally diagnosed urologic anomaly that required prenatal From 2009–2013, approximately 1300 anomalies were recorded Arkansas Fetal Diagnosis Management (AFDM) database, 14% of...
Abstract Hypospadias is a common birth defect where the urethral opening forms on ventral side of penis. We performed integrative methylomic, genomic, and transcriptomic analyses to characterize sites DNA methylation that influence genital development. In case–control case-only epigenome-wide association studies (EWAS) preputial tissue we identified 25 CpGs associated with hypospadias characteristics used one-sample two stage least squares Mendelian randomization (2SLS MR) show causal...
To present our initial experience of laparoscopic reconstructive surgery in children with upper urinary tract obstruction associated duplex anomalies, as although there is much information on ablative procedures such heminephrectomy, little available about minimally invasive options for renal anomalies children.We retrospectively reviewed four consecutive patients (aged 6-11 years) and reconstruction obstructed, dilated segments treated at institution. The port placement surgical exposure...
The usage of prophylactic oral antibiotics following distal hypospadias repair with stenting has been recently challenged. This study evaluated the incidence symptomatic urinary tract infections (UTIs) stented, and impact antibiotic therapy. Subjects 0 to 5 years age were randomized either Group 1 (antibiotics) or 2 (no therapy). Urinalysis/urine culture was obtained intraoperatively no preoperative given. Phone interviews at month 3 months after surgery done. Forty-eight patients...
Introduction: Telemedicine allows health care professionals to diagnose and treat patients remotely. Enuresis is one of the most common chronic problems in childhood specialized can be limited. Utilization telemedicine this setting has not been previously analyzed. Materials Methods: This study's aim evaluate feasibility effectiveness follow-up treatment enuresis compared with traditional at our institution. A retrospective review treated for nocturnal either (Group 1) or (Group2) was...
We evaluated boys with distal epispadias and urinary incontinence to determine the cause, designed a simplified bladder neck reconstruction restore continence.Six of glans or penile shaft whose persisted after successful single stage repair were cystoscopy urodynamics failed attempts at toilet training. Surgical management--simplified reconstruction--involved suprapubic excision an identified deformity roof posterior urethra, followed by reapproximation remaining normal urethral tissues.All...
Purpose The COVID-19 pandemic dramatically changed the way many patients interacted with their healthcare providers, people being forced to use telemedicine out of necessity. Our study aimed investigate if this increased usage impacted pediatric patient caregivers’ perception for urology visits. Materials and Methods A prospective survey was administered primary caregiver all less than 18 years age during either an in-person (IP) or a (TM) encounter. included questions regarding...
Abstract Background Recent genome‐wide association studies of hypospadias have implicated the role genetic variants in or near diacylglycerol kinase kappa ( DGKK ) gene. However, these are largely identified among samples mild and moderate cases. Therefore, we evaluated previously second‐ third‐degree cases controls recruited Arkansas, a state characterized by high birth prevalence hypospadias. Methods Second‐ non‐Hispanic white n = 36 9, respectively) 45) were at Arkansas Children's...
No AccessJournal of UrologySocioeconomics1 Oct 2012Alternative Approaches to Expanding Pediatric Urology Services and Productivity Stephen Canon, Kyle Basham, Honor Lee Jody Ann Purifoy, Christopher Swearingen CanonStephen Canon Department Urology, University Arkansas for Medical Sciences, Children's Hospital, Little Rock, , BashamKyle Basham School Medicine, CanonHonor Pediatrics, PurifoyJody Purifoy SwearingenChristopher View All Author...