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Speciality Spotlight
Pediatric
Disease
- Batista JE, Caffaratti J, Arano P, et al [ Fundacion Puigvert, Barcelona]
The reliability of Cysto-Urethrographic Signs in the Diagnosis of Destrusor Instability in Children
Br J Urol 81: 900-904, 1998
Radiological signs associated with detrusor instability have been identified during video-urodynamic studies. The diagnostic yield of conventional VCUG needs to be identified as video -urodynamic are not available in all hospitals.
Conclusion – In conventional VCUG, the radiological signs suggestive of detrusor instability are not useful.
Bladder trabeculation and urethral dilatation [spinning top] were not more sensitive and specific.
- Kogan BA, Baskin LS, Allison MJ [ Albany Med College, NY; Univ of California, San Francisco]
Length of Stay for Specialized Pediatric Urologic Care
Arch Pediatr Adolesc Med 152: 1126-1131, 1998
Managed care organizations believe that pediatric urologists are more expensive and provide no better care than general urologists. This study analyzed the costs and outcomes of children undergoing common urologic operations performed at centers with and without pediatric urology specialists.
Conclusion – For children undergoing common urologic operative procedures, the availability of pediatric urologists is associated with a significantly shorter length of stay, both actual and risk adjusted. Pediatric urologists achieve excellent results with greater efficacy and lower resource utilization than general urologists.
