ReviewFrontiers in pediatrics2020
Managing Ureteropelvic Junction Obstruction in the Young Infant.
Review in Frontiers in pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Comparative outcomes of robotic-assisted and conventional laparoscopic pyeloplasty in pediatric patients: a decade of evidence.Journal of robotic surgery · 2025Pooled it
- A systematic review of underlying genetic factors associated with ureteropelvic junction obstruction in stenotic human tissue.Journal of pediatric urology · 2022Pooled it
- Comparing accuracy of urinary biomarkers in differentiation of ureteropelvic junction obstruction from nonobstructive dilatation in children.Pediatric nephrology (Berlin, Germany) · 2022Pooled it
- Meta-Analysis of the Efficacy of Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction via Retroperitoneal and Transperitoneal Approaches.Frontiers in pediatrics · 2021Pooled it
- 0-6 months versus 6-12 months laparoscopic pyeloplasty in infants: impact on short-term renal ultrasonographic parameters.World journal of urology · 2026Article
- Correlation of pre-operative sonographic and nuclear scan parameters with intraoperative renal histopathology in children with congenital pelviureteric junction obstruction.International urology and nephrology · 2026Observational
- Initial experience with combined laparoscopic pyeloplasty with adjunct flexible ureteroscopy for management of ureteropelvic junction obstruction with renal calyceal stones in children: a retrospective study.International urology and nephrology · 2026Article
- Safely limiting the use of antibiotic prophylaxis and invasive testing in asymptomatic children with antenatally detected hydronephrosis.Pediatric nephrology (Berlin, Germany) · 2026Article
- Comparison of large language models in the management of pediatric ureteropelvic junction obstruction: a comparative analysis of 125 clinical scenarios.Pediatric surgery international · 2026Article
- Clinical significance and management of antenatally detected hydronephrosis due to ureteropelvic junction obstruction: a retrospective single-center study.BMC pediatrics · 2026Article
- Laparoscopic pyeloplasty in infants with ureteropelvic junction obstruction managed with the enhanced recovery after surgery approach: a single-center experience.BMC urology · 2025Article
- Comparison of the treatment effect of laparoscopic and robot-assisted single-port laparoscopic pyeloplasty on ureteropelvic junction obstruction in infants.Journal of robotic surgery · 2025Article
- Intermittent Ureteropelvic Junction Obstruction Can Mimic Abdominal Migraine: A Case Report and Review of the Literature.Clinical case reports · 2025Article
- Safety and efficacy of robotic-assisted laparoscopic pyeloplasty for ureteropelvic junction obstruction in infants under 6 months.Scientific reports · 2025Article
- Review
- An assisted suspension fixation technique in transperitoneal laparoscopic pyeloplasty for infants and young children with ureteropelvic junction obstruction: a retrospective cohort study.Translational andrology and urology · 2025Article
- Learning curve in robotic surgery for ureteropelvic junction obstruction in children: how to best define a reliable learning process through CUSUM analysis.Frontiers in surgery · 2025Article
- Feasibility analysis of ambulatory surgery in pediatric ureteropelvic junction obstruction.Frontiers in pediatrics · 2025Article
- Prenatal Diagnosis of Reno-Urinary Malformations in a Tertiary Center of Republic of Moldavia.Diagnostics (Basel, Switzerland) · 2024Article
- Sudden-onset hypertension leading to the diagnosis of unilateral hydronephrosis due to ureteropelvic junction obstruction.CEN case reports · 2024Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In the last decade, management of congenital UPJ obstruction has become progressively observational despite the lack of precise predictors of outcome. While it is clear that many children will have resolution of their hydronephrosis and healthy kidneys, it is equally clear that there are those in whom renal functional development is at risk. Surgical intervention for the young infant, under 6 months, has become relatively infrequent, yet can be necessary and poses unique challenges. This review will address the clinical evaluation of UPJO in the very young infant and approaches to determining in whom surgical intervention may be preferable, as well as surgical considerations for the small infant. There are some clinical scenarios where the need for intervention is readily apparent, such as the solitary kidney or in child with infection. In others, a careful evaluation and discussion with the family must be undertaken to identify the most appropriate course of care. Further, while minimally invasive pyeloplasty has become commonly performed, it is often withheld from those under 6 months. This review will discuss the key elements of that practice and offer a perspective of where minimally invasive pyeloplasty is of value in the small infant. The modern pediatric urologist must be aware of the various possible clinical situations that may be present with UPJO and feel comfortable in their decision-making and surgical care. Simply delaying an intervention until a child is bigger may not always be the best approach.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.