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Pediatric Urology: How to Adapt Current Knowledge to the New Era

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Pediatrics".

Deadline for manuscript submissions: 15 January 2026 | Viewed by 1076

Special Issue Editors


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Guest Editor
Pediatric Urology Unit, Regina Margherita Children’s Hospital, 10126 Turin, Italy
Interests: pediatric surgery; pediatric urology; minimally invasive surgery; laparoscopic and robot-assisted surgery; reconstructive urologic surgery; congenital genitourinary anomalies

E-Mail Website
Guest Editor
Pediatric Urology Unit, Regina Margherita Children’s Hospital, 10126 Turin, Italy
Interests: pediatric surgery; pediatric urology; minimally invasive surgery; laparoscopic and robot-assisted surgery; telemedicine; reconstructive urologic surgery; congenital genitourinary anomalies

Special Issue Information

Dear Colleagues,

This Special Issue aims to collect scientific articles reviewing advances in pediatric urology and perspectives for optimizing pediatric patient care. With the integration of new technologies, advanced surgical techniques, multidisciplinary approaches and new insights in genetics, pediatric urology is a rapidly evolving discipline. The articles included in this Special Issue provide a comprehensive overview of the most important innovations in the field of pre-operative diagnostics, including the surgical planning of complex oncological cases, the optimization of the outpatient management of urological patients with chronic diseases, such as patients with neurogenic bladder diseases, the development of new minimally invasive surgical approaches for the treatment of congenital pathologies, urinary stones, tumors, and the importance of telementoring for the enhanced surgical management of complex clinical cases. The editorial examines the achievements of the past and looks to the future, highlighting areas where research is expanding, including the potential of artificial intelligence (AI) and machine learning (ML) to improve diagnosis and surgical planning. It aims to provide readers with a comprehensive and up-to-date view of an industry that is rapidly redefining standards of care, with the goal of improving the quality of life and long-term well-being of young patients.

Dr. Simona Gerocarni Nappo
Dr. Elisa Cerchia
Guest Editors

Manuscript Submission Information

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Keywords

  • pediatric urology
  • telemedicine
  • telesurgery
  • artificial intelligence
  • 3D-models
  • congenital urinary diseases
  • pediatric oncology

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Published Papers (1 paper)

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Research

10 pages, 961 KB  
Article
Robot-Assisted Extravesical Ureteral Reimplantation (RALUR-EV) in Children: Initial Single-Center Experience at a Public Tertiary-Care Hospital in Ecuador
by Giancarlo Sánchez-Salazar, Juan Cruz-Álvarez, Pablo Guamán-Ludeña, Alice Gaibor-Pazmiño, Esteban Ortiz-Prado and Juan S. Izquierdo-Condoy
J. Clin. Med. 2025, 14(22), 8120; https://doi.org/10.3390/jcm14228120 - 17 Nov 2025
Viewed by 584
Abstract
Introduction: Vesicoureteral reflux (VUR) is a frequent pediatric urological anomaly associated with recurrent urinary tract infections and renal scarring. Evidence on robot-assisted extravesical ureteral reimplantation (RALUR-EV) continues to grow; however, reports from Latin America remain limited. Objectives: We report an initial [...] Read more.
Introduction: Vesicoureteral reflux (VUR) is a frequent pediatric urological anomaly associated with recurrent urinary tract infections and renal scarring. Evidence on robot-assisted extravesical ureteral reimplantation (RALUR-EV) continues to grow; however, reports from Latin America remain limited. Objectives: We report an initial single-center experience with transperitoneal RALUR-EV (Lich–Gregoir) in a public pediatric hospital in Ecuador, detailing operative metrics, perioperative outcomes, and short-term radiographic efficacy using standardized definitions. Methods: A retrospective, observational study was conducted at a public tertiary referral center in Quito (January 2021–May 2025). Consecutive children (0–17 years) with VUR or ureterovesical junction (UVJ) obstruction who underwent RALUR-EV with the Lich Gregoir technique were included. The primary outcome was radiographic resolution of VUR at 3–6 months on voiding cystourethrogram. Secondary outcomes were operative times (total, console, docking), length of stay, postoperative UTI (culture-confirmed), and complications (Clavien–Dindo). Analyses were descriptive; success was reported as both evaluable-only and intention-to-treat (ITT). The study received institutional ethics approval. Results: Nine children were included (median age 4.4 years; 5 girls). Eight had VUR (5 unilateral, 3 bilateral); one had isolated UVJ obstruction. Procedures were left-sided in 7 cases and right-sided in 2. Median total operative time was 135 min (IQR 129–153); median console and docking times were 120 and 15 min, respectively. No intraoperative complications or conversions occurred. Median length of stay was 4 days (IQR 3–4). Two culture-confirmed postoperative UTIs occurred (2/9; Clavien II); no complications ≥ III were observed. Postoperative imaging was available in 6/9 cases (66.7%): radiographic resolution was 6/6 (100%) overall and 5/5 (100%) among VUR-only. ITT success was 6/9 (66.7%) overall and 5/8 (62.5%) for VUR-only. Conclusions: Transperitoneal RALUR-EV is feasible and safe in a public tertiary setting, with early effectiveness comparable to international series. Standardized pathways, structured follow-up, and multicenter collaboration are warranted to confirm durability and support broader regional adoption. Full article
(This article belongs to the Special Issue Pediatric Urology: How to Adapt Current Knowledge to the New Era)
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