2023
Spontaneous vesicoureteral reflux resolution curves based on ureteral diameter ratio
Arlen A, Leong T, Kirsch A, Cooper C. Spontaneous vesicoureteral reflux resolution curves based on ureteral diameter ratio. Journal Of Pediatric Urology 2023, 19: 468.e1-468.e6. PMID: 37188603, DOI: 10.1016/j.jpurol.2023.04.028.Peer-Reviewed Original ResearchConceptsUreteral diameter ratioUrinary tract infectionPrimary vesicoureteral refluxVesicoureteral refluxSpontaneous resolutionRisk groupsBreakthrough febrile urinary tract infectionDistal ureteral diameter ratioFebrile urinary tract infectionLargest ureteral diameterObjective prognostic informationGrade of refluxHigh-risk patientsLow-risk patientsHigh-risk groupLow-risk groupLow-risk childrenVUR resolutionPrimary refluxProphylactic antibioticsVUR gradeConservative managementPersistent refluxRisk patientsTract infections
2018
Expert opinion: art of endoscopic injection therapy for primary pediatric vesicoureteral reflux
Arlen A. Expert opinion: art of endoscopic injection therapy for primary pediatric vesicoureteral reflux. Journal Of Pediatric Urology 2018, 14: 590. PMID: 30551787, DOI: 10.1016/j.jpurol.2018.10.030.Peer-Reviewed Original Research
2017
The Iowa Voiding Improvement Partnership experience: Early observations with a collaborative pediatric uro-psychologic clinic
Bonnett K, Fuller L, Cooper C, Arlen A, Storm D. The Iowa Voiding Improvement Partnership experience: Early observations with a collaborative pediatric uro-psychologic clinic. Journal Of Pediatric Urology 2017, 13: 391.e1-391.e6. PMID: 28729177, DOI: 10.1016/j.jpurol.2017.05.024.Peer-Reviewed Original ResearchConceptsBBD symptomsClinic visitsQuestionnaire scoresPsychiatric issuesBowel Dysfunction QuestionnaireFurther psychological evaluationRecent clinic visitInstitutional review boardPsychologic diagnosesUrology referralBladder dysfunctionBowel dysfunctionPatient demographicsTreat patientsClinical outcomesClinic patientsMean agePediatric bladderPsychologic conditionsVIP treatmentSpecialized clinicsTreatment decisionsUrological conditionsPatientsClinicRole of body mass index in school-aged children with lower urinary tract dysfunction: Does weight classification predict treatment outcome?
Arlen AM, Cooper CS, Leong T. Role of body mass index in school-aged children with lower urinary tract dysfunction: Does weight classification predict treatment outcome? Journal Of Pediatric Urology 2017, 13: 454.e1-454.e5. PMID: 28483466, DOI: 10.1016/j.jpurol.2017.03.033.Peer-Reviewed Original ResearchConceptsBody mass indexBladder-bowel dysfunctionLower urinary tract dysfunctionUrinary tract dysfunctionUrinary tract infectionSchool-aged childrenTreatment outcomesTreatment responseLUT dysfunctionTract dysfunctionTract infectionsTreatment failureMass indexElevated body mass indexLower urinary tract symptomsDetrusor-sphincter dyssynergiaUrinary tract symptomsAdditional treatment modalitiesComplete treatment responseMajor health concernBowel programPsychologic comorbiditiesSphincter dyssynergiaUrology referralTract symptoms
2016
Inter-rater reliability of distal ureteral diameter ratio compared to grade of VUR
Swanton A, Arlen A, Alexander S, Kieran K, Storm D, Cooper C. Inter-rater reliability of distal ureteral diameter ratio compared to grade of VUR. Journal Of Pediatric Urology 2016, 13: 207.e1-207.e5. PMID: 28089295, DOI: 10.1016/j.jpurol.2016.10.021.Peer-Reviewed Original ResearchConceptsUreteral diameter ratioDistal ureteral diameter ratioVesicoureteral refluxVUR gradeInter-rater reliabilityReflux gradePediatric urologistsGrade of VURGrading of VURLargest ureteral diameterHigh grade refluxImportant prognostic factorPrimary vesicoureteral refluxConfidence intervalsSignificant inter-rater variabilityGood inter-rater reliabilityPrognostic factorsClinical courseClinical outcomesPredictive factorsRenal unitsUreteral diameterInter-rater agreementSpontaneous resolutionBlinded fashionComputer model predicting breakthrough febrile urinary tract infection in children with primary vesicoureteral reflux
Arlen AM, Alexander SE, Wald M, Cooper CS. Computer model predicting breakthrough febrile urinary tract infection in children with primary vesicoureteral reflux. Journal Of Pediatric Urology 2016, 12: 288.e1-288.e5. PMID: 27072485, DOI: 10.1016/j.jpurol.2016.03.005.Peer-Reviewed Original ResearchConceptsBreakthrough febrile urinary tract infectionFebrile urinary tract infectionPrimary vesicoureteral refluxBladder-bowel dysfunctionOnset of VURUrinary tract infectionVesicoureteral refluxLow bladder volumesBladder volumeUTI historyTract infectionsPrognostic calculatorSpontaneous resolutionRecurrent febrile urinary tract infectionsCorrect vesicoureteral refluxRecurrent febrile infectionsRenal parenchymal scarringIndividual child's riskCharacteristic curve areaParenchymal scarringVCUG findingsRenal scarringPatient demographicsVUR gradeFebrile infections