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
2022
Transurethral resection of posterior urethral valves
Arlen A. Transurethral resection of posterior urethral valves. Urology Video Journal 2022, 15: 100165. DOI: 10.1016/j.urolvj.2022.100165.Peer-Reviewed Original ResearchPosterior urethral valvesUrethral valvesVesicoureteral refluxLower urinary tract obstructionBladder neck hypertrophyBladder wall thickeningUpper tract dilationStage renal diseaseUrinary tract obstructionFetal development resultsTract obstructionRenal diseaseTransurethral resectionDetrusor hypertrophyTract dilationPosterior urethraCommon causeWall thickeningMost valvesHypertrophyDilationValveResectionUrethraObstruction
2020
Complex Upper Tract Reconstruction
Arlen A, Janssen K, Kirsch A. Complex Upper Tract Reconstruction. 2020, 139-145. DOI: 10.1007/978-3-030-57219-8_10.Peer-Reviewed Original ResearchLower analgesic requirementsQuick postoperative recoveryUpper tract reconstructionAnalgesic requirementsHospital stayPostoperative painPostoperative recoveryRobotic surgical technologyReduced morbidityRenal ectopiaTract reconstructionTraditional laparoscopyReconstructive proceduresPediatric urologistsIntracorporeal suturingSurgeryRobotic surgeryInvasive surgerySurgical technologyShorter lengthGreater dexterityComplex casesMorbidityPainUreterocalicostomyEndoscopic Treatment of Vesicoureteral Reflux
Arlen A, Kirsch A. Endoscopic Treatment of Vesicoureteral Reflux. 2020, 243-249. DOI: 10.1007/978-3-030-57219-8_17.Peer-Reviewed Original ResearchVesicoureteral refluxUreteral reimplantationContinuous low-dose antibiotic prophylaxisLow-dose antibiotic prophylaxisDextranomer hyaluronic acidPrimary vesicoureteral refluxDouble hydrodistention implantation techniqueInjectable bulking agentHydrodistention implantation techniqueSubureteric injectionUreteral hydrodistentionAntibiotic prophylaxisTeflon pasteEndoscopic correctionEndoscopic treatmentPatient morbidityRecurrence rateOnly FDASubmucosal planeReimplantationImplantation techniqueAmbulatory natureRefluxImproved successHyaluronic acid91. Lichen Sclerosus in Prepubertal Girls
Wang M, Arlen A, Vash-Margita A. 91. Lichen Sclerosus in Prepubertal Girls. Journal Of Pediatric And Adolescent Gynecology 2020, 33: 219. DOI: 10.1016/j.jpag.2020.01.023.Peer-Reviewed Original ResearchUrinary Tract Infection USA
Arlen A, Cooper C. Urinary Tract Infection USA. 2020, 1-5. DOI: 10.1007/978-3-030-24730-0_1.Peer-Reviewed Original ResearchChapter 9 Ureteropyelostomy and ureteroureterostomy
Cooper C, Arlen A. Chapter 9 Ureteropyelostomy and ureteroureterostomy. 2020, 109-116. DOI: 10.1016/b978-0-12-817888-1.00009-4.Peer-Reviewed Original ResearchUrinary tract infectionVesicoureteral refluxClinical courseUreteral duplicationLower pole vesicoureteral refluxMesonephric ductChild's clinical courseLower pole systemPresence of refluxMaintenance of continenceUpper pole moietyComplete ureteral duplicationUreteric budRenal functionTract infectionsSurgical morbidityWeigert-Meyer lawUpper poleUreterocele punctureLower poleReconstructive alternativeUreteroceleAbnormal branchingRefluxParental preferences
2019
Ureteric Duplication
Arlen A, Kirsch A. Ureteric Duplication. Springer Surgery Atlas Series 2019, 535-541. DOI: 10.1007/978-3-662-56282-6_62.Peer-Reviewed Original ResearchMP64-05 PREDICTING VESICOURETERAL REFLUX RESOLUTION: ANALYSIS OF VUR INDEX, DISTAL URETERAL DIAMETER RATIO, AND INTERNATIONAL REFLUX GRADE
Wu* C, Kirsch A, Leong T, Cooper C, Arlen A. MP64-05 PREDICTING VESICOURETERAL REFLUX RESOLUTION: ANALYSIS OF VUR INDEX, DISTAL URETERAL DIAMETER RATIO, AND INTERNATIONAL REFLUX GRADE. Journal Of Urology 2019, 201 DOI: 10.1097/01.ju.0000556897.02462.af.Peer-Reviewed Original ResearchMP64-06 SPONTANEOUS VESICOURETERAL REFLUX RESOLUTION CURVES BASED ON URETERAL DIAMETER RATIO
Arlen* A, Leong T, Kirsch A, Cooper C. MP64-06 SPONTANEOUS VESICOURETERAL REFLUX RESOLUTION CURVES BASED ON URETERAL DIAMETER RATIO. Journal Of Urology 2019, 201 DOI: 10.1097/01.ju.0000556898.10085.dc.Peer-Reviewed Original Research
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 ResearchImpact of continuous low-dose antibiotic prophylaxis on growth in children with vesicoureteral reflux
Guidos P, Arlen A, Leong T, Bonnett M, Cooper C. Impact of continuous low-dose antibiotic prophylaxis on growth in children with vesicoureteral reflux. Journal Of Pediatric Urology 2018, 14: 325.e1-325.e7. PMID: 30181099, DOI: 10.1016/j.jpurol.2018.07.007.Peer-Reviewed Original ResearchConceptsContinuous antibiotic prophylaxisBody mass indexPrior treatment coursesPrior antibiotic useAntibiotic prophylaxisVesicoureteral refluxBMI percentileYears of ageTreatment courseMass indexAntibiotic useHeight percentilesContinuous low-dose antibiotic prophylaxisUse of CAPLow-dose antibiotic prophylaxisPrior antibiotic usageSignificant BMI increaseMainstay of treatmentUrinary tract infectionPrimary vesicoureteral refluxSignificant increaseUse of antibioticsBreakthrough infectionsEffects of antibioticsTract infections
2017
Endoscopic Treatment of Vesicoureteral Reflux
Arlen A, Kirsch A. Endoscopic Treatment of Vesicoureteral Reflux. Current Bladder Dysfunction Reports 2017, 12: 217-224. DOI: 10.1007/s11884-017-0431-6.Peer-Reviewed Original ResearchPrimary vesicoureteral refluxVesicoureteral refluxRenal scarringClinical courseRecurrent febrile urinary tract infectionsFebrile urinary tract infectionLaparoscopic/robotic approachChild's clinical courseContinuous antibiotic prophylaxisUltimate success rateUrinary tract infectionMajority of childrenInvasive surgical proceduresAntibiotic prophylaxisEfficacy rateEndoscopic injectionPersistent refluxReflux gradeTract infectionsEndoscopic correctionEndoscopic treatmentSurgical repairRecurrent infectionsSurgical interventionSurgical correctionThe 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 symptomsHospital-acquired Urinary Tract Infections in Neonatal ICU Patients: Is Voiding Cystourethrogram Necessary?
Asghar AM, Leong T, Cooper CS, Arlen AM. Hospital-acquired Urinary Tract Infections in Neonatal ICU Patients: Is Voiding Cystourethrogram Necessary? Urology 2017, 105: 163-166. PMID: 28408336, DOI: 10.1016/j.urology.2017.04.002.Peer-Reviewed Original ResearchConceptsUrinary tract infectionHospital-acquired urinary tract infectionsEffect of ageTract infectionsNICU patientsVesicoureteral refluxUltrasound resultsNeonatal intensive care unit patientsIntensive care unit patientsNeonatal ICU patientsMean gestational ageCare unit patientsMean of ageCoagulase-negative staphylococciNICU admissionRetroperitoneal ultrasoundUTI increasesPatient characteristicsUnit patientsICU patientsGestational ageImaging findingsUrine cultureRadiographic findingsAbnormal ultrasoundMP61-09 DISTAL URETERAL DIAMETER RATIO IS AN INDEPENDENT RISK FACTOR FOR BREAKTHROUGH FEBRILE URINARY TRACT INFECTION
Arlen A, Alexander S, Guidos P, Leong T, Cooper C. MP61-09 DISTAL URETERAL DIAMETER RATIO IS AN INDEPENDENT RISK FACTOR FOR BREAKTHROUGH FEBRILE URINARY TRACT INFECTION. Journal Of Urology 2017, 197: e802. DOI: 10.1016/j.juro.2017.02.1867.Peer-Reviewed Original ResearchDysfunctional Voiders—Medication Versus Urotherapy?
Arlen AM. Dysfunctional Voiders—Medication Versus Urotherapy? Current Urology Reports 2017, 18: 14. PMID: 28213858, DOI: 10.1007/s11934-017-0656-0.Peer-Reviewed Original ResearchConceptsDysfunctional voidingAggressive bowel regimenRefractory dysfunctional voidingMainstay of treatmentRole of pharmacotherapyCurrent treatment modalitiesBowel regimenLUT dysfunctionStandard urotherapyPersistent symptomsHome exercisesUrethral sphincterTreatment modalitiesBotulinum toxinHigh success rateSelect childrenBiofeedback programUrotherapyVoidingSuccess ratePharmacotherapyChildrenBiofeedbackRecent studiesAncillary roleValidation of the ureteral diameter ratio for predicting early spontaneous resolution of primary vesicoureteral reflux
Arlen AM, Kirsch AJ, Leong T, Cooper CS. Validation of the ureteral diameter ratio for predicting early spontaneous resolution of primary vesicoureteral reflux. Journal Of Pediatric Urology 2017, 13: 383.e1-383.e6. PMID: 28256423, DOI: 10.1016/j.jpurol.2017.01.012.Peer-Reviewed Original ResearchConceptsPrimary vesicoureteral refluxUreteral diameter ratioVesicoureteral refluxReflux gradeSpontaneous resolutionVUR gradeMultivariable modelUreteral diameterDistal ureteral diameter ratioGrade of VURLargest ureteral diameterPersistent vesicoureteral refluxVesicoureteral reflux gradeGrade of refluxImportant prognostic factorSpontaneous resolution rateValuable prognostic informationL3 vertebral bodyUnit increaseExternal validation studyHighest likelihood ratioVUR timingPersistent diseasePrimary outcomePrognostic factors
2016
Antireflux Surgery
Arlen A, Caldamone A, Kirsch A. Antireflux Surgery. Handbook Series Of Consent In Pediatric Surgical Subspecialities 2016, 33-39. DOI: 10.1007/978-3-319-43527-5_5.Peer-Reviewed Original Research