Craig A Smith

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PURPOSE Sacral nerve stimulation with InterStim is approved in the United States for use in adults. Limited data on the effectiveness of sacral nerve stimulation in children are available. We report our experience with patients who underwent InterStim placement for the treatment of severe dysfunctional elimination syndrome, which is defined as a(More)
PURPOSE We analyzed the presentation, treatment and survival of 6 children with renal cell carcinoma. MATERIALS AND METHODS We retrospectively reviewed the pathological and hospital records of 6 children diagnosed with renal cell carcinoma at Children's Hospital of Michigan (5) and Henry Ford Hospital (1) from 1980 to 1995. RESULTS The most common(More)
PURPOSE We evaluated the clinical use of long-term intravesical oxybutynin chloride in the treatment of neurogenic bladder dysfunction in children with myelodysplasia who could not tolerate oral anticholinergics. MATERIALS AND METHODS We retrospectively reviewed the records of all patients recommended for intravesical oxybutynin chloride therapy. A total(More)
BACKGROUND Antenatal intervention has been done for fetal obstructive uropathy for over a decade, yet little is known about long-term outcomes. To assess the long-term implications of fetal intervention, we reviewed the outcomes of children who underwent vesicoamniotic shunt placement. METHODS We reviewed the clinical outcomes of 14 children who underwent(More)
PURPOSE Attempts to evaluate prenatal vesico-amniotic shunt therapy have been hampered by inconsistencies in patient selection, treatment and termination criteria, and outcomes measurement. Outcomes have generally been measured against those of patients with postnatally detected posterior urethral valves. The purpose of this report was to evaluate the(More)
PURPOSE Establish a clinically relevant threshold for urinary beta 2-microglobulin (beta 2m) to predict the presence of several renal damage in fetuses with obstructive uropathies. METHODS Retrospective review was conducted of urinary beta 2m levels, clinical outcomes, and pathological findings in 36 fetuses evaluated for presumed obstructive uropathy.(More)
OBJECTIVES To evaluate the success and long-term complications associated with the use of continent catheterizable conduits based on the Mitrofanoff principle in children. PATIENTS AND METHODS The records of 43 patients (21 female and 22 male) who underwent the construction of a continent catheterizable stoma based on the Mitrofanoff principle between(More)
OBJECTIVES To evaluate changes in the smooth muscle and connective tissue development in the obstructed and normal fetal bladder. METHODS The smooth muscle and connective tissue composition of 19 fetal urinary bladders, including those of 9 fetuses with anatomic obstruction and 10 controls free of urologic disease, were analyzed by light microscopy and(More)
PURPOSE In patients who undergo the Monfort abdominoplasty the umbilicus is placed high on the abdominal wall. We describe a technique for abdominal wall reconstruction in patients with the prune-belly syndrome with the modification of neoumbilicus creation at an anatomically normal position. MATERIALS AND METHODS Five patients underwent modified Monfort(More)