Maryellen S Kelly

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INTRODUCTION Adequate penile length in males with bladder exstrophy or epispadias is a major challenge. Kelly previously described a surgical technique of a single stage reconstruction for patients with exstrophy or epispadias that potentially achieves significant penile lengthening by completely detaching the insertion of the corpora cavernosa from the(More)
PURPOSE The aim of the study was to determine efficacy of continuous incisional infusion of local anesthetic, ON-Q® pain relief system (Kimberly-Clark, Georgia), in improving postoperative pain, reducing narcotic requirement, and shortening recovery time after major pediatric urological surgery. MATERIAL AND METHODS Prospective open-labeled randomized(More)
Authors: S. Creel, M. S. Becker, S. M. Durant, J. M’Soka, W. Matandiko, A. J. Dickman, D. Christianson, E. Dröge, T. Mweetwa, N. Pettorelli, E. Rosenblatt, P. Schuette, R. Woodroffe, S. Bashir, R. C. Beudels-Jamar, S. Blake, M. Borner, C. Breitenmoser, F. Broekhuis, G. Cozzi, T. R. B. Davenport, J. Deutsch, L. Dollar, S. Dolrenry, I. DouglasHamilton, E.(More)
OBJECTIVE To develop a reliable and valid questionnaire to monitor neurogenic bowel symptoms in children. PATIENTS Thirty-four children aged 6-18 with neurogenic bowel and their caregivers. Eighteen control patients. METHODS An expert panel generated a domain of observables and formative/reflective content. Response options were scaled following(More)
INTRODUCTION It has been well recognized that simulators are effective tools to teach and evaluate technical skills in laparoscopic surgery. Endoscopic injection for the correction of vesicourteral reflux has a definite learning curve. Surgeon experience has also been demonstrated to have an important role in the outcome of the procedure. Simulated training(More)
PURPOSE We constructed a risk prediction instrument stratifying patients with primary vesicoureteral reflux into groups according to their 2-year probability of breakthrough urinary tract infection. MATERIALS AND METHODS Demographic and clinical information was retrospectively collected in children diagnosed with primary vesicoureteral reflux and followed(More)
AIMS To determine the ability of Peristeen® transanal irrigation system to reduce symptoms of neurogenic bowel dysfunction (NBD) in patients using the validated neurogenic bowel dysfunction scoring system for the pediatric population. METHODS Patients 3-21 years with NBD whose current bowel program was unsuccessful were given the Neurogenic Bowel(More)
PURPOSE We evaluated the ability of a bladder pressure/volume diary to identify patients at risk for increased intravesical pressures. MATERIALS AND METHODS Patients dependent on clean intermittent catheterization used ruler based manometry to measure intravesical pressures before leakage or scheduled drainage at home. We prospectively collected clinical,(More)
BACKGROUND Bladder augmentation technique has changed over the years and the current practice has significant adverse health effects and long-term sequelae. Previously, we reported a novel cell transfer technology for covering demucosalized colonic segments with bladder urothelium and smooth muscle cells through an aerosol spraying of these cells and a(More)
PURPOSE Recent studies have revealed that the lack of continuity in preparing patients with spina bifida to transition into adult-centered care may have detrimental health consequences. We sought to describe current practices of transitional care services offered at spina bifida clinics in the US. METHODS Survey design followed the validated transitional(More)
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