Pediatric Urology Academy

Amin Afrasiabi, MD, Pediatric Urologist
  • 0.0 (0)
  • Medicine
  • Updated Weekly

Pediatric Urology Academy is an evidence-based educational podcast hosted by Amin Afrasiabi, MD, Pediatric Urologist. Each episode explores pediatric urology through clinical cases, landmark studies, practical decision-making, surgical principles, and emerging research. Topics include posterior urethral valves, vesicoureteral reflux, hydronephrosis, UPJO, megaureter, neurogenic bladder, hypospadias, disorders of sexual development, pediatric stone disease, and reconstructive surgery. Designed for pediatric urologists, urologists, residents, fellows, and healthcare professionals worldwide.

  1. 20h ago

    Stents After Pediatric Pyeloplasty: Protection, Habit, or Selective Drainage?

    Stenting after pediatric pyeloplasty is one of those surgical decisions that often feels automatic. But should it be? In this episode, we examine double-J stents, external drainage, stentless pyeloplasty, urinary leakage, stent morbidity, and stent duration. The central idea: a stent is not a marker of surgical quality. It is a selective drainage strategy. The expert question is not, “Do you always stent?”The expert question is, “What problem is this stent solving?” Keywords: UPJO, pyeloplasty, double-J stent, pediatric urology, stentless pyeloplasty, urinary leakage.

  2. 1d ago

    Hydronephrosis After Pyeloplasty: Failure or Remodeling?

    Persistent hydronephrosis after pediatric pyeloplasty often alarms families and clinicians. But residual dilation does not always mean persistent obstruction. In this episode, we discuss how to interpret postoperative ultrasound, why complete resolution is uncommon, when APD reduction is reassuring, and when worsening hydronephrosis should trigger renewed evaluation. The central idea: after pyeloplasty, the question is not whether the pelvis still looks dilated. The question is whether the kidney is moving toward safety or back toward risk. Keywords: UPJO, pyeloplasty, hydronephrosis, pediatric urology, postoperative ultrasound, MAG3 renography.

  3. 2d ago

    Poor Function in Pediatric UPJO: When Is a Kidney Worth Saving?

    A low differential renal function can feel like a verdict. But in pediatric UPJO, poor function does not always mean irreversible loss. This episode examines pyeloplasty versus nephrectomy, renal recoverability, temporary drainage, parenchymal preservation, and why stabilization may be as important as improvement.

  4. 3d ago

    Crossing Vessels in Pediatric UPJO: Cause, Coincidence, or Surgical Trap?

    Crossing vessels are one of the most debated findings in pediatric UPJO. Are they the true cause of obstruction, an incidental anatomic finding, or a surgical hazard? This episode explores clinical predictors, imaging limitations, intermittent obstruction, and why seeing a vessel does not always prove causality.

  5. 4d ago

    Is MAG3 Overused in Pediatric UPJO?

    MAG3 renography is one of the most influential tests in pediatric UPJO. But is it being asked to do too much? This episode reframes the renogram as a physiologic stress test, not a surgical verdict.

  6. 5d ago

    Can Ultrasound Predict Which Kidney Will Deteriorate?

    Ultrasound is the first study in most children with hydronephrosis. But can it predict obstruction? This episode examines the limits and power of ultrasound in pediatric ureteropelvic junction obstruction. We discuss AP diameter, calyceal dilation, cortical thinning, renal growth, serial imaging, and why one ultrasound is rarely enough. The central idea: ultrasound does not diagnose obstruction alone, but serial ultrasound can reveal the kidney that is declaring risk over time. Keywords: UPJO, hydronephrosis, pediatric ultrasound, pyeloplasty, renal deterioration.

  7. 6d ago

    Operate or Observe? The Central Dilemma in Pediatric UPJO

    Not every hydronephrotic kidney is obstructed. And not every obstructed-looking kidney needs surgery. This episode opens the UPJO season by examining the central dilemma in pediatric ureteropelvic junction obstruction: which kidneys can be safely observed, and which kidneys will deteriorate if left alone? We discuss hydronephrosis, renal function, drainage, symptoms, serial ultrasound, MAG3 uncertainty, and why UPJO is best understood as a risk state over time. Keywords: UPJO, hydronephrosis, pyeloplasty, pediatric urology, MAG3 renogram.

  8. Jul 17

    Five Dogmas About Vesicoureteral Reflux That Are No Longer True

    Vesicoureteral reflux has changed from a simple anatomical diagnosis into a risk-based clinical problem. This episode challenges five older assumptions: that reflux itself is the disease, that grade alone predicts danger, that every child needs prophylaxis, that surgery prevents all renal injury, and that disappearance of reflux means disappearance of risk. The central argument: modern VUR care requires judgment, not dogma. Keywords: vesicoureteral reflux, pediatric urology, reflux nephropathy, antibiotic prophylaxis, renal scarring.

See All (27)

About

Pediatric Urology Academy is an evidence-based educational podcast hosted by Amin Afrasiabi, MD, Pediatric Urologist. Each episode explores pediatric urology through clinical cases, landmark studies, practical decision-making, surgical principles, and emerging research. Topics include posterior urethral valves, vesicoureteral reflux, hydronephrosis, UPJO, megaureter, neurogenic bladder, hypospadias, disorders of sexual development, pediatric stone disease, and reconstructive surgery. Designed for pediatric urologists, urologists, residents, fellows, and healthcare professionals worldwide.

Information

  • Creator
    Amin Afrasiabi, MD, Pediatric Urologist
  • Years Active
    2026
  • Episodes
    27
  • Rating
    Clean
  • Copyright
    © Amin Afrasiabi, MD, Pediatric Urologist
  • Show Website
    Pediatric Urology Academy