European Association of Urology-European Society of Paediatric Urology Guidelines on Paediatric Urology: Summary of 2024 Updates. Part II

Martin Skott; Uchenna Kennedy; Michele Gnech; Allon van Uitert; Anna Bujons; Lisette ’t Hoen; Yazan F. Rawashdeh; Mesrur Selcuk Silay; Fardod O'Kelly; Josine Quaedackers; Niklas Pakkasjärvi; Yuhong Yuan; Berk Burgu; Marco Castagnetti; Guy Bogaert; Christian Radmayr

doi:10.1016/j.eururo.2025.02.022

European Association of Urology-European Society of Paediatric Urology Guidelines on Paediatric Urology: Summary of 2024 Updates. Part II

Martin Skott, Uchenna Kennedy, Michele Gnech, Allon van Uitert, Anna Bujons, Lisette ’t Hoen, Yazan F. Rawashdeh, Mesrur Selcuk Silay, Fardod O'Kelly, Josine Quaedackers, Niklas Pakkasjärvi, Yuhong Yuan, Berk Burgu, Marco Castagnetti, Guy Bogaert, Christian Radmayr^*

^*Corresponding author for this work

Department of Clinical Medicine - Department of Urology

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Editorial › peer-review

Abstract

Background and objective: We present a summary of part II of the 2024 update of the European Association of Urology (EAU)/European Society of Paediatric Urology (ESPU) guidelines on paediatric urology. The summary provides evidence-based standards for management of a number of urological conditions in the paediatric population. The aim is to provide practical recommendations for clinical management of these conditions with a focus on diagnosis, treatment, and follow-up. Methods: For the guidelines update, new and relevant evidence was identified, collated, and appraised via a structured assessment of the literature. Databases searched included Medline, EMBASE, and the Cochrane Libraries. Recommendations in the guidelines were developed by the panel to prioritise clinically important care decisions. The strength of each recommendation was determined according to a balance between desirable and undesirable consequences of alternative management strategies, the quality of the evidence (including the certainty of estimates), and the nature and variability of patient values and preferences. Key findings and limitations: Key recommendations emphasise the importance of thorough diagnosis, treatment, and follow-up for patients with the conditions outlines. The guidelines stress the importance of a multidisciplinary approach to treatment and the importance of shared decision-making with patients and their guardians/caregivers. The summary provides evidence-based standards for management of undescended testes, testicular tumours in prepubertal boys, acute scrotum, hypospadias, congenital penile curvature, urinary tract infections, daytime lower urinary tract conditions, urachal remnants, and transitional urology. Conclusions and clinical implications: Part II of the 2024 EAU/ESPU guidelines provides updated guidance for evidence-based management of a number of paediatric urological conditions, with recommendations designed for effective integration into clinical practice.

Original language	English
Journal	European Urology
ISSN	0302-2838
DOIs	https://doi.org/10.1016/j.eururo.2025.02.022
Publication status	Accepted/In press - 2025

Keywords

Acute scrotum
Congenital penile curvature
Daytime lower urinary tract conditions
Hypospadias
Testicular tumours in prepubertal boys
Transitional urology
Undescended testes
Urachal remnants
Urinary tract infection

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10.1016/j.eururo.2025.02.022

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Skott, M., Kennedy, U., Gnech, M., van Uitert, A., Bujons, A., Hoen, L. ., Rawashdeh, Y. F., Silay, M. S., O'Kelly, F., Quaedackers, J., Pakkasjärvi, N., Yuan, Y., Burgu, B., Castagnetti, M., Bogaert, G., & Radmayr, C. (Accepted/In press). European Association of Urology-European Society of Paediatric Urology Guidelines on Paediatric Urology: Summary of 2024 Updates. Part II. European Urology. https://doi.org/10.1016/j.eururo.2025.02.022

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title = "European Association of Urology-European Society of Paediatric Urology Guidelines on Paediatric Urology: Summary of 2024 Updates. Part II",

abstract = "Background and objective: We present a summary of part II of the 2024 update of the European Association of Urology (EAU)/European Society of Paediatric Urology (ESPU) guidelines on paediatric urology. The summary provides evidence-based standards for management of a number of urological conditions in the paediatric population. The aim is to provide practical recommendations for clinical management of these conditions with a focus on diagnosis, treatment, and follow-up. Methods: For the guidelines update, new and relevant evidence was identified, collated, and appraised via a structured assessment of the literature. Databases searched included Medline, EMBASE, and the Cochrane Libraries. Recommendations in the guidelines were developed by the panel to prioritise clinically important care decisions. The strength of each recommendation was determined according to a balance between desirable and undesirable consequences of alternative management strategies, the quality of the evidence (including the certainty of estimates), and the nature and variability of patient values and preferences. Key findings and limitations: Key recommendations emphasise the importance of thorough diagnosis, treatment, and follow-up for patients with the conditions outlines. The guidelines stress the importance of a multidisciplinary approach to treatment and the importance of shared decision-making with patients and their guardians/caregivers. The summary provides evidence-based standards for management of undescended testes, testicular tumours in prepubertal boys, acute scrotum, hypospadias, congenital penile curvature, urinary tract infections, daytime lower urinary tract conditions, urachal remnants, and transitional urology. Conclusions and clinical implications: Part II of the 2024 EAU/ESPU guidelines provides updated guidance for evidence-based management of a number of paediatric urological conditions, with recommendations designed for effective integration into clinical practice.",

keywords = "Acute scrotum, Congenital penile curvature, Daytime lower urinary tract conditions, Hypospadias, Testicular tumours in prepubertal boys, Transitional urology, Undescended testes, Urachal remnants, Urinary tract infection",

author = "Martin Skott and Uchenna Kennedy and Michele Gnech and {van Uitert}, Allon and Anna Bujons and Hoen, {Lisette {\textquoteright}t} and Rawashdeh, {Yazan F.} and Silay, {Mesrur Selcuk} and Fardod O'Kelly and Josine Quaedackers and Niklas Pakkasj{\"a}rvi and Yuhong Yuan and Berk Burgu and Marco Castagnetti and Guy Bogaert and Christian Radmayr",

year = "2025",

doi = "10.1016/j.eururo.2025.02.022",

language = "English",

journal = "European Urology",

issn = "0302-2838",

publisher = "EdizioniEdra",

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Skott, M, Kennedy, U, Gnech, M, van Uitert, A, Bujons, A, Hoen, L, Rawashdeh, YF, Silay, MS, O'Kelly, F, Quaedackers, J, Pakkasjärvi, N, Yuan, Y, Burgu, B, Castagnetti, M, Bogaert, G & Radmayr, C 2025, 'European Association of Urology-European Society of Paediatric Urology Guidelines on Paediatric Urology: Summary of 2024 Updates. Part II', European Urology. https://doi.org/10.1016/j.eururo.2025.02.022

TY - JOUR

T1 - European Association of Urology-European Society of Paediatric Urology Guidelines on Paediatric Urology

T2 - Summary of 2024 Updates. Part II

AU - Skott, Martin

AU - Kennedy, Uchenna

AU - Gnech, Michele

AU - van Uitert, Allon

AU - Bujons, Anna

AU - Hoen, Lisette ’t

AU - Rawashdeh, Yazan F.

AU - Silay, Mesrur Selcuk

AU - O'Kelly, Fardod

AU - Quaedackers, Josine

AU - Pakkasjärvi, Niklas

AU - Yuan, Yuhong

AU - Burgu, Berk

AU - Castagnetti, Marco

AU - Bogaert, Guy

AU - Radmayr, Christian

PY - 2025

Y1 - 2025

N2 - Background and objective: We present a summary of part II of the 2024 update of the European Association of Urology (EAU)/European Society of Paediatric Urology (ESPU) guidelines on paediatric urology. The summary provides evidence-based standards for management of a number of urological conditions in the paediatric population. The aim is to provide practical recommendations for clinical management of these conditions with a focus on diagnosis, treatment, and follow-up. Methods: For the guidelines update, new and relevant evidence was identified, collated, and appraised via a structured assessment of the literature. Databases searched included Medline, EMBASE, and the Cochrane Libraries. Recommendations in the guidelines were developed by the panel to prioritise clinically important care decisions. The strength of each recommendation was determined according to a balance between desirable and undesirable consequences of alternative management strategies, the quality of the evidence (including the certainty of estimates), and the nature and variability of patient values and preferences. Key findings and limitations: Key recommendations emphasise the importance of thorough diagnosis, treatment, and follow-up for patients with the conditions outlines. The guidelines stress the importance of a multidisciplinary approach to treatment and the importance of shared decision-making with patients and their guardians/caregivers. The summary provides evidence-based standards for management of undescended testes, testicular tumours in prepubertal boys, acute scrotum, hypospadias, congenital penile curvature, urinary tract infections, daytime lower urinary tract conditions, urachal remnants, and transitional urology. Conclusions and clinical implications: Part II of the 2024 EAU/ESPU guidelines provides updated guidance for evidence-based management of a number of paediatric urological conditions, with recommendations designed for effective integration into clinical practice.

AB - Background and objective: We present a summary of part II of the 2024 update of the European Association of Urology (EAU)/European Society of Paediatric Urology (ESPU) guidelines on paediatric urology. The summary provides evidence-based standards for management of a number of urological conditions in the paediatric population. The aim is to provide practical recommendations for clinical management of these conditions with a focus on diagnosis, treatment, and follow-up. Methods: For the guidelines update, new and relevant evidence was identified, collated, and appraised via a structured assessment of the literature. Databases searched included Medline, EMBASE, and the Cochrane Libraries. Recommendations in the guidelines were developed by the panel to prioritise clinically important care decisions. The strength of each recommendation was determined according to a balance between desirable and undesirable consequences of alternative management strategies, the quality of the evidence (including the certainty of estimates), and the nature and variability of patient values and preferences. Key findings and limitations: Key recommendations emphasise the importance of thorough diagnosis, treatment, and follow-up for patients with the conditions outlines. The guidelines stress the importance of a multidisciplinary approach to treatment and the importance of shared decision-making with patients and their guardians/caregivers. The summary provides evidence-based standards for management of undescended testes, testicular tumours in prepubertal boys, acute scrotum, hypospadias, congenital penile curvature, urinary tract infections, daytime lower urinary tract conditions, urachal remnants, and transitional urology. Conclusions and clinical implications: Part II of the 2024 EAU/ESPU guidelines provides updated guidance for evidence-based management of a number of paediatric urological conditions, with recommendations designed for effective integration into clinical practice.

KW - Acute scrotum

KW - Congenital penile curvature

KW - Daytime lower urinary tract conditions

KW - Hypospadias

KW - Testicular tumours in prepubertal boys

KW - Transitional urology

KW - Undescended testes

KW - Urachal remnants

KW - Urinary tract infection

UR - http://www.scopus.com/inward/record.url?scp=105000774567&partnerID=8YFLogxK

U2 - 10.1016/j.eururo.2025.02.022

DO - 10.1016/j.eururo.2025.02.022

M3 - Editorial

C2 - 40118740

AN - SCOPUS:105000774567

SN - 0302-2838

JO - European Urology

JF - European Urology

ER -

European Association of Urology-European Society of Paediatric Urology Guidelines on Paediatric Urology: Summary of 2024 Updates. Part II

Abstract

Keywords

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