For the 2020 Paediatric Urology Guidelines, six chapters of the Guidelines have been updated through a structured assessment of the literature and these additional references and text updates have been incorporated. A completely new section on Basic principles of laparoscopic surgery in children has been added.
Key changes in the 2020 publication:
- Section 3.1 – Phimosis: Both the literature and the text have been updated.
- Section 3.3 – Hydrocele: Both the literature and the text have been updated.
- Section 3.14 – Urinary stone disease: The literature has been updated resulting in minor amendments to the text.
- Section 3.17 – Congenital lower urinary tract obstruction (CLUTO): The former text on PUV has been extensively revised to form a new section.
- Section 3.18 – Paediatric urological trauma: Both the literature and the text have been updated.
- Section 3.19 – Post-operative fluid management: general information: Both the literature and the text have been updated.
- Section 3.20 – Post-operative pain management: general information: Both the literature and the text have been updated.
1.5.1 New recommendations
3.21.3 Recommendations for laparoscopy in children
| Recommendations | Strength rating |
| Use lower intra-abdominal pressure (6-8 mmHg) during laparoscopic surgery in infants and smaller children. | Strong
|
| Use open access for laparoscopy in infants and smaller children. | Strong
|
| Monitor for laparoscopy-related cardiac, pulmonary and diuretic responses. | Strong
|