Pediatric Urology

Conditions We Treat

The Pediatric Urology Program specializes in the medical and surgical treatment for a wide range of dysfunctional urinary and genital disorders in newborns, infants, children and adolescents.

Conditions we treat include:

Bladder

  • Exstrophy of the Bladder: An abnormality that causes the bladder to be misshaped and exposed outside the abdomen.
  • Neurogenic Bladder: A disorder that causes a lack of bladder control due to brain or nerve problems.
  • Hematuria: The presence of blood in the urine.

Complex Conditions

  • Cloacal Exstrophy: A severe birth defect that causes much of the abdominal organs to be exposed on the outside of the body.
  • Myelomeningcele: More commonly known as spina bifida, which means “split spine.” This birth defect is characterized by an incomplete formation and development of the brain, spinal cord and/or the protective layers around them.
  • Prune Belly Syndrome: Also known as abdominal muscle deficiency syndrome. Partial or complete lack of abdominal wall muscles.
  • Urologic issues with anorectal malformations: Anorectal malformations are birth defects in which the anus and the rectum don’t develop properly, develop in the wrong place or don’t develop at all. Several urological issues are associated with this abnormality.
  • Diagnosis and Management of Antenatally Detected Urologic Disease: Many urologic diseases and disorders can be detected during pregnancy. We work to diagnose these disorders and establish a treatment plan before delivery.
  • Gonadal Dysgenesis: This includes a number of disorders of the reproductive system including hermaphroditism and underdevelopment or lack of development of genitals.
  • Laparascopic / Robotic / Endoscopic Surgery: We employ a variety of modern surgical techniques to address our patients’ concerns.
  • Cancers of the GU tract: A range of treatments as indicated for treating cancers of the urinary tract and reproductive system.

Continence and Infection

  • Bedwetting (Nocturnal Enuresis): Involuntary urination while sleeping after the age that bladder control usually occurs.
  • Daytime Wetting (Urinary Incontinence): Inability to hold urine in the bladder caused by weakened or lost voluntary control of the urinary sphincter.
  • Urinary Frequency: The need to urinate more often than usual.
  • Urinary Tract Infection (UTI): An infection in the urinary tract, characterized by pain with urination, frequent need to urinate and the urge to urinate even when the bladder is empty.

Genitalia

  • Ambiguous Genitalia (DSD): A birth defect in which the external genitals don’t clearly appear to be either male or female.
  • Chordee: A condition that causes the head of the penis to curve either downward or upward.
  • Circumcision: Surgical removal of the foreskin on the tip of the penis.
  • Concealed / Hidden Penis: Also known as buried penis syndrome, this disorder causes the penis to be partially or completely hidden below the surface of the skin.
  • Epispadias: A rare malformation of the urethra that causes urine to exit the body in an abnormal location.
  • Hypospadias: A condition in which the opening of the urethra is on the underside of the penis instead of at the tip.
  • Labial Adhesions: This common disorder in prepubescent females causes the labia (vaginal lips) to stick together.
  • Meatal Stenosis: This disorder causes an abnormal narrowing of the opening at the tip of the penis.
  • Micropenis: Severe underdevelopment of the penis.
  • Phimosis: A condition of the penis in which the foreskin cannot be fully retracted from the head of the penis.

Groin

  • Hydrocele: A buildup of fluid around one or both testicles that causes the scrotum and/or the groin area to swell.
  • Hernia: The protrusion of an organ through a hole in a muscular wall. Commonly occurs in the groin area and abdominal wall.

Kidney

  • Duplex Kidney: A condition in which two ureters come from a single kidney.
  • Hydronephrosis: A swollen kidney due to a buildup of urine.
  • Horseshoe Kidney: A renal fusion anomaly characterized by the fusion of the kidneys into a horseshoe shape.
  • Muticystic Dysplastic Kidney: A condition that causes the formation of irregular cysts of varying sizes in the kidneys.
  • Ureteropelvic Junction Obstruction (UPJO): Caused by an obstruction in urine flow where the ureter connects with the kidney.
  • Ureterovesical Junction Obstruction (UVJO): Caused by an obstruction in urine flow where the ureter meets the bladder.
  • Renal Dysplasia: A condition that occurs in the womb and causes the internal structures of the kidneys to not develop properly.

Scrotum

  • Epididymitis: An inflammation that occurs in the epididymis, the coiled tube behind the testicles that store and carry sperm.
  • Epididymal Cysts: Also called a spermatocele, these fluid-filled cysts form in the epididymis.
  • Testicular Torsion: This condition occurs when the spermatic cord twists and restricts the testicle’s blood supply, resulting in pain and swelling.
  • Undescended Testis: A birth condition in which one or both testicles fail to descend into the scrotum and remain in the abdomen.
  • Testicular Cancer and Tumors: Including several kinds of cancer and noncancerous growths that can occur in the testicles.

Stones

  • Kidney Stones: The formation of insoluble, calcium masses inside the kidneys.
  • Bladder Stones: The formation of hard, mineral masses inside the bladder.

Trauma

  • Injuries to Kidney, Ureter and Bladder: Many treatment options are available when trauma occurs to the urinary tract.
  • Injuries to Genitalia: Correction and reconstruction after trauma to the genitals.

Urethra

  • Posterior Urethral Valves (PUV): A condition that occurs only in boys and causes a blockage in the urethra near the bladder.
  • Urethral Prolapse: This condition occurs most commonly in young girls, before puberty. It occurs when the inner lining of the urethra becomes swollen and sticks out through the opening of the urethra.
  • Urethral Stricture: An abnormal narrowing of the urethra which causes difficulty removing urine from the body. It can be caused by inflammation, scar tissue, disease or injury.

Ureter

  • Ectopic Ureter: An ectopic ureter does not connect to the bladder as it should and therefore drains somewhere else.
  • Megaureter: This translates to “big ureter,” and is an abnormality that results in a ureter wider than three-eighths of an inch.
  • Vesicoureteral Reflux (VUR): A condition in which urine flows backward from the bladder into the kidneys.
  • Ureterocele: Swelling that occurs at the bottom of one of the ureters, often resulting in blocked urine flow.
  • Ureteral Duplication: A condition that causes two ureters to grow from and drain from a single kidney.