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Pediatric Urology

Our patients come in all shapes, sizes and ages. There are many reasons that children may require the help of a urologist. We take pride in being able to examine and treat children in a way that makes them feel relaxed and comfortable.

 

Common Pediatric Conditions

 

Incomplete Circumcision and Penile Adhesions

After a newborn is circumcised, the end result may not produce a desired cosmetic result. Occasionally an excess amount of foreskin may remain, possibly giving the appearance of not being fully circumcised. Also, penile skin can heal to the head of the penis, causing adhesions.

Hypospadias

This congenital problem occurs when the opening is not at the very end of the penis. The position of the opening that allows urine flow might be located on the bottom of the penis, anywhere from the head to the scrotal area. There may also be an associated bend or curvature downward, called chordee. This is a problem that should be managed by a pediatric urology specialist. If a referral is necessary, one will be provided.

Nocturnal Enuresis (bedwetting)

At around four or five years old, most children gain control of urine at night. However, bedwetting may still occur in 15% of children six years old. This can occur for a variety of reasons, including increased urine production while asleep, inability to store enough urine through the night and unstable bladder contractions. Bedwetting will usually subside at a rate of 10% per year as children grow towards adolescence. During this period of time, there are treatments that we can provide to help control the problem.

Undescended Testes

This is defined as testes that do not descend completely into the scrotum during development. The cause of this is unknown. After birth, some testes that have not descended may complete the drop in the first three months, but usually not after. If the testes do not drop, they may not achieve full fertility potential and may be at increased risk of developing testicular cancer later in life.

Ureteropelvic Junction Obstruction

This is defined as a partial blockage of the ureter where it leaves the kidney. This results in dilation of the collecting system in the kidney. The condition is often diagnosed in newborn infants by prenatal ultrasounds. In older children and adults, it may result in abdominal pain, blood in the urine, kidney stones, or urinary tract infection.

Vesicoureteral Reflux

This is when urine travels backwards from the bladder towards the kidneys. There are many causes. Often it will resolve without treatment. It may increase the risk of UTI and kidney infection. Potential treatments include suppression antibiotics, a procedure performed through a scope to inject a bulking material to help close the ureteral opening (Deflux injection), and ureteral reimplantation.