Pediatric Urology

Voiding Dysfunction Clinic

Though potty training begins in the toddler years, some children continue to have problems with elimination for years. Poor elimination habits learned during the potty training years or dysfunctional elimination syndrome may cause problems later on. A medical condition could also be the underlying cause.

Our multi-disciplinary services include care by a trained member of the pediatric urology team as well as possible consultation with a gastroenterologist and psychologist. Given that the underlying causes may be related to the bladder, bowel and/or behavior (whether conscious or unconscious), we have found this multi-disciplinary approach to be the most effective at treating your child's voiding dysfunction. We offer a thorough, comprehensive evaluation, including x-ray, ultrasound and flow tests, that first emphasizes ruling out significant kidney or bladder problems. It is always recommended that your child come to these visits with a full bladder.

Neurogenic Clinic

Neurogenic bladder is a dysfunction of the bladder in which the nerves that are supposed to carry messages from the bladder to the brain do not work properly, causing difficulty or inability to urinate without the use of a catheter or other method. This type of bladder dysfunction, which may cause urine leakage, inability to urinate and/or infection of the bladder or kidneys, often is caused either by diseases of the central nervous system, such as spina bifida, or spinal cord injury.

Our multi-disciplinary services include care by our providers in urology, neurosurgery, orthopedics, developmental pediatrics, and physical medicine and rehabilitation. We work to provide a comprehensive treatment plan in one visit to simplify the care of these complex patients.

We often recommend urodynamic testing for patients with neurogenic bladder. Urodynamic testing evaluates the function of the bladder and how well it is able to store and empty urine. We ensure that patients undergoing this examination are made comfortable as it is an interactive test between the child and physician.

Prenatal Hydronephrosis Clinic

We are a recognized leader in providing a multidisciplinary approach to educating mothers with babies that have kidney dilation or other malformations detected prenatally. Our team includes both a maternal fetal medicine specialist (obstetrician) and a pediatric urologist. We maintain a national database for babies with prenatal hydronephrosis to improve the future care of these infants.