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Pediatric Urology

Pediatric urologists are surgeons specially trained to treat conditions that affect a child’s urinary tract or genitals. UNC Children’s board-certified pediatric urologists have experience diagnosing, managing and treating everything from ongoing bedwetting to complex congenital anomalies—conditions present at birth. We’ll help your family find the best solution, so your child can grow up without worrying about urinary issues.

You can trust our expertise, because we’re ranked among the top pediatric urology programs in the country by US News & World Report on its annual “America’s Best Children’s Hospitals” list. And two of our pediatric urologists are regularly chosen by their peers as Best Doctors in America!

Conditions We Treat

Pediatric Urology Conditions We Treat

Find help for urological conditions from simple to the most complex, including:

  • Voiding dysfunctions, including daytime wetting and bedwetting
  • Constipation
  • Urinary tract infections (UTIs)
  • Urinary reflux (vesicoureteral reflux) – Backward flow of urine from the bladder to the kidney, causing kidney damage
  • Obstructed urine flow, including hydronephrosis
  • Hernias – Internal organs or tissues bulging through a week area of muscle
  • Hydroceles – Fluid-filled sacks in the scrotum
  • Congenital anomalies – Conditions present at birth
    • Bladder exstrophy – Flattened bladder that sticks out of the abdomen
    • Disorders of sex development (DSD) – A group of conditions in which there is a discrepancy between the external and internal genitals; also called intersex
    • Hypospadias – Opening of the urethra is on the underside of the penis
    • Posterior urethral valves – Extra flaps of tissue in a boy’s urethra block the flow of urine
    • Prune belly syndrome – Weak abdominal muscles, undescended testicles and urinary tract problems
    • Undescended testes (cryptorchidism) – Testicles that haven’t naturally descended into the scrotum

Services and Treatments

Urological Services and Treatments

Take advantage of UNC Children’s full range of pediatric diagnostic and treatment services, including:

  • Consultations for fetal urological conditions detected during ultrasounds
  • Diagnostic procedures
    • DMSA scan – Examines kidney size, shape and function using a safe radiopharmaceutical and a gamma camera
    • Mag 3 lasix renal scan – Evaluates kidney function and drainage using a safe radiopharmaceutical and a gamma camera
    • Renal ultrasound – Assesses the size and shape of the kidneys and/or bladder by gliding an ultrasound wand over the lower back and lower abdomen
    • Urodynamic testing – Show how well the bladder stores and releases urine
    • Voiding cystourethogram (VCUG) – Detects urinary reflux by taking X-rays after injecting a contrast material into the bladder
  • Behavior modification
  • Medication
  • Minimally invasive urological surgery
  • Genital reconstruction surgery
  • Orchiopexy surgery – Moves an undescended testicle
  • Urinary tract reconstruction surgery
  • Surgical care for a variety of conditions, including kidney stone disease, spina bifida, and neoplasms (new, abnormal growths) of the genitourinary tract

We also provide consultation services for fetal uropathies, a disease of the urinary system where urine flow is hindered or completely obstructed.

Procedures

Minimally Invasive Procedures

Our pediatric urologists are experts in performing minimally invasive, state-of-the-art procedures to evaluate and treat children. If a minimally invasive procedure is the best treatment option for your child, s/he will benefit from fewer complications, less pain and scarring, a quicker recovery, and the ability to return home more quickly.

Minimally invasive procedures we offer include:

  • Endoscopy – A tiny camera attached to a long, thin tube is guided into the body through a natural opening so doctors can see and diagnose conditions of the bladder, ureter and kidneys
  • Cystoscopy – An endoscopic procedure is used to view the bladder and urethra, which is the tube that carries urine away from the bladder
  • Laparoscopy – A needle or tube is inserted through a small cut just below the below the belly button; surgeons can then use a tiny camera (laparoscope) to see inside the abdomen or pelvis, or use tiny tools to perform surgery

Care Close to Home

With three board-certified pediatric urologists on staff, you won’t have to wait long for an appointment. Find pediatric urology care close to home. We offer care at three convenient locations in the Triangle:

Find Family-Centered Care at UNC

At UNC Children’s and N.C. Children’s Hospital, you’ll find friendly, compassionate staff who are experts at working with children and families. We’ll do our best to ease your anxiety, help you understand your child’s medical condition so you can make informed choices about their care, and offer whatever additional support you need. You can help make your experience go as smoothly as possible by exploring our patients and visitors section to learn about:

Contact Us

Call us at 984-974-1401 to make an appointment with one of UNC Children’s pediatric urology specialists.

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