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Urology

Pediatric Urology Treatment

The Division of Pediatric Urology at Cohen Children’s Medical Center provides diagnosis and treatment for a wide variety of urological medical conditions such as:

Chordee  - this is a condition of the penis where there is a bend, usually towards the bottom.  This condition sometimes needs surgery to improve penis function and appearance. 

Disorders of Sexual Differentiation (Ambiguous Genitalia or Intersexuality) - sometimes doctors cannot be certain whether a child is a male or a female at time of birth. Special genetic tests and hormone studies as well as ultrasounds and x-rays are required to diagnoses this condition properly and to assign the proper sexual identify to the baby. Surgery is usually required to correct the genital appearance.

Hematuria - this can be caused by many conditions. These may be conditions that affect the kidney, the ureter or tube draining the kidney, the bladder or the urethra tube through which we urinate. These conditions include infections, blockages in the kidney or ureter or urethra, cysts of the kidney, kidney stones or kidney tumors. Special tests such as ultrasounds, voiding cystourethrograms or x-rays of the bladder and urethra, CT and MRI'S allows the specific diagnosis to be made and the treatment can then be selected.
 
Hernia or Hydrocele - communication between the abdomen and scrotum, or in girls between the abdomen and labia, resulting in fluid or abdominal content moving through the groin into the scrotum, or labia in female children.
 
Hydronephrosis - this condition means that there is dilation of the kidney. Hydronephrosis is commonly detected by ultrasound. The causes may be obstructed urine flow, reflux of urine, or may be a temporary condition or normal finding.

Hypospadias - is the failure of the urethral tube in boys to develop all the way to the tip of the penis. It is frequently associated with a downward bend of the penis and less penile skin on the undersurface of the penis.

Incontinence or Enuresis - This is the failure to gain control of urination beyond the age that this is expected. This condition may only be a problem at nighttime or may occur both during the day and at nighttime.
  
Kidney Stones - these usually cause back pain or abdominal pain together with hematuria (blood in the urine). In some children fever may also occur.
 
Phimosis - this condition is the inability to retract the penile skin back over the glans penis. This condition may require "freeing up" of the excess penile skin or circumcision removal of the extra skin.
 
Undescended Testes - is the failure of complete decent of the testes. Failure to recognize this condition or to treat it in a timely fashion can result in later infertility and cancer. Depending on the location of the undescended testes, groin surgery or laparoscopy can be used to treat this condition.

Urinary Tract Infection (UTI) - is an infection of the bladder or kidneys. UTIs may be simple or associated with significant dysfunction of the urinary system. Common symptoms of a UTI include pain with urination, urinating frequently, a compelling feeling to urinate and the loss of previously established urinary control like bedwetting. Kidney infections are associated with fever and back pain

Varicocele - this is abnormal swollen scrotal veins. This condition is usually discovered just before or during puberty. The large veins can sometimes affect the growth and maturation of the testicles resulting in infertility. Treatment may simply require observation in order to monitor growth of the testicle. In more severe cases, surgery is the procedure of choice.

Vesicoureteral Reflux (VUR or Reflux) - urine going back up to the kidneys from the bladder. This is an abnormal condition that is frequently discovered in children who develop urinary infections. In some children antibiotic treatment and observation is all that is required for treatment, whereas in other children surgery is required

Wilms' Tumor - this is the kidney cancer of childhood. It occurs typically in younger children. It has become a very curable cancer when surgery is coupled with other treatments such as chemotherapy and radiation therapy.

Fetal Hydronephrosis – urine is visible within the kidney during pregnancy. This may represent a significant problem such as obstruction or vesicoureteral reflux that needs to be evaluated after birth.

Polycystic Kidney Disease – an inherited condition where many fluid filled cysts develop in both kidneys. These cysts can multiply and expand leading to kidney failure.

Multicystic Kidney Disease – multiple cysts develop in a kidney that hasn't developed properly, eventually causing it to stop functioning.
 

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