Pediatric Urology

  • Bedwetting (Enuresis)
  • Circumcision
  • Undescended Testes
  • Testicular Torsion
  • Hypospadias
  • Phimosis
  • Urinary Tract Infections

    Contrary to popular belief, urinary tract infections (UTIs) can affect children too—as many as 6% of girls and 2% of boys will have a UTI during childhood. A UTI occurs when bacteria enters the urinary tract and travels up the urethra and into the bladder. Symptoms of a UTI include fever, pain in the abdomen or lower back, nausea or vomiting, painful or frequent urination and blood in the urine. In newborns, a UTI may be harder to detect because the symptoms can point to a variety of conditions. Look for fussiness, vomiting, diarrhea, poor weight gain or pink-tinged urine in the diaper. If your child is showing these signs, seek prompt treatment because young children have a greater risk of kidney damage linked to UTIs than older children or adults.

    Children with chronic UTIs might also suffer from vesicoureteral reflux (VUR), a “silent” condition that does not cause pain, discomfort or problems with urination. VUR occurs when a malfunctioning valve causes urine to travel backward from the bladder toward the kidney. Bacteria travel with the urine, causing infection. Although this description may sound complex and alarming, primary VUR can occur in up to 10% of newborns. In most cases VUR will either resolve on its own or can be treated with a low dose of antibiotics and careful monitoring by the doctor. Advanced cases may require surgery. VUR is often found after a child is diagnosed with a UTI and, in fact, VUR is present in one-third of children with a UTI. Because of this connection, it is important to be aware of UTI symptoms. Antibiotics are the first step in treating your child’s UTI. After a few doses, your child may appear much improved, but it is important that your child take all of the prescribed medication even when symptoms are gone. Missed doses could result in another.