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What is Pediatric Urology? What is Pediatric Urology? Pediatric Urology is a sub-specialty of Urology handling problems relating to the urinary and genital systems specifically when they occur in children from before they are born through childhood and adolescence. These problems require special care from people who are specially trained to deal with these conditions in this special group of patients in a facility that is specifically geared to take care of children from infancy through adolescence. Why choose a Pediatric Urologist? We have expertise in caring for complex pediatric genitourinary conditions, including bladder exstrophy, epispadias, hypospadias, undescended testes, pediatric hernias and hydroceles, varicoceles and other genital disorders, including ambiguous genitalia and hermaphroditism. Other urologic conditions that we treat include kidney obstruction, bladder obstruction by urethral valves or ureteroceles, vesicoureteral reflux and pediatric genitourinary trauma and urolithiasis. Complex neurogenic bladder conditions are also evaluated with an experienced urodynamics team, radiographic testing and outpatient management of this condition in spina bifida or spinal injury affected children is another area of our expertise. We are also quite experienced in major reconstructive surgical techniques if children with neurogenic bladder conditions require more extensive treatment of urinary incontinence or preservation of their kidney function.Genitourinary tumors are also evaluated and treated by our well-trained pediatric urologists in conjunction with pediatric oncologists and radiation therapists, as needed, to provide a fully comprehensive and thorough approach to cancer management in all children. Our department has a full time Minimally Invasive specialist in pediatric urologic surgery. Laparoscopic and robotic urologic procedures are expertly preformed by our well trained and experienced Minimally invasive urologic specialist. Such surgeries include procedures for kidney blockage or removal, intraabdominal undescended testis, intra-abdominal intersex surgery, and varicocele surgery. State of the art equipment and robotics are used for these surgeries that allow the child or adolescent to resume their normal daily activities fairly soon after surgery and with small cosmetically acceptable incisions for major surgical intervention. Endoscopic treatment for kidney and ureter stones, vesicoureteral reflux and extracorporal lithotripsy (ESWL) are also available with outpatient or short hospital stays after these procedures with most patients resuming normal daily activities in 1 to 2 days, at most. Generally, these techniques do not involve any surgical incisions. Prenatal or antenatal services are also available to those families whose fetal or prenatal ultrasound studies show genitourinary abnormalities. Meeting with families before the child is born helps to alleviate most fears about their expected child and allows all of us to plan for post natal evaluation and comprehensive care and treatment once the baby is born. These services are currently available at the University of Connecticut Medical Center and our offices with the Connecticut Children’s Medical Center. New Patients At the time of your child’s appointment, you will be requested to complete several office chart forms, including information about patient contact information, insurance information, consents for treatment as well as family history and patient background information. As it may take time to complete this paperwork and parking and traffic can be difficult, we recommend that you give yourself plenty of time to get to your child’s appointment. Generally, you should arrive for your child’s appointment about 20 minutes before the scheduled appointment time. If your child’s problem involves the urinary system, particularly if the problem involves urine infections, pain or blood in urine or incontinence (wetting), he or she may be required to give a urine specimen for evaluation; make sure that your child has a full bladder so that he/she can give the specimen for evaluation at the time of the appointment. If you are uncertain if x-ray, ultrasound or other imaging studies are needed prior to your child’s appointment, please ask our staff to check this for you. This way, if x-rays are needed, we can help schedule these studies prior to your child’s appointment. Return appointments You may also be requested to update any changes in your child’s or family’s medical history to keep his/her information current to give your child’s provider the best information to assist in the evaluation and care of your child. As with the initial patient appointment, if your child is being seen for a urinary tract problem, a urine specimen may be required from your child for evaluation at the time of the appointment and he or she should come to the clinic with a full bladder so that a specimen should be easily obtained at the time of the appointment. If you are uncertain if x-ray, ultrasound or other imaging studies are needed prior to your child’s appointment, please ask our staff to check this for you. This way, if x-rays are needed, we can help schedule these studies prior to your child’s appointment.
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