Pediatric Urology

From bedwetting issues to surgery needs, UofL Physicians – Pediatric Urology offers a full range of urologic care for children. UofL Physicians – Pediatric Urology providers specialize in the care of children and adolescents with urologic problems. Our pediatric providers are board certified  and understand that children require a caring and gentle approach that addresses their unique developmental needs. They  manage a wide range of conditions, from the common urology concerns to the extremely rare and complex genitourinary abnormalities.

The UofL Physicians - Pediatric Urology team combines leading edge patient care with the dedication to deliver the finest in customer service by listening to the needs and concerns of each patient and their families. We are teachers and researchers in University of Louisville’s School of Medicine, so we also understand the importance of explaining every step in the process. Our patients and their families are partners with our physicians in the development of their health care plan. The goal is always to provide patients and their families with a diagnosis and an understanding of their child’s problem. Pediatric urology specialists and their support team are dedicated to providing family-centered care, and are committed to working with your child, you and your family, to ensure everyone is entirely informed on a diagnosis and the appropriate treatment, and your child feels comfortable and at ease during procedures. Whenever possible we take a minimally invasive approach that is less traumatic than traditional surgery. 

To find a Louisville urologist for your child view the Our Physicians tab.

From bedwetting issues to surgery needs, the team of highly skilled physicians and nurse practitioners at UofL Physicians – Pediatric Urology offer treatments and services for the following diseases and conditions:

Bladder

Kidney

Ureter

  • Duplex system
  • Ectopic ureter
  • Megaureter
  • Stone disease
  • Ureterocele

Vagina

Penis/Urethra

Testis/Inguinal Area

Other

 

 

Our Pediatric Urology team offers a wide range of services in the diagnosis and treatment of bladder control problems and other pediatric urology issues. Treatments and services available at UofL Physicians – Pediatric Urology include:

Pediatric Urology Testing Services

UofL Physicians - Pediatric Urology offers a wide range of services in the diagnosis and treatment of bladder control problems. For more information on the Pediatric Urology Testing Services offered at the practice, visit http://www.uoflphysicians.com/pediatric-urology-testing-services.

Newborn Circumcision

Circumcision is the surgical removal of the foreskin of the penis. After your doctor speaks with you about the potential risks and benefits of circumcision, your child will undergo the procedure. This can be done in the office until the child is over 12 weeks of age.The doctor injects numbing medicine around the penis before performing the circumcision to help with any discomfort. Your child will be given a pacifier with sugar water for added comfort. After the procedure is complete, the penis is covered with antibiotic ointment and a dressing and post-circumcision instructions are given to the parents. The child is typically seen in 4 weeks to check the result.

Meatotomy

Meatal stenosis is a relatively common condition seen in circumcised males only. The hole at the end of the penis gets smaller causing a fine, narrow, upward defected urinary stream. At times it can cause burning with urination, called dysuria. The exact cause is unknown but believed to be secondary to the circumcised penis rubbing repeatedly against the inside of a wet diaper. This causes a raw area to develop at the bottom of the tip of the penile urethra resulting in a smaller hole. Fortunately, this problem is easily corrected by a simple surgical procedure called a meatotomy.

A meatotomy is performed by surgically opening the skin on the bottom of the urethra at the tip of the penis. In some children, this procedure is easily tolerated in the office by first applying a local numbing cream called EMLATM to the tip of the penis for approximately 20-30 minutes. If your child is unable to tolerate this in the office, the meatotomy will be scheduled in the operating room under a brief anesthetic. Your child will go home the same day. Specific post-meatotomy instructions will be given to you. The procedure is extremely successful with a very low recurrence rate.

Biofeedback and Pelvic Floor Dysfunction

Biofeedback is a way to show your child how certain muscles work and can teach your child how to better control these muscles. Biofeedback doesn't hurt. There are no shots or catheters involved. Biofeedback uses music and video games to help children learn how to use their pelvic floor muscles correctly. Fore more information on biofeedback, visit https://www.uoflphysicians.com/biofeedback.

Urodynamics

Urodynamics are a set of tests that measure lower urinary tract function. The aim of testing is to reproduce your child's voiding patterns to identify any underlying problem. URO means urine and DYNAMICS means a continuous activity. This means that urodynamics are a continuing test, not just one picture, like a chest X-ray. Through this way of testing, the doctor is able to obtain a great deal of information about your child's voiding patterns. For more information on Urodynamics, visit www.uoflphysicians.com/urodynamics.

Pediatric Diagnostic and Radiographic Studies

Ultrasound

This test is done to outline the kidneys and bladder. It allows for kidney measurements and the detection of any "enlargement of the collecting system of the kidney," or hydronephrosis. This test is not invasive. It involves the placement of gel on the abdomen followed by placement of a probe to picture the kidneys and the bladder. The ureters are normally not imaged on ultrasound.

X-Rays - Voiding Cystourethrogram

This X-ray test gives important information regarding the structure of the bladder and urethra (or the tube through which urine passes from the bladder during the urination) and it allows for the detection of reflux (backflow of urine from the bladder to the kidneys through the tubes which connect the kidney and the bladder). To perform the test a small tube is passed through the urethra to the bladder. The bladder is filled through that tube and X-rays are taken as the bladder fills and then as the bladder empties. The test is not painful, but catheterization has some pain associated with it. Your child can read a book during the test. The result of the test is usually available for discussion with your urologist.

Nuclear Medicine

Nuclear CystogramThis test, like the voiding cystogram, is useful for detecting ureteral reflux. However, it does not provide the urologist with a picture of the bladder or urethra. It involves passing a small tube into the urethra through which a special fluid is used to fill the bladder and image the activity.

Nuclear Renal Scan

This test is used to evaluate how well the kidneys functions and how well they drain. It provides the urologist with a picture of the kidneys over a period of time, and each of these pictures can be quantified by the computer and give a graph which is useful in determining if there is an obstruction in the kidney or in the ureter. The amount of radiation involved is much less than in a conventional IVP study.

 

Physicians in this practice may not see patients at all locations listed below. For details, please call the appointment line for the location you are interested in visiting.

After hours (after 5 p.m. and on weekends), please call Norton Children's Hospital at 502-629-6000.

UofL Physicians - Pediatric Urology is located in downtown Louisville in the Medical Tower South building. Parking garages are available.

The UofL Physicians - Pediatric Urology team also provides services through an association with the Spina Bifida Clinic at the Commission for Children with Special Health Care Needs.

Click here to view a map of all UofL Physicians pediatric practices located downtown.

Offices and Clinics

  • UofL Physicians - Pediatric Urology
    234 E. Gray St.
    Suite 662
    Louisville, Kentucky 40202
    502-588-4740
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Hospital Affiliations

  • Norton Children’s Hospital

The team of physicians and nurse practitioners at UofL Physicians – Pediatric Urology combines leading-edge patient care with a dedication to the finest in customer service. Physicians are teachers and researchers with the University of Louisville, and they understand the importance of explaining every phase of diagnosis and treatment. Our patients and their families work together with our providers in the development of their health care plan.

Next Steps

For more information or to make an appointment,
call 502-588-6000