The Institute for Pediatric Urology provides management of complex genital and urinary problems that occur in children, from birth to 18 years of age, with particular emphasis on developmental problems affecting the kidneys, bladder, urethra, or genital tract. During the past decade, the Institute’s clinical program has grown by 750 percent. It has become an internationally recognized referral center for major genital reconstructive surgery of children with ambiguous genitalia, and has established several specialized services, including a Pediatric Stone Unit, a Pediatric Voiding Dysfunction Center, and a program for fetal urology in collaboration with the Department of Obstetrics and Gynecology.
The pediatric urologists work very closely with the pediatric nephrologists to help optimize bladder function in children who are going to have a kidney transplant. Optimizing bladder function -- with medication or with surgery -- helps to prolong kidney function. Our pediatric urologists can perform reconstructive surgery in children who have lost their kidney function, but also have dysfunctional bladders, to prepare them to receive the transplant.
The Institute for Pediatric Urology plays a pioneering role in the development and application of laparoscopic, microsurgical, and robotic surgery techniques and instrumentation used to treat pediatric bladder and kidney disorders. In fact, it was here that the first robotic pyloplasty and the first laparoscopic nephrectomy in children were performed in New York City. The Center’s pediatric urologists provide surgical correction when needed, for example, if a blockage develops between the kidneys and the opening where urine leaves the body, the urine can back up and damage the kidney.
The Linda and Carl Seaman Pediatric Urodynamics Unit provides screening, treatment, and monitoring of children who have urological difficulties – from bedwetting to complex voiding disorders – and serves as an important referral center for patients with bladder issues and voiding dysfunction related to a spinal disorder or neurological problem. Patients with conditions such as spina bifida or cerebral palsy benefit from both medical and surgical management and ongoing care throughout childhood.