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Pediatric Urology Expands

New Leadership and Services at Morgan Stanley Children's Hospital

NEW YORK (Sep 1, 2012)

The breadth and depth of specialized urological services and programs for children and adolescents with urological diseases and disorders has expanded with the appointment of Pasquale Casale, M.D., as Chief of the Division of Pediatric Urology at Morgan Stanley Children's Hospital. The Division offers specialized clinical expertise in:

  • andrology
  • genital abnormalities, including hypospadias
  • posterior urethral valves
  • stone disease
  • tumors of the kidney, bladder, vagina, and testes
  • urinary tract infections
  • vesicoureteral reflux
  • voiding dysfunction, including day and night wetting

Dr. Casale, who most recently served as Director of Minimally Invasive Surgery at Children's Hospital of Pennsylvania (CHOP), brings unparalleled experience in laparoscopy, including robotics and endoscopic surgery. While at CHOP, he developed the hospital's Endourology/ Laparoscopic Urology Program and Robotic Surgery Program. One of the world's foremost authorities of minimally invasive surgical approaches in the pediatric urologic patient, Dr. Casale is known for his pioneering role in the development of new techniques, including robot-assisted and endoscopic procedures never before performed in children. Among the many benefits of these procedures is minimal scarring because incisions are smaller. Smaller incisions, in turn, lessen the inflammatory response throughout the body, which can lead to better healing.

Joining Dr. Casale in the Division is Sarah M. Lambert, M.D., an attending pediatric urologist. Dr. Lambert completed a fellowship in pediatric urology at CHOP and was a member of the staff there prior to coming to Morgan Stanley Children's Hospital. She is extensively trained in laparoscopy, endoscopy, and robotic surgery, and performs minimally invasive operations with the intent to minimize tissue manipulation and facilitate quicker and easier recovery for her patients.

Kenneth I. Glassberg, M.D., who led the Hospital's Division of Pediatric Urology for the past decade, provides particular expertise in adolescent varicocele, urodynamic evaluation, and bladder management for children with incontinence or bladder problems associated with spina bifida. Dr. Glassberg utilizes the laparoscopic approach to his treatment of varicoceles in male adolescents. The Division's Center for Urodynamics and Incontinence is widely known for its major contributions to the understanding of voiding function in children.

Plans are underway to develop a program for complex fetal surgery for bladder exstrophy, obstructions, and other urological tract conditions that may develop in utero.

Prevention and Management of Stone Disease

Stone disease in children has dramatically increased in the past five years. According to Dr. Casale, major contributing factors include diets high in salt and a lack of adequate hydration. Managing stone disease in children is difficult as most data and treatment plans are geared towards adults. Drs. Casale and Lambert provide preventative care and conservative multidisciplinary management of these patients, along with surgical interventions adapted for pediatrics, when necessary. In some cases of stone disease, they will use laparoscopy, robotics, and/or endoscopic approaches for stone removal to minimize surgical risk and maximize recovery.

In addition to three full-time pediatric urologists, the Division of Pediatric Urology also includes three pediatric urology nurse practitioners with more than 25 years of combined clinical experience in caring for children with urologic disorders. In conjunction with the nurse practitioner team, Andrew Combs, RPA-C, provides comprehensive urodynamic evaluations for children with neuropathic and nonneuropathic voiding dysfunction.

For more information or a clinical consultation, please contact the Division of Pediatric Urology at Morgan Stanley Children's Hospital at (212) 305-9918.

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