Expertise Treating the Most Complex Disorders
Our pediatric urologists are highly experienced in treating prenatal urologic conditions, including:
Ectopic ureter: We individualize treatment for your child depending on the function of the upper portion of the affected kidney. We may:
- Remove that part of the kidney if no function is present
- Reimplant the affected ureter into the bladder
- Connect the affected ureter to the nonobstructed ureter if your child's kidney is functioning
Hydronephrosis: Hydronephrosis (a swelling of the kidneys) often resolves within the first few years of a child's life. However, it is critical for an experienced pediatric urologist to determine if your child has "nonthreatening" hydronephrosis or hydronephrosis that requires treatment. In some children, the cause of hydronephrosis can lead to permanent damage of the kidneys if left untreated.
Multicystic dysplastic kidney (MCDK): Kidneys with this disorder usually shrink over time. If your child's MCDK does need to be removed, this surgery is rarely needed when he or she is a newborn.
Posterior urethral valves (PUV): If your unborn baby has PUV, severe hydronephrosis, and low amniotic fluid, we may perform fetal surgery to insert a stent to drain urine from the obstructed bladder into the amniotic space. Once your baby is born, we'll insert a catheter to drain the bladder and monitor him or her closely to assess kidney function.
Prune belly syndrome (PBS): Since many other abnormalities can be associated with PBS, we work with subspecialists to assess heart, lung, and bone abnormalities, in addition to urologic problems. We tailor treatment according to the severity of your child's abnormalities and kidney function.
Ureterocele: We offer a number of surgical approaches to correct ureterocele and restore proper urinary function for your child. Some are appropriate for newborns, while others are best done at an older age.
Ureteropelvic junction obstruction: We're highly experienced in performing surgery to remove a "lazy" or narrowed section of an affected ureter to reestablish the normal flow of urine in your child. We may use robotic surgery to perform this procedure.
Ureterovesical junction (UVJ) obstruction: While some cases of UVJ obstruction improve on their own over time, others need to be corrected. We can surgically remove the obstructed segment of your child's affected ureter and taper the remaining part of the ureter so it fits properly into the bladder.
Vesicoureteral reflux: We've been at the forefront in the use of robotic and other minimally invasive surgical approaches to treat this disorder. Most of the time, it goes away on its own during the first few years of life. If your child needs treatment, we have great experience performing surgery to bring the ureter further into the bladder, as well as injecting a material called Deflux into the bladder to prevent reflux.