Urology

two girls drinking from water bottles

Your child isn’t a small adult, especially when it comes to conditions affecting the kidneys, ureter, bladder, urethra, penis and testes. A child’s genitourinary system (reproductive system and urinary tract) is still growing and developing. Our pediatric urologists are qualified to care for conditions in pediatric urology — and are committed to providing the least invasive treatments available.

 
Read More About Pediatric Urology

Pediatric urological conditions can affect more than one part of the urinary system, but can be divided into kidney (renal) and bladder conditions, and genital conditions. Below are some of the conditions that Nemours urologists treat.

Kidney and Bladder conditions include:
  • hydronephrosis: dilation or stretching of the kidney pelvis which is at the top of the ureter, the tube that drains urine from the kidney
  • daytime voiding dysfunction and bedwetting (enuresis), including urgency and frequency
  • kidney and bladder stones: when chemicals in the urine crystallize into "stones" in the urinary tract
  • neurogenic bladder: abnormal function of the bladder due to disease of the central nervous system or peripheral nerves
  • urinary tract infections (UTI): which can affect the lower tract, or bladder, or the upper tract, the kidneys
  • urinary tract obstruction: any blockage of urine flow along the urinary tract
  • vesicoureteral reflux (VUR): the abnormal flow of urine from the bladder back into the ureter
Genital conditions include:
  • ambiguous genitalia: a birth defect where the outer genitals do not have the typical appearance of either a boy or a girl
  • hydrocele: a buildup of fluid in the scrotum around the testis
  • hypospadias: when the opening that carries urine out of the body from the penis is on the underside, rather than at the tip, of the penis
  • inguinal hernia: when an organ, usually a part of the intestine, protrudes through the abdominal wall into the groin area
  • meatal stenosis: a narrowing of the opening of the urethra, the tube through which urine leaves the body
  • testicular torsion: the twisting of the spermatic cord, which cuts off the blood supply to the testis
  • undescended testes: when the testes, which form inside the abdomen, fail to move down into the scrotum
  • varicoceles: an enlargement of the veins in the scrotum caused by blocked blood flow

Often there are several treatment options for urological conditions and our pediatric urology specialists will give you all the information you need and answer any questions, so you can feel confident about the option you choose.

Special Testing for Children’s Urological Problems

We offer a full range of diagnostic techniques, including:

  • comprehensive urodynamic studies (tests that show how well the bladder and urethra are storing and releasing urine)
  • noninvasive (without the placement of a catheter) urine flow studies (which evaluate the rate and volume of your child’s urine flow)
  • voiding cystourethrograms or VCUG (a “real-time” X-ray exam done with fluoroscopy performed as the bladder is emptying)
  • ultrasound and endoscopy (using a tiny scope to see inside the urinary tract)
Minimally Invasive Surgical Expertise

If your child needs surgery for a urologic condition, you can take comfort in knowing that Nemours urologic surgeons are highly skilled and offer expertise in minimally invasive procedures. These procedures are performed using smaller incisions or a child’s natural openings, which can result in less scarring, faster healing time, fewer infections and less pain for your child.

Depending on the procedure and the location where your child receives care, minimally invasive procedures available may include laparoscopic techniques (the use of a scope and sometimes other instruments to diagnose, inspect, and/or treat a problem) or robotic-assisted laparoscopic surgery (in which surgeons use a robot to assist in performing very precise movements through small openings or ports in the body).

Nemours Children's Clinic, Jacksonville

807 Children’s Way
Jacksonville, FL 32207
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For Appointments: (904) 697-3600

Hours: Monday–Friday, 8 a.m. to 5 p.m.
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What to Bring
  • photo ID
  • medical and pharmacy insurance cards
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
New Patients

Bring these forms for your first appointment:

Returning Patients
 
Forms & Resources
New Patient Forms
Returning Patient Forms
Resources for Patients & Families

Members of our pediatric urology team at our Jacksonville clinic have been named among the “Best Doctors in America®” and our reputation for excellence draws patient-families from Tallahassee, Daytona, and South Georgia, who are seeking exceptional care for their child’s urological condition.

In fact, we are a regional leader in minimally invasive urologic procedures and routinely utilize robotic assisted laparoscopic surgery. We also have the region’s only biofeedback program for helping kids with voiding dysfunction.

Among the services we provide are:
  • complete urologic assessment
  • pediatric gynecologic assessment
  • reconstructive surgery of urinary tract or genitalia
  • minimally invasive surgery
  • robotic surgery
  • reviews of voiding studies, voiding cystourethrogram (VCUG) (X-ray images of a person's urinary system) ultrasounds and other radiologic studies

We also provide a Spina Bifida Clinic that gives children with this condition access to a team of specialists — including orthopedists, neurosurgeons, and urologists — who can manage all of their medical needs in one place.

Special Clinic Devoted to Children's Voiding Issues

We understand the impact urinary and fecal incontinence can have on your child and your family. That’s why Nemours Children’s Clinic, Jacksonville, offers a Continence Clinic for kids with problems holding or releasing urine or stool. Our coordinated care includes specialists from:

  • gastroenterology (digestive health)
  • urology (urinary health)
  • psychiatry and psychology

Our Continence Clinic staff is made up of nurses and nurse practitioners. Our specialized nurses work side-by-side with our doctors and your family to do whatever it takes to help your child with:

  • urinary and fecal incontinence
  • urinary frequency and urgency
  • recurring urinary tract infection (UTI)
  • failure to toilet train
  • chronic constipation

We can also perform tests to help address your child’s individual needs. These may include:

  • urological and gastroenterological assessment
  • uroflow testing to measure the flow and force of the urine stream
  • urodynamics studies to assess bladder and sphincter muscle function
  • high-resolution anorectal manometry (a test that uses a balloon technique to measure contractions) to evaluate the causes of pediatric constipation or fecal incontinence
  • 3-D pediatric anorectal imaging (one of the few clinics to offer this testing)

Nemours Jacksonville is also proud to offer a biofeedback program — one of the first in North Florida — which uses fun, interactive games to help kids better understand and manage this personal issue.

Pioneering Pediatric Robotic Urologic Surgery

Our Nemours urologists are helping to advance robotic surgery for children, who are often under 2 years of age.
Learn More About Urologic Surgery »

Nemours Pediatric Urology in Tallahassee, FL

Nemours pediatric urologists offer services the fourth Monday of every month at:

Southeastern Urological Center PA
2000 Centre Pointe Blvd.
Tallahassee, FL 32308
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Phone: (850) 309-0400