Urology

Two pediatric urology patients outdoors

Your child isn’t a small adult, especially when it comes to pediatric urology — 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 pediatric 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 Pediatric Urology 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 in Pediatric Urology

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 Specialty Care, Jacksonville South

14785 Old St. Augustine Road, Suite 200
Jacksonville, FL 32258
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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
  • Patient Presents Without Legal Guardian (PDF)
    English | Spanish
    Note: A parent or legal guardian must be with a child for a first visit.
 
Forms & Resources
New Patient Forms
Returning Patient Forms
  • Patient Presents Without Legal Guardian (PDF)
    English | Spanish
    Note: A parent or legal guardian must be with a child for a first visit.
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 all over the region who are seeking exceptional care for their child’s urologic condition. At our Jacksonville South location, a satellite office to our downtown Jacksonville clinic, your child can see some of the same board-certified pediatric urologists, only closer to home.

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

Among the pediatric urology services we provide are:

  • complete urologic assessment (evaluation of the urinary tract)
  • pediatric gynecologic assessment (evaluations of the female reproductive system)
  • reconstructive surgery of urinary tract or genitalia
  • minimally invasive surgery
  • robotic surgery
  • reviews of voiding studies, voiding cystourethrogram ( or “VCUG,” X-ray images of a child’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.

Learn More About How We Treat Spina Bifida »

Special Clinic Devoted to Children's Voiding Issues

We understand the impact urinary and fecal incontinence can have on your child and your family. We also know that developmental, emotional and behavioral issues can complicate dysfunctional elimination. That’s why Nemours Children’s Specialty Care, Jacksonville South offers a Continence Clinic for kids with problems holding or releasing urine or stool.

We work to get to the heart of, and treat, all the medical and/or behavioral issues impacting a child’s inability to void normally. Our coordinated care includes specialists from:

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

The clinic is led by experienced and compassionate nurses and nurse practitioners who work side-by-side with our urologists and your family. Together, we’ll create a plan to help your child with:

  • urinary and fecal incontinence (inability to hold urine or stool past the age of toilet training)
  • urinary frequency and urgency (having to go too often)
  • 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 (evaluations of the urinary and digestive system)
  • 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 muscle 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 Children’s Specialty Care, Jacksonville South is also proud to offer a biofeedback program — one of the first in North Florida — which uses fun, interactive games to teach kids to “listen” to their bodies to help manage this personal issue.

Pioneering Pediatric Robotic Urologic Surgery

When surgery is needed for your child, we realize that you want all the information possible in order to make the best decision. That’s why we take the time to explain each option, always looking for the least invasive method for faster healing and return to normal activities.

Our Nemours urologists are helping to advance robotic surgery for children, who are often under two years of age. Our surgeons regularly perform robotic surgery at Wolfson Children’s Hospital using the da Vinci® robotic system that provides 3D imagery and views at 15-times magnification.

Benefits of robotic surgery include:

  • smaller incisions
  • smaller scars
  • faster healing time
  • less pain

Learn More About Robotic 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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For Appointments: (850) 309-0400

 
Keeping Everyone in the Loop

No matter where your child receives care at Nemours, your medical team (including your primary care provider) can access your child’s medical history, test results and visit notes anytime through our award-winning electronic health record system.

You can also view parts of your child's health records, communicate with your Nemours care team, make appointments, request prescription refills and more through our MyNemours online patient portal.

Learn More About MyNemours »

 
If Your Child Needs Tests, Surgery or Hospitalization

The Nemours Children’s Specialty Care, Jacksonville South offers X-ray imaging onsite, while MRIs and nuclear medicine studies, CT scans, ultrasounds and interventional radiology services are provided at our neighbor and partner, Wolfson Children’s Hospital.

If your child needs additional tests, therapies or rehabilitation, surgery or an overnight hospital stay, our specialists and the pediatric providers at Wolfson Children’s Hospital will take good care of your family and make the experience as easy and stress-free as possible.

Learn More About Wolfson Children’s Hospital »

 
Caring for Kids With Chronic Medical Conditions

Feeling sick a lot can be overwhelming for children and teens, not to mention being admitted to the hospital. Your child may feel depressed or anxious about upcoming procedures, or confused about treatment for a medical condition. We’ll work with you and your child’s pediatric care team, providing consultation and education about the relationship between physical illness and psychological distress.

Family-Centered Care at Nemours

Whatever challenges your family is facing, our Nemours specialists will do everything in our power to give your child the very best, most comprehensive and compassionate care available.

And in everything we do, we value your involvement as a key member of the care team. After all, who knows your child better than you? We want you and your family to be an active participant in the decision-making, care and healing process. That’s what we call family-centered care.

Learn More About What Family-Centered Care Means at Nemours Children’s Health System »