Urologic Surgery

father and son

Surgery for children is different from surgery for adults, especially urologic surgery which involves a child’s reproductive system and urinary tract. That’s why our surgical teams include highly trained pediatric specialists who are sensitive to the physical and emotional needs of children. We use the latest minimally invasive treatments and techniques that help kids heal faster and get back to their lives sooner.

 
Read More About Pediatric Urologic Surgery

Nemours pediatric urologists are board-certified specialists who perform a variety of state-of-the-art surgical interventions for urologic conditions such as pyeloplasty in infants.

Our surgeons perform a wide range of procedures, including:
  • pediatric pyeloplasty (correction of kidney obstruction in children)
  • hydrocele surgery and hernia repair
  • hypospadias repair
  • varicocele correction
  • orchiectomy (removal of testis) and orchidopexy (fastening of an undescended testis inside the scrotum)
  • partial and total nephrectomy (kidney removal)
  • bladder augmentation (increasing the size of the bladder)
  • extrophy repair (closure of the bladder)
  • genital reconstructive surgery
  • circumcision
  • correction of disorders of sexual differentiation (ambiguous genitalia)
Minimally Invasive Surgical Expertise

Nemours urologic surgeons perform a number of minimally invasive procedures, which use smaller incisions or a child’s natural openings – resulting in less scarring, a faster healing time, fewer infections, and
less pain.

Depending on the specific 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) and 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/Alfred I. duPont Hospital for Children, Wilmington


1600 Rockland Road
Wilmington, DE 19803
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For Appointments: (302) 651-4200

 
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
For Overnight Stays

Our pediatric urology team at Nemours/Alfred I. duPont Hospital for Children truly cares about your child and your family. We know how difficult it can be to deal with urological conditions, especially if surgery is needed. We do our best to clearly explain treatment options, to answer your questions, and address all of your concerns.

Special Expertise in Minimally Invasive Surgery

Nemours pediatric urologists have been selected as some of the "Best Doctors in America®.” As board-certified specialists, our surgeons utilize the latest treatments and techniques, including minimally invasive procedures — performed through tiny incisions an inch or smaller or by using a child’s natural openings. These kinds of procedures help promote faster healing and return to normal activities.

Minimally invasive procedures include laparoscopic techniques (the use of a scope and sometimes other instruments to diagnose, inspect and/or treat a problem) and robotic-assisted laparoscopic surgery (in which surgeons use a robot to assist in performing very exact movements with a surgical precision beyond the abilities of the human hand).

Offering the Region’s Most Advanced Robotic-Assisted Technology for Pediatric Surgery

We’re proud to be the first children’s hospital in the Philadelphia and Delaware area to offer the most advanced version of the da Vinci® robotic-assisted surgical system. Our da Vinci® Si™ robot technology provides 3D imagery and views at 15-times magnification for our surgeons. Robotic-assisted surgery is less invasive than traditional, open surgery and offers several potential benefits, including:

  • smaller incisions and scars
  • faster healing time
  • less risk of infection
  • less pain
  • faster healing time
  • shorter hospital stays

Types of Procedures Performed by Our Pediatric Urologists

Nemours pediatric urologists perform a variety of state-of-the-art surgical interventions for urologic conditions, such as pyeloplasty in infants (correction of kidney obstruction in children.)

Other procedures include:
  • hydrocele surgery and hernia repair
  • hypospadias repair
  • varicocele correction
  • orchiectomy (removal of testis)
  • orchidopexy (fastening of an undescended testis inside the scrotum)
  • partial and total nephrectomy (kidney removal)
  • bladder augmentation (increasing the size of the bladder)
  • extrophy repair (closure of the bladder)
  • genitor-urinary reconstructive surgery
  • circumcision
  • correction of disorders of sexual differentiation (ambiguous genitalia)
  • laparoscopy (use of scope and other instruments to inspect outside aspects of the kidneys, ureters, and bladder)
  • ureteroscopy and Holmium laser lithotripsy
  • endoscopic management of vesico-ureteral reflux
  • extracorporeal shock wave lithotripsy

We also offer special testing, including video fluoroscopic urodynamic testing and non-invasive uroflowmetry.

About Anesthesia

Parents often have questions about the anesthesia used for surgery. Rest assured that during any urologic procedure that requires anesthesia, our board-certified Nemours pediatric anesthesiologists are right there to make decisions on the best types of medicine to keep your child comfortable.


What to Expect With Pediatric Surgery

If your child needs surgery, you can trust our pediatric surgical team at Nemours. Our pediatric surgical specialists (surgeons, anesthesiologists and nurses) understand what kids need, psychologically and physically. Our guidebook provides step-by-step instructions and information about what to expect before, during and right after surgery at Nemours/Alfred I. duPont Hospital for Children.


Top 10 Things Kids Need to Know About Surgery

Take your child on a pediatric surgery video tour with Sheridan on her surgery day. This fun, kid-friendly video shows children and teens what to expect, step-by-step, if they need an operation at Nemours/Alfred I. duPont Hospital for Children.