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.
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).
- 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
- 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
Our expertise in pediatric urology draws patient-families from around the country and world to Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del.
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. Some of our pediatric urologists are fluent in other languages, including Spanish and Arabic languages.
Specialized Care for Pediatric Urology Problems
Nemours urologists are board certified and fellowship trained in pediatric urology. This means that they have the expertise to diagnose and treat genital and urinary problems in infants, children and adolescents. See what we have to offer to help care for your child’s urological condition at duPont Hospital for Children.
The Bladder Clinic
The clinic is led by our experienced and compassionate nurse practitioner who works in conjunction with our pediatric urologists to take care of your child’s bladder problems.
Our comprehensive program is specifically designed for the evaluation and management of urinary incontinence in kids, including voiding dysfunctions such as daytime wetting, urinary urgency and frequency, or nighttime bedwetting in
We understand that bladder problems can be embarrassing for children. We also know that developmental, emotional and behavioral issues can complicate dysfunctional elimination. 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.
Kidney and Bladder Care Program
Kidney and urinary issues are frequently inter-related, especially in children. For this reason, we implemented our Kidney and Bladder Care Program, which is staffed by a pediatric nephrologist and a pediatric urologist. Together, they can better evaluate and treat young patients with problems involving both the kidney and bladder. Here, you and your child have access to coordinated care from both board-certified specialists at the same time, on the same day. This approach provides added convenience for you, and also provides enhanced treatment planning between your child's doctors, nurses and your family.
Kidney and bladder care conditions we treat include:
- voiding dysfunction (when the bladder doesn’t empty normally, causing too-frequent urination, daytime accidents and/or nighttime bedwetting)
- congenital anomalies of the kidney and/or urinary tract
- hematuria (blood in the urine)
- obstructive uropathy (when urine can’t drain through a ureter — the tube that carries urine from the kidneys to the bladder — backing urine up into the kidney and causing it to become swollen)
- kidney stones
- bone and mineral disorders
- chronic kidney disease
For Children With Spina Bifida
The Spina Bifida Clinic is a coordinated program that gives children with spina bifida access to a team of specialists — including orthopedists, neurosurgeons, urologists and rehabilitation doctors — who can manage all of their medical needs in one place.
See How We Treat Spina Bifida »
Help Before Your Baby is Born
Through Nemours Partners for Perinatal Management, our urologists work with expectant parents and their doctors to help evaluate congenital (present at birth) urological conditions, and develop a plan of care for before and after your baby
Learn More About Perinatal Testing & Specialty Consultations We Provide »
Expertise in Pediatric Urologic Surgery
Nemours pediatric urologists have been selected as some of the "Best Doctors in America®." As board-certified specialists, our surgeons are able to provide the latest treatments and techniques, including laparoscopic and minimally invasive procedures that help promote faster healing and return to normal activities.
Offering the Region’s Most Advanced Robotic-Assisted Technology
As 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 surgeons use this latest generation technology to perform very precise, less invasive surgical procedures. Our da Vinci® Si™ robotic-assisted technology provides 3-D imagery and views at 15-times magnification. This makes a number of advantages possible for our patients, include smaller incisions and scars, faster healing time, and less pain.
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.