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 Children's Hospital, Orlando

13535 Nemours Parkway
Orlando, FL 32827
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Schedule a new patient urology appointment.


For Appointments: (407) 650-7715

 
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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
  • any forms required for school, camp, sports, etc.
  • a list of prior immunizations
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

Urology specialists at the Nemours Children’s Hospital (NCH) regularly perform robotic surgery and lecture throughout the country on advanced techniques for urologic surgery for children. This means we bring extensive knowledge and expertise to performing both simple and complex pediatric urological procedures, including pyeloplasty in infants (correcting kidney obstruction) and hydrocele surgery (removing fluid from the scrotum).

At Nemours, we understand the unique needs of children and the concerns of parents, especially when a urologic surgical procedure may be necessary. That’s why we do our best to clearly explain treatment options, answer your questions, and address all of your concerns completely and compassionately. If your child needs urologic surgery, you can trust that we’re looking for the least invasive method possible for faster healing and return to normal activities.

Special Expertise in Minimally Invasive Surgery

Nemours pediatric urologists have been selected as some of the "Best Doctors in America®" year after year. As board-certified specialists, our surgeons utilize the latest treatments and techniques, including minimally invasive procedures — performed through tiny incisions or by using natural body openings. Less invasive procedures are often easier on the body, which means your child can get back to being a kid again as soon as possible.

Minimally invasive procedures include laparoscopic or endoscopic 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).

Minimally invasive procedures offer benefits that may include:
  • smaller incisions and scars
  • faster healing time
  • less risk of infection
  • less pain
  • faster healing time
  • shorter hospital stays
 
Learn More About Minimally Invasive Surgery for Children

Some operations that used to be done as open surgery (requiring larger “open” incisions) can now be performed in a “minimally invasive” way using a patient’s natural openings (for example, the urethra, which is the tube that connects the bladder to the genitals) or tiny incisions an inch or smaller.

Whenever you see or hear “oscopy” or “oscopic” at the end of a procedure’s name, it means “use of a scope” and sometimes other instruments to diagnose, inspect, and/or treat a problem. Minimally invasive surgery refers to:

Laparoscopy: A procedure that allows us to diagnose and/or repair or treat a problem using one or more small incisions rather than a large open incision. One small incision is used for a tiny camera, which gives the surgeon a magnified view inside the body. The other incisions are used for inserting surgical instruments. The surgeon also inflates the abdomen with gas in order to see the inside of the body more clearly. Laparoscopy is often called “band-aid surgery” because the incisions are small enough that they can be covered with small bandages after surgery instead of a large dressing.

Endoscopy: A procedure that includes passing a small lighted telescope through a body opening to examine the inside of the body. Instruments can also be passed through the scope to remove small objects or to take biopsies (when a piece of tissue is obtained for close examination). This means some procedures can be done without any cut at all — and a child can go home the very same day. Many urologic endoscopic procedures use an ureterscope, a thin tube that’s passed through the urethra (which connects the bladder to the genitals), the bladder, and the ureter (which propels urine from the kidney to the bladder) to view and treat urologic conditions such as kidney stones.

Performing the Most Advanced Robotic-Assisted Procedures for Pediatric Surgery

NCH pediatric urologic surgeons use the most advanced version of the da Vinci® robotic-assisted surgical technology which provides 3-D imagery and views at 15-times magnification. Robotic-assisted surgery is less invasive than traditional, open surgery and offers several potential benefits like reduced risk of bleeding and quicker recovery.


Types of Pediatric Urologic Procedures Performed by Our Surgeons

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

Other pediatric urologic surgical procedures include:
  • hydrocele surgery and hernia repair (closure of the inguinal, or groin, canal)
  • hypospadias repair (relocating the urethra, or the opening that carries urine out of the body)
  • varicocele correction (correcting the backwards flow of urine)
  • orchiectomy (removal of the 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)
  • genitourinary reconstructive surgery (correction of urethral abnormalities that are acquired or present at birth)
  • circumcision (surgical removal of the foreskin from the penis)
  • correction of disorders of sexual differentiation (ambiguous genitalia, when an infant’s genitals are not well formed)
  • ureteroscopy and Holmium laser lithotripsy (use of a scope to deliver laser pulses to break up kidney stones)
  • extracorporeal shock wave lithotripsy (use of high-energy sound waves to break up kidney stones)
  • endoscopic management of vesicoureteral reflux (alternative to surgical correction for abnormal urine flow)

We also offer special testing, including video fluoroscopic urodynamic testing (using low dose X-ray imaging) and non-invasive uroflowmetry (a special funnel connected to a measuring instrument) to assess urinary function.

 
About Anesthesia: Urologic Surgery for Children

When your child needs anesthesia or sedation for a surgical procedure, it’s natural to be concerned. Rest assured that our board-certified pediatric anesthesiologists are right here to make decisions on the best types of medicine to keep your child comfortable — and to answer any questions or concerns you may have about medication safety.

Learn More About Pediatric Anesthesiology at Nemours Children’s Hospital »

 
Family-centered Care Means We're Here for You

At Nemours, we want to hear your concerns and share with you everything we can about your child’s condition and treatment. If English is not your first language, we’ll make sure you understand what to expect — in your language. Several of our urology team members and surgeons are bilingual and can speak with you in English or Spanish. We also offer translation services for other languages.

Learn More About Interpreter Services at Nemours Children’s Hospital »


Surgical Center of Excellence: Patient Care, Research, and Education

Located in the heart of Lake Nona Medical City, NCH is a dedicated home for science, teaching, and training. Our surgeons (who do not have private practices) are here full-time, developing cures, teaching tomorrow’s leaders in pediatric health care, and bringing the most advanced treatments to bedside, faster.

 
Nemours Partnerships in Orlando — and Beyond

We’re forming relationships with our Medical City neighbors — and the international medical community — to further groundbreaking advancements in research and education. For example, we’re:

  • conducting joint research with Sanford-Burnham Medical Research Institute to study the role stem cells and gene therapy have in treating wounds (funded by the National Institutes of Health)
  • forging academic partnerships with the University of Central Florida, University of Florida and University of South Florida colleges of medicine
  • bringing in world-renowned pediatric surgical specialists to share their research, knowledge, and expertise with our physicians who are teaching future pediatric specialists