Our Unique Approach

The Children's urology program is ranked among the top pediatric urology programs in the nation by U.S. News & World Report. Our urology program is nationally recognized because of superior scores in areas such as commitment to clinical research and quality improvement.

We perform more than 4,000 pediatric urological surgeries annually. We use minimally invasive techniques and equipment specifically designed for children and teens, including laparoscopic and robot-assisted surgery. This includes access to our own da Vinci Surgical System, which gives surgeons a 3-D view and allows greater surgical precision.

Our team of pediatric urologists and fellows is dedicated exclusively to children and actively participates and leads research studies aimed at improving the care of children with urologic diseases and disorders. Our research regarding urinary tract infection and vesicoureteral reflux (VUR), including minimally invasive surgical treatments, such as endoscopic injection with Deflux and robot-assisted ureteral reimplantation, is internationally recognized.

What We Treat

Urology is a surgical specialty concerned with disorders or abnormalities of the urogenital or genitourinary (GU) system, which includes the urinary and genital organs.

Our urologists treats issues with the kidneys, renal pelvis, ureter, bladder and urethra in both males and females. Disorders of the penis and testicles in males and disorders of the vagina in females are also part of the spectrum of conditions treated by a urologist.

We also help patients with the surgical management of conditions including spina bifida, obstructive urinary disorders and genital malformations.

Conditions we treat:

  • Ambiguous genitalia
  • Bladder exstrophy epispadias complex
  • Circumcision
  • Cloacal malformation
  • Genito-urinary tumors
  • Hydrocele
  • Hydronephrosis
  • Hypospadias
  • Inguinal hernia
  • Micropenis
  • Multicystic dysplastic kidney
  • Neurogenic bladder and voiding dysfunction
  • Phimosis and paraphimosis
  • Prune belly syndrome
  • Solitary kidney
  • Testicular torsion
  • Undescended testes (cryptorchidism)
  • Ureteroceles
  • Urinary incontinence (bedwetting)
  • Urinary stones/kidney stones
  • Urinary tract infection and vesicoureteral reflux
  • Variocele

Services We Offer

Our specialists offer access to technology and programs such as:

  • Prenatal evaluation of genitourinary anomalies: Evaluation and diagnosis of conditions such as extrophy and epispadias, prune belly syndrome and multicystic dysplastic kidney
  • Reconstructive urologic procedures: Surgery to improve urinary control, protect kidney function, improve the appearance of the genitals and allow for sexual function
  • Minimally invasive surgery: Laproscopic surgery includes access to the da Vinci Surgical System, which gives a surgeon a full 3-D view of the patient. The da Vinci System allows for very small incisions which reduces postoperative pain and scarring and shortens recovery time allowing you child to return to school/play quickly.
  • Diagnostic imaging, including magnetic resonance urography: Primarily used to gather further information about kidney function and drainage
  • HAWK Center for Voiding Dysfunction: Focuses on the special needs of children with wetting issues and other forms of abnormal urination
  • Spina Bifida Clinic: Provides medical, surgical, rehabilitative, psychological and support services during each stage of a child's development
  • Pelvic and Anorectal Care Program: Provides care for children with surgical diseases resulting in constipation, diarrhea, soiling or pain as a consequence of the disease
  • Fetal Care Center: Collaborates with obstetricians and perinatologists to assist women and families experiencing high-risk pregnancies in developing a comprehensive care plan, from evaluation and diagnosis to postnatal surgical intervention and care
  • Differences of Sexual Development (DSD) Clinic: A dedicated case manager provides coordinated care across specialties and serves as the primary contact for patients and families. For more information, contact dsd@choa.org

Helpful Resources

Make a Donation

Our generous donors are dedicated to helping ensure children with urological disorders receive the best care possible. Your gift will be used to provide strong clinical care through excellence in pediatric urology research.

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Pediatric Urology Research

Our team of pediatric urologists has published more than 300 peer-reviewed articles in literature and book chapters. Learn more about the breadth of our knowledge and examples of our published research that changed how the following urologic conditions and procedures are managed.

Learn more about our published research


Outcomes of Robot-Assisted Extravesical Ureteral Reimplantation in the Pediatric Population

  • Arlen A.M., Broderick K.M., Travers C., Smith E.A., Elmore J.M., Kirsch A.J. J Pediatr Urol. 2016; 12(3):169.e1-6.
  • Boysen W.R., Akhavan A., Ellison J.S., Lendvay T.S., Huang J., Garcia-Roig M., Kirsch A., Koh C.J., Schulte M.,
    Noh P., Monn M.F., Wittam B., Kawal T., Shukla A., Srinivasan A., Gundeti M.S. J Pediatr Urol. 2018; 14(3):262.e1-6.


Surgical Scar Location Preference for Pediatric Kidney and Pelvic Surgery

  • Garcia-Roig M.L., Travers C., McCracken C., Cerwinka W., Kirsch J.M., Kirsch A.J. J Urol. 2017; 197(3 Pt 2):911-919.



Endoscopic Injection of Dextranomer/Hyaluronic acid (Deflux) for Vesicoureteral Reflux (VUR)

  • Lightfoot M.A., Bilgutay A.N., Tollin N., Eisenberg S., Weiser J., Smith E., Elmore J., Scherz H., Kirsch A.J. “Long-
    Term Clinical Outcomes and Parental Satisfaction After Dx/HA Injection for Primary VUR.” Society for Pediatric
    Urology Fall Congress, Sunday, Sept. 16, 2018.

Vesicoureteral Reflux Index (VURx): A Novel Tool to Predict Primary Reflux Improvement and
Resolution in Children

  • Arlen A.M., Garcia-Roig M., Weiss A.D., Leong T., Cooper C.S., Kirsch A.J. J Urol. 2016; 195(4 Pt 2):1294-1299. 
  • Garcia-Roig M., Ridley D.E., McCracken C., Arlen A.M., Cooper C.S., Kirsch A.J. J Urol. 2017; 197(4):1150-1157.



Prune Belly Syndrome

  • Garcia-Roig M.L., Grattan-Smith J.D., Arlen A.M., Smith E.A., Kirsch A.J. J Pediatr Urol. 2016; 12(2):122 e121-127.
  • Arlen A.M., Kirsch S.S., Seidel N.E., Garcia-Roig M., Smith E.A., Kirsch A.J. 2016; 87:224-227.
  • Smith E.A., Srinivasan A., Scherz H.C., Tracey A.J., Broecker B., Kirsch A.J. J Pediatr Urol. 2017; 13(5):502 e501-502 e506.



Scoring Hypospadias with a Simple, Standardized, Reliable Tool to Predict Postoperative Outcomes and Need for Staged Surgery: The GMS and GUMS Scores

  • Huang J., Rayfield L., Broecker B., Cerwinka W., Kirsch A.J., Scherz H., Smith E., Elmore J. J Pediatr Urol. 2017;


MRU Is a Safe and Versatile Tool for Delineating Urinary Tract Function and Anatomy

  • Garcia-Roig M.L., Grattan-Smith J.D., Arlen A.M., Smith E.A., Kirsch A.J. J Pediatr Urol. 2016; 12(2):122.e1-7.