Pediatric urology at Dell Children's
Pediatric urologists at Dell Children’s in Austin, Texas, are experienced specialists and surgeons who diagnose, treat and manage disorders of the urinary system and genitals. We start by listening to you and your child to better understand their health. Then, we work together to create a care plan that’s right for your child and family.
Conditions we diagnose and treat
The urology care team at Dell Children’s provides care for the most common to most complex urologic and genitourinary conditions in children. These conditions can be uncomfortable and even painful for children. Your child’s care team helps make your child feel comfortable and delivers child-friendly testing to diagnose urologic conditions.
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Bladder
- Bedwetting
- Daytime accidents
- Hematuria
- Neurogenic bladder
- Ureterocele
- Urinary frequent
- Urinary tract infections
- Vesicoureteral reflux (VUR)
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Genitals
- Concealed/hidden penis
- Curvature of the penis
- Foreskin problems
- Hypospadias
- Labial adhesions
- Meatal stenosis
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Kidney
- Hydronephrosis
- Kidney cancer
- Kidney stones
- Multicystic Dysplastic Kidney
- Ureteropelvic Junction (UPJ) obstruction
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Testicles/Groin
- Epididymitis
- Hernias
- Hydroceles
- Testicular cancer
- Undescended testicles
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Urethra
- Posterior urethral valve (PUV)
- Urethra prolapse
- Urethral stricture
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Ureter
- Ectopic ureter
- Megaureter
- Ureterovesical Junction (UVJ) obstruction
Specialized care for children with urologic conditions
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Genitourinary cancers and oncofertilityMultidisciplinary team that offers fertility preservation in the case of life saving chemotherapy or radiation therapy that will threaten future fertility.
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Hypospadias centerHypospadias is common but can range from minor (megameatus or glanular hypospadias) to severe (penoscrotal or perineal hypospadias). We use the most up to date research and surgical techniques to ensure the right repair is recommended for success early on.
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Kidney stone programThe Kidney stone program is composed of urology, nephrology, and a dietitian that provides an evidence-based comprehensive approach to kidney stone treatment and prevention.
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Newborn circumcisionsMany families opt to defer circumcision at birth for differing reasons. We can perform newborn circumcisions with local anesthesia up to 10 pounds and 6 weeks of age.
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Spina bifida clinic
The Spina bifida clinic is a multidisciplinary team including urology, neurosurgery, orthopedics, physical medicine and rehabilitation, bowel management, social work, physical therapy, occupational therapy, and neuropsychology that works to provide comprehensive care to those with spina bifida and other spinal abnormalities.
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Robotic surgery programDell Children’s Medical Center is the only free-standing children’s hospital in Central Texas to offer minimally invasive surgical techniques with the da VinciTM robotic platform.
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Urodynamics programDell Children’s is the only children’s hospital in Central Texas to offer urodynamics and videourodynamics which can help to diagnose and manage different bladder conditions including those that can affect future kidney health and continence.
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Voiding improvement program (VIP)The Voiding Improvement Program aims to help children with various urinary conditions with the goals of continence, reducing the risk of UTI, preserving normal kidney function, and confidence to be in social situations. Specialized tests can be done in the office to better evaluate the roles.
Multispecialty care teams
When you choose Dell Children’s, your family is connected to the most pediatric specialists in Central Texas. That means if your child’s condition is related to another health concern, we work closely with other pediatric specialists and referring doctors at Dell Children’s, including nephrologists, neurologists, endocrinologists, surgeons, adolescent medicine, oncology and more. Together, we collaborate on your child’s care plan to deliver comprehensive care. And your child benefits from having the expertise of multiple specialists.
Meet the care team
Our providers:
- Kelly Nast, MD, Chief of Pediatric Urology
- Leslie McQuiston, MD
- Vani Menon, MD
- George Seremetis, MD
- Mary Wang, MD
- Amanda R Hodge, CPNP
- Jenny T. Chau, PA-C
- Rachel S Hernandez, PA-C
Certified child life specialists are also part of your care team. These specialists are experienced in helping children manage stress and other challenges that may come with a urologic condition and while they are receiving care in the hospital and in our clinics. Our specialists meet with your child and family and work with you to create a care plan that supports your child’s emotional and developmental health.
Advanced surgical care for urologic conditions
For some conditions, surgery may be recommended as part of your child’s care plan. At Dell Children’s, our pediatric urologists specialized in surgical care and work with a team of pediatric anesthesiologists, pharmacists and other pediatric specialists. Whenever possible, pediatric surgeons use minimally invasive procedures. These less invasive surgical techniques use small incisions and typically lead to a shorter recovery. Our surgeons also have expertise in delicate procedures for newborns and infants with congenital malformations and urological related conditions.
We understand surgery can feel scary for your child and your family. Tell us your concerns and ask us your questions — big and small. Your child’s care team takes the time to explain the procedure to you and your child. We also explain what to expect before surgery and how to care for your child at home after surgery.
If your child is experiencing a life-threatening emergency, go to the nearest ER or call 911.