Our Approach to Pediatric Urology
Montefiore Einstein Pediatric Urology at the Children’s Hospital at Montefiore Einstein (CHAM) is at the forefront of the field, renowned for providing comprehensive and personalized care for infants, children and adolescents with the full spectrum of pediatric genitourinary (GU) conditions. Our multidisciplinary team of world-renowned pediatric urologists takes an individualized approach tailored to each child, using the latest and most advanced diagnostics and treatments, including minimally invasive, endoscopic, laparoscopic and robotic surgery.
Our multidisciplinary team of doctors includes board certified, fellowship trained pediatric urologists. Working closely with pediatricians, maternal-fetal medicine doctors, neonatologists and other pediatric specialists, the team provides a full range of specialized, state-of-the-art diagnostic and therapeutic services for all pediatric GU conditions. We are committed to providing the highest quality compassionate care, protecting and restoring GU function, relieving pain and improving the quality of life for each child.
Advanced Diagnostics & Treatments
We offer access to the latest and most advanced diagnostics and treatments to help prevent, diagnose and treat children with all types of genitourinary conditions.
- Computed tomography (CT): used for high-resolution cross-sectional imaging
- High-resolution 3T magnetic resonance imaging (MRI) and MRI urography: used for detailed soft tissue and urinary tract evaluation without radiation exposure
- Advanced ureteroscopy and cystoscopy: used to directly assess certain pediatric conditions of the urinary tract
- Video urodynamic testing: used for evaluating bladder function in children with neurogenic bladder
- Voiding cystourethrograms (VCUG): used to diagnose and monitor vesicoureteral reflux
- Radionuclide Renal Scintigraphy, including:
- Dimercaptosuccinic acid (DMSA) scans: used to evaluate renal cortical integrity
- Tc-99m-mercaptoacetyltriglycine (MAG3) renography: to assess renal function and drainage
- 3D ultrasound: used for detailed, noninvasive imaging of the urinary tract
We offer a full range of individualized treatments tailored to each child, from nonoperative management using lifestyle and dietary modifications and medical approaches with newly emerging therapeutics and technologies to surgery. If surgery is required, we specialize in the most advanced surgical approaches available today, including minimally invasive, robotic and incisionless endourologic surgery to facilitate faster recovery. Our continued work in the development of newly emerging techniques and technologies allows us to provide the latest leading-edge surgical techniques.
We perform a variety of open and minimally invasive pediatric urological procedures, some of which include:
- Partial nephrectomy for kidney tumors: surgical removal of kidney tumors while preserving healthy tissue
- Pyeloplasty for ureteropelvic junction obstruction: a procedure to correct blockages at the junction where the kidney and ureter meet
- Ureteral reimplantation for vesicoureteral reflux: a surgical procedure to correct vesicoureteral reflux, preventing urine from flowing backward into the kidneys
- Treatment of kidney stones: utilizing a range of advanced, minimally invasive methods to treat pediatric kidney stones
- Genital reconstruction for congenital adrenal hyperplasia: surgical treatment to address genital differences caused by congenital adrenal hyperplasia (CAH), a genetic condition affecting hormone production
- Repair of hernias and varicoceles: surgical treatments for both inguinal hernias and varicoceles, conditions common in pediatric patients
- Augmentation cystoplasty and appendicovesicostomy (Mitrofanoff procedure) for neurogenic bladder: surgical procedures to create a new way to empty the bladder in children with neurogenic bladder, often using the appendix or a section of bowel
- Circumcision: a common surgical procedure for the removal of the foreskin
- Diverticulectomy for bladder diverticula: surgical removal of diverticula in the bladder
- Orchidopexy for undescended testicles: a procedure to correct undescended testicles
- Repair of congenital anomalies: surgeries to correct birth defects, including:
- Hypospadias: a condition where the opening of the urethra is on the underside of the penis rather than at the tip
- Bladder and cloacal exstrophy: a rare condition where the bladder is inside-out and exposed at birth
Function Clinic
Our Function Clinic offers coordinated, multidisciplinary care designed to minimize the impact of chronic disabilities on daily life, with a strong emphasis on improving independence. Located in an accessible, mobility-friendly setting, the clinic brings together surgical and medical specialists from urology, orthopedics, neurosurgery and rehabilitation medicine, who collaborate closely with patients, families and caregivers during single-visit evaluations and care planning. By focusing on each individual’s broader life experience, the clinic delivers personalized support that empowers both patients and their support systems.
Total Integrated Genitourinary, Endocrine, Reproductive (TIGER) Clinic
At the Total Integrated Genitourinary, Endocrine, Reproductive (TIGER) Clinic, specialists collaborate on the treatment of children with diagnoses of intersex conditions such as ambiguous genitalia, chromosome and reproductive organ mismatch. The clinic assists children and their parents in navigating the process of evaluation and individualized care for each patient. Our physicians collaborate with the patient’s primary physician or specialist.
Patients are seen by a multidisciplinary team, including specialists in pediatric urology, endocrinology and genetics. Services include genetic and chromosomal testing testing and counseling, laboratory testing, imaging, endocrinologic therapy, surgical interventions and psychosocial support, including connecting patients and family members with peer support groups.
Your Pediatric Urology Team
Amanda C. North, MD
Matthew R. Danzig, MD
Miriam Harel, MD
