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Urology

Compassionately managing conditions affecting the kidneys, bladder, urethra or genital tract in pediatric patients.


Disorders of the urinary tract and genitals among infants, children, and adolescents can impair normal function and also affect quality of life, self-esteem, and sexuality. The pediatric urology team at Duke Children’s Hospital & Health Center understands the impact these disorders can have on young patients and their families, and offers prompt and effective diagnosis and treatment in a family-friendly setting.

Our multidisciplinary team routinely collaborates with specialists in nephrology, endocrinology, neurology, neurosurgery and orthopaedics to ensure that your child receives the comprehensive care necessary to treat his or her disorder.

We treat the full range of pediatric urologic disorders, from common conditions such as bed-wetting to rare congenital abnormalities. When a child needs surgery, our pediatric urologists use minimally invasive approaches whenever possible. We are a leading center for endoscopic, laparoscopic, and robotic urologic surgery. Our surgeons perform complex reconstructive surgery for abnormalities of the bladder, urethra, and genitalia. They are also specialists in the care of urologic disorders diagnosed during pregnancy, and provide consultations for bladder exstrophy, obstructions, and other urinary tract conditions in the developing fetus.

The Duke Children’s pediatric urology team also includes an experienced pediatric urology nurse practitioner and a nurse clinician/urotherapist. We know that treatment for a urologic condition can be challenging for you, your child, and your family, so we provide guidance and support to help get you through this process.

Recognized for Excellence

Our pediatric urology program is ranked among the nation’s best by U.S. News & World Report, and our doctors are consistently recognized for their experience and expertise, including their role in developing minimally invasive surgical options now considered the gold standard for kidney stone removal.

Through our partnership with the Duke University School of Medicine, members of our team have received national recognition for contributions to the field of pediatric urology.  In addition, Duke Children’s provides opportunities for children to receive the latest treatments for a variety of conditions through our many clinical trials.


Treatments

Commonly Performed Procedures

Common conditions we treat include:

  • Hypospadias (urethra opens on penis along the bottom of the shaft instead of at the end)
  • Undescended testes (boy’s testicles not in the scrotum), Hydroceles, and Inguinal Hernias
  • Hydronephrosis (swelling of the kidney)
  • Vesicoureteral reflux (when urine backs up into the kidneys)
  • Kidney stones
  • Urinary tract infections
  • Voiding dysfunction
  • Neurogenic bladder

We also treat less common urologic conditions, such as:

  • Congenital adrenal hyperplasia
  • Bladder exstrophy
  • Disorders of sexual differentiation (genitals that are not clearly male or female)

Some of these conditions can require multiple, extensive surgeries to reconstruct the urinary and genital tracts so that children can live normal or near-normal lives. Our pediatric urologists will be with you and your child every step of the way.

Disease-Specific Programs

We offer several specialty clinics including:

  • ABCD (Achieving Bladder Control at Duke) Clinic
    This special clinic is held to provide specialized care and attention to children with bladder control problems such as enuresis, bed-wetting, and urinary frequency. Comprehensive therapy involves the use of behavioral therapy, enuresis alarms, and medications. Additionally, consultative services are utilized from the Department of Physical Therapy and the Department of Psychology and Behavioral Medicine.
  • Comprehensive Spina Bifida Clinic, Lenox Baker Children's Hospital
    This clinic is available for children with spina bifida and other spinal cord disorders. In addition to pediatric urology, teams from neurosurgery, orthopaedics, developmental pediatrics, and physical therapy are present to provide total care to these children.
  • Fetal Urology Clinic
    This clinic is coordinated with Duke maternal-fetal medicine specialists for pregnant women with fetal urologic anomalies noted on sonography.
  • Pediatric Kidney Stone Clinic 
    This is a multidisciplinary clinic conducted with nephrologists for comprehensive care of kidney stones including diagnosis, treatment (surgical and non-surgical), and prevention.

Physicians and Staff

Physicians

Name Areas of Special Interest
John S. Wiener, MD Reconstructive surgery of congenital anomalies of the genitourinary tract (hypospadias, cryptorchidism, intersex, obstructive uropathies [hydronephrosis], vesicoureteral reflux, exstrophy); management of urinary-tract infections, incontinence, and enuresis in children; management of neurogenic bladders in children; urologic care of spina bifida patients; general pediatric urology; consultation for fetal uropathies; urologic neoplasms in children
Sherry S. Ross, MD Pediatric stone disease, reconstructive surgery of congenital anomalies of the genitourinary tract (hypospadias, cryptorchidism, intersex, obstructive uropathies [hydronephrosis], vesicoureteral reflux, exstrophy); management of urinary-tract infections, incontinence, and enuresis in children; management of neuropathic bladders in children; general pediatric urology; consultation for fetal uropathies; urologic neoplasms in children; laparoscopic and robotic surgery
Jonathan C. Routh, MD, MPH Robotic and laparoscopic kidney and bladder surgery in children; urologic neoplasms in children; reconstructive surgery of congenital anomalies of the genitourinary tract (hypospadias, cryptorchidism, intersex, obstructive uropathies [hydronephrosis], vesicoureteral reflux, exstrophy); management of urinary-tract infections, incontinence, and enuresis in children; management of neurogenic bladders in children; general pediatric urology; consultation for fetal uropathies

Nurse Practitioner

NameAreas of Special Interest
Cynthia Camille, NP Prenatal consults, voiding dysfunction, recurrent urinary tract infections, incontinence, enuresis.


Clinic Hours and Location

Duke Children's Hospital & Health Center
General Pediatric Urology Clinic
Duke Children's Hospital & Health Center
Third Floor
2301 Erwin Road
Durham, NC 27710
Hours: Monday, Thursday, Friday
Appointments: 919-684-6994

Duke Children's Hospital & Health Center
ABCD Achieving Bladder Control at Duke Clinic
Third Floor
2301 Erwin Road
Durham, NC 27710
Hours: Monday, Wednesday, Friday
Appointments: 919-684-6994

Lenox Baker Children's Hospital
Spina Bifida Clinic
3000 Erwin Road
Durham, NC 27705
Hours: Fourth Thursday of every month
Appointments: 919-681-5456

Duke Children’s and WakeMed Children's Specialty Services
23 Sunnybrook Road, Suite 200
Raleigh, NC 27610
Tel: 919-862-1200
Hours: Monday - Friday, 8:00 am - 5:00 pm

Duke Health Center at Southpoint
6301 Herndon Road
Durham, NC 27713
Hours: Thursday
Appointments: 919-572-9905