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Urologic Conditions & Treatments

Pediatric Urology

Pediatric urologists, such as Dr. Herz and Dr. Walker, are surgeons who can diagnose, treat, and manage children’s urinary and genital problems. This is a surgical subspecialty that focuses exclusively on disorders of children’s genitourinary systems. Pediatric urologists provide care for both boys and girls from birth up until early adulthood.

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What kind of training do pediatric urologists have?

These are the qualifications that Dr. Herz and Dr. Walker had to attain to be our pediatric urologists at UT Urology:

  • Complete at least 4 years of medical school
  • Complete a 1- to 2-year surgical residency
  • Spend at least 4 additional years of residency training in general urology
  • Spend an additional 2-3 years of fellowship training in pediatric urology

A pediatric urologist must devote a minimum of 75 percent of his or her practice to the urologic problems of infants, children, and adolescents.

What are the most common conditions treated by a pediatric urologist?

The most common health issue seen by pediatric urologists is a urinary tract infection (UTI). These are more prevalent in girls than in boys. Roughly 8 percent of girls and 1 to 2 percent of boys have had a UTI by the time they are 5 years old.

This is the range of our most addressed health conditions:

  • Evaluation and management of voiding disorders, vesicoureteral reflux, and urinary tract infections that require surgery
  • Surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and disorders of sex development
  • Surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele)
  • Evaluation and surgical management of kidney stone disease
  • Surgical management of tumors and malignancies of the kidney, bladder, and testis
  • Evaluation and management of urological tract problems identified before birth
  • Evaluation and management of urinary tract problems associated with neurological conditions such as spina bifida

What causes nighttime bedwetting/incontinence?

Bed-wetting before the age of 7 is not unusual. Although most children are fully toilet trained by age 5, they still may be developing nighttime bladder control.

However, bed-wetting may be a sign of underlying conditions that may require evaluation by one of our pediatric urologists at UT Urology.

  • Inability to recognize a full bladder — Sometimes the nerves that control the bladder are slow maturing, so a full bladder may not wake the child.
  • Urinary tract infection — These infections make it difficult for children to control urination. Signs and symptoms of UTIs may include bed-wetting, daytime accidents, frequent urination, red or pink urine, and pain during urination.
  • A structural problem with the urinary tract
  • A small bladder — if the bladder is not fully developed and cannot hold the amount of urine produced during the night, bed-wetting can occur.
  • Hormone imbalance — Some children don’t produce enough anti-diuretic hormone to slow nighttime urine production.

Why should I trust UT Urology for pediatric urology problems with my child?

Dr. Herz has worked to create our pediatric urology practice at UT Urology. As one of the only board-certified, fellowship-trained pediatric urologists in Chattanooga, Dr. Herz has extensive training in open, robotic, and minimally invasive surgical techniques necessary for treating a variety of pediatric urologic conditions.

Dr. Walker joined UT Urology in 2019 and became, along with Dr. Herz, only the second fellowship-trained pediatric urologist in Chattanooga. Dr. Walker specializes in a variety of complex congenital and acquired urologic conditions, which he treats through open, laparoscopic, and robotic surgical techniques.

It’s this kind of training, experience, and overall expertise that makes our Pediatric Urology Department at UT Urology the leader in this region, providing the most comprehensive pediatric urologic care.

Schedule Your Consultation Today

If you’re interested in learning more about pediatric urology please contact us for a consultation at (423) 778-5910 or fill out our contact us form. We will discuss your needs and concerns, and determine your best course of action.

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