Urology

Children’s Surgical Services provides the highest quality care to infants, children and adolescents who are born with, or who develop, abnormalities of the urinary or genital systems. Our goal is to provide quality therapy using the least invasive approach possible. These laparoscopic and endoscopic techniques have several advantages over traditional “open” operations: they can minimize your child’s postoperative pain, shorten his/her hospital stay and allow your child to return to school and to full activity much sooner. And the cosmetic and psychological benefits of this “minimally invasive surgery” are also very important.

Our multidisciplinary team (including pediatricians, neonatologists, pediatric surgeons, anesthesiologists, intensivists and nurses) is dedicated to the care and comfort of your child before, during and after the operation.

 

Services

  • Outpatient surgery
    • Inguinal hernia
    • Hydrocele
    • Circumcision
  • Endoscopic surgery
    • Cystoscopy
    • Vaginoscopy
    • Ureteroscopy
    • Deflux injection
  • Open surgery
    • Nephrectomy
    • Partial nephrectomy
    • Pyeloplasty
    • Ureteral re-implantation
  • Laparoscopic surgery
    • Nephrectomy
    • Partial nephrectomy
    • Pyeloplasty
  • Complex reconstructive surgery
    • Complex hypospadias repair
    • Vaginoplasty
    • Appendicovesicostomy
    • MACE procedure
    • Bladder augmentation

We will schedule all new patient appointments within two (2) weeks of receiving the authorization. We will also schedule surgery within two (2) weeks of last office visit. Physician phone consultations are welcome.

 

Conditions Treated

We provide diagnosis and treatment for a broad spectrum of kidney, ureter, bladder and genital conditions.

  • Bladder exstrophy/epispadias /cloaca
  • Circumcision
  • Cryptorchidism (undescended testicle)
  • Disorders of sexual differentiation (congenital adrenal hyperplasia, urogenital sinus, vaginal agenesis, etc.)
  • Duplications of the kidney or ureter
  • Dysfunctional voiding
  • Enuresis (bedwetting)
  • Fetal urologic problems
  • Hematuria
  • Hydronephrosis (swollen kidney)
  • Hydrocele/hernia
  • Hypospadias
  • Kidney/ureteral stones – we have the appropriate mini-ureteroscopes and stents to treat endoscopically the majority of urinary stones in children
  • Kidney, adrenal, bladder or prostate tumors
  • Micropenis
  • Neurogenic bladder
  • Ovarian cyst or tumor
  • Penile torsion or curvature
  • Phimosis/paraphimosis (circumcision)
  • Posterior urethral valves
  • Prune belly syndrome
  • Spinal cord disorders (spina bifida/myelomeningocele, tethered cord, sacral agenesis, etc.) – we have up-to-date urodynamic machines to evaluate the lower urinary tract in children
  • Testicular pathology (testicular tumors, torsion, cyst, etc.)
  • Torsion of testicle
  • Tumors (renal, adrenal, bladder, prostrate)
  • Undescended testicle
  • Ureteral anomalies (duplicating collection systems)
  • Ureterocele
  • Urethral duplication
  • Urethral/meatal stenosis
  • Urinary or fecal incontinence
  • Urinary tract infections
  • Varicocele
  • Vesicoureteral reflux (VUR)
  • Voiding dysfunctional syndrome

 

Our Nurse Practitioners

Natalie-Barganski-2015

Natalie Barganski, RN, CPNP

Pediatric Nurse Practitioner

  • Master of Science in Nursing, University of Texas Health Science Center, 2002-2004
  • Bachelor of Science in Nursing, Texas A&M University-Corpus Christi, 1996-2000
Melissa-Miller-2015

Melissa Miller, RN, FNP‑C

Nurse Practitioner

  • Master of Science in Nursing, Texas A&M University-Corpus Christi
  • Bachelor of Science in Nursing