Urology Annual Report :: Nationwide Children's Hospital

Urology 2014-2015 Annual Report

View the Nationwide Children's Hospital 2014-2015 Annual Report.

The Section of Urology at Nationwide Children’s Hospital provides comprehensive diagnostic and therapeutic services for a wide range of urological disorders in children of all ages, including teenagers and young adults. Advanced services include reconstructive surgery of the urinary tract, genitalia and urinary sphincter as well as consultations for urinary tract abnormalities detected in utero. The Section of Urology participates in several multispecialty clinics, including THRIVE (a program specializing in care for disorders of sexual differentiation, complex urological problems, and gender concerns); the Center for Colorectal and Pelvic Reconstruction; the Urology-Nephrology Clinic; and the Myelomeningocele Clinic.

The mission of the Section of Urology is to provide the highest quality pediatric urological care in the safest and most child-friendly environment. The section includes members who are full-time pediatric urologists, hold faculty appointments in the Department of Urology at The Ohio State University College of Medicine and are committed to cutting-edge medical research and surgical education.

The full-time pediatric urology faculty has achieved national and international recognition for their innovations in minimally-invasive surgical techniques and in the diagnosis and management of infants and children with congenital hydronephrosis, neurogenic and nonneurogenic alterations of bladder function, bladder and/or bowel dysfunction and complex urogenital abnormalities. The section has expanded over the past year to comprise six pediatric urologists and three nurse practitioners. Long-distance outreach is a major focus of the division such that outpatient clinics are held in multiple locations throughout the state of Ohio as well as in Huntington, West Virginia. New specialty clinics that have been developed over the past year include a transitional care clinic to help adults with congenital or pediatric urological issues. The Section of Urology has also started a male fertility preservation program for individuals who may be subfertile because of cancer treatment or for anatomic reasons.

Our section has expanded our long-distance outreach, particularly through continued integration and collaboration with the Center for Colorectal and Pelvic Reconstruction (CCPR) at Nationwide Children’s that manages children from all over the world with complex genitourinary conditions. The sacral neuromodulation program has expanded to include pudendal nerve stimulation as a treatment option, a procedure performed in only a handful of children’s hospitals in the world.

Faculty members are very active academically and have been invited to both national and international meetings to present their research findings. They also have been both leaders and participants on international mission trips, teaching the latest surgical techniques for complex urological problems. In the past year, faculty members have traveled to Ghana, South Africa, Honduras, Brazil and India. Nationwide Children’s held its inaugural course on reconstructive surgery, organized by CCPR and co-hosted by the Section of Urology, and over 180 medical personnel from around the world attended this international meeting.

Urology Faculty

V. Rama Jayanthi, MD

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Selected Urology Publications

Gordon ZN, McLeod DJ, Becknell B, Bates DG, Alpert SA. Uroepithelial thickening on sonography improves detection of high grade vesicoureteral reflux in children 2 to 24 months presenting with first febrile urinary tract infection. The Journal of Urology. 2015 May 9. [Epub ahead of print].

Herz D, Merguerian PA, McQuiston L. Continuous antibiotic prophylaxis reduces the risk of febrile UTI in children with asymptomatic antenatal hydronephrosis with either ureteral dilation, high-grade vesicoureteral reflux, or ureterovesical junction obstruction. Journal of Pediatric Urology. 2014 Aug;10(4):650-4.

Mahida JB, Cooper JN, Herz D, Diefenbach KA, Deans KJ, Minneci PC, McLeod DJ. Utilization and costs associated with robotic surgery in children. The Journal of Surgical Research. 2015 May 6. [Epub ahead of print].

McLeod DJ, Alpert SA, Jayanthi VR. Ureteroureterostomy irrespective of ureteral size or upper pole function: A single center experience. Journal of Pediatric Urology. 2014 Aug;10(4):616-19.

Schober MS, Sulkowski JP, Lu PL, Minneci PC, Deans KJ, Teich S, Alpert SA. Sacral nerve stimulation for pediatric lower urinary tract dysfunction: development of a standardized pathway with objective urodynamic outcomes. The Journal of Urology. 2015 Jun 30. [Epub ahead of print].

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