Urology and Nephrology Combined Clinic

For patients who need care from experts in both urology and nephrology, our combined clinic offers many advantages. In addition to saving families time by having a single appointment, our Urology and Nephrology Combined Clinic improves care by enabling two doctors to discuss your child’s care with you at the same time. The centralized point of care also helps our physician-scientists enroll children in research projects aimed at understanding pediatric diseases and improving patient care.

Our combined clinic serves patients with many types of conditions related to the urinary system and kidneys, including:

  • Urinary tract obstruction
  • Posterior urethral valve
  • Severe vesicoureteral reflux
  • Recurrent urinary tract infections
  • Solitary kidney
  • Other urinary tract issues causing problems with the kidney

Clinic Leadership

The Urology and Nephrology Combined Clinic offers patients access to expert surgical and medical treatment of urologic and kidney issues. Our team takes pride in offering families streamlined visits, with a personalized care plan developed on the spot with at least two doctors. All of our physicians are active in research as well. Many focus on topics specific to the conditions and patients seen in the combined clinic.

Urology Leadership

Nationwide Children's Hospital Medical Professional 

V. Rama Jayanthi, MD
Co-Director

Dr. Jayanthi is chief of the Section of Pediatric Urology at Nationwide Children's and a Clinical Professor of Surgery in the Department of Urology at The Ohio State University College of Medicine. He has expertise in all aspects of the medical and surgical management of genitourinary problems including urinary tract infections, hydronephrosis, urinary incontinence, hypospadias and intersex conditions. He started the pediatric urology laparoscopic surgery program and directs the program for complex genitourinary reconstructive surgery for both congenital and acquired conditions. He travels extensively overseas conducting educational and surgical missions in varied locations throughout the world.

Nationwide Children's Hospital Medical Professional

Daryl McLeod, MD
Co-Director

Dr. McLeod is a member of the Section of Pediatric Urology at Nationwide Children's Hospital. He is interested in all aspects of urologic problems in children including urinary tract infections, hydronephrosis, urinary incontinence, hypospadias, kidney stones, ureteral reflux, spina bifida and other complex pelvic and urinary conditions. His true passion is critically investigating the current surgical and medical approaches taken to treat urologic conditions in children, with the ultimate goal of improving care.

Nephrology Leadership

John David Spencer, MD
Co-Director

Dr. Spencer is chief of the Division of Pediatric Nephrology and a principal investigator in the Center for Clinical and Translational Research in The Research Institute at Nationwide Children's Hospital. He is also an associate professor of pediatrics at The Ohio State University College of Medicine. Dr. Spencer's NIH-funded research focuses on defining the molecular mechanisms that regulate and prevent infections in the kidney and urinary tract, with an emphasis on the role that antimicrobial peptides play in maintaining sterility in the urinary tract.

Brian Becknell, MD
Co-Director

Dr. Becknell is a pediatric nephrologist at Nationwide Children's and a principal investigator in the Center for Clinical and Translational Research. He is also an assistant professor of pediatrics for The Ohio State University College of Medicine, where he received his medical degree. Dr. Becknell’s clinical interests include pyelonephritis and congenital obstructive nephropathy. His research focuses on understanding the mechanisms responsible for deterioration of kidney function in children with congenital obstructive nephropathy.