When a child is diagnosed with a urologic condition, parents understandably have many questions and concerns about how the child's life will be impacted. “However, urologic problems are common in children—both boys and girls," says Adam Hittelman MD, PhD, a Yale Medicine pediatric urologist.
Hydronephrosis, urine collecting in the kidney, is the most common pediatric urology problem identified on fetal ultrasounds performed during pregnancy. "When a problem is identified, we will often speak with the families during the pregnancy to reassure them as well as to establish relationship for after the delivery," Dr. Hittelman says. "Fortunately, many babies will outgrow hydronephrosis and can be followed with serial renal ultrasounds. There are some children who will not spontaneously resolve and may have to go on to surgery or other medical care, though the majority of these can be corrected and very few children will develop long term kidney problems."
Doctors within the Yale Medicine Pediatric Urology Program treat a wide range of urologic health conditions from routine circumcisions to complex reconstructive surgeries for sexual development disorders. Communication with parents is central to everything we do. "We also work closely with our colleagues in our multidisciplinary programs to co-manage children with more complicated urologic and medical problems,” says Dr. Hittelman.