Tag Archives: pediatric urologist st. paul

Orchiopexy

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OrchiopexyOrchiopexy is a surgical procedure to move testicles from the abdomen or groin into the scrotum.  Before birth, the testicle moves from the pelvic area down into the scrotum.  In some boys, this does not occur and it is called undescended testicles.  This issue may require more than one operation depending on the position of the testes and any other associated problems.  An Orchiopexy is usually done in early childhood.  If undescended testicles are left too long, changes occur which can affect growth and function.

The physicians of Pediatric Surgical Associates perform this surgery more than any other pediatric surgical practice in the Midwest.  If you would like to inquire about the services provided through Pediatric Surgical Associates, please give our office a call at (612) 813-8000.

InterStim Therapy for Children

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InterStim Therapy is a proven therapy used to treat urge incontinence, urinary frequency and overactive bladder in children.  InterStim Therapy targets the communication problem between the brain and the nerves that control the bladder.  If the nerves are not communicating properly, the bladder will not function correctly.

The InterStim system uses an external device during a trial assessment period and an internal device for long-term therapy.  You and your Pediatric Urologist may decide to try InterStim Therapy by going through a trial assessment period.  Based on the trial assessment, you and your Pediatric Urologist will determine the next step that is right for your child.

To learn more about this effective therapy, please call Pediatric Surgical Associates to schedule an appointment.  We may be reached at 612-813-8000!

Office-Based Circumcisions

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A circumcision is a procedure to surgically remove the foreskin from the penis.  This is most often done shortly after birth.  On infants less than 27 days old, circumcision can be done in the office.  Several methods are used to minimize discomfort and calm your baby during the procedure.  These may include LMX (a topical anesthetic cream), a marcaine / lidocaine injection, and a pacifier dipped in sweetened water.

The advantages of office-based circumcisions include greater convenience for the family, lower cost when compared to hospital-based circumcisions and access to surgeons who are specifically trained in this area.

If you would like to schedule an appointment or learn more about this important service, please call Pediatric Surgical Associates at 612-813-8000.

Patient Education

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The physicians, nurse practitioners and nursing staff of Pediatric Surgical Associates are committed to providing our patients and their families with the most relevant patient educational material currently available. 

It is our belief that information is the key to understanding the clinical conditions that impact your child.  With this information, parents are better equipped to partner with us in treating their child’s condition. 

As a start, we have provided educational information on the clinical issues listed below. 

Constipation

Dysfunctional Voiding

Nocturnal Enuresis (nighttime bedwetting)

Urinary Tract Infections

Vesicoureteral Reflux

Please contact us at (612) 813-8000 if you would like educational material on any other conditions.  We would be happy to provide this to you!

Hypospadias Repair

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Hypospadias (hi-poe-SPAY-dee-us) is a birth defect of the penis.  The urethral opening, the hole where the urine comes out, is not in the normal position.  Instead of the tip, it is in the undersurface of the penis.  Hypospadias may be mild, moderate, or severe depending on how far back the opening is. 

Signs and symptoms of hypospadias may include:

• Opening of the urethra at a location other than the tip of the penis
• Downward curve of the penis (chordee)
• Hooded appearance of the penis 
• Abnormal spraying during urination

Fortunately, surgery can correct the problem.  These operations are best done between 6 and 18 months of age.  The repair is usually performed in one surgery.  However, if the Hypospadias is severe, it may be necessary to have more than one surgery. 

The physicians of Pediatric Surgical Associates possess the knowledge, experience and skills necessary to evaluate and correct the condition of Hypospadias. 

If you have any questions or concerns, please call our office to schedule an appointment.  We may be reached at 612-813-8000.