Urology Programs and Services

The Division of Urology at ACH offers families a high standard of care that unites multiple services in one program. This reduces the amount of time that children will need to spend seeking treatment for their conditions. Our multidisciplinary services in both the inpatient and outpatient settings form the most comprehensive pediatric urology program in the state.  

We treat families throughout the continuum of childhood, from prenatal visits for mothers to transitional care for teenagers. Whether voiding disorders or urinary tract infections, bladder dysfunction or hypospadias, Arkansas Children’s Hospital Urology creates the best outcomes for our patients through compassionate care that focuses on a healthier tomorrow.

Urology Clinic

Children statewide have access to comprehensive outpatient care through the ACH Urology Clinic. Our clinic sees patients in Lowell, Jonesboro, Texarkana and Little Rock. The patients receive treatment for a variety of conditions involving the genitourinary system, including anomalies of the kidney, ureter, bladder and inguinal region. We also treat urinary tract infections, incontinence, dysfunctional voiding, enuresis and neurogenic dysfunction of the bladder.

Hypospadias Repair

Hypospadias is a common condition in which the meatus, or opening from which a boy urinates, forms elsewhere – usually the underside of his penis. Recent research conducted at Arkansas Children’s Hospital indicates this condition occurs in nearly 1 percent of boys born in the state. Our surgeons have undergone extensive training in the repair of hydrospadias and perform dozens of them each year.

Robotic Surgery

Arkansas Children’s Hospital Urology has three surgeons trained in minimally invasive robotic surgery for pediatric patients – a rarity among medical centers. This technology improves how surgeons see as they repair the delicate urinary system and provides better dexterity, resulting in improved outcomes. By having three surgeons trained in this area, ACH Urology is able to treat more children and offer shorter wait times for repairs. Robotic surgery also reduces pain and scarring. Our program performs about 40 surgeries each year using this tool.

Spina Bifida Clinic

Arkansas has a large spina bifida population. Children with spina bifida are born with an opening in their spine, often affecting their urinary tract. Our Urology team works closely with other specialists, including neurosurgeons, orthopedists, nutritionists and physical and occupational therapists, making it easier for families to have all of their child’s medical needs addressed.

In STEP Clinic (In Support, Teamwork, Education and Partnership)

Compassion is the cornerstone of our program for children with diagnoses related to sexual development. Arkansas Children’s Hospital is committed to offering genuine support in a nurturing environment for these patients.

Our mission is provide children and their families with the tools to overcome the challenges of their diagnoses. Families whose children have ambiguous genitalia will find support, teamwork, education and partnership for their journey in this comprehensive specialty clinic. The specially trained team that treats your child includes psychologists, urologists, geneticists and endocrinologists, as well as a host of support services. Treatment options may include medications or surgery, and some conditions do not require intervention.

The multidisciplinary In STEP Clinic provides evaluation and care for the following:

  • Anomalies of genetic sex differentiation
  • Atypical development of external genitalia
  • Gonadal differentiation
  • Differentiation of the internal sex ducts
  • Incomplete development of sex anatomy

We are grateful for the opportunity to care for your child and help them fulfill their promise. Primary care physicians refer patients to the In STEP Clinic at Arkansas Children’s Hospital.

Tests

When a child is having bladder or urinary tract problems, their parents want answers. The Division of Urology at Arkansas Children’s Hospital offers comprehensive testing designed to provide families with as much information as possible. These include:

Urine Test

Patients with urinary complaints might have to give a urine specimen for testing. The patient will void in a cup during the clinic visit. Please ensure that the patient has a full bladder when arriving to the clinic and ask for a specimen cup as needed if the child needs to urinate before his/her appointment.

VCUG (voiding cysto urethrogram)

This is a bladder test that is done by placing a small tube in the bladder through the urethra. The bladder is filled with an X-ray dye.

Ultrasound

This is a non-invasive test that allows visualization of the bladder and kidneys. Sound waves are sent through the patient's body and the results give 2D images of the urinary tract. This test takes about 20 minutes.

DMSA Scan

This is a test that is used to determine kidney function. A special tracer is injected through an IV and when injected will light up the kidney. The results of this test show areas of kidney infection or kidney damage. This test takes about one hour.

Renogram

This is a similar test to a DMSA scan, except it also allows us to determine if there is any blockage. The tracer is put into the urine and can be followed as it goes down into the bladder. In patients who have any blockage or obstruction in the urinary tract, the test shows that the tracer does not drain. This test can take up to an hour and a half.

Kidneys, Ureters, and Bladder (KUB)

This is a simple x-ray of the kidneys, ureters, and bladder. This test is usually done to find kidney stones or severe constipation.

Post Void Residual (PVR)

This is a quick scan of the bladder right after the patient has emptied the bladder. This test is used to show us if there is any urine remaining in the bladder. This test is usually performed in the exam room in clinic.

Uroflow

This is a study used to determine the flow rate of your urine during voiding. This test is sometimes done to look for the cause of incomplete bladder emptying, slow stream, burning with urination, bladder pain, or other symptoms. To learn more about this test, click on the "Specialty Clinics" tab on the left and go to "Urodynamics".

Urodynamics

This study is used to assess how the bladder and urethra are performing their job of storing and releasing urine. Urodynamic tests help your doctor see how well your bladder and sphincter muscles work. To learn more about this test, click on the "Specialty Clinics" tab on the left and go to "Urodynamics".