Center for Children’s Kidney and Bladder Disorders
We help children with bedwetting cure their problem with a thorough analysis of the cause of urine leakage, whether it is difficult arousal from sleep, low capacity of the bladder or too much urine produced overnight. Patients with symptoms of overactive bladder, like last minute rushes to the bathroom and urine leakage before they can make it to the toilet, are treated with appropriate education, training and medication to achieve bladder control. Children with difficult sleep arousal may be treated with a bedwetting alarm or a specific medication.
Bladder Disorders Program
We are a renowned center for management of urinary tract infections, daytime urine leakage, overactive bladder and stool withholding. These conditions can occur together or separately, and are addressed in each patient to cure the problem. Biofeedback/EMG training is provided when necessary to improve the coordination between contraction of the bladder muscle and relaxation of the pelvic floor muscles.
We provide urodynamics testing to evaluate how well coordinated the bladder and pelvic floor (sphincter) muscles are in working to store and release urine. This test can help explain symptoms such as urine leakage, frequent urination, urgent need to urinate, problems starting a urine stream, difficulty in emptying the bladder completely and recurrent urinary tract infections.
Sonogram of Kidneys and Bladder
Sound waves are used to observe the size and structure of the kidneys and bladder during the appointment. The results are available immediately. Sonography is extremely useful in detecting size of kidneys, many congenital abnormalities of the kidney and urinary tract, kidney stones, kidney cysts and build up of urine from blockage to urine flow.
Kidney Stones Program
Patients are evaluated for the causative factors for formation of kidney stones with detailed personal and family history, microscopic examination of the urine, chemical analysis of a 24 hr urine collection and genetic studies when needed. Treatment is directed to the underlying cause. Kidney sonography is performed in the office to assess the presence of stone/s with minimization of radiation exposure from CT scanning.
We ascertain the cause of high BP whether it is from a kidney problem, blood vessel abnormalities, hormonal imbalance, a genetic condition or related to life style and tailor the treatment to the cause. Management may include modifications in diet & physical activities, relaxation teaching and medications. Some patients may require more intensive studies.
Kidney biopsy is offered as an outpatient procedure and is performed under sonographic guidance with or without sedation.
Hemodialysis and Peritoneal Dialysis; Inpatient and Outpatient
Highest quality of dialysis treatments and comprehensive care is provided to enable healthy and productive school / work and social life while the patient awaits a kidney transplant.
Kidney Transplant Services
We refer patients for kidney transplant procedure and pre evaluation to a reputable kidney transplant center but provide continuum of care before and after the procedure.