Urologic Care Focused on the Entire Child, Not Just a Specific Condition

U.S. News Ranks Our Urology Program No. 2 in the Nation

When Alicia Thompson, a doctor and a mother of three sons with inherited urological conditions, had a choice, she chose to drive an extra hour to seek care at Cincinnati Children’s.

Across eight years, her sons received four surgeries performed by William DeFoor, MD, MPH, and the urology care team.

“In that time, and with each encounter, we have had nothing short of truly excellent care,” Alicia wrote in a thank-you letter. “The surgeries themselves went off without a hitch. The entire process seemed to run like a well-oiled machine and every detail seemed to be considered and monitored.”

This level of dedication to outstanding outcomes and high-quality family experiences explains why our urology program has risen to No. 2 in the country in the 2018-19 list of Best Children’s Hospitals published by U.S. News & World Report.

Be it robot-assisted surgery, minimizing the radiation used in diagnostic scans, or performing operations even before an infant is born, experts here deploy all the latest technologies to help a child heal. But what makes this program stand out is its commitment to the entire child, not just a specific condition. It’s an approach based on a Jesuit tradition known as Cura Personalis.

“We focus on integrated, holistic care. We teach our team to respect everything that makes up an individual because everything is connected,” says Pramod Reddy, MD, director of Urology. “For example, we begin providing nutrition support as much as three months before a surgery because good nutrition is crucial to a successful procedure and fast recovery.”

Families travel to Cincinnati from all around the country to visit our specialty clinics. In the past year, we have performed more than 3,200 surgeries to help children with complex conditions ranging from complicated birth defects to cancers of the kidney, bladder and testicles.

Why We Stand Out

  • We perform fetal surgery to correct lethal bladder obstructions and other conditions before infants are born in partnership with the Cincinnati Fetal Center.
  • We were the first pediatric hospital in the world to perform an operation using the da Vinci Xi Surgical System, the latest advance in robot-assisted surgery.
  • Our Urogenital Center collaborates with our Colorectal Center to help children with the most complex abnormalities of the bladder, urethra, vagina and anus.
  • At the Stone Center at Cincinnati Children’s, we go beyond simply treating stones that develop in a child’s urinary tract, we help prevent them from recurring. Thanks to these efforts, the number of children undergoing surgical procedures such as shock wave lithotripsy has decreased from 40 percent to 18 percent.
  • We also focus on value. Instead of performing all circumcisions in hospital operating rooms, we perform selected cases in clinic settings, thus reducing costs and further minimizing risks that can come from full anesthesia.
  • Beyond expert care, we constantly conduct research to discover the causes of kidney and bladder diseases and to develop better treatments, including this discovery published in 2017 in the journal Development.

Our Scorecard

Urology.

U.S. News & World Report scored our urology program on outcomes & experience; numbers of patients & procedures; key programs, services & staff; professional recognition; quality improvement efforts; and patient support.

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