Department of Pediatric Urology

Stony Brook Medicine

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    Overview Part of Stony Brook's Department of Urology—one of the top ranked urology programs in the country as chosen by U.S.News & World Report—the Department of Pediatric Urology at Stony Brook Children's provides highly specialized care for children with acquired and congenital urologic conditions. As a regional leader, Stony Brook is the only hospital in Suffolk County to offer hypospadias repair surgery and minimally invasive robotic surgery for obstructive uropathy and other conditions. It also provides treatment and management for more common urologic conditions including enuresis (bedwetting), voiding dysfunction, and cryptorchidism.

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    Contact Us Stony Brook Primary Care
    450 Waverly Ave
    Patchogue, NY 11772
    (631) 444-6300

    Stony Brook Urology
    24 Research Way, Ste 500
    East Setauket, NY 11733
    (631) 444-6270

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    Our Team The Pediatric Urology team is led by the only board-certified pediatric urology subspecialist in Suffolk County, Robert Wasnick, MD, Chief of Pediatric Urology. He has been named a Best Doctor in New York by Castle Connolly for many years.

    Because of the multidisciplinary nature of the field, Dr. Wasnick works closely with other departments at Stony Brook Children's including Pediatric Nephrology, Pediatric Radiology, and the Pediatric Emergency Department.

    Robert Wasnick, MD

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    Services The comprehensive care offered by Stony Brook's Department of Pediatric Urology includes state-of-the-art diagnostics, leading-edge surgery, and innovative treatment and management of both common and complex urologic conditions in infants, children, and teens.

    Diagnostics Stony Brook features some of the most state-of-the-art diagnostic technologies on Long Island, all of which are performed by skilled doctors and technologists who take a distinctly child-friendly approach. Pediatric urology patients have access to many of these sophisticated tests, including nuclear scans, catheterizations, MRIs, and CT scans. More commonly, the department performs:

    • In-office ultrasounds. A safe procedure, which entails no exposure to radiation, used to identify acquired and congenital urologic disorders.
    • Urodynamics. A laboratory test to measure bladder function in children with urinary incontinence and voiding dysfunction.

    Surgery Whenever possible, Stony Brook Children's uses the most minimally invasive surgical techniques available, which help to promote faster recovery, shorter length of stay, and less trauma to the affected area. Some of the urologic surgical procedures available at Stony Brook include:

    • Hypospadias repair. A reconstructive outpatient surgery typically performed on infants at six months to one year to correct a congenital abnormality of the penile opening. Stony Brook Children's is the only hospital in Suffolk County to perform this highly specialized procedure, with volumes as high as 40 to 50 a year.
    • Robot-assisted surgery. This state-of-the-art minimally invasive treatment can address obstructed kidneys or obstructive uropathy. It also can be used in procedures such as robotic pyeloplasty and robotic ureteral reimplantation.
    • Highly specialized emergency procedures such as surgery for acute torsion of the spermatic cord (twisted testicles).
    • Repair of hydroceles, a common condition in male infants in which a fluid filled sac surrounds the testicles causes scrotal swelling.
    • Hernia repair.
    • Circumcision or circumcision revision, in particular in infants or newly adopted children.
    • Repair of antenatal congenital fetal abnormalities (obstructive uropathy), such as congenital uretero-pelvic junction obstruction, primary obstructive megaloureter, vesicoureteral reflux, and posterior urethral valves.

    Treatment and Management of Pediatric Urologic Conditions

    One of the most common reasons that a child sees a pediatric urology specialist is for enuresis or voiding dysfunction, including bedwetting, daytime urinary incontinence, and frequentative voiding.

    Treatment typically involves in-office ultrasound to verify that the bladder empties adequately and a urodynamic evaluation to measure bladder function. In most cases there is no inherent physical problem, so treatment will involve bladder training and behavioral changes that may include biofeedback, limiting fluids before bedtime, practicing timely voiding, and other measures. In some cases, the behavioral training will be accompanied by medication.

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    Patient Resources Coming soon.

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    Research and Education As part of Suffolk County's only academic medical center, Stony Brook Children's is committed to training the next generation of physicians. Each year, a group of residents rotate through the Department of Pediatric Urology, not only gaining valuable experience in state-of-the-art medicine, but also continually infusing the program with the latest ideas and approaches.

    The Department is also committed to advancing the field of pediatric urology by participating in bench and clinical research. Currently the department is involved in a study monitoring the effects of general anesthesia in infants by measuring penile tumescence in boys.

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    Advances and Recognitions The Department of Pediatric Urology is fully accredited. Its chief, Dr. Robert Wasnick, is the only physician in Suffolk County to be board-certified in Pediatric Urology. He has also been named a Best Doctor in New York by Castle Connolly.

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