Urology

The Paediatric Urology Unit at SJD Barcelona Children’s Hospital is integrated into the Surgery Department and has over 30 years of experience in renal and urinary tract diseases. Among the fields of special interest, the department treats neurogenic bladders, epispadias/bladder exstrophies, disorders of sex development (DSD), and uses minimally invasive surgery in the treatment of obstructive uropathies and hypospadias surgery. At present, genitourinary pathology represents a third of all paediatric surgery cases. 

We are pioneers in applying minimally invasive surgery in the treatment of pyeloureteral stenosis and vesicoureteral reflux in paediatric patients, in which we have extensive experience and a success rate approaching 90%. In 75% of uropathies that require surgical repair, we use minimally invasive techniques, both in newborns as well as children and adolescents.

For the treatment of bladder dysfunction, we have the Urodynamics Unit, offering highly-specialised medical and nursing staff. In addition to carrying out examinations in the presence of a child’s parents, tailored treatment is provided for every patient. 

Alongside the Nephrology Department, we treat patients who suffer from chronic kidney failure, by means of a Renal Transplant wherever possible. We also conduct foetal treatment of obstructions of the lower urinary tract with the hospital’s Foetal Medicine Department.

Specialties and services

Instrumental nurses in the operating room

• Julia Benito Cuesta
• Anna Carner
• Dori Andújar

Investigación

Clinical research projects:

• Pharmacological treatment of neurogenic detrusor hyperactivity. A randomised study with subjects aged 6 to 17 years with symptoms of neurogenic detrusor overactivity associated with a neurological condition. Sponsored by Pfizer.
• Bulking agents for the endoscopic treatment of vesicoureteral reflux. Randomised clinical study between the use of dextranomer/hyaluronic acid copolymer (Deflux©) and polyacrylate-polyalcohol copolymer (Vantris©) in the endoscopic treatment of primary vesicoureteral reflux grades III, IV and V in children. Fundació Sant Joan de Déu. October 2014. 

Doctoral theses by team members: 

• Estudio clínico randomizado entre el tratamiento endoscópico con Dx/HA y el reimplante ureteral tipo Cohen para el tratamiento del reflujo vesicoureteral tipos II, III y IV en la edad pediátrica. [Randomised clinical study between the endoscopic treatment with Dx/HA and Cohen-type ureteral reimplantation for the treatment of vesico-ureteral reflux types II, III and IV in children.] L. García-Aparicio.
• Effects of Platelet-Rich Plasma (PRP) on a Model of Renal Ischemia-Reperfusion in Rats. O. Martin Sole.
• Correlación entre la hemodiámica, la morfometría, la histoquímica y el estado neonatal en un modelo de hernia diafragmática congénita tratada con oclusión traqueal. [Correlation between haemodynamics, morphometrics, histochemistry and neonatal health in a model of congenital diaphragmatic hernia treated with tracheal occlusion.] J. Prat Ortells.
• Evaluación del dolor postoperatorio en Cirugía Pediátrica. [Assessment of post-operative pain in Paediatric Surgery.] S. Pérez-Bertólez.