Urology (Division of Pediatric Urology)

The Pediatric Urology team sees children with a variety of congenital (inherited) or acquired (developed after birth) genitourinary conditions. 

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Our team

Our team consists of four pediatric urology specialists and several specially trained nurses who all have dedicated roles in caring for children with urologic issues. Our staff provides focused care to both the patient and the family, and treats both common urologic conditions as well as complex genital or urinary tract malformations (abnormal formations in the body). Our staff are careful to take your child’s feelings and needs into account. 

Our division is very experienced in treating complex genital and urinary tract malformations such as:

  • hypospadias (opening of the urethra is on the underside of the penis);
  • bladder exstrophy (bladder is exposed on the outside of the lower abdominal wall) with minimally invasive urologic surgery;
  • neurogenic bladder (bladder doesn’t empty properly due to a neurological condition or spinal cord injury); and
  • voiding dysfunction (child cannot completely empty their bladder).

Our nursing staff is highly experienced in dealing with children suffering from bladder dysfunction and neurogenic bladder issues. They understand the many issues for a child and their family, and work with them to provide rehabilitative treatment and education in a supportive and comfortable environment. Our division members provide in-depth explanations of your child’s condition and how to manage it.

We are also members of the prenatal team and counsel families on urologic issues that are identified during pregnancy.

Department head: 

Dr. Roman Jednak, Director

Staff members

Where the care happens

Your child is first seen in the clinic setting where their condition is evaluated, and further diagnostic tests are planned if necessary. You and your child will be given detailed explanations of the issues and the treatment plan. Some health conditions may require a multidisciplinary approach to your child’s care, meaning that physicians and nurses from other departments in the hospital may be involved in treating your child.

Your child may also undergo radiologic testing such as x-rays, which are done in a state-of-the-art diagnostic facility. Our urodynamics lab provides diagnostic testing for children with neurogenic bladder conditions as well as voiding dysfunction. The facility also provides a comfortable and private environment where our team of nurses offers rehabilitative bladder therapy to our patients.

Most children who have surgery are treated through our Day Surgery Centre. Before the day of surgery, our physicians and nurses will explain the surgery and what to expect; this appointment takes place in our Ambulatory Day Centre. The hospital also has a Child Life service, and an experienced Child Life specialist can work with your child to help them cope with the emotional issues they may experience on the day of surgery. If your child is being admitted to the hospital for surgery, they will recover from their operation on one of the care units. You will learn more about this before your child’s surgery. 

Programs and services

Spina Bifida Clinic: Children with spina bifida typically require the expertise of a number of medical specialties and related services. Patients are seen in a clinic setting where access to all these services takes place in a single visit. Staff members develop a comprehensive treatment plan to help the child with medical issues, mobility and daily living.

Voiding Dysfunction Clinic: The clinic sees children suffering from urinary incontinence (loss of bladder control) and nocturnal enuresis (bedwetting). Our physicians and nursing team have expertise in bladder rehabilitation. They work closely with all children to establish a treatment plan, and they follow the child and family closely through the process. The treatment plan focuses on establishing bladder control and helps children faced with these issues maintain self-esteem and confidence.

Urologic Counselling for Fetal Diagnosis and Treatment: As members of the Fetal Diagnosis and Treatment group, we see parents who are expecting a child that has been diagnosed with a urologic issue. These issues are discovered during prenatal ultrasound. We explain the condition to the parents as well as prepare evaluation and treatment plans that will be done when the baby is delivered.

Bladder Rehabilitation Therapy: Our team of nurses works with children who have bladder dysfunction to help them re-establish bladder control that’s appropriate to their age level. This is done through voiding routines, dietary education, behavioural therapy and biofeedback (electronic monitoring) for pelvic muscle retraining.

Conditions and treatments

The Pediatric Urology team sees children with a variety of congenital (inherited) or acquired (developed after birth) genitourinary conditions. This covers a broad range of both common and rare problems.

Common problems include congenital genital anomalies such as:

  • undescended testicles;
  • hydroceles (fluid-filled sack in the scrotum)
  • hypospadias;
  • as well as urinary tract problems such as urinary tract obstruction and vesicoureteral reflux (abnormal flow of urine from the bladder to the upper urinary tract).

Our team works in conjunction with the hospital’s nephrologists (kidney specialists) to evaluate and manage children who have stones in their urinary system to provide management of the immediate problem in addition to therapies directed at preventing future issues.

We deal with complex genitourinary issues such as disorders of sexual differentiation, bladder exstrophy, and genitourinary tumors. Our staff is experienced in the surgical treatment of all these conditions and provides minimally invasive surgical treatment options when appropriate.

Children with medical problems such as urinary tract infections, urinary incontinence, nocturnal enuresis, and neurogenic bladder are managed in our clinics through a comprehensive multidisciplinary approach using both behavioural and medical therapies. As part of the Fetal Diagnosis and Treatment Group we also counsel expecting parents on problems that may be identified during prenatal ultrasound. 

Medical firsts in Urology

2002 - First in Canada to perform Laparoscopic Extravesical Ureteral Reimplantation.

2003 – First in Canada and second in Quebec to report on Retroperitoneoscopic Surgery in Children.

2008 - Second in the world and first in Canada to perform an Anterior Approach to Retroperitoneoscopic Adrenalectomyin a pediatric patient.

2010 - Second in the world and first in Canada to report on Retroperitoneoscopic Nephrectomy in Children on Peritoneal Dialysis

2012 - First in Canada to perform a 3D Vision Assisted- Laparoscopic Extravesical Ureteral Reimplantation.

2012 - First in the world to report a novel technique of Percutaneous pyelo-ureteric stenting for laparoscopic pyeloplastyin children. 

2013 - First in North America to publish on Dye-assisted lymphatic-sparing laparoscopic varicocelectomy in children.

Making an appointment
  • To make an appointment in the Montreal Children's Hospital's Urology Department : 514-412-4040
  • Fax : 514-412-4288

Please note that our experts also see patients in clinics outside of the Montreal Children’s Hospital. These include:

The Children’s Clinic

  • 5100 De Maisonneuve Boulevard O, Montréal, QC, H4A 3S9
  • Tel: 514-228-4444
  • Fax: 514-228-8081

Dr. Capolicchio

Châteauguay

Uropediatrie Rive-Sud (Clinique Chateauguay), Service d’Urologie

  • 288, boulevard  d'Anjou, Châteauguay, (Québec)  J6K 1C6
  • Tel: 450-692-0001

Laval

Centre de santé et de mieux-être pour enfants Laval AGOO/Agoo Children`s Health and Wellness Center

  • 3230, boulevard Curé label, bureau 305
  • Laval (Québec) (Au nord de la 440)
  • Tel: 450-687-6888
  • Fax: 450-687-7222
  • Email: info@agoomd.com

Dr. El-Sherbiny

Pointe-Claire

Brunswick Medical

  • 955 blvd. St-Jean, Suite 308, Pointe-Claire, Québec, H9R 5K3
  • Tel: 514-459-3433
  • Fax: 514-459-3198

Ville St-Laurent

Clinique Médicale Le Plein Ciel  

  • 475, boul. de la Côte-Vertu, Saint-Laurent (Québec) H4L 1X7
  • Tel: 514-747-1172 or 514-747-4887
  • Fax : 514-747-0725
  • Email: info@cliniquepleinciel.com

Ville St-Laurent

Groupe Santé Physimed/Physimed Health Group Inc.   

  • 6363 Trans-Canada Highway, suite 212, Saint-Laurent (Québec) H4T 1Z9
  • Tel: 514-747-8888 ext. 4262
  • Fax: 514-747-0655

Dr. Jednak

Montréal

  • Hillside Pediatric  Center—NO NB Circumcisions               
  • 65 Ave. Hillside
  • Westmount (Québec) H3Z 1W1
  • Tel: 514-931-2524
  • Fax: 514-931-2625

West Island

Clinique de Santé Jeunesse/Children’s Care Clinic            

  • 14770 boul. Pierrefonds, Suite 100, Pierrefonds, (Québec), H9H 4Y6
  • Tel: 514-696-2442
  • Fax: 514-624-3099

Ville St-Laurent

Groupe Santé Physimed/Physimed Health Group Inc.   

  • 6363 Trans-Canada Highway, suite 212, Saint-Laurent (Québec) H4T 1Z9
  • Tel: 514-747-8888 ext. 4262
  • Fax: 514-747-0655

Conditions and illnesses

Refer a patient 
  • Room A RC.3334
  • To make an appointment : 514-412-4040
  • Fax : 514-412-4288