Monroe Carell Jr. Children's Hospital at Vanderbilt
Monroe Carell Jr. Children's Hospital at Vanderbilt
Monroe Carell Jr. Children's Hospital at Vanderbilt
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Monroe Carell Jr.
Children's Hospital
at Vanderbilt
2200 Children's Way
Nashville, TN 37232

(615) 936-1000

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Urology Office Procedures


Some minor procedures can be performed in the doctor's office and your child can return home the same day.

Call (615) 936-1060 to schedule an appointment with Pediatric Urology.

Newborn circumcision

Circumcision is the surgical removal of the foreskin of the penis. After your doctor speaks with you about the potential risks and benefits of circumcision, your child will undergo the procedure.

The doctor injects numbing medicine around the penis before performing the circumcision to help with any discomfort. Your child will be given a pacifier with sugar water for added comfort. A nurse stays with your child the entire time.

After the procedure is complete, the penis is wrapped gently with Vaseline gauze and post-circumcision instructions are given to the parents. The child is typically seen in six to eight weeks to check the result.

AAP Policy Statement on Circumcision: The American Academy of Pediatric periodically reviews the potential medical benefits and advantages of circumcision as well as disadvantages and risks. This statement also recommends that when circumcision is considered, the benefits and risks should be explained to the parents and informed consent obtained.


Meatal stenosis is a relatively common condition seen in circumcised males only. The hole at the end of the penis gets smaller causing a fine, narrow, upward defected urinary stream. At times it can cause burning with urination, called dysuria. The exact cause is unknown but believed to be secondary to the circumcised penis rubbing repeatedly against the inside of a wet diaper. This causes a raw area to develop at the bottom of the tip of the penile urethra resulting in a smaller hole. Fortunately, this problem is easily corrected by a simple surgical procedure called a meatotomy.

A meatotomy is performed by surgically opening the skin on the bottom of the urethra at the tip of the penis. In some children, this procedure is easily tolerated in the office by first applying a local numbing cream called EMLATM to the tip of the penis for approximately 30 to 45 minutes. If your child is unable to tolerate this in the office, the meatotomy will be scheduled in the operating room under a brief anesthetic. Your child will go home the same day. Specific post-meatotomy instructions will be given to you. The procedure is extremely successful with a very low recurrence rate.


A procedure where a hollow flexible tube for insertion into the urethra to allow the drainage of urine from the bladder.

Renal (kidney) and bladder ultrasound

An ultrasound scan is a pinless procedure that bounces sound waves off internal organ structures, which are then used to create a two-dimensional, real-time image, which may be photographed or videotaped to allow the physician to examine the kidneys or bladder. Pictures are made by placing an ultrasound probe in contact with skin over the organ of interest.

Treatment of penile/labial adhesions

Penile adhesion refers to the foreskin attaching to the head of the penis. This can be a complication of circumcision. Labial adhesion, also referred to as labial agglutination, occurs in girls when the inner vaginal lips (labia minora) fuse to each other.


Urodynamic testing assesses how the bladder and urethra are performing their job of storing and releasing urine. A small catheter may be inserted in the bladder to fill the bladder with water to study the function of the bladder and urethra during filling and urinating. It is not usually painful. Some urodynamic tests your doctor may recommend include videourodynamics, uroflow and Flow-EMG.

Last Edited: December 5, 2016
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