Stories about: Department of Urology

Paper Trail: Asthma, urology advancements, cardiovascular disease and more

Paper Trail-October-2107

Boston Children’s Hospital is at the forefront of clinical research. Stay connected with Paper Trail — a monthly feature highlighting recently published outcomes data and new approaches to the diagnosis, treatment and prevention of pediatric illnesses.

This edition of Paper Trail focuses on the link between sedentary behaviors and BMI in young dancers, lifestyle-based tools to detect cardiovascular diseases in young adults, asthma prevention and management and more.

…Read More

A PCP’s guide to benign pathology in the scrotum

Scrotum-testicular-abnormalities

As a urologist at Boston Children’s Hospital, I’m often found treating common abnormalities of the scrotum and testicles. These benign conditions can typically be fixed when kids are very young, so most patients go on to live their lives never having to see us again.

The right diagnosis is important to a child’s swift recovery. Learn about the diagnosis and treatment of the four most common testicular abnormalities seen in practice today.

…Read More

Tethered cord syndrome: Improving early detection

Tethered Cord TitleA significant number of children with a tethered spinal cord have a cutaneous manifestation overlying the lower spine, yet the ability to diagnose it often depends on the knowledge and familiarity of this condition by the primary care provider. Since early identification and treatment may prevent further neurologic deterioration and improve outcome if neuro-urologic injury has already occurred, it is imperative to expedite the timing of diagnosis.

The aims of this study were two-fold: (1) to determine the frequency and (2) to increase awareness of spinal cord abnormalities in a cohort of patients with a variety of subtle cutaneous lower spinal lesions.

…Read More

Challenges cases: Disorders of sexual differentiation and the ethics of gender assignment

Urology-gender assignmentBoston Children’s Urologist-in-Chief and Associate Clinical Ethicist, David A. Diamond, MDshares three complex cases of ambiguous genitalia in which optimal gender assignment was unclear. These case studies discuss patient history, the process of investigation, subsequent dialogue with each family and decisions made in each case.


Children with disorders of sexual differentiation can present complicated management problems. The most challenging aspect of these cases occurs when optimal gender assignment is unclear. For some conditions, outcomes with regard to gender assignment along a male or female pathway are well established. For other conditions the outcomes are far less clear. Over the past two years, we have encountered three complex cases of ambiguous genitalia in which optimal gender assignment was unclear and a complex process of investigation of these children and a lengthy dialogue with each family was undertaken. Subsequently, a pathway was elected for each case that represented a balance between parental preference and patient self-determination. …Read More