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SickKids

Urology

Location:
555 University Avenue, 6th Floor, Atrium, Ward 6D
Phone:
416-813-6661
Email:
Urology.booking@sickkids.ca

The Division of Pediatric Urology specializes in surgical and medical issues related to the kidneys, bladder, and genitalia. Our team does a full range of surgical services spanning the spectrum of acquired and congenital urogenital conditions, including renal transplantation and comprehensive paediatric urological cancer care.  

An interdisciplinary approach

Paediatric urological problems may require investigation beyond a clinical visit, as complexities of diagnosis may range from the most simple to the rarest and challenging. As a result, there is a strong relationship between Paediatric Urology and other medical disciplines (egnephrology, oncology, endocrinology, genetics), surgical colleagues (eg. gynaecology, paediatric surgery), and in particular with radiology (diagnostic imaging and image guided therapy). We will work together to provide the best care for your child! 

Sensitive care

We strive to provide state of the art management for all urogenital conditions, taking into account the behavioural and psychosocial aspects of each child and each problem. This approach acknowledges the often sensitive and personal aspects of each patient and his/her problem, allowing for an individualized approach using patient and family based care.  

Working together with you, our patients and families, we in Paediatric Urology at SickKids strive to give your child the normal, happy and healthy life they deserve. 


What we do

SickKids is a world leader in Paediatric Urology care. We manage medical and surgical care of the entire urological and genital systems for both boys and girls from infancy to adolescence. Paediatric Urologists specialize in surgical problems of the kidneys, the bladder and the genitalia. 

The Urology Clinic is the main site for delivery of all facets of clinical urology care to children and their families. The Paediatric Urology Clinic is staffed with doctors, experienced specialty urology nurses, nurse practitioners and clinical surgical associates with expertise in children's urology. Patients may be seen by a Nurse Practitioner, a staff physician or a Fellow. 

Integrated support from other key areas such as Diagnostic Imaging and Social Work form a vital part of the paediatric urology clinic experience. The Multidisciplinary Urogenital Clinics also take place in our clinic area on the fifth floor of the Atrium. 


Programs and services

We specialize in the following conditions, tests and procedures:

  • Bladder problems - ureteral reimplants, urinary tract infections, etc. 
  • Bladder control, bladder procedures - bed-wetting, bladder augmentation, etc. 
  • Catheters - tube insertion, cleaning, etc. 
  • Genital conditions and procedures - circumcision, hypospadias, etc. 
  • Groin, scrotum and testicles - hernia, orchidopexy, etc. 
  • Kidney procedures - pyeloplasty, nephrectomy, etc. 
  • Tests - flow rate, voiding, urodynamics, cystoscopy, etc. 

Expand the next section for a list of our associated clincs.

Programs and services offered through the Urology Division include:

Read more about what is offered at SickKids, through the AboutKidsHealth Urology Learning Hub.

Clinic visits at home

Did you know that it is possible to visit the Urology clinic from the comfort and convenience of your own home? All you need is a laptop, tablet or your personal computer!

This is accomplished through the Ontario Telemedicine Network. Visit the OTN's Patient Link to see how it works. 

Here are some helpful links and resources to help get you started: 


Who we are

Our staff surgeons specialize in an array of clinical areas and are involved in a number of research activities: 

  • Treatment of hypospadias and complex anomalies of the genitalia 
  • Vesicoureteral Reflux 
  • Hydronephrosis including ureteropelvic junction obstruction, ureterocele, ectopic ureter, multicystic dysplastic kidney 
  • Surgery for undescended testicles and abnormalities of the groin and scrotum (hernia, hydrocele, undescended testes, masses) 
  • Exstrophy-epispadias complex 
  • Minimal invasive surgery (MIS) and MIS and laparo-endoscopic surgery used in urologic procedures 
  • Surgical correction of complex neurogenic, traumatic and structural incontinence conditions 
  • Surgical management of end-stage renal disease/renal transplantation 
  • Fertility preservation potential in children 
  • Paediatric oncology including Wilms Tumour, testes tumour, and rhabdomyosarcoma of the genital urinary tract 
  • population health clinical pediatric urological research 
  • development of artificial intelligence approaches assist pediatric urologic management 
  • cell & molecular biology, and epigenetics of benign urologic disease 
  • large and diverse advanced clinical fellowship in pediatric urology, with integrated live and web-based teaching curriculum 

Key staff

Division Head:

Dr. Armando Lorenzo

Head, Division of Urology  

Department of Surgery 

More SickKids Urology staff are detailed in the sections below.

Dr. Darius Bagli

Program Director, Division of Urology  

Department of Surgery 

 

Dr. Martin Koyle

Staff, Division of Urology 

Department of Surgery 

 

Dr. Joana Dos Santos

Medical Urologist, Division of Urology 

Department of Paediatrics

 

Dr. Frank Papanikolaou

Staff, Division of Urology  

Department of Surgery

Dr. Michael Chua

Staff, Division of Urology  

Department of Surgery

  • Dr. Karen Milford (2018-2020)
  • Dr. Daniel Keefe (2019-2021)
  • Dr. Abdulrahman Alsabban (2019-2021)
  • Dr. Tomer Erlich (2019-2021) 
  • Dr. Marisol Lolas (2020-2021) 
  • Dr. Thomas De los Reyes (2020-2022) 

  • Mandy Rickard, MN, NP-Peds, Unit 6D – Urology Ambulatory Care Clinic
  • Abby Varghese, RN, NP-Peds, Unit 6D – Urology Ambulatory Care Clinic 

  • Barbara Pannozzo Unit 6D – Urology Ambulatory Care Clinic

  • Katie Baker, Unit 5D – Urology Ambulatory Care Clinic

  • Avallon Leopold, Department of Social Work, Division of Urology 

6D Clinical Booking Staff

Esme Pombo 
Sarah Diegues Rodrigues  

Surgical Booking Staff

Tanya Carpentier – Surgical bookings for Drs. Koyle and Papanikolaou  
Davika Ram – Surgical bookings for Drs. Lorenzo and Bagli 
Alia Ali – Surgical bookings for Dr. Frank Papanikolaou, Fellows 

Academic Administrative Staff

Calvin Arsenault
Education Coordinator Fellowship Program, Residency Program, Medical Students and Observers 

Stephen Pennycooke 
Departmental Administrative Assistant to Drs. Koyle, Bagli, Lorenzo and Dos Santos 

Emma Spence 
Supervisor, Administrative Services 

Fellows

Fellows are clinicians who have completed their specialist training in either General Urology or General Paediatric Surgery, and are now adding to their training by spending dedicated time in Paediatric Urology. Although they are all experienced clinicians, in order to enhance their knowledge and expertise specific to Pediatric Urology they are supervised and supported by the staff Urologists of the Division in certain decision making and patient management. Your child/family is likely to encounter fellows at all stages of your care: in the Emergency Department, at your clinic appointment, at your OR appointment, and in the ward during your admission. 

Nurse Practitioners

Nurse practitioners (NPs) are registered nurses with additional education at the Masters level, advanced clinical experience and certified by exam through the College of Nurses of Ontario.  NPs can independently diagnose medical conditions, order and interpret diagnostic tests, and prescribe medication and other treatments.   

The NPs in our pediatric urology clinic work independently to provide safe and thorough medical care to all pediatric urology patients. They are especially valuable when managing those patients with chronic complex conditions to provide a consistent family-centered approach to achieving patient satisfaction. 

Flow Coordinator

A Flow Coordinator supports the medical team in providing care for patients, partnering with the patient and their family to coordinate all aspects of care and guides the flow through clinic from check-in to check-out. 

Our Flow Coordinator will check you in upon arrival to clinic.  Will take the patient's vital signs, perform non-invasive diagnostics (flowrates and bladder scans) if needed, assist with procedures, provide families with test information, offer surgical pre-op teaching, and book follow-up appointments. 

Child Life Specialist

A Child Life Specialist provides therapeutic play programs designed to reduce stress and help patients cope with hospitalization. They help prepare children for medical and surgical procedures and much more. 

Social Worker

A Social Worker can provide you with guidance on community resources with respect to accommodations, interpreter services, government agencies and forms and much more.   


Dozens of blood samples with red, orange and purple lids

Research activities

Several of our surgeons lead innovative and leading research programs in the areas of: 

  • Cellandmolecular biology and epigenetics of benign urologic disease, genital development, and tissue repair. This research is focused on bladder muscle biology, cell matrix biology, stem cells, and tissue injury and repair. The work is inspired by "translational research," taking basic research from the lab to the clinical arena. 
  • Epidemiologyand population health science in children’s urologic conditions.  

These efforts have received peer-reviewed funding by the Canadian Institutes of Health Research (CIHR)Kidney Foundation of Canada (KFoC), and National Institutes of Health (NIH), as well as by the Hospital, and by generous support from our patient and family communities. 

From paper to practice, our renowned physicians and research scientists provide the foundation for excellence in the field of Paediatric Urology.  

Current research at the SickKids Division of Urology 

Expand the sections below to learn more about our basic and clinical research initiatives.  

Basic research
  • Molecular biology of bladder smooth muscle function, differentiation, de-differentiation and overgrowth 
  • Epigenetic mechanisms regulating bladder smooth muscle cell phenotype and function 
  • The epigenetic basis of host urothelial responses to urinary tract infection, particularly as a potential marker for recurrent UTI 
  • The epigenetic / environmental basis of genital maldevelopment 
  • Cell matrix biology 
Clinical research
  • Outcomes analysis and clinical epidemiology 
  • Management of Wilms Tumour 
  • Vesicoureteral reflux, Posterior Valves, and Hypospadias 
  • Use of botulinum toxin in bladder dysfunction 
  • Quality and Patient Safety 

In addition the Division is exploring pioneering efforts to develop Artificial Intelligence tools to address large datasets in hydronephrosis, hypospadias, and testicular pathology.   

For further information, please contact our Director of Research, Dr. Darius Bagli, MDCM.

Research Registry: How you can help!

At SickKids Urology, we have a very good understanding of how to treat many problems in the urologic system of children. However, the reason that most of these problems occur to begin with is almost entirely unknown.  

We are constantly searching for even better ways to improve urology diagnosis and treatment. In order to do that, we must study and review the medical information of thousands of children just like your child in order to reach this goal, and answer the basic question ‘Why do urology conditions happen’? 

You can help our researchers make advancements in their field by participating in the Paediatric Urology Research Registry (PURR) - PDF. 


Empty lecture hall of 15 rows and a speaking podium

Education and training opportunities

Expand the sections below to read about educational offerings through SickKids Urology!

Our fellowship program is the only North American program outside of the United States (US) where "fully trained" urologists are accepted to train for two further years, in order to be eligible for the American Board of Urology (ABU) Certificate of Added Qualification (CAQ) in Paediatric Urology. 

This is a highly competitive position where a graduate urologist from a Canadian or US accredited residency program is selected for the two-year training to gain additional expertise in paediatric urology. It is unique in also offering training in paediatric uro-oncology and renal transplantation. A match process is conducted by the American Urological Association (AUA) and allows applicants and potential programs to be paired with one another.  

For more information on the MATCH process please visit the AUA website.

Research Fellowship 

The Division of Urology offers a post-residency research fellowship to candidates who intend to pursue a career in academic urology. This program provides an opportunity for fellows to conduct clinical and/or basic science research in areas related to pediatric urology while working under the guidance of a research mentor. Please refer to our staff physician page for details on our team’s individual research interests. It is expected that the fellow will participate in the design, planning, and conduct of the research. While past research experience is not a requirement, it is desirable. Applicants are encouraged to secure funding to improve their opportunity of obtaining a research fellowship. Research fellowships can range from six months to two years. Must be fully funded. 

Clinical Fellowship

Our clinical fellowship is generally two years in length with the first year being a clinical year and the second year being a hybrid year of clinical and research catered around the long term goals and career planning of each fellow. As an international medical graduate applicant you may be required to be partially or fully funded by your institution during your fellowship. 

For those competitive positions, applicants are strongly advised to complete an observership prior to the anticipated start date, please refer to the Observership page for more details on how to apply. 

Research (80%), Clinical (20%) Fellowship

Research/clinical fellowships generally start for the first three to six months as solely research (see research fellowship description above), but with the opportunity to take on a clinical portion once the fellow has fully integrated into the division and has demonstrated some key clinical strengths needed.  Fellows will then have up to 20% of their time devoted to patient care activities to help maintain their clinical skills. Must be fully funded. 

Deadlines & requirements

Applications are due at least six months prior to the anticipated start date. You must first complete an initial application form (PDF) with the following documents included with the application: 

  1. Curriculum Vitae
  2. Letter of Intent
  3. Three letters of reference (can be mailed in after application is submitted)
  4. Letter of Secured Funding

Once this application is received and reviewed, short listed applicants will be contacted for more information and to set up an interview.  

For further information please contact our department: 

Fellowship Program Director 
Dr. Darius Bagli,  MDCM, FRCSC, FAAP, FACS

Fellowship Program Coordinator 

Calvin Arsenault 
416-813-6580 
calvin.arsenault@sickkids.ca 

Thank you for considering the Division of Urology at SickKids for your fellowship opportunity. 


Contact Urology at SickKids

The Urology Clinic is located on the 6th floor, Atrium, Ward 6D. Hours of operation are 8:30 a.m. to 4:30 p.m. You can use the Atrium elevators (near the Terrace Cafe cafeteria) and exit at the fifth floor toward the windows with the walrus and the turtle. 

Phone: 416-813-6661 

Email: Urology.booking@sickkids.ca 

If you are calling to inquire about  your child’s referral from your family doctor or preliminary consultation clinic appointment, please dial: 416-813-6661.

Press #1 – Booking Office (no voicemail) or email urology.booking@sickkids.ca 

Press #2 – Nursing or email urology.nurses@sickkids.ca 

 
If you are calling to inquire about your child’s surgery please contact the Urology Surgical Booking Department:  urology.surgery@sickkids.ca 

Address

Urology Clinic, 6th Floor- Ward 6D

555 University Ave

Toronto, Ontario

M5G 1X8  

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