MUSC background

Pediatric Urology at MUSC

In 2013, Andrew A. Stec, M.D., Director of Robotic and Minimally Invasive Pediatric Urology at MUSC Children’s Hospital, performed the first reported modified Young-Dees-Leadbetter bladder neck reconstruction in a pediatric patient with the exstrophy-epispadias complex using robotic surgery. The bladder exstrophy-epispadias complex is a rare severe birth defect of the bladder, pelvis, musculature, and genitalia. Surgical correction starts in infancy and, as the child matures, a bladder neck reconstruction can help the child gain volitional urinary continence.

MUSC’s team of three fellowship-trained pediatric urologists, Dr. Stec, Todd Purves, M.D., PhD, and Michaella Prasad, M.D., has established MUSC as an exstrophy center offering comprehensive care, from bladder closure to surgeries that reconstruct genitalia and improve continence.

Since 2011, MUSC’s pediatric urology team has performed almost 20 minimally invasive robotic surgeries (13 in 2013 alone). These include pyeloplasty, ureteral reimplantation, and bladder reconstructive surgery, including South Carolina’s first robot-assisted pediatric ureteral reimplantation in a child with vesicoureteral reflux.

Pediatric urology at MUSC has also built a comprehensive program that addresses all issues in the spectrum of pediatric voiding dysfunction. Managed by Dr. Purves and Kate Mack, DNP, FNP, APRN, the program offers pediatric-friendly diagnosis, intervention, bladder training, pediatric nursing, and pediatric anesthesia. Their team assists families with short- and long-term care for their child through adolescence and into early adulthood, promoting improved quality of life and bladder health.