Division Chief
Stephen E. Strup, MD, FACS
Chief, Division of Urology
James F. Glenn Endowed Professor/Chair in Urology

Welcome to the Division of Urology at the University of Kentucky. I invite you to take a few minutes to look through our Web site to get a sense of where we have been and where we are going. Our faculty is comprised of dedicated clinicians, teachers and researchers who have the common goal of delivering state of the art care, cutting edge research and quality education for medical students, residents and fellows.

Our current faculty members cover the entire scope of Urology and each individual faculty member brings a unique talent to our division. We all strive to maintain the delicate balance of clinical excellence, dedication to research and quality teaching of the students, residents and fellows. Our faculty members are recognized locally, nationally and internationally within their fields of interest.

The Division of Urology has a rich heritage. In nearly 41 years since our inception, we have graduated 80 residents. Many have become outstanding practitioners of Urology in all regions of the United States. Others have gone on to successful academic careers and three have become Departmental Chairmen. Our goal is to continue to build on our outstanding history. We will continue to offer superior urologic care for patients in the Commonwealth of Kentucky and beyond as well as educate the next generation of young men and women entering the field of medicine and the surgical discipline of Urology.

Pediatric Urology
Clinical Programs, UK HEALTHCARE OnCall, June 2012, Issue 2, pg. 19.

Pediatric urology has returned to UK HealthCare's Kentucky Children's Hospital. The reintroduction of this service allows our medical center to provide comprehensive medical and surgical urologic services for children of the Commonwealth. As part of the UK Surgery, the division offers a wide array of medical treatment and diagnostic testing for urologic conditions.

From a surgical standpoint, Ali Ziada, MD, offers surgical correction of many congenital urologic conditions, as well as those that develop later. Conditions that can be surgically corrected include: hypospadias, posterior urethral valves, vesicoureteral reflux, undescended testicle, epispadioas, phimosis, inguinal hernia, hydrocele, duplicate collection system, kidney stone, UPJ obstruction, kidney mass, testicular torsion, etc. In addition, urology is an imperative part of preparing patients for kidney transplantation and pediatric kidney cancer care.

Some of the more complex problems dealt with include urinary tract infection and hydronephrotic kidneys. Hydronephrosis can be a result of obstructive disease or urinary reflux. It can also be caused by neurogenic bladder problems. Urinary tract infections can be caused by vesicourectal reflux. The scope of management of untereal reflux is broad; from medical management to endoscopy and may require surgical correction. This is usually determined according to the stage and grade of the problem.

When urologic congenital anomalies are diagnosed prenatally, the pediatric urology service provides counseling visits for the expectant mothers and follows up in the hospital after delivery.

Several minor procedures can be done in the office in addition to those mentioned above. Meatal stenosis can be dilated in a simple procedure that takes place in the office. Also, penil adhesions may be able to be resolved in the office setting. Some forms of vaginal adhesions can also be addressed as well.

The service also offers diagnostic testing such as urodynamics. Urodynamics testing is used to evaluate bladder function. This test is very helpful in the evaluation of children who require kidney transplantation. It is also a valuable tool for children who have neurogenic bladder as the result of a spinal defect. Urodynamics can also be performed on children who have other forms of voiding dysfunction.

Our clinic also treats many nonsurgical conditions, such as bedwetting, incontinence, neurogenic bladder, hydronephrosis, recurrent UTI, and voiding dysfunction. A special clinic is held twice a week for children who are dysfunctional voiders, bedwetters or have issues with incontinence. Certain conditions that may or may not require surgery in the future, such as vesicourectal reflux and prenatally diagnosed hydronephrosis, can be medically managed.

Given all the current capabilities of this service and those that will added in the future (portable urodynamics and biofeedback therapy), UK HealthCare is able to offer its' patients a more complete service.

Clinics are held on the second floor of the Kentucky Clinic. Patient appointments can be scheduled by calling 859-323-6211 or 859-257-3533.

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