Urology

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Envisioning a Bright Future in Pediatric Urology

John V. Kryger, MD, Professor, Urology; Chief, Division of Pediatric Urology; Medical Director, Children’s Hospital of Wisconsin Pediatric Urology Program

I am very pleased and proud to assume the position of new medical director of Pediatric Urology at Children’s Hospital of Wisconsin, and chief of the Division of Pediatric Urology at The Medical College of Wisconsin. It is an exciting opportunity to have a leadership position in a successful, nationally recognized pediatric urology program with the support of one of the top children’s hospitals in the nation. In addition to this role, I am also actively involved in leadership of urologic societies on a state and national level. I am currently the incoming president of the Society for Fetal Urology and a member of the Board of Directors for the North Central Section of the American Urological Association (AUA). I am the immediate past president of the Wisconsin Medical Alumni Association and the Wisconsin Urologic Society. My special interests include complex reconstructive surgery for children with neurogenic bladder disorders, congenital birth defects and disorders of sexual development. I am also passionate about enhancing the quality and style of surgical training for medical students, residents and fellows.

I was previously the director of pediatric urology for the past 12 years at the University of Wisconsin in Madison, Wis. and the program director of the residency training program there. Our Pediatric Urology Program is fortunate to have the ongoing involvement of many of the faculty that have made this program a great success. These include Hrair Mesrobian, MD, Charles Durkee, MD, and Anthony Balcom, MD, with more than 70 years of combined experience in treating advanced complex pediatric urologic conditions. Further, we are strengthened by the infusion of the newer energy and insight of our finest fellowship graduate Travis Groth, MD, and the ongoing participation of Michael Mitchell, MD, as Emeritus Professor of Urology.

I anticipate the future success of Pediatric Urology at Children’s Hospital will thrive on a balance of many assets. First and foremost, we will continue to maintain first-rate attention to patient care. Children’s Hospital was recently ranked among the top three in the nation by Parents Magazine. Second, our faculty are able to offer the most advanced and innovative surgical techniques, especially in all areas of complex reconstructive pediatric urology. We have, and will continue to provide the care for certain complex conditions that is only offered at some of the best pediatric urology programs in the country. Our program is listed among the top 30 in the country by US News and World Report. We also benefit from a robust system to monitor and assess outcomes that will continue to help us improve our care. Thirdly, we will stimulate and support clinical basic science research in pediatric urology that will improve the health of children throughout Wisconsin and the nation. We will do this with outcomes-based research, participating in multi-institutional clinical trials and exploring basic science and translational research in obstructive uropathies. Fourthly, we will focus on innovation and quality education in the surgical training programs for urology. Our pediatric urology fellowship and residency training programs remain a mainstay of the mission of our academic medical center to properly train the next generation of urologists. Lastly, we will continue to actively participate in international healthcare missions, performing surgery throughout the world in collaboration with well recognized non-profit organizations. Highlights of this year’s pediatric urology program include:

1) Acquisition of a pediatric surgical robot dedicated to Children’s Hospital. This will enhance opportunities to explore minimally invasive surgery and improve surgical outcomes. Dr. Groth was named the first director of Pediatric Robotics Surgery at Children’s Hospital in February of 2012.

2) Multidisciplinary specialty clinics and programs will continue to build upon the expertise of faculty throughout the system to improve the care and outcomes for children and their families. In addition to a strong multidisciplinary spina bifida clinic, which cares for children with complex neurologic bladder and bowel disorders, we are actively developing additional programs. We will actively participate in development of the Fetal Concerns Center of Wisconsin (chw.org/fetalconcerns).

As the new president for the Society for Fetal Urology, I hope to bridge a relationship with other nationally recognized centers of expertise in fetal
urology. We will also continue to develop a specialty program for the care of children and families with disorders of sexual development.

3) Pediatric Urology research has had a significant boost since joining collaboration with the Pediatric Surgery Clinical Research Program. With these additional resources, our program can now utilize the expertise of a dedicated pediatric research team led by Melissa Christensen and Ruth Swedler.
This will greatly facilitate faculty, fellow, resident and medical student research support. In addition, Dr. Mesrobian recently submitted an National Institutes of Health grant to continue his basic research studies on proteomics at the molecular level of obstructive urologic disorders.

4) The Voiding Improvement Program remains a successful element in the care of children throughout the community and the state with bladder control and dysfunctional voiding disorders. This family-centered program is spearheaded by our dedicated, skilled and compassionate nurse practitioners with extensive experience in treatment of bladder and bowel conditions that can plague children throughout childhood. Our program offers advanced opportunities to incorporate medical therapy with biofeedback, complimentary medication and motivational support.

5) Our current pediatric urology fellow, Anas Ghousheh, MD, completed his two year fellowship in June of 2012. We are actively recruiting for his
successor. We look forward to utilizing more surgical simulation techniques in minimally invasive surgical training in collaboration with the development of the pediatric robot surgery program. I am proud to be part of such an accomplished program. We continue to grow with an upward trajectory and the future of Pediatric Urology at Children’s Hospital is bright. This program will continue to have major impact on local, national and international pediatric urologic care of children and their families. My wife Lynn and I look forward to new friends and adventures in the Milwaukee area. We currently live in Brookfield and enjoy raising our two dogs, and spending time outdoors and participating in the community.

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Page Updated 06/04/2014