The Mount Sinai Pediatric Stone Clinic is a comprehensive, interdisciplinary program focused on the diagnosis, management, and prevention of kidney stones in children. Our integrated team of pediatric nephrologists, pediatric urologists, nurse practitioners, technicians, and nutritionists work together to provide personalized treatment. Our goal is to help children with kidney stones live their healthiest possible lives.
Mason was 4 years old when he was evaluated by another hospital, presenting with abdominal pain, and found to have microscopic hematuria and bilateral renal stones. He underwent two surgical procedures to break up the stones, but the surgery did not succeed.
Mason was evaluated by Jeffrey Saland, MD, Director of Pediatric Nephrology at Mount Sinai Kravis Children’s Hospital, and Neha Malhotra, MD, Director of the Mount Sinai Kravis Pediatric Stone Clinic. They determined that he had cystinuria, a rare genetic disorder that causes the formation of renal stones.
A CT scan was performed under the direction of Joy Masseaux, MD, an attending pediatric radiologist at Mount Sinai Kravis Children’s Hospital. The study demonstrated bilateral renal stones (see figure). Mantu Gupta, MD. Director of Endourology and Stone Disease, was consulted, and he recommended a percutaneous fragmentation of the stone.
On August 11, 2021, Mason underwent a successful percutaneous laser fragmentation of his right kidney stone. Mason is doing great and has been following up with our Pediatric Stone Clinic team. A similar procedure is scheduled in the spring of 2022 for the left stone.
Why vote for Mount Sinai Kravis Children's Hospital in U.S. News & World Report’s Best Children’s Hospital rankings?
We have had one of the busiest and most successful kidney transplant programs in our region and in the nation for decades, and this tradition continues. We are proud of our outcomes, which are available to the public to view on the Scientific Registry of Transplant Patients and United Network for Organ Sharing webpages.
Ours is one of a very few programs to excel at liver-kidney transplant and even multi-visceral transplants. We receive referrals from across the country and world for our expertise.
We offer an integrated nephrology-urology program, sharing care of inpatients, with a growing number of integrated office visit/clinics. So many children require both sets of experts, and the closeness and great communication we share lend themselves to great care and a smooth experience.
We will soon commence use of a newly approved device, Carpediem, for continuous renal replacement (CRRT) in infants. This will add to our multimodality toolkit to treat infants with kidney failure as well as metabolic abnormalities, a history of care that dates to the first-in-the-United States use of CRRT in an infant several decades ago, and even to Mount Sinai’s first-in-the-United States use of hemodialysis decades before that.
Our world-renowned investigators are driving cutting-edge research on the development of kidney function and the environmental determinants of kidney health. We have forged partnerships with the pharmaceutical industry to accomplish clinical trials onsite including a recent major advance leading to the first-ever treatment of primary hyperoxaluria type 1, lumasiran, as described in The New England Journal of Medicine last year.
Our Comprehensive Children’s Health and Incontinence Program offers state-of-the-art evaluation and treatment.
Our comprehensive and interdisciplinary Kidney Stone program focuses on the diagnosis, management, and prevention of kidney stones in children, with close collaboration with urology and nephrology teams.
We have more than 20 years of experience in complex urologic reconstruction, and more than 15 years of experience performing robotic surgery.
Our multidisciplinary services include a spina bifida outpatient clinic, fertility preservation for pediatric oncology patients, and prenatal consultation for congenital urologic conditions.
We have an integrated pediatric urology and nephrology team for inpatient and outpatient care.
We closely collaborate with a comprehensive child life program that focuses on the child’s well-being and provides education, emotional support, and therapeutic play to help patients cope with the challenges of needing medical care.