2025 Program

Basic UDS Course Separate Registration Required

The Basics: Tell me About Urodynamics
Andrea French, CNP
University of Maryland Medical Center

Preparation for Urodynamics: Patients and Providers
Kristina Booth, CNP
Nationwide Children’s Hospital

Performing Urodynamics: Bladder Filling
Andria Haynes, RN
Nationwide Children's Hospital

Performing Urodynamics: Bladder Emptying
Valari Cathey, CNP
Oklahoma Children’s Hospital

Troubleshooting
Brandi Capps, RN
Duke Children's Hospital

Hands on Tips and Tricks from the Experts
Andria Haynes, RN
Natalie Barganski, CNP
Valari Cathey, CNP
Andrea French, CNP
Brandi Capps, RN

Interpretation: Understanding Urodynamics
Kristen Meier, MD
Children’s Mercy Kansas City

Case Studies: Bringing it All Together
Kristen Meier, MD
Children’s Mercy Kansas City

Natalie Barganski, CNP
Driscoll Children’s Hospital

Kristina Booth, CNP
Nationwide Children’s Hospital

PUNS Meet & Greet Happy Hour
Westin Hotel
A chance to greet your colleagues!

Session 1: Let's Go Nuts: Surgical Management of Testicle Troubles in Pediatric Populations

Moderator:	Lucille Huang, MSN, RN, CPNP
Presenter:	Hunter Gibbs, MS, MSPAS, PA-C Children's National Hospital

Objectives:

• Pediatric male physical exam findings
• Common clinical testicular diagnoses
• Retractile testes vs. undescended testes
• Surgical correction of undescended testes (video)
• Potential intraoperative surgical findings of other testicular diagnoses

Session 2: Treating Bladder and Bowel Dysfunction in Patients with ADHD, Autism and Anxiety

Moderator:	Valre Welch, MSN, CPNP
Presenters:	Sarah Hendrickson, MPH, PA-C Wake Medical Laura Slosky, PhD, Clinical Pediatric Psychologist Children's Mercy Hospital

Objectives:

• Review diagnostic criteria and clinical features of Autism, ADHD, and anxiety disorders in the pediatric population.
• Review initial behavioral and pharmacologic strategies for managing core symptoms of the above disorders.
• Discuss incidence of bladder and bowel dysfunction (BBD) in patients with Autism, ADHD, and anxiety.
• Discuss how to integrate a neurodiversity informed approach into urologic evaluation, assessment, and treatment.
• Address barriers to toilet training in children with communication or sensory challenges.
• Discuss how to integrate a BBD clinic focused on patients with neurodevelopmental and mental health disorders.
• Review resources available for urology practitioners to assist in management of BBD in children with neurodevelopmental and mental health disorders.

Session 3: Breakouts

I. Antibiotic Basics

Moderator:	Allyson Fried, MSN, RN, CPNP
Presenter:	Megan Hamner, MD, Pediatric ID Children's Mercy Hospital

Objectives:

• Understand the role of antibiotics in Pediatric Urology, identifying common infections that necessitate antibiotics
• Review antibiotic selection in Pediatric Urology
• Explore prophylactic antibiotic use in Pediatric Urology
• Examine antibiotic resistance and the importance of antibiotic stewardship in Pediatric Urology

II. Litholink Reading: It's Not Hieroglyphics

Moderator:	Karla Giramonti, MSN, RN, FNP-BC
Presenter:	Joanna DosSantos, MD SickKids Toronto

Objectives:

• Be able to look at a Litholink 24-hour urine report to identify calcium, oxalate, citrate, uric acid, and sodium abnormalities.
• Correlate specific metabolic derangements (e.g., hypercalciuria, hypocitraturia) with dietary and pharmacologic interventions used in pediatric stone prevention.
• Demonstrate how to use Litholink trends over time to assess compliance and adjust treatment plans.
• Distinguish between stone-promoting and protective urinary factors, and learn to explain these clearly to patients and families.

Session 4: Parent Panel: Perspective on Chronic Conditions: Posterior Urethral Valves, Hinman, Spinal Cord Injury

Moderator:	Azadeh Wickham, PhD, APRN, FNP-BC
Parents	James and Courtney Bohnenblust Urology / Nephrology Taylor Liechti Hinmans Bladder Sophie Yule VUR

Objectives:

• Understand patient and family experiences with chronic pediatric urology conditions.
• Recognize ways that healthcare professionals can meet the needs of patients and families with chronic pediatric urology conditions.
• Increase awareness of available resources among patients and healthcare professionals caring for children with chronic pediatric urology conditions.

Session 5: Urology/Nephrology

Moderator:	Hunter Gibbs, MS, MSPAS, PA-C
Presenter:	Joanna Dosantos, MD SickKids Toronto

Objectives:

• Interpretation of basic nephrology labs and why you would order them (creatinine, eGFR, protein/creatinine ratio, and urine electrolytes) in the context of common urologic conditions.
• Understanding the differences between cystatin c and creatinine
• Understanding and managing post-obstructive diuresis
• Guidelines for IV fluids for babies
• Red flags- which patients should you refer to nephrology

Session 6: SIG Group Meetings Breakouts
Biofeedback
Education
Research
Urodynamics

Session 7: Abstract Session

Moderator:

Katy Morgan

Urological Outcomes Following Prenatal Myelomeningocele Repair: A Single-Center Retrospective Analysis
Mrs. Abby Varghese, Ms. Sahrish Masood , Mr. Samer Maher , Dr. Joana Dos Santos , Dr. Michael Chua
Division of Urology, The Hospital for Sick Children, Toronto, Canada

Characterization of the Urinary and Intestinal Microbiome in Individuals with Spina Bifida
Brendan Frainey¹, Seth Reasoner¹, Alexandra Borden², Megan Stout¹, Mason Graham¹, Cyrus Adams¹ , Maryellen Kelly², Maria Hadjifrangiskou¹, Douglass Clayton^1
1. Vanderbilt University, Nashville, TN, USA ². Duke University, Durham, NC, USA

Urological Outcomes In Children With Prenatally Diagnosed Closed Spinal Dysraphism: A Single-Center
Mrs. Abby Varghese¹, Dr. Yada Kunpalin², Mr. Samer Maher¹, Ms. Sahrish Masood³, Dr. Michael Chua¹, Dr. Jennifer Quon⁴, Dr. Jenna Doig⁵, Dr. Abhaya Kulkarni⁴, Dr. Tim Van Mieghem², Dr. Shiri Shinar², Dr. Elka Miller^6
1Division of Urology, The Hospital for Sick Children, Toronto, Canada ²Fetal Medicine Unit, Mount Sinai Hospital, Toronto, Canada ³The Hospital for Sick Children, Toronto, Canada ⁴Division of Neurosurgery, The Hospital for Sick Children, Toronto, Canada ⁵Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada ⁶Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Canada

Development Of A Novel Cone Enema Assistive Device
Michelle Hsia Joy Kerr Jason Van Batavia
Children's Hospital of Philadelphia, Philadelphia, PA, USA; University of Pennsylvania, Philadelphia, PA, USA

Going to the Dogs
Come meet and play with the Children’s Mercy therapy dogs and start the day with some puppy love.

Session 8: Aye Aye AI: Using AI in Practice and Research

Moderator:	Vivian Williams, MSN, RN, CPNP
Presenters:	Mandy Rickard, MN-NP, Ped, RN (EC) SickKids, Toronto Scott Wang, MD Boston Children's Hospital Samantha Eaker, DNP, CPNP Duke University

Objectives:

• Introduce basic principles of machine learning (ML) most often employed in healthcare.
• Review current and emerging AI applications in pediatric urology, including clinical decision support and image interpretation.
• Demonstrate practical ways AI is being integrated into research, such as natural language processing and predictive modeling.
• Discuss ethical, privacy, and data governance considerations when using AI in clinical practice and academic research and when considering clinical deployment.

Session 9: Breakouts

A: Basic Science / Anatomy

Moderator:	Azadeh Wickham, PhD, APRN, FNP-BC
Presenter:	Dori Lamb Children's Mercy

B: Tertiary therapies for incontinence: PTNS/TENS/Botox/Interstim

Moderator:	Joy C. Kerr, DNP,CPNP, CRFA
Presenter:	Adriana Messina Children's Hospital of Philadelphia

Objectives:

• Review mechanism of action of PTNS, TENS, Botox, Interstim in addressing incontinence
• Review indications of each therapy and their effectiveness
• Provide an overview of how each therapy is administered, including procedural steps and patient preparation

Session 10:

A: Considerations for caring for those with Intersex

Moderator:	Maryellen Kelly, DNP, CPNP
Presenter:	Emilie Johnson, MD Lurie Children's Hospital

Objectives:

• Describe elements of a multidisciplinary evaluation for an infant with suspected DSD/Intersex condition
• Distinguish principles of historical vs. current approach to management of infants and children with DSD
• List surgical options for individuals with DSD

Session 11: Using Play to Save the Day: How Child Life can Help in Urology

Moderator	Mandy Rickard, MN-NP Ped, RN (EC)
Presenter:	Alison Pinkston, Child Life Specialist Children's Mercy Hospital

Objectives:

• Increase the understanding of the Child Life profession and their role in urology
• Explain how Child Life Specialists prepare patients and families for urologic procedures, including using age-appropriate explanations, play, and distraction strategies
• Demonstrate how Child Life Specialists help pediatric urology patients cope with medical diagnosis, experiences, emotions, and learn about their bodies

Session 12: The Role of Occupational Therapy within Urology

Moderator:	Sarah Elliott, PA-C
Presenter:	Michelle Hsia, MS, OTR/L Children's Hospital of Philadelphia

Objectives:

• Establish the role that OT can have in the care plan of the patient with urology challenges
• Discuss the importance of patient readiness and task analysis for bowel and bladder management
• Provide clear strategies for intervention to promote success and independence

Session 13: What's New in Poo?

Moderator:	Perry Harlan, NP
Presenters:	Joy Kerr, DNP, CPNP, CRNFA Children's Hospital of Philadelphia Maryellen Kelly, DNP, CPNP Duke University

Objectives:

• Cover updates on TAI coverage with CMS this year
• Inform about the updated Guidelines on the Care of Individuals with Spina Bifida and bowel incontinence
• Briefly describe the Lifespan Bowel Management Protocol
• Discuss functional constipation role and review clean out importance
• Review new medications to the bowel landscape
• Identity red flags for GI referral