Riley Children's Health Annual Report 2022 – 2023

Skilled in open, endoscopic and robotic urologic surgery, the fellowship-trained urology surgeons at Riley Children’s Health are internationally recognized for their expertise in treating complex urologic conditions. Our surgeons are partners in multidisciplinary programs to aid in managing multifaceted patient needs. We use data-based performance metrics to continuously improve quality of care and to assist in helping elevate quality of life for patients with challenging conditions. UROLOGY Ranked 3 rd in the Nation


■ Assessment of parent perceptions about their decision for their child to undergo urological surgery; preliminary results show decisional regret after surgery is low ■ Outcomes study of 188 children with ureteroceles presenting at Riley Children’s over the past 10 years – Largest and most recent series in the literature – Indicates children with ureteroceles typically present earlier than historically reported and without symptoms Further analysis of how these children were managed and their outcomes will help guide future treatment decisions. Funded by the National Institutes of Health ■ Development of a continence goal-setting app for children with spina bifida ■ Implementation of smartphone diaries to track the activities of spina bifida patients and any incontinence that developed over 30 days

DIVISION CHIEF Rosalia Misseri, MD Robert A. Garrett Professor of Pediatric Urological Research, IU School of Medicine > Connect with Dr. Misseri on Doximity. >

Specialized programs Comprehensive Transitional Care Program ■ One of the few programs in the nation offering transitional care for pediatric patients with complex urologic conditions as they progress into adulthood. Complex Voiding Dysfunction Center ■ Physical therapy and operative interventions, such as sacral neuromodulation are used to assist in treating voiding dysfunction. Onco-Fertility Program ■ In collaboration with oncologists at Riley Children’s, we offer access to fertility preservation methods, including sperm banking and testicular tissue freezing for children with cancer. Pediatric Urology Education Program ■ For primary care providers: Quarterly updates on common urologic conditions ■ For patients/families: Monthly, no-cost nocturnal enuresis education seminars

Program distinctions

■ Third leading pediatric urology program in the nation as ranked by U.S. News & World Report

8 board certified physicians

See full team member list >

■ One of seven Congenital Adrenal Hyperplasia (CAH) Comprehensive Care Centers in the U.S. (designated by the CARES Foundation) ■ One of 10 bladder exstrophy centers of excellence in the nation (designated by the Association for the Bladder Exstrophy Community)


Journal of Pediatric Urology: October 2022

Vesicoureteral Reflux Outcomes: 2022 Source: National Surgical Quality Improvement Program, American College of Surgeons

Intraoperative Laser Angiography in Bladder Exstrophy Closure: A Simple Technique to Monitor Penile Perfusion Journal of Pediatric Urology: October 2022 A Patient- and Parent-Centered Approach to Urinary and Fecal Incontinence in Children and Adolescents with Spina Bifida: Understanding Experiences in the Context of Other Competing Care Issues Journal of Robotic Surgery: April 2022 Retrograde Stent with External String for Pediatric Robotic Pyeloplasty: Does It Reduce Cost and Complications? Current Bladder Dysfunction Reports: June 2022 Bladder Dysfunction After Ureteral Reimplantation



■ One of the few Midwest facilities to offer pediatric robotic surgery

Emergency Department visits after implant



■ Founding member of the Pediatric Urology Midwest Alliance , a group of leading pediatric urology programs advancing surgical outcomes and care for bladder exstrophy patients



Unplanned procedures

Professional organization affiliations NATIONAL SPINA BIFIDA PATIENT REGISTRY QUALITY OF LIFE WORKING GROUP National Institutes of Health Konrad M. Szymanski, MD, MPH SOCIETY OF UROLOGY EQUITY, DIVERSITY AND INCLUSION COMMITTEE American Academy of Pediatrics Joshua D. Roth, MD, PhD SENIOR EDITOR Journal of Pediatric Urology Rosalia Misseri, MD SCIENCE RESEARCH COMMITTEE Spina Bifida Association Professional Advisory Council Konrad M. Szymanski, MD, MPH

1.7% readmission rate for 2022

Leading-edge technologies and procedures ■ Minimally invasive and robotic surgery ■ Mini-percutaneous nephrostolithotomy ■ Sacral neuromodulation therapy ■ SPY fluorescence imaging technology ■ In-office therapy for neuropathic bladder, including onabotulinum toxin and bulking agents ■ Videourodynamic evaluation

11 research publications in 2022

Refer a patient online

Annual Report 2022 – 2023


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