HMH - Pediatric Urology - Neptune

Our practice is proud to provide the area's highest quality care for infants, children and adolescents with urologic and gynecologic problems.

Thomas Vates, M.D., Kristin Kozakowski, M.D., and Aylin Bilgutay, M.D., have undergone extensive training at prestigious children’s hospitals in North America. As a practice affiliated with Hackensack Meridian Health Jersey Shore University Medical Center, Hackensack Meridian Health Riverview Medical Center, Monmouth Medical Center, St. Peter’s University Hospital and Robert Wood Johnson, our care team is committed to achieving the best possible outcomes.

New patients are most welcome!

Our Services

• Surgery of congenital penile abnormalities (hypospadias, epispadias and chordee)
• Treatment of groin conditions (undescended or impalpable testes, testis torsion, hernia/hydrocele, and varicocele)
• Diagnosis and treatment of congenital anomalies of the kidneys, ureters or bladder (ureteropelvic junction obstruction, megaureter, vesicoureteral reflux, and ureterocele posterior urethral valves)
• In-office circumcision
• Minimally invasive surgery
• Treatment of urinary tract calculi (shock wave lithotripsy and ureteroscopy)
• Laparoscopic surgery for undescended testis and varicocele repair
• Diagnosis and treatment of neurologic lesions which affect the bladder (spina bifida, traumatic spinal cord lesions, and transverse myelitis)
• Evaluation and treatment of prenatally detected urinary tract anomalies
• Evaluation and treatment of children with urinary tract infections
• Evaluation and treatment of children with wetting problems, such as:
  • Frequent urination: going frequently or often during the day
  • Urinary urgency: having to urinate as soon as the child feels the urge to void
  • Bedwetting: loss of urine while asleep
  • Daytime incontinence: loss of urinary control causing damp undergarments or requiring a change of clothes
  • Stress incontinence: loss of urine with straining (coughing, laughing, sneezing, etc.)
  • Post-void leakage: loss of urinary control immediately after voiding or just a few minutes after voiding

*If you have scheduled an appointment due to your child’s voiding issues, we require your child to arrive to the office with a full bladder. That means trying to have him/her drink at least 16-20 ounces of fluid approximately 1-2 hours prior to their appointment time. We understand that this can vary greatly for each child, and it can be quite difficult, but we do ask that you try your best. A full bladder is extremely helpful in the initial workup and consultation of your child’s problem.

• Uroflow testing
• Biofeedback training (Kegel exercise training)
• Bladder scans to measure bladder volume and determine bladder emptying
• Urodynamic testing

What to bring to your visit if you are a new patient

• Any imaging studies (x-ray, ultrasounds, CT scans, MRI or IVP) and/or diagnostic studies (i.e. blood tests or urine tests)
• Current copy of your insurance card
• Identification of the parent or guardian; if you are not the parent or guardian, please bring a letter from the parent or guardian stating you are permitted to bring the child to the office visit
• Referral, if this is required by your insurance provider
• Method of payment
• Completed registration forms