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Clinical Services
Psychosexual Development
In all pediatric disciplines, there is a trend toward understanding and pursuing “Quality of Life”
outcome standards for children undergoing medical and surgical interventions. Such clinical emphasis must be based
on evidence - information learned from patients and parents of patients, as well as from patients as they grow up
over time. The goal is better outcomes, better patient and parent participation in care, and better overall patient
understanding of medical and surgical requirements. For these reasons, patients and their parents, when confronted
with the prospect of the child undergoing surgical intervention, will have the option of requesting a
urological-child psychiatric consultation in order to discuss and understand child-development as it relates to the
particular problem, the surgery, and the possible surgical outcomes - and as it relates to this particular child and
the child's personality, vulnerabilities, and strengths.
The child and the parents also will have the opportunity to participate in ongoing
clinical research or clinical trials investigating how to maximize
child-outcomes for any set of problems or set of surgical reconstructions. These are entirely voluntary, of course.
The goal is to constantly learn how to better provide care - and better care - for children with genitourinary
anomalies or illnesses.
For treatment of genitourinary birth defects, in particular, we are interested in Quality of Life (QOL)
outcomes - and how to better achieve maximum QOL benefits. This research is ongoing in a number of areas including
bladder exstrophy, cloacal exstrophy, intersex conditions
(ambiguous genitalia), spina bifida, and hypospadias.
William Reiner, MD, a fellowship-trained Child and Adolescent Psychiatrist and Board certified in Child and
Adolescent Psychiatry as well as in Adult and Pediatric Urology and in General Psychiatry, is committed to offer
such clinical and research services for the pediatric urological and pediatric endocrinological patients and their
parents. Dr. Reiner specializes in psychosocial and psychosexual child development aspects of these urological
and endocrinological conditions.
What's on the Horizon?
Looking ahead, the Section of Pediatric Urology is committed to
improving care for all children and adolescents with:
- Classical Bladder Exstrophy
- Cloacal Exstrophy
- Intersex
- Urinary Incontinence
- Spina Bifida
- Hypospadias
- Other urological birth anomalies
Patient Inquiries
To find out more about clinical services including the Psychosexual Development Clinic, please contact:
William G. Reiner, MD
Director, Psychosexual Development Clinic
Department of Urology - WP 3150
Division of Pediatric Urology
920 Stanton L. Young Boulevard
Oklahoma City, OK, 73104
405 271 6900
405 271 3118 - FAX
william-reiner@ouhsc.edu
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