Irene McAleer, MD, JD, MBA, FAAP, FACS, FSPU
Paso Del Norte Children's Specialty Clinic
125 W Hague Rd.
El Paso, TX 79902
Phone: (915) 271-4650
Fax: (915) 271-4651
Paso Del Norte Children's Specialty Clinic at Providence Medical Partners
2204- E Joe Battle Blvd.
El Paso, TX 79938
- Medical School: Ohio State University
- Urology Residency: National Nava Medical Center
- Pediatric Urology Fellowship: University of California San Diego
- MBA: Edinburgh Business School, Heriot-Watt University, Edinburgh, Scotland
- JD: Law School - Abraham Lincoln University-School of Law
About the Provider
Dr. McAleer is a board certified Pediatric Urologist with over 25 years' experience in taking care of urologic conditions specific to children. She received her medical degree from the Ohio State University and her urologic training at the National Naval Medical Center before successfully completing her Pediatric Urology fellowship at the University of California, San Diego. She has had several university appointments, most recently as a Clinical Professor at the University of California, Irvine. In addition to these appointments, she has written multiple scientific articles and book chapters as well as presenting and moderating sessions at national and international urlogic meetings. She spent over 20 years in the US Naval reserves and also has successfully received her JD degree as well as an MBA degree.
Hypospadias is found in boys at birth where the opening of the urethra is not located at the tip of the penis. In boys with hypospadias, the urethra forms abnormally during weeks 8–14 of pregnancy. The abnormal opening can form anywhere from just below the end of the penis to the scrotum. There are different degrees of hypospadias, some can be minor and some more severe. The rest of the developing penis may be abnormal too (curved, abnormal foreskin or scrotum).
- Hydronephrosis is swelling of one or both kidneys. Kidney swelling happens when urine can't drain from a kidney and builds up in the kidney as a result. This can occur from a blockage in the tubes that drain urine from the kidneys (ureters) or from other kidney causes that do not allow urine to drain properly.
- Hydronephrosis can happen at any age. Hydronephrosis in children may be found during infancy or sometimes during a prenatal ultrasound before the baby is born.
- Hydronephrosis does not always cause symptoms. When they occur, signs and symptoms of hydronephrosis might include:
- Pain in the side and back that may travel to the lower abdomen or groin
- Urinary problems, such as pain with urination or feeling an urgent or frequent need to urinate
- Blood in the urine
- Nausea and vomiting
- Failure to thrive, in infants
- Vesicoureteral reflux (VUR) is when pee moves backward from the bladder to the kidneys. Normally, pee flows down from the kidneys to the bladder.
- Kids with mild cases of VUR often do not need treatment. Those with infections with fever are more serious might need to take antibiotics to prevent infection. Kids who have infections and fevers along with the VUR might need surgery, but most kids do not have serious symptoms and outgrow the condition with no lasting problems.
- Most kids with VUR do not show signs or symptoms. Often, doctors find the condition because a child has a urinary tract infection (UTI) with a fever.
- A UTI lower in the urinary system (in the bladder) can cause:
- frequent or urgent need to pee
- bedwetting and pee accidents
- a burning feeling while peeing
- blood in the pee
- A UTI higher in the urinary system (in the ureters or kidneys) can cause the same symptoms, as well as:
- pain in the side or belly
- Blood in urine
- Fever and chills
Blockage of the flow of where the ureter meets the kidney or bladder
- Urinary stones (calculi) n the urinary tract may be composed of a number of different materials.
- Stones form due to crystallization of minerals concentrated enough to cause the stones to form. This can occur either because there is an abnormally high amount of stone-forming material in the urine or the urine is too concentrated because of dehydration (thirst).
- Several materials form stones:
- Calcium (usually in the form of calcium oxalate or calcium phosphate, the most common types of stone in both children and adults)
- Uric acid (the same chemical that causes gout)
- Cystine (only in children and adults with hereditary cystinuria)
- Magnesium ammonium phosphate (usually with urinary infection)
- In children, stone formation is becoming more common but usually less common than in adults.
- Some children who form urinary stones have an abnormality of their urinary tract. These include obstructions of the kidney or ureter, and diseases such as spina bifida. Many now form stones because of diet and hydration causes.
- An undescended testicle (cryptorchidism) is a testicle that has not moved into its proper position in the bag of skin hanging below the penis (scrotum) before birth. Usually just one testicle is affected, but about 10% of the time both testicles are undescended.
- An undescended testicle is very common, up to 1% of all boys but may be more in baby boys born prematurely.
- Most of the time, the undescended testicle moves into the proper position on its own, within the first few months of life. If your son has an undescended testicle that does not correct itself, surgery should be done to relocate the testicle into the scrotum.
- Antenatal (before birth) hydronephrosis (fluid-filled drainage systems of the kidney) can be detected in a fetus by ultrasound as early as the second trimester of a pregnancy. During pregnancy, this condition can be very common. Typically, this condition is not associated with abnormalities in other organ systems.
- Prenatal intervention is almost never required, and amniotic fluid is usually normal. Depending upon the abnormality, ultrasounds may be needed throughout pregnancy and after a baby is born. In most cases, this diagnosis does not affect when, where or how a baby is delivered. Surgery is required in a small percentage of children during infancy and childhood. Most children will resolve this condition with normal growth but should be followed until it improves or resolves.