expert type icon EXPERT

Dr. George T. Klauber

Urologist (Pediatric)

Dr. George T Klauber is a top Urologist (Pediatric) in Chelmsford, . With a passion for the field and an unwavering commitment to their specialty, Dr. George T Klauber is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. George T Klauber is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. George T Klauber is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Chelmsford, Massachusetts, Dr. George T Klauber is a true asset to their field and dedicated to the profession of medicine.
Dr. George T. Klauber
  • Chelmsford, Massachusetts
  • MD at Guy's Hospital Medical School
  • Accepting new patients

Our recently adopted child keeps wetting the bed?

It is very normal for 3-year-olds to wet their bed. Likely normal for 30%-50%. In fact, 15% of 5-year-olds wet their beds. Suggest you keep him in diapers or Pull-ups, restrict READ MORE
It is very normal for 3-year-olds to wet their bed. Likely normal for 30%-50%. In fact, 15% of 5-year-olds wet their beds. Suggest you keep him in diapers or Pull-ups, restrict fluids after supper, then wake & take to toilet an hour or so after going to bed. That is all you should do with any child under age 7 years.
Good Luck.

George Klauber, M.D.

How are bladder infections treated in children?

Bladder infections need to be treated with short course of antibiotics. Bladder infections in boys are uncommon & more often than not are related to a foreskin problem. He may READ MORE
Bladder infections need to be treated with short course of antibiotics. Bladder infections in boys are uncommon & more often than not are related to a foreskin problem. He may well require treatment for a tight foreskin (Steroid cream or circumcision) in addition to antibiotics for the actual infection.

What causes a UTI in a child?

Most UTIs occur in uncircumcised boys. Bacteria collect under the foreskin, multiply in presence of a drop or two urine and make their way up into the bladder. Bacteria can divide READ MORE
Most UTIs occur in uncircumcised boys. Bacteria collect under the foreskin, multiply in presence of a drop or two urine and make their way up into the bladder. Bacteria can divide every 20 minutes so can multiply into millions in quite a short time. Infrequent urinating & constipation are often additional factors in causing UTIs.

What causes prostate enlargement in children?

Very unusual and doubtful unless diagnosed by an experienced urologist. Thus, strongly advise consulting a urologist. Extremely rare, however have seen rhabdomyosarcoma (cancerous READ MORE
Very unusual and doubtful unless diagnosed by an experienced urologist. Thus, strongly advise consulting a urologist. Extremely rare, however have seen rhabdomyosarcoma (cancerous tumor) a few times over past 40 years. Very, very rarely prostatic cysts can also occur. Diagnosis can not be made without digital rectal examination which requires insertion of gloved index finger.

What are the treatment options for a UTI?

Your son needs antibiotics. Needs to to have urine tested type of bacteria causing UTI including antibiotic sensitivities before starting appropriate antibiotic. Should see a urologist. READ MORE
Your son needs antibiotics. Needs to to have urine tested type of bacteria causing UTI including antibiotic sensitivities before starting appropriate antibiotic. Should see a urologist. Most common cause for UTIs in boys is a non-retractile foreskin (called phimosis). Phimosis may require circumcision or treatment with steroid cream.

Why do my son's testicles hurt?

May have intermittent testis torsion or experiencing spasm of cremaster muscle (Muscle which causes testis to move up with contraction & back down when muscle relaxes)

What is the cause of painful urination in kids?

Prolonged urination plus burning sensation can be caused by phimosis (tight foreskin) if uncircumcised. Otherwise could be due to a urethral stricture. Should be checked out. It READ MORE
Prolonged urination plus burning sensation can be caused by phimosis (tight foreskin) if uncircumcised. Otherwise could be due to a urethral stricture. Should be checked out. It will not take care of itself.

Do boys have different UTI symptoms?

Similar symptoms to girls. However, usually in uncircumcised boys & caused by foreskin. Needs to be checked by physician.

What are the best ways to prevent UTIs in children?

In girls: Showers rather than taking baths. Wear cotton underwear. Avoid & treat constipation. Urinate at least 3 - 4 times/day. Pull panties down to ankles & separate thighs with READ MORE
In girls: Showers rather than taking baths. Wear cotton underwear. Avoid & treat constipation. Urinate at least 3 - 4 times/day. Pull panties down to ankles & separate thighs with urination to prevent vaginal trapping of urine.

Does cranberry juice help a UTI in kids?

Will not help to reduce abdominal pain due to UTI, in fact, may make it worse. Cranberry juice interferes with bacteria attaching themselves to bladder lining. Thus is a preventative READ MORE
Will not help to reduce abdominal pain due to UTI, in fact, may make it worse. Cranberry juice interferes with bacteria attaching themselves to bladder lining. Thus is a preventative of UTIs, not a treatment. Bladder or urethral pain from UTI can be treated with Pyridium. However, UTIs are uncommon in boys and should be checked by a physician.

Can kidney infections go away on their own?

Kidney infections need to be treated with antibiotics. Son needs to be worked up with kidney & bladder ultrasound as a minimum. Would recommend seeing a urologist.

What should I do if son's testicle hasn't descended?

Testicles in full-term infants should have descended by age 6 months. Ex-premature babies should both testes descended by age 10 months. Your son almost certainly requires surgical READ MORE
Testicles in full-term infants should have descended by age 6 months. Ex-premature babies should both testes descended by age 10 months. Your son almost certainly requires surgical correction (Orchidopexy), ideally by a pediatric urologist.

George Klauber, M.D.

Should my son be recircumcized?

Your son would only need a redo recircumcision if he has secondary phimosis. Secondary phimosis is when there is a tight ring of foreskin trapping head of penis. 90% of boys referred READ MORE
Your son would only need a redo recircumcision if he has secondary phimosis. Secondary phimosis is when there is a tight ring of foreskin trapping head of penis. 90% of boys referred to be for possible redo circumcision do not need second operation to remove more skin. Most boys thought to have too much skin after circumcision have a chubby fat pad in the pubic area which pushes the loosely attached penile skin outwards. Penis almost always normal by time he has undergone puberty. Leaving some excess skin at circumcision is virtually never a problem.

Why does my daughter have a habit of keeping in her urine?

Lots of kids do this and usually it's normal. Only a problem is in girls who develop urinary infections. Most children who do this as toddlers suddenly realize that controlling READ MORE
Lots of kids do this and usually it's normal. Only a problem is in girls who develop urinary infections. Most children who do this as toddlers suddenly realize that controlling eliminations is something that they are actually able to control for themselves. So, children who like to control their surroundings also usually like to control when they want to urinate.

How do I treat frequent UTIs?

Urinary infections in most boys is due to a tight, non-retractile foreskin. This can be cured by circumcision. In any case should see urologist whether he is circumcised or not. READ MORE
Urinary infections in most boys is due to a tight, non-retractile foreskin. This can be cured by circumcision. In any case should see urologist whether he is circumcised or not.

Son has pain in testicles. Should I be concerned?

Your son should not be having testicular pain. Please go and & see a pediatric urologist, provided there is one close to you, otherwise see a general urologist. We need to know READ MORE
Your son should not be having testicular pain. Please go and & see a pediatric urologist, provided there is one close to you, otherwise see a general urologist. We need to know severity of pain, duration, causative & relieving factors, etc.

My son has a kidney stone, is passing it the only way to remove it?

Kidney stones will only pass on their own if they are small enough. Sometimes, even tiny stones get stuck & do not pass spontaneously. There are many methods for removing kidney READ MORE
Kidney stones will only pass on their own if they are small enough. Sometimes, even tiny stones get stuck & do not pass spontaneously. There are many methods for removing kidney stones depending upon size & location. For instance, large stones within kidney may best be pulverized by ESWL (Shockwave Lithotripsy) where stores are broken up by sound waves. Stones within the ureter may be amenable to using a ureteroscope (very narrow flexible telescope with working channel) plus laser. Best advice is to consult with a urologist experienced in treating children with kidney stones.

When does a UTI turn into a kidney infection for children?

Urinary infections in children should be treated with short courses of antibiotics. Water & cranberry juice will not cure a UTI. Daughter will also need to be worked up if UTI READ MORE
Urinary infections in children should be treated with short courses of antibiotics. Water & cranberry juice will not cure a UTI. Daughter will also need to be worked up if UTI is associated with fever &/or back pain as this could well suggest kidney involvement.

How are UTIs in children diagnosed?

Diagnosis is very easy by urinalysis. Best by primary health care provider. So called dipstick with demonstrate presence of bacteria (Nitrite test) & or Leucocytes (White blood READ MORE
Diagnosis is very easy by urinalysis. Best by primary health care provider. So called dipstick with demonstrate presence of bacteria (Nitrite test) & or Leucocytes (White blood cells). Symptoms can be due to urethritis. Please get him tested. At very least, inexpensive UTI kit should be available at your pharmacy. However, health care provided would be needed to prescribe antibiotics, if your son has a UTI

Fever and painful urinating in baby

Baby likely has a UTI. Requires urine specimen for culture plus antibiotics. Urine culture will confirm whether or not bacteria causing UTI will be sensitive to prescribed antibiotics. READ MORE
Baby likely has a UTI. Requires urine specimen for culture plus antibiotics. Urine culture will confirm whether or not bacteria causing UTI will be sensitive to prescribed antibiotics. Baby should be worked up with ultrasound plus VCUG (Voiding bladder study) to rule in or out any anatomic/structural abnormality, if she has more than one febrile UTI.