George Klauber, MD, is Professor of Urology Emeritus at Tufts University Medical School and a pediatric urologist working at Floating Children's Hospital, Tufts Medical Center, Boston. Also with Merrimack Urology Associates in Chelmsford, Massachusetts. Dr. Klauber has 46 years in practice and graduated from Guy's Hospital in 1964. He served his residency training at the Royal Victoria Hospital McGill University, Montreal, Canada. Dr. Klauber was fellowship trained at The Hospital for Sick Children, London and the Alder Hey Children's Hospital, Liverpool. Additionally, he is certified by the American Board of Urology in Pediatric Subspecialty and is a Felow of the American Academy of Pediatrics. He is a member of the American Urologic Association & The Society of Pediatric Urology. Due to his hard work and accomplishments, Dr. Klauber was a recipient of the Patientsï¿½ Choice Award from 2010 to 2014 and a 5 year honouree for Compassionate Doctor Recognitions.
Dr. George T Klauber MD's Videos
Education and Training
MD at Guy's Hospital Medical School
University of London
American Board of Urology- Pediatric Subspecialty
UrologyAmerican Board of UrologyABU
Dr. George T Klauber MD's Expert Contributions
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. 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. 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. 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. 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. READ MORE
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) 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. READ MORE
Similar symptoms to girls. However, usually in uncircumcised boys & caused by foreskin. Needs to be checked by physician. 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. 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. READ MORE
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. 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. 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. 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. 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. 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. 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. 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. 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 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. READ MORE
Expert PublicationsData provided by the National Library of Medicine
- New pediatric male urinal.
- Distal hypospadias, chordee and torsion: The Allen-Spence procedure and new modifications.
- Von Hippel-Lindau disease and renal cell carcinoma in a 16-year-old boy.
- Desmopressin acetate in children with severe primary nocturnal enuresis.
- Clinical efficacy and safety of desmopressin in the treatment of nocturnal
- Primary Squamous Cell Carcinoma Arising From a Cutaneous Ureterovesical Stoma (Modified Mitrofanoff): Case Report and Review of Literature.
- Re: Bladder replacement in children and young adults.
- Dermoid tumors occurring at the site of previous myelomeningocele repair.
- Home screening for the detection of urinary tract infection in infancy.
- Home screening for the detection of urinary tract infection in infancy.
- Congenital ureteral valves--an abnormality of ureteral embryogenesis?
- Management of the undescended testis.
- Hernia and scrotal problems in childhood.
- Ureteral dynamics in human renal transplantation. A cineradiographic study.
- Circumcision and phallic fallacies, or the case against routine circumcision.
Areas of expertise and specialization
Faculty Titles & Positions
- Professor of Urology Emeritus Tufts University School of Medicine 2014 - 2018
- Professor of Urology & Pediatrics Tufts University School of Medicine 1979 - 2014
- Assistant & Associate Professor of Urology University of Connecticut 1971 - 1979
- Chief, Pediatric Urology Floating Children's Hospital, Tufts Medical Center 1979 - 2018
- Patient's Choice Award 2010-2014
- Compassionate Doctor Award- 5 Years Honoree
- society of pediatric urology
- American Urological Association
- American Urological Association, New England Section
- The American Academy of Pediatrics
- Fellow Royal College of Surgeons of Canada
Charities and Philanthropic Endeavors
- The Hospital for Sick Children- 1972, Alder Hey Children's Hospital- 1972
Professional Society Memberships
- American Academy of Pediatrics, Pediatric Urology Associates
Articles and Publications
What do you attribute your success to?
Research and a passion for children, making a difference.
Hobbies / Sports
- Traveling, Theater, Opera, Hiking, Family, Friends
Favorite professional publications
- All major medical publications and journals
Dr. George T Klauber MD's Practice location
Chelmsford, Massachusetts 01824Get Direction
BOSTON, MA 02111Get Direction
Dr. George T Klauber MD's reviewsWrite Review
Patient Experience with Dr. Klauber
- What Is The Point of a Circumcision?
What Is The Point of a Circumcision?Circumcision is one of the oldest social and cultural practices of man. Its origin is not known, but centuries of the removal of the foreskin has been practiced by many communities. Different communities hold various beliefs concerning circumcision.Some consider...
- What Is an Orchiopexy Surgery?
Orchiopexy is a surgical procedure that corrects the position of undescended testicles inside the scrotum. Orchiopexy is performed to male children to correct cryptorchidism, a medical term used for any undescended testicles. Orchiopexy can also be performed to male adults or adolescents, which may...
- What Is Hydrocele Repair?
Hydrocele repair is a surgical process that aims to correct the swelling of the scrotum that occurs as a result of hydroceles. A hydrocele is a painless buildup of fluid around the testicles. Fluid buildup causes the scrotum and the groin area to swell. This swelling can make you uncomfortable even...
- Understanding Hernia and Hernia Surgery
Feeling pain and swelling in the groin region can be a very unpleasant experience, especially when the pain gets worse when you cough or lift heavy objects. Experiencing these symptoms might signify the presence of groin hernia. A groin hernia is usually referred to in medical terms as an inguinal...
- Causes and Helpful Tips for Enuresis (Bedwetting)
What is enuresis?Enuresis, also called nocturnal enuresis, is the medical term for bedwetting or urinating during sleep. Bedwetting is usually part of a child’s development. It is fairly common among children and is slightly more common in boys.Most children outgrow bedwetting without any...
- How to Prepare for Hydrocelectomy
Hydrocelectomy refers to a surgical procedure done for the purpose of repairing or removing a hydrocele, a buildup of watery fluid around one or both testicles. This sac swells as fluid accumulates, causing discomfort but usually no pain. Since hydrocelectomy involves a sensitive part of the...