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Paul A. Merguerian, MD, MS

Paul A. Merguerian, MD, MS

Urology, Disorders of Sex Development, Developmental Pediatrics, Reconstructive Pelvic Medicine

On staff since October 2011

Children's Title: Division Chief, Urology

Academic Title: Professor of Urology University of Washington


ScottSeattle, WA03.18.14
We've all met really good doctors. They're good, they know it, and they act like it. Dr. Merguerian is on a different level. He's SO good, that he doesn't need to show it. You can tell how brilliant he is very quickly just from the way that he talks and carries himself. For such a good doctor to show the compassion he has shown for both our son and our family throughout the process has made a lasting impression. He has taken the time to thoroughly explain the procedures and answer all of the questions that we have. We feel incredibly fortunate and thankful that we happen to live in the city where he works.
ErinManchester, NH08.20.13
Dr. Merguerian is a highly skilled, compassionate doctor who was able to take our child from a "scary place" following several urethral reconstructions with complications and poor outcomes, which were performed at a top rated hospital by a different surgeon, and "fix" the problems. Dr. Merguerian allowed us (parents) to ask questions without getting defensive or frustrated and gently reassured us throughout the years he cared for our child. We were deeply saddened to learn that Dr. Merguerian was moving out of our area and would not be able to follow our child further, however we continue to be thankful for the highly skilled and caring service he provided while he was in the Northeast region.
HarvestNewbury, Vermont11.20.11
Dr. Merguerian is a fantastic Doctor who has saved our daughter's life from when she was born August 29, 2005 to current. He has performed many surgeries and reconstructions on our daughter from her cloaca anomaly, repairing of her fistula to bladder surgery and many more. He worked hard to get Rylie to a state were she could function and be as independent as possible. He is very caring and takes pride in his work. We highly recommend Dr. Merguerian. Your child will be in good hands. If Rylie needed another major surgery we would travel across county just to have him perform the surgery on our daughter.
MeganWinchester, NH10.19.11
Dr. Merguerian is an amazing surgeon with a very steady hand. He has performed 3 surgeries on my son while he in practice in Lebanon, NH at DHMC. These surgeries were for my son's epispadias fix, initial closure for BLADDER EXSTROPHY, and hernia repairs. Your child will be in good hands with Dr. Merguerian. :)
Recommend Dr. Paul Merguerian


Board Certification(s)
Pediatric Urology
Medical/Professional School
The Hebrew University, Hadassah Medical School, Jerusalem
Dartmouth College, Hanover
Urology, University of Rochester - Urology Dept, Rochester
Surgery - General, University of Rochester Medical Center, Rochester
Surgery - General, Hadassah Hospital, Jerusalem
Pediatric Urology, Hospital for Sick Children, Toronto
Clinical Interests

Hypospadias, Bladder exstrophy, Undescended testicles, Hernia and hydrocele, vesicoureteral reflux, hydronephrosis, urinary tract infections, Disorders of Sexual Differentiation, Neurogenic bladder and Spina Bifida.

Research Description

Evidence base outcomes in pediatric urology, Quality improvement, Patient safety.

Awards and Honors

Award NameAward DescriptionAwarded ByAward Date
U.S. News Top DoctorU.S. News and World Report 2012
Third Prize Clinical Science Research AwardAmerican Academy of Pediatrics 2009
Second Prize Clinical Science Research AwardAmerican Academy of Pediatrics 2003


Digital photographic measurement in hypospadias: Validation and comparison to intraoperative measurement.
Journal of pediatric urology , 2013 Nov 7
Effective and organ specific radiation doses from videourodynamics in children.
The Journal of urology , 2013 Oct: 190(4)1364-9
Effective and Organ Specific Doses from Videourodynamics in Children.
The Journal of urology , 2013 May 21
Editorial Comment.
The Journal of urology , 2013 May 18
Antenatally diagnosed hydronephrosis: current postnatal management.
Pediatric surgery international , 2013 Mar: 29(3)207-14
Antenatally diagnosed hydronephrosis: current postnatal management.
Pediatric surgery international , 2013 Mar: 29(3)207-14
External Masculinization Score (EMS) and the Success of Genetic Testing in a Cohort of 46, XY DSD Patients
Podium, 1st Annual GME Research Day, Top Ten finalist research presentation , 2013
Editorial comment.
The Journal of urology , 2012 Oct: 188(4 Suppl)1498; discussion 1498-9
Commentary to 'short-term outcome of mild isolated antenatal hydronephrosis conservatively managed'.
Journal of pediatric urology , 2012 Apr: 8(2)134
Commentary to 'short-term outcome of mild isolated antenatal hydronephrosis conservatively managed'.
Journal of pediatric urology , 2012 Apr: 8(2)134
Surgical Hypospadias After Exstrophy (SHAE): Management and Outcomes
Presentation, Northwest Urological Society Annual Meeting, Seattle, Washington , 2012
Long-term Lower Urinary Tract Outcomes in Boys After Early Treatment of Posterior Urethral Valves
Poster, American Academy of Pediatrics, New Orleans, Louisiana , 2012
Editorial comment.
The Journal of urology , 2011 Feb: 185(2)681; author reply 681
Editorial comment.
The Journal of urology , 2010 Nov: 184(5)2121; discussion 2121-2
Variation in the management of case scenarios of duplex system intravesical ureteroceles: A survey of pediatric urologists
J Urol , 2010: 1841625-30
Variation among pediatric urologist and across two continents in antibiotic prophylaxis and evaluation of prenatally detected hydronephrosis: A survey of American and European pediatric urologists
J Urol , 2010: 1841710-1715
Evaluation of Urinary Tract Infections in Children: What is the Evidence?
Curr Urol Rep , 2010: 11(2)98-108
Five year prospective study of DMSA imaging in children with febrile urinary tract infections: Proof that the top-down approach works
J Urol , 2010: 1841703-09
Bladder neck closure in children: a decade of follow up
J Urol , Oct. 2009: 182(4 Suppl)1797-801
The cost of learning robotic-assisted prostatectomy
Urology , 2008: 72(5)1068-72
A da Vinci robot system can make sense for a mature laparoscopic prostatectomy program
JSLS , 2008: 12(1)9-12
Voiding Ability using Propofol Sedation in Children Undergoing Voiding Cystourethrogram: A Retrospective Analysis
J Urol , 2006: 176(1)299-302
A Meta-Analysis of Surgical Practice Patterns in the Endoscopic Management of Ureteroceles
J Urol , 2006: 1761871-7
A meta-analysis of surgical practice patterns in the endoscopic management of ureterocele.
American Academy of Pediatrics, Atlanta, Georgia , 2005
Rhabdomyosarcoma: prostate, bladder, vagina and other bladder tumors
In: Clinical Pediatric Urology. Belman AB, King LR and Kramer SA Eds. Martin Dunitz Ltd London , 2005
Efficacy of continuous epidural analgesia versus single dose caudal analgesia in children after intravesical ureteroneocystostomy
J Urol , 2004: 172(2)1621-5
Safety and efficacy of extracorporeal shock wave lithotripsy in infants
Can J Urol , 2003: 10(6)2051-5
Lower urinary tract reconstruction in duplicated renal units with ureterocele. Is excision of the ureterocele with reconstruction of the bladder base necessary?
J Urol , 2003: 170(2)1510-1513
Pediatric genitourinary tumors
Curr Opin Oncol , 2003: 25(3)222-26
Antenatally diagnosed hydronephrosis: current postnatal management
Pediatric Surgery International (accepted for publication December 2012) ,


Presentations TitleEventLocationDate
An Example of QI Processes in the Urology Residency ProgramUW School of MedicineSeattle, WAMarch 22, 2013
Management of Antenatal Hydronephrosis and PyeloplastySociete Internationale DUrologieFukuoka, JapanOct. 1, 2012
Plenary Session: Antibiotic prophylaxis for antenatal hydronephrosisAmerican Urological AssociationAtlanta, GAMay 20, 2012
Reviewing the reviewer: How to review a journal articleSociety for Fetal UrologyAtlanta, GAMay 18, 2012
Current Guidelines for Evaluation and Management of Urinary Tract InfectionsValley Medical CenterAuburn, WAJan. 16, 2012
Evaluation and management of urinary tract infections in childrenRutland Regional Hospital Grand RoundsRutland, VTSept. 10, 2009
Update in Pediatric UrologyElliot Hospital Grand RoundsManchester, NHJune 30, 2009
VCUG: To sedate or not to sedateNew England Section of the American Academy of PediatricsBermudaNov. 3, 2005
Update in Pediatric UrologyWoodstock Inn and Resort: Contemporary issues in Office PediatricsWoodstock, VTMarch 4, 2005
Urinary Tract InfectionsConcord HospitalConcord, NHNov. 9, 2004
Urinary Tract InfectionsNew London HospitalNew London, NHNov. 2, 2004
Update in Pediatric UrologySpringfield Hospital Springfield, VTSept. 16, 2004

Research Funding

Grant TitleGrantorAmountAward Date
Pediatric Urology - NIHPUA $$100,000 2013

Primary Office

Seattle Children's
OA.9.220 - Urology
4800 Sand Point Way NE
Seattle, WA 98105

Additional Offices

Seattle Children's Bellevue Clinic and Surgery Center
1500 - 116th Ave NE
Bellevue, WA 98004
Seattle Children's Tri-Cities Clinic
900 Stevens Dr.
Suite 204
Richland, WA 99352-3557

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