Grahame H. Smith is a paediatric urologist based in Sydney, NSW. He looks after children and teens who have urinary and kidney issues, from birth through to the teen years. Paediatric urology can feel scary for families, so the main goal is to make things clear and help kids get the right care.
His work focuses on conditions that affect how the bladder, kidneys, and urinary tract develop and work. This includes hypospadias, where the opening of the urethra is not in the usual position. It also includes undescended testicle, which many families notice early on and want answers about as soon as possible.
At times, he also helps families dealing with prune belly syndrome. This can come with challenges around the urinary system, so care often needs to be organised and steady. Another area of support is neurogenic bladder, where the bladder doesn’t work the way it should because of nerves that affect bladder control.
Kidney and urine flow problems are also part of the picture. He treats hydronephrosis, which is swelling of the kidney due to urine not draining properly. In many cases, this is monitored closely, and treatment plans depend on how the child is doing over time.
Urinary tract infections (UTIs) are a big part of paediatric urology too. UTIs can keep coming back, and kids might have symptoms like pain, fever, or needing to pee more often than usual. Getting the right tests and the right plan matters, especially for younger children who can’t always explain what’s wrong.
Grahame also looks after children with congenital mesoblastic nephroma. This is a kidney condition that needs careful assessment and follow-up. Teams often work together on imaging, treatment planning, and long-term checks, so families don’t feel like they’re doing it all alone.
Experience: specific years and roles aren’t listed here. Education and training details aren’t provided in the information available. Research and clinical trials: no specific studies or trial involvement are listed, so it’s not something that can be confirmed from the details here.
If you’re in Sydney and looking for paediatric urology care for a child, Grahame Smith’s focus is on common and complex urinary tract conditions. The care approach stays practical and calm, with attention to both the child and the family as things move from diagnosis to next steps.