Objective. To determine if pediatric surgical subspecialization provid
es cost-effective, high-quality pediatric patient care. Methods. Urete
roneocystostomy inpatients over 4 years were studied. Hospital charges
and complications were compared between general urologists and fellow
ship-trained pediatric urologists. Results. Hospital charges were sign
ificantly less ($1095) for patients under the care of a pediatric urol
ogist. Complication rates were also lower. Conclusions. Pediatric urol
ogy subspecialization offers high-quality, cost-effective pediatric pa
tient care.