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Christopher S. Cooper, MD

Tyrone D. Artz Chaired Professor of Urology

Introduction

Dr. Cooper joined the Department of Urology in 1999 and serves as director of the department's Division of Pediatric Urology.

His clinical research interests include vesicoureteral reflux (VUR), bowel and bladder dysfunction, neurogenic bladder, and hydronephrosis.

His early work in the study of VUR helped demonstrate what has now become an accepted practice of more selective and limited use of antibiotics in children with VUR. Later work demonstrated the importance of noting bladder volume at onset of VUR, which serves as an independent prognostic factor for VUR resolution and breakthrough UTIs. He also produced the first machine-learning neural networks that incorporated multiple individual variables to predict VUR resolution.

Additional work identified the distal ureteral diameter ratio (UDR) as another independent prognostic factor for resolution and breakthrough UTIs. UDR was demonstrated as a more objective and reliable measurement than grade. Multiple national and international publications subsequently reproduced his UDR findings.

In 2019, Dr. Cooper received the Societies for Pediatric Urology Clinical Research Prize for developing and patenting devices for home use that attach to a catheter to record bladder pressure and volume. These devices were developed to help children with neurogenic bladder avoid decline in bladder function and kidney injury. Later he received a research grant from the Southwest National Pediatric Device Innovation Consortium for continued development of these devices.

In 2022, the Urology Care Foundation of the American Urological Association recognized Dr. Cooper's career-long research contributions "to enhancing the treatment of children suffering with urologic conditions and improving their quality of life" with the John W. Duckett, Jr., MD, Pediatric Urology Research Excellence Award.

Current Positions

  • Professor of Urology
  • Professor of Pediatrics
  • Senior Associate Dean for Medical Education
  • Vice Chair, Department of Urology
  • Director of Pediatric Urology

Education

  • BA, University of Iowa, Iowa City, Iowa, United States
  • MD, University of Iowa College of Medicine, Iowa City, Iowa, United States
  • Resident, University of Iowa Hospitals and Clinics, Urology, Iowa City, Iowa, United States
  • Fellow, Children's Hospital of Philadelphia, Pediatric Urology, Philadelphia, Pennsylvania, United States

Research Interests

  • Vesicoureteral reflux
  • Congenital bladder obstruction
  • Pediatrics genitourinary reconstruction
  • Pediatric voiding dysfunction

Licenses & Certifications

  • Pediatric Urology Subspecialty Certification, American Board of Urology

Selected Publications

  • Cooper CS. A potpourri of pediatric urology: The Winds of Change. J Pediatr Urol. 2025 Jun;21(3):793-795. doi: 10.1016/j.jpurol.2025.04.020. PMID: 40467146.
  • Khondker A, Kim JK, Arlen AM, Rickard M, Chua ME, Kirsch AJ, Lorenzo AJ, Cooper CS. Early spontaneous resolution of vesicoureteral reflux from voiding cystourethrogram: A comparison of contemporary prediction models. J Pediatr Urol. 2025 May 2:S1477-5131(25)00257-8. doi: 10.1016/j.jpurol.2025.04.030. Epub ahead of print. PMID: 40368726.
  • Cooper CS, Orzel J, Bonnett MA, Malicoat JR, Hlas AC, Lockwood GM, Bridget Zimmerman M. The significant impact of the distal ureteral diameter ratio as predictor of breakthrough urinary tract infections in children with vesicoureteral reflux. J Pediatr Urol. 2025 Apr 15:S1477-5131(25)00185-8. doi: 10.1016/j.jpurol.2025.04.013. Epub ahead of print. PMID: 40287329.
  • Grandgenett RP, Perry SS, Cooper CS. Growth of the renal medullary pyramidal thickness following pyeloplasty in children with congenital unilateral hydronephrosis. J Pediatr Urol. 2025 Mar 28:S1477-5131(25)00157-3. doi: 10.1016/j.jpurol.2025.03.016. Epub ahead of print. PMID: 40210538.
  • Willging AM, Lence T, Pham HTD, Cooper CS. The utility of renal sonographic measurements in differentiating children with grades 2, 3, and 4 hydronephrosis. J Pediatr Urol. 2025 Apr;21(2):476-481. doi: 10.1016/j.jpurol.2024.12.021. Epub 2024 Dec 28. PMID: 39765409.
  • Erdman L, Rickard M, Drysdale E, Skreta M, Hua SB, Sheth K, Alvarez D, Velaer KN, Chua ME, Dos Santos J, Keefe D, Rosenblum ND, Bonnett MA, Weaver J, Xiang A, Fan Y, Viteri B, Cooper CS, Tasian GE, Lorenzo AJ, Goldenberg A. The Hydronephrosis Severity Index guides paediatric antenatal hydronephrosis management based on artificial intelligence applied to ultrasound images alone. Sci Rep. 2024 Oct 1;14(1):22748. doi: 10.1038/s41598-024-72271-9. PMID: 39349526; PMCID: PMC11442661.
  • Soukup DA, Pham HTD, Lence T, Edwards AB, Lockwood GM, Storm DW, Cooper CS. Correlation between renal sonographic measurements and differential renal function obtained from nuclear renography in children with unilateral hydronephrosis. J Pediatr Urol. 2024 Dec;20(6):1160-1165. doi: 10.1016/j.jpurol.2024.08.009. Epub 2024 Aug 22. PMID: 39227296.
  • Cooper CS, Orzel JA, Bonnett MA, Zimmerman MB, Malicoat JR, Hlas AC, Storm DW, Lockwood GM. The Impact of the Distal Ureteral Diameter Ratio, Bladder Volume at Onset of Vesicoureteral Reflux, and/or Grade in Predictive Models of Clinical Outcomes in Children with Vesicoureteral Reflux. J Pediatr Urol. 2024 Aug;20(4):750.e1-750.e7. doi: 10.1016/j.jpurol.2024.05.027. Epub 2024 Jun 1. PMID: 38871546.
  • Cooper CS. A potpourri of pediatric urology: Transitions. J Pediatr Urol. 2024 Apr;20(2):327-329. doi: 10.1016/j.jpurol.2024.01.038. Epub 2024 Feb 27. PMID: 38448310.
  • Cole MR, Cooper CS, Hanna EM, Zimmerman MB, Kinoshita J, Mathews KD. Gastrointestinal and genitourinary symptoms in facioscapulohumeral muscular dystrophy: Prevalence and impact. Muscle Nerve. 2024 Mar;69(3):325-333. doi: 10.1002/mus.28028. Epub 2023 Dec 29. PMID: 38158588.