Pediatric Urology & Construction

Category

Pediatric Urology & Reconstruction

The Department of Pediatric Urology continues to be at the forefront of urological care as it performs advanced endourological and reconstructive surgeries, especially for children with congenital malformations of the urinary tract.

The most common problems in pediatric urology are bedwetting and bladder control problems. Testicles without worsening; Hypospadias, epispadias, bladder, kidney stones, chordia, and other disorders of the penis; Phimosis; Neurogenic bladder; Prenatal hydronephrosis.

Common Urological Congenital Defects are Following

• UPJ obstruction
• Vesico ureteric reflux
• Hypospadias ( Urethral defect)
• Exstrophy (Bladder defect)

Congenital Hernia

A Congenital Hernia is a scrotal collection of clear fluid in a thin-walled sack that also contains the testicle. Less frequently, due to the common embryological background of male and female gonadal structures, female children or women may also experience a hydrocele. In this case, the sack and connection exist in the labia majora (the outermost and larger of the two labial structures). A hydrocele may involve either one side (unilateral) or both sides (bilateral) of the scrotum.

UPJ obstruction

In many children, there is functional narrowing at ureteropelvic junction causing pain in the flank region or progressive deterioration of kidney function. Often this is diagnosed early in life bur some times diagnosis may happen only in early adulthood.

Surgery for UPJ obstruction is

• Open Pyeloplasty: In children, the obstruction is relieved by excision of a tight segment of UPJ and then restoring the continuity by ureteropelvic anastomosis over a stent. This is done by a small incision at the subcostal region.
• Laparoscopic pyeloplasty: In relatively grown-up children or adolescents the surgery can be done laparoscopically offering better cosmesis and less pain and hospital stay.
• Vesico ureteric reflux: Many children present as a recurrent bout of urine infection in their early childhood. Often on evaluation, it is found because of the reflux of urine in ureter and kidney due to incompetent valve at the vesicoureteric junction(VUR).