Pediatric Urology & Reconstruction
The Paediatric Urology division has remained at the forefront of urological care by performing extensive endourology and also reconstructive surgery, especially with children born with congenital defect in urinary system.
Some of the most common problems for pediatric urology are Bladder control such as bedwetting and bladder control problems; undescended testes; Hypospadias, Epispadias, bladder and kidney stones, chordee and other malformation of the penis; Phimosis; Neurogenic bladder; Antenatal hydronephrosis
Common Urological Congenital Defects are Following
- UPJ obstruction
- Vesico ureteric reflux
- Hypospadias ( Urethral defect)
- Exstrophy (Bladder defect)
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.
In many children, there is functional narrowing at ureteropelvic junction causing pain in flank region or progressive deterioration of kidney function. Often this is diagnosed early in life bur some times diagnosis may happen only in early adulyhhood.
Surgery for UPJ obstruction are
- Open Pyeloplasty:In children, the obstruction is relieved by excision of tight segment of UPJ and then restoring the continuity by ureteropelvic anastomosis over a stent. This is done by a small incision at subcostal region.
- Laparoscopic pyeloplasty:In relatively grown up children or adolescent the surgery can be done laparoscopicaly offering better cosmesis and less pain and hospital stay.
- Vesico ureteric reflux:Many children present as recurrent bout of urine infection in their early childhood. Often on evaluation, it is found because of reflux of urine in ureter and kidney due to incompetent valve at vesico ureteric junction(VUR).