Paediatric Urology

Paediatric urology deals with the treatment of urological problems in children. Very often in this age group the problems encountered are due to birth defects Their correct management ensures that the child recovers well and has a normal adult life.

Here there is a blockage to the passage of urine from the kidney down to the bladder. This condition far more commonly affects one kidney only , but rarely both kidneys are involved. At times the condition is diagnosed before birth on a antenatal ultrasound.
All patients need evaluation by ultrasound, DTPA scan and other tests. The obstruction is then relieved by an operation called Pyeloplasty which can be Laparoscopic or Open Pyeloplasty.

In this condition commonly affecting the male child , the opening of the urethra is not on the tip of the penis, but below , on the shaft . The stream of urine is hence not straight but deflected downwards.

This needs surgical correction.

Here there is a failure of the testes by birth to descend into the scrotum . As a result the testis may not be felt in the scrotum. This can lead to damage to the testis with age and reduction in the quantity of sperm produced.
This condition needs an operation of orchidopexy done by Laparoscopic or open operation 

There are some other conditions like Vesuci Ureteric Reflux , Extrophy bladder etc which are seen in children. In the management of these patients it is important to work as a team with the paediatrician and paediatric anaesthetist. In most cases with meticulous surgical technique and aftercare, good results are achieved.