Overview
Children have unique medical needs that differ from those of adults. They may have difficulty communicating their symptoms or may not be able to tolerate a medical examination calmly and cooperatively.
Pediatric urologists are specialists who are trained to provide care that addresses the unique needs of children and their parents, including sensitive topics related to genitalia and bowel problems. They have the expertise to examine and treat children in a way that is gentle, soothing and designed to create a comfortable and non-threatening environment. In addition, they often use specialized equipment that is adapted to the needs of children.
If your child’s pediatrician recommends a visit to a pediatric urologist, rest assured that he or she will receive the highest level of care. These specialists have a wide range of treatment options, extensive training, and unparalleled expertise in treating children with urinary tract disorders.
Paediatric Urology services offered at BKC:
Paediatric Kidney Transplants
Congenital Uro-Genital Anomalies correction
Bedwetting (Nocturnal Enuresis)
Hypospadias Repair
Undescended Testis
Congenital Obstruction of Urinary Tract
Recurrent Urinary Tract Infections
Paediatric Urodynamics and Neurourology
Paediatric Kidney Stones Management
Reconstructive surgeries of the Genito-Urinary Tract
Paediatric Laparoscopic Urological Surgeries
Pyelopasty and Ureteric Reimplant
Paediatric PCNL for Stone Disease
Bladder Reconstruction
- Pediatric Urologist
More Details
Children have unique needs when it comes to medical care. They may not always be able to communicate their symptoms clearly or feel comfortable during a medical examination. This is where Pediatric Urologists come in – they are specialists who are trained to provide care that is tailored to children and their parents.
Pediatric Urologists have expertise in dealing with sensitive and potentially embarrassing issues related to genitalia and voiding problems in children. They know how to examine and treat children in a way that is gentle and non-threatening, and they use specialized equipment that is designed for children to help create a comfortable environment.
If your child’s Pediatrician recommends seeing a Pediatric Urologist, you can rest assured that they will receive the highest level of care. These specialists have the widest range of treatment options, the most extensive training, and the greatest expertise in treating urinary tract disorders in children. They will work closely with you and your child to ensure that their unique needs are met and that they receive the best possible care
2. Pediatric Urologist Training
More Details
Pediatric Urologists are highly specialized medical doctors who have undergone extensive training to provide the best possible care for infants, children, and adolescents with urologic problems. To become a Pediatric Urologist, a medical doctor must complete:
- At least six years of medical school
- One to three years of surgical residency
- At least three additional years of residency training in general Urology Health
- One to two years of additional fellowship training in Pediatric Urology.
- Pediatric Urologists are experts in the diagnosis and treatment of urinary tract disorders in children, including conditions affecting the kidneys, bladder, and genitalia. They have a deep understanding of the unique needs of pediatric patients and are trained to provide care that is sensitive, compassionate, and effective
Pediatric Urologist Treatment
Pediatric Urologists are specialized surgeons who are trained to diagnose, treat, and manage urinary and genital problems in children. They provide a range of services that are tailored to meet the unique needs of pediatric patients, including:
- Evaluation and management of voiding disorders, vesicoureteral reflux, and urinary tract infections that require surgery
- Surgical reconstruction of the urinary tract, including the kidneys, ureters, and bladder, to treat conditions such as genital abnormalities, hypospadias, and disorders of sex development
- Surgery for groin conditions in childhood and adolescence, such as undescended testes, hydrocele/hernia, and varicocele
- Evaluation and surgical management of kidney stone disease
- Surgical management of tumours and malignancies of the kidney, bladder, and testis
- Evaluation and management of urological tract problems that are identified before birth
- Evaluation and management of urinary tract problems that are associated with neurological conditions such as spina bifida.
Antenatal/Fetal Hydronephrosis
Antenatal hydronephrosis, which refers to the enlargement of the kidney due to fluid-filled sacs before birth, can be detected in a fetus through ultrasound studies as early as the first trimester of pregnancy. Although most cases do not require changes in obstetric care, surveillance and possible surgery during infancy and childhood may be necessary.
There are several possible causes of antenatal hydronephrosis, including blockages in the Uretero Pelvic Junction (UPJ), the Uretero Vesical Junction (UVJ), or the urethra. Vesicoureteral reflux, which occurs when the valve between the bladder and the ureter is incompetent, is another possible cause. Other less common causes include duplications and multicystic kidneys, which are non-functional cystic kidneys.
In many cases, ultrasound surveillance is all that is necessary during pregnancy. However, in rare cases where there is severe obstruction of both kidneys and insufficient amniotic fluid, drainage of the kidneys or bladder may be necessary. Postnatal ultrasound is usually performed before the child leaves the hospital, and a Voiding Cystourethrogram (VCUG) is performed to exclude vesicoureteral reflux.
Children with vesicoureteral reflux are managed with antibiotics and periodic ultrasound and voiding cystogram surveillance, while those with obstruction or blockage may require surgical correction. In cases where the evidence for obstruction is marginal or the degree of blockage is mild, the tests may be repeated after a few months.
If a child is diagnosed with a multicystic dysplastic kidney, which doesn’t function, the opposite kidney is usually normal. In most cases, unless the multicystic kidney is causing a problem, such as mass effect or pain, it is usually left alone and followed up with ultrasound at 6 months and a year after. However, if it is found to be enlarging during follow-up or if there is a suspicion of tumor or blockage, nephrectomy (removal of the affected kidney) may be necessary. Follow-up care for the opposite normal kidney is essential.
Circumcision/Circumcision Revision
It is important to note that circumcision is a personal decision that should be made by the parents or the individual themselves. There are potential benefits and risks associated with the procedure. Some people believe that circumcision may reduce the risk of urinary tract infections, sexually transmitted infections, and penile cancer, while others argue that these benefits are not significant enough to justify the risks and pain associated with the procedure.
It is also worth noting that some people have strong cultural or religious beliefs that influence their decision to circumcise. In some cultures, circumcision is seen as a rite of passage or a symbol of identity. It is important to respect these beliefs and allow individuals and families to make their own decisions about circumcision.
If parents decide to have their child circumcised, it is important to choose a qualified and experienced healthcare provider to perform the procedure. Parents should also be aware of the potential risks and complications associated with circumcision and should monitor their child for any signs of infection or other complications following the procedure.
Overall, the decision to circumcise is a personal one that should be made after careful consideration of all the potential benefits and risks. It is important to consult with a healthcare provider and to make an informed decision based on the individual circumstances and beliefs of the family.
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