PEDIATRIC UROLOGY

Paediatric urology is the surgical subspecialty of medicine that deals with the diagnosis and treatment of children’s urinary and genital problems. Abnormal conditions in the male reproductive system, vagina or the urinary tract are the most common problems in kids. The most frequent form of urological issue seen in kids is urinary tract infection [UTI]. Also, UTI most commonly occurs in females than in males.

Need for pediatric urologist

Unlike adults, children can hardly explain their pain points, keep aside explaining what’s bothering them. It’s hard to get them to answer the medical questions, and have their cooperation during the examination process.

Paediatric urologists are experts in dealing with the special needs of kids and their parents while discussing the convesntionally embarrassing and potentially sensitive subjects related to genetelia. They are rained to treat kids in a way that makes them comfortable, re;axed and cooperative thereby facilitating the effectiveness of the medical procedures. Moreover the paedistric urologist uses equipments and tools meant exclusively for kids which makes procedures less threatening for kids.

So when a paediatrician suggests a paediatric urologists its because the child needs the range of treatment options, the most extensive training and expertise that a paediatric urologist possesses.

Problems treated by paediatric urologists

  • Bedwetting: A problem in several childer globally can be consulted and cured by a paediatric urologist. For some children, wetting during daytime might also happen and it could be a urinary tract issue or because of UTI.
  • Undescended testicle us a problem in around 3%-4% of newborns. However, for half of these babies, the testicles drop without any medical help within the first 3 months of life. Only around 2% need medical assistance from a Paediatric urologist.
  • A hernia is a medical condition when a particular part of the intestine protrudes out through a weak stomach muscle. In kids, the area is mostly around the belly button or the groin area.
  • Vesicoureteral reflux is a medical condition where the urine flows reverse from the bladder to the kidney. Around 10 out of 100 healthy children suffer from vesicoureteral reflux and three-fourth of them are females.
  • Prenatal Hydronephrosis is the medical condition where the kidney swells up due to the accumulation of urine. This is usually detected by the ultrasound conducted during pregnancy.

Diagnosis

Serious urinary tract or kidney disorders may have varied symptoms but the most common symptoms of a urological problem are uncontrolled. Frequent or painful urination. The paediatric urologists’ use different diagnostic procedures along with their skill and experience to diagnose the correct medical disorders and diseases for newborns, kids and adolescents. Paediatric urologists cross the globe investigate intelligent ways of diagnosing these problem in the featus before they take a fully-fleged form.
Some diagnostic procedure used include:

  • Cystoscopy
  • Biopsy
  • Blood test
  • Urodynamics
  • Nuclear renal scan
  • Ultrasound
  • Voiding cystourethrogram
  • X-ray
  • Ureteroscopy
  • Intravenous pyelogram
  • Comprised axial tomography scan

Treatments and procedures conducted by paediatric urologists

The paediatric urology uses a wide spectrum of non-invasive, slightly invasive and surgical procedures to treat and cure urological abnormalities and issues.

  • Artificial urinary sphincter( AUS) implantation is the process of implanting the AUS devise to treat medium to severe urinary inconsistence, mostly in men.
  • Urologic endoscopy
  • Ureteral reimplantation
  • Bladder reconstruction is conducted when the entire bladder is removed and the body needs a new place to store urine.
  • Drug therapy
  • Endourologic surgery
  • Laparoscopic surgery
  • Cystoscopy is the procedure allowing the doctor to see into the urethra and the inner lining of kidney, mostly for diagnosis.
  • Robotic surgery
  • Genitoplasty and vaginoplasty
  • Circumcision is the procedure of removing the foreskin of human penis to reduce the bacteria that live under the foreskin and causes infections.
  • Deflux® procedure is the process of injecting Deflux implant into the bladder wall to form a bulge and prevent the backward flow of urine into the ureter.
  • Penile and urethral reconstruction