Paediatric Urology

Paediatric Urology is a specialized branch of surgery focused on diagnosing and treating urinary and genital disorders in infants, children, and adolescents. This includes conditions affecting the kidneys, ureters, bladder, and urethra, as well as the reproductive organs in boys. Children with urological issues often require delicate and age-specific care, which is why treatment is tailored to their developmental needs.

Common Conditions Treated

  • Undescended Testes (Cryptorchidism) - A condition where one or both testicles fail to move into the scrotum before birth.

  • Hypospadias - A birth defect in boys where the opening of the urethra is not located at the tip of the penis.

  • Posterior Urethral Valves (PUV) - An obstruction in the male urethra that can block the flow of urine and affect kidney function.

  • Vesicoureteral Reflux (VUR) - A condition where urine flows backward from the bladder to the kidneys, increasing the risk of infections.

  • Bladder and Kidney Anomalies - Includes structural or functional issues that may require surgical correction.

  • Urinary Tract Infections (UTIs) - Recurrent UTIs in children can signal underlying urological abnormalities.


Symptoms to Watch For

  • Difficulty or pain while urinating

  • Swelling in the groin or scrotum

  • Urinary incontinence (bedwetting in older children)

  • Frequent or recurrent urinary tract infections

  • Abnormal urine flow in boys

  • Swelling of kidneys detected in prenatal scans


Causes

  • Congenital defects (present at birth)

  • Developmental abnormalities during fetal growth

  • Genetic factors in some cases

  • Obstructive conditions like PUV or ureteric anomalies

  • Infections that may lead to long-term bladder/kidney damage


Treatment Options

  • Surgical Correction - Conditions like hypospadias, undescended testes, and PUV often require early surgical intervention.

  • Endoscopic Procedures - Minimally invasive techniques to relieve blockages or correct reflux.

  • Medical Management - For infections, mild reflux, or bladder training, medications and observation may be advised.

  • Follow-up Imaging & Monitoring - Regular checkups and ultrasound/MCU scans may be required to track kidney and bladder health.


Prevention & Parental Guidance

While many urological conditions are congenital and not preventable, early diagnosis and treatment can prevent complications:

  • Attend regular pediatric checkups

  • Follow up on abnormal prenatal scans

  • Maintain good hygiene to reduce UTIs

  • Ensure proper toilet habits and hydration

  • Seek immediate care if symptoms like swelling, pain, or fever occur

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