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Paediatric urology is a surgical subspecialty that specialises in the diagnosis and treatment of genital and urinary tract issues in children. A wide range of problems affecting newborns, kids, and teenagers are treated by paediatric urologists, including kidney disorders, urinary tract infections, and birth deformities, including hypospadias. Urinary incontinence and voiding dysfunction are common procedures that include treating structural problems such as vesicoureteral reflux or obstructive uropathy. When feasible, paediatric urologists at Paediatric Urology hospital in Bhubaneswar use minimally invasive procedures to reduce trauma and expedite healing. To provide comprehensive care that is specifically targeted to the needs of young patients, they collaborate closely with other specialists, such as paediatric nephrologists, surgeons, and paediatricians. This ensures that the youngsters have optimal urological health and quality of life from infancy through adolescence.
A urologist is a surgeon who specialises in treating urinary tract and male reproductive system disorders. In contrast, a paediatric urologist focuses on diagnosing and treating similar conditions, particularly in children, and also provides expertise in congenital anomalies, developmental issues, and unique considerations related to paediatric anatomy and physiology.
Paediatric urologists provide treatment for the following conditions:
Surgical repair of the urinary tract (bladder, ureters, and kidneys), encompassing sex development problems, hypospadias, and genital anomalies
Surgery for childhood and teenage groyne problems (varicocele, hydrocele/hernia, undescended testes)
Assessment and surgical treatment of kidney stones
Surgical treatment of kidney, bladder, and testicular tumours and cancers
Assessment and treatment of urinary tract issues detected prenatally
Assessment and treatment of urinary tract issues linked to neurological disorders, including spina bifida
You must also be committed if you want the diagnosis to be accurate and the treatment to work. The following actions should be taken before scheduling a visit with a paediatric urologist:
Ensure you have access to your child's medical history and current reports, even if they are connected to other health concerns
Take into account any possible inherited medical history from your family
Inform them of any medications your child is taking
Make a list of the questions and concerns you would like to ask the doctor
Although urologic conditions might be painful, not all of them call for a specialist's immediate intervention. Some urological problems are readily apparent, while other symptoms need to be monitored during your child's regular day. Common warning signs that you should be aware of include:
Unusual tethering of the skin
Improper location of the urinary opening
A persistent urge to urinate
Poor urinary stream
Frequent urination but in small amounts
A burning or painful feeling when urinating
Blood in urine
Hesitation to urinate
Strong-smelling or clouded urine
Pain or lump in the abdomen
The disorder known as vesicoureteral reflux (VUR) causes urine to flow backwards into the ureters and potentially the kidneys. Kidney disease and urinary tract infections are increased risks. Options for treatment consist of:
Antibiotics: Preventive antibiotics can aid in the avoidance of UTIs.
Surgical correction: Severe cases can be corrected to prevent reflux by procedures such as Ureteral Reimplantation or injection of bulking agents into the ureter.
Monitoring: To help with treatment choices, routine examinations and imaging studies keep an eye on kidney function and the development of VUR.
Treatment options for paediatric urological disorders vary depending on the
child's needs and condition. These include:
Surgery: Corrective surgery is used to treat congenital abnormalities such as obstructive uropathy, vesicoureteral reflux, and hypospadias.
Minimally invasive methods: Robotic or laparoscopic-aided procedures reduce trauma and expedite healing.
Behavioural therapy: Exercises to train the bladder may be used to treat voiding dysfunction or urine incontinence.
Catheterization: Neurogenic bladder dysfunction can be managed with intermittent catheterization.
Follow-up care: Consistent monitoring guarantees the efficacy of treatment and prompt identification of problems, thereby fostering the best possible urological health in children
The following are examples of the long-term consequences of paediatric urological conditions:
Chronic kidney disease: Disorders such as vesicoureteral reflux or obstructive uropathy, if left untreated or improperly managed, can cause damage to the kidneys and reduce their ability to function.
Urinary incontinence: Prolonged abnormalities with the urinary tract can lead to bladder control concerns that last a lifetime.
Renal hypertension: High blood pressure can be a symptom of kidney disease and can have an impact on general health.
Sexual dysfunction: Adolescent fertility and sexual function may be impacted by diseases such as hypospadias.
Emotional and psychological effects: Children with chronic urological disorders may experience changes in their quality of life and sense of self, necessitating continued counselling and care.
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