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Endourology is a specialised field of medicine, focussing on employing minimally invasive techniques to diagnose and treat various urological problems. Paediatric urology is a developing field that aims to minimise pain and provide less invasive treatment options for children using advanced endourology techniques. These include the management of undescended testicles and the treatment of urinary stones, ureteropelvic junction obstruction, vesicoureteral reflux, and ureteral strictures. In addition, it is also used for reconstructive urologic problems, such as the neurogenic bladder and bowel in spina bifida, and the reconstruction of patients with bladder exstrophy, cloacal exstrophy, and other major congenital anomalies.
Various therapeutic procedures can be performed using small instruments and cameras, which can be inserted through tiny incisions. Cystoscopy, Percutaneous Nephrolithotomy, and Ureteroscopy are usually performed in paediatric endourology. This approach minimises pain, reduces recovery time, and lowers the risk of complications, making it particularly beneficial for the paediatric population. Manipal Hospitals, Bhubaneswar, has a team of qualified and experienced paediatric urologists who ensure patient comfort and provide personalised endourology services, improving treatment outcomes and quality of life for young patients with urological issues.
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Endourology techniques can treat various urological conditions in children, reducing the need for more invasive surgeries and promoting faster recovery. These include:
Vesicoureteral reflux
Ureteropelvic junction obstruction
Ureteral strictures
Kidney stones
Posterior urethral valves
Bladder abnormalities
Ureterocele
Ectopic ureter
Neurogenic bladder
Duplicated ureters
Using advanced endourological techniques instead of more invasive urological procedures offers various benefits. These include faster recovery time, fewer complications, smaller incisions, less pain, minimal scarring, and a reduced risk of infection and bleeding. However, children can return to normal routines more quickly as it involves shorter hospital stays and faster recovery.
Endoscopic procedures are performed in endourology using specialised small instruments and cameras. These are inserted through the urethra or small incisions and help perform precise treatments while visualising the urinary tract on a monitor. Various procedures performed in this field are Cystoscopy (bladder examination), Ureteroscopy (examining the ureters and kidneys), and Percutaneous Nephrolithotomy (removing kidney stones).
These interventions reduce the risks associated with larger incisions made in traditional surgeries, as they are less invasive and generally considered safe for children. However, every surgery comes with its own potential risks, so discuss this with your child’s urologist to know the pros and cons of the technique being used for your child. Moreover, our paediatric urologists are specially trained to perform these minimally invasive surgeries with precision, and advancements in technology have made these procedures safer and more effective.
Just like any other procedure, endourology procedures carry some risks. These include infection, bleeding, or injury to surrounding tissues. However, these risks are generally lower with endourology compared to traditional surgery due to its minimally invasive nature
The preparation for any endourology intervention will depend on the type of procedure being performed, and the doctor may provide specific instructions based on your child’s condition. The common ones include fasting for a certain period, stopping the consumption of certain medications, and informing your doctor regarding any allergies you may have. Also, ask questions and clear up all your worries before the procedure.
Recovery is generally faster in endourology interventions. However, your child may experience certain pain and discomfort after the surgery, which can be managed by using pain medications. Most children can return to their normal routine within a few days, though the exact recovery time will vary based on the specific procedure performed and your child’s overall health.
After every surgery, follow-up care is very crucial. Thus, doctors suggest specific follow-up care instructions as per the procedure performed and schedule appointments to monitor your child’s recovery. This also helps in ensuring the success of the procedure. Any concern about your child will be dealt with at their follow-up appointment, and in case there is an issue, you can contact the doctor immediately
Not really; it mainly depends on the type of procedure performed. Most of the endourology procedures are done on an outpatient basis, meaning your child can go home the same day. However, more complex procedures might require a short hospital stay for observation.
Your child’s urologist will evaluate their specific condition and medical history to determine if an endourology procedure is an appropriate treatment option. They will discuss the potential benefits and risks with you to help you make an informed decision.
The duration of an endoscopic procedure can vary depending on the complexity of the condition being treated. Most procedures take between 30 minutes to a few hours. Your child's urologist will provide a more accurate time estimate based on the specific procedure being conducted for your child’s condition.
Yes, anaesthesia is usually required to ensure your child is comfortable and pain-free during the procedure. The type of anaesthesia (local, regional, or general) will depend on the specific procedure and your child's medical history.
The success of the procedure is evaluated through follow-up appointments, which may include physical examinations, imaging tests (such as ultrasounds or X-rays), and monitoring of your child's symptoms. The urologist will track your child's progress and ensure the condition has been effectively treated.
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