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What is it?
Genitourinary (GU) Reconstruction Surgery or Major Reconstructive Genitourinary Surgery is performed by expert paediatric urologists, and other paediatric specialists for correcting, repairing, or modifying the genitourinary tract in newborns and children. Genitourinary refers to the urinary and genital organs such as reproductive organs or genitalia, kidneys and bladder. Children who are born with or develop problems later in the genitourinary tract are often recommended to undergo this surgery. Our team of expert paediatric surgeons at Manipal Hospitals, Hebbal, will help your child to lead a healthy and happy life by improving urinary and genital organ function. Parents can let go of their worries as their child will be treated in a comfortable and cheerful atmosphere at Manipal Hospitals.
Common GU Reconstruction Surgery Types
There are various ways to treat the GU tract in newborns and children, sometimes also treated while still in the uterus. The paediatric surgeon during paediatric surgery treatment in Hebbal, Bangalore will properly diagnose your child’s medical condition and will recommend the best surgery possible. Here are some of the common GU reconstruction surgery types,
Hypospadias : With over 10 lakh successful genital reconstruction surgeries by our superlative paediatric surgeons at Manipal hospitals, Hebbal, we ace at treating the most complex genitourinary conditions. One of the complex GU conditions is hypospadias, a congenital disorder mostly found in male babies. This surgery is performed to correct the opening of the urethra which is on the underside and to make it work normally. Performed on children of age one to six under general anaesthesia, this surgery takes 90 minutes to 3 hours.
Bladder Exstrophy: A rare congenital disorder or birth defect in children and newborns where the bladder and abdominal wall are not in a normal condition. The children born with this defect have the bladder outside the uterus and exposed on the abdomen. Parents are advised for regular check-ups with their doctor to discuss and develop a suitable reconstructive plan. Multiple surgeries may be required to repair the bladder and abdominal wall. After this surgery, your child will be able to have good bladder function, acceptable genitalia appearance and continence (ability to hold urine without leakage). Overall, with this surgery, your child will lead a healthy life with normal kidney function.
Urethroplasty: This surgery is performed to remove, replace or reconstruct the urethral stricture (formation of scar tissue) in the urethra. This is mostly recommended to children after traumatic injury to their urethra. If not treated in time, your child may suffer from UTIs, bladder problems and kidney issues. The urethral stricture stops the urine from exiting the bladder thereby causing serious bladder infections in your child. This urethral stricture is treated by making an incision in case of short and thin scar tissue. For long, thick and recurrent stricture, more extensive surgical treatment is performed.
Bladder Augmentation: Bladder Expansion (augmentation) Surgery is advised for children whose bladder is too small and is causing extra pressure leading to kidney problems and damage. Children diagnosed with this defect will be at higher risk of cancer near the intestinal area. So, parents should strictly follow the doctor’s suggestions and visit for regular check-ups. Follow-up care is vital in preventing further complications like bladder infections, tears and stones. Immediate consultation is required if your child sees blood in the urine or suffers from abdominal pain after the surgery.
Malone Antegrade Continence Enema: MACE Surgery is often performed on children to treat constipation issues and bladder problems. In MACE surgery, the appendix or piece of intestines is used to create the channel from the skin on the abdomen to the colon. Then the catheter is placed which directly delivers the enema to the colon. This makes your child’s colon clean and empty every time thereby preventing constipation, abdominal pain, nausea and other symptoms.
Pyeloplasty: Ureteropelvic Junction (UPJ) Obstruction condition is often found in a foetus in the prenatal ultrasound. This condition narrows the ureter tube by leaving the drainage area open in the kidneys. Pyeloplasty is performed in more severe cases by removing the blockage and reconnecting the ureter for better draining. However, in most cases, UPJ obstruction is mild which may not cause problems immediately. Your paediatric surgeon will recommend whether to go for open, robotic or laparoscopic surgery.
Other GU reconstruction surgeries are also available such as ureteropelvic junction polypectomy, ureterocalicostomy, high uretero-ureterostomy, mid-ureteral reconstruction, lower ureteral reconstruction and advanced paediatric surgeries. The above surgeries are robotic-assisted urological reconstruction surgeries known for high precision manoeuvrability and dexterity.
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