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Paediatric urology is a subspecialty of urology that focuses on the diagnosis and treatment of urological conditions in children. These conditions can include congenital abnormalities, such as hypospadias and bladder exstrophy, as well as acquired conditions such as urinary tract infections and voiding dysfunction.
Paediatric urologists use a variety of surgical techniques to treat these conditions, including minimally invasive surgery, which can minimise scarring and recovery time. In some cases, such as with bladder exstrophy, surgery may be performed in multiple stages, as the child grows and their body develops. Paediatric urologists work closely with other members of a child's healthcare team, including paediatricians, surgeons, and psychologists, to provide comprehensive care. They also work with families to ensure that they are involved in and understand the child's treatment plan. Visit Manipal Hospitals for paediatric surgery treatment in Bangalore for the best treatment
Pre-procedure
It is important to have a preoperative assessment prior to any urological procedure, especially in children. This assessment should include a medical history, physical examination, and appropriate investigations.
Medical History
It is important to take a thorough medical history, looking for any potentially relevant medical conditions. This should include details of any urinary tract infections, previous surgery, trauma, or congenital anomalies.
Physical Examination
A physical examination should be performed, looking for any external signs of genitourinary abnormalities. Particular attention should be paid to the external genitalia,perineum and anus.
Investigations
Depending on the procedure being performed, various investigations may be required. These could include a urine dipstick test, urine culture, ultrasound scan, Micturating Cystourethrogram (MCUG), Voiding Cystourethrogram ,(VCUG) or renal function tests.
Consent
It is important to obtain informed consent from the parents or guardians prior to any urological procedure in children. This should include a full explanation of the procedure, the risks and benefits, and any alternative options.
Procedure
There are a number of different procedures that may be performed in paediatric urology and reconstructive urology. The most common procedures include:
Circumcision
This is a procedure to remove the foreskin of the penis. It is usually performed on newborn babies, but can be performed on older boys and men if necessary.
Hypospadias Repair
This is a procedure to correct a defect in the penis where the urethra (the tube that carries urine from the bladder to the outside of the body) does not open at the tip of the penis.
Epispadias Repair
This is a procedure to correct a defect in the penis where the urethra (the tube that carries urine from the bladder to the outside of the body) does not open at the top of the penis.
Bladder Exstrophy Repair
This is a procedure to correct a birth defect in which the bladder is exposed on the outside of the body.
Hydronephrosis
This is a condition in which the kidney is enlarged due to a build-up of urine. It can be treated with a variety of different procedures, depending on the cause and severity of the condition.
Vesicoureteral Reflux
This is a condition in which urine flows back up from the bladder into the ureters (the tubes that carry urine from the kidneys to the bladder). It can be treated with a variety of different procedures, depending on the cause and severity of the condition.
Undescended Testicle
This is a condition in which one or both testicles have not descended into the scrotum. It can be treated with a variety of different procedures, depending on the cause and severity of the condition.
Post-procedure
After any urological procedure on a child, it is important to monitor the child for any complications. The most common complication is an infection, which can be serious. Other complications include bleeding, and damage to the urinary tract, or surrounding organs. It is important to keep the area where the procedure was performed clean and dry. The child may be instructed to use special soap and/or ointment. The child may also be instructed to take antibiotics to prevent infection. The child will need to follow up with the urologist to make sure the procedure was successful and to monitor for any complications. Book an appointment to have the best treatment.
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