What is Paediatric Urology?

The department of Paediatric urology diagnose, treat, and manage children’s urinary and genital problems. A paediatric urologists are specialized and highly trained in treating the illness or disease of the genitals or urinary tract (kidneys, ureters, and bladder) of the children.

Paediatric Urology at Max Hospital, Patparganj:

Paediatric urology department at Max Healthcare, Patparganj offers a wide range of developmental problems affecting the kidneys, bladder, urethra or genital tract of the children. Doctors are specialized and highly trained to manage kidneys, ureters, and bladder disease as per the individual’s need. We use an integrated practice model to coordinate care across specialties to develop treatment plans tailored to each child. We use equipment designed specifically for children.

We use an integrated practice model to coordinate care across specialties to develop treatment plans tailored to each child. We use equipment designed specifically for children.

Conditions we treat:

• Recurrent Urinary infection
• Hypospadias( Urine passage issue)
• Undescended testicles/hydrocele/hernia/varicocele
• Hydronephrosis
• Duplex Kidney
• Renal cyst
• Ureteropelvic junction obstruction (blockage of urine flow from the kidneys)
• Kidney stone disease
• UTI ( Urinary Tract Infections)
• Voiding disorders
• Bedwetting in children & Teens
• Congenital renal abnormalities
• Intersex (abnormal or incomplete development of the genital organs)
• Neurogenic bladder from spinal cord lesions ( myelomeningocele)
• Vesicoureteral reflux (urine coming back from the bladder toward the kidneys)
• Wilms tumour or other kidney tumours in kids

Frequently asked questions:

1. Is bedwetting a serious problem? What are its causes?
Bedwetting is the inability to control one's bladder while sleeping at night. It is medically referred to as nocturnal (nighttime) enuresis. Bedwetting is an uncomfortable problem, but it is normal in most cases. Bedwetting is a normal stage of development for some children. In adults, however, it can be a symptom of a more serious illness or disease. About 2% of adults have bedwetting, which can be caused by a variety of factors and may require medical attention.

2. How do I know if my child has a bladder problem?
Some of the following signs and symptoms may indicate that your child has a bladder problem:

• Urge to urinate frequently( more often than normal)
• Incomplete urination - not completely emptying the bladder when using the restroom
• Pain or burning sensation while urinating
• Fever
• Crying while urinating
• Feeling restlessness

3. What are the signs and symptoms of kidney infection in children?
Sign and symptoms of Kidney infection in children include:

• Fever
• Loss of appetite
• Pain while urinating
• Lower back pain
• Vomiting
• Diarrhea

4. What happens if my child has an undescended testicle? Can it be treated?
The testicles may not operate normally and create healthy sperm if they don't fall into the scrotum. Later in life, infertility may result from this. Males who are born with undescended testicles are likewise more likely to develop testicular cancer later in life.

Usually this condition is uncommon but is common in baby boys who are born prematurely.

Within the first several months of life, the undescended testicle almost always goes into the correct position on its own. If your son's undescended testicle doesn't fall down on its own, surgery can move it into the scrotum.

Surgery is usually used to correct an undescended testicle. The surgeon carefully inserts the testicle into the scrotum and stitches it in place. This procedure can be performed using a laparoscope or through open surgery.

5. Can incomplete development of the genital organs be treated?
Ambiguous genitalia refers to genital organs that have not fully developed. It is a rare disorder. A newborn with ambiguous genitalia may have underdeveloped genitalia or exhibit traits common to both sexes. The internal sex organs or genetic sex may not match the external sex organs.

The main cause of ambiguous genitalia is pregnancy-related hormone imbalances that disrupt or interfere with the fetus's developing sex organs.

The hormonal imbalance may be compensated for or corrected with the aid of hormone medicines. In rare instances, surgery is done to preserve healthy sex and make genitalia that look normal. A team of experts is needed for the surgery.

An integrated practice approach is used by Max Patparganj to manage these such surgeries. Our team of experts who perform such genital disorders include pediatricians, neonatologists, paediatric urologists, paediatric general surgeons, endocrinologists, geneticists, and psychologists.

Surgical outcomes are usually positive, however later repeat procedures might be required. Risks include disappointing cosmetic outcomes or sexual dysfunction, including a reduced capacity for orgasm.

6. My child has kidney stones. How can it be treated?
The treatment of kidney stones is usually based on the location, size and the type of the stone. Most stones naturally move through the urinary tract and are eventually flushed out. The stone will pass more easily if you drink more fluids. If the stone results in a urinary tract infection, antibiotics may be administered. Surgery is required to remove stones that don't pass. To avoid recurrence, dietary adjustments and enough of fluid intake are advised. We at Max Patparganj perform laparoscopic surgery to remove stones.

7. Why is urine output of my child very less?
The most common reason for decreased urine output is dehydration. Dehydration usually happens when your child doesn’t drink enough water or sick with diarrhea, vomiting, or another disease and are unable to replenish the fluids you're losing. Your kidneys will then try to retain the most fluid feasible.

You should see a doctor immediately if you find the following symptoms:

• Urinating less frequently than normal
• Sunken eyes
• Unable to sleep
• Crying and being irritated
• Abnormal breathing
• Rapid heart rate