Pediatric Urology offers diagnostic evaluation and treatment of children with genitourinary disorders.
- Correction of Hypospadias
Hypospadias repair is surgery to correct a defect in the opening of the penis that is present at birth. The urethra (the tube that carries urine from the bladder to outside the body) does not end at the tip of the penis. Instead, it ends on the underside of the penis. In more severe cases, the urethra opens at the middle or bottom of the penis, or in or behind the scrotum.
- Postertior Urethral Valve correction
Posterior urethral valves (PUV) are obstructing membranous folds within the lumen of the posterior urethra. PUV is the most common cause of urinary tract obstruction in the newborn male, occurring in 1 in 5000 to 8000 pregnancies. PUV are also the most common cause of chronic kidney disease (CKD) due to urinary tract obstruction in children.
- Ureteropelvic Junction Obstruction
Ureteropelvic junction (UPJ) obstruction is when part of the kidney is blocked. Most often it is blocked at the renal pelvis. This is where the kidney attaches to one of the ureters (the tubes that carry urine to the bladder).The blockage slows or stops the flow of urine out of the kidney. Urine can then build up and damage the kidney. Sometimes surgery is needed to improve the flow of urine and other times the problem will improve on its own.
- BedwettingIt is also known as nighttime incontinence or nocturnal enuresis. Generally, bed-wetting before age of 6 isn’t a concern. At this age, your child may still be developing nighttime bladder control. If bed-wetting continues, treat the problem with patience and understanding. Bladder training, moisture alarms or medications may help reduce bed-wetting. Most of the times this issue can be due to hereditary reasons.
Circumcision is the surgical removal of the skin covering the tip of the penis. Circumcision after the newborn period is possible, but it’s a more complex procedure. For some families, circumcision is a religious ritual. Circumcision can also be a matter of medical condition which has been recommended by the Urologist, family tradition, personal hygiene or preventive health care.
- Peadiatric Urology Tumors
Common pediatric urologic cancers involving the genitourinary system include Rhabdomyosarcoma occuring in the bladder, prostate, paratesticular regions, vagina, or uterus. Some of these locations, such as the paratesticular region, have a more favorable outcome.
Benign neoplasms account for the majority of pediatric testicular tumors and most are managed with testis-sparing surgery. Most genitourinary malignancies are expected to have a good outcome.
- Recurrent Urinary tract infections
Urinary tract infection (UTI) is one of the most common pediatric infections. It distresses the child, concerns the parents, and may cause permanent kidney damage.
Occurrences of a first-time symptomatic UTI are highest in boys and girls during the first year of life and markedly decrease after that.
Febrile infants younger than 2 months constitute an important subset of children who may present with fever without a localizing source. The workup of fever in these infants should always include evaluation for UTI.