Monday, 21 May 2018

Pediatric Care For Urology Issues

Many children face urinary issues. Most of the times, they are considered trivial and ignored. For example, many parents think that conditions like bedwetting are just bad habits and they will cease when the children grow older. It can be true in many cases but not always. So, instead of waiting for the situation to get serious, the child should be taken to a urologist for counselling and treatment if required.. Timely treatment is the key to recovery for any sorts of diseases. Parents ought to know more about various urology conditions in children. Here is a brief study of the most commonly seen urology issues in children.

Common Urology issues

Infection: Urinary tract infection though common in adult population, is less frequent in children. It is comparatively more in female children than male. Cry while voiding urine, fever are common symptoms. “ All urinary tract infection in children needs closer look and should be  investigated  for the cause of it.

Phimosis: Phimosis is “tight foreskin’ is  normal  in children till the age of 1 year.  The foreskin can’t be pulled back from  the tip of the penis. Pain, Ballooning of the foreskin, difficulty urinating, swelling of the tip of the penis are the main symptoms. Left untreated, leads to urinary tract infection.

Congenital Hernia/ Hydrocele: Hydroceles are common in newborn infants. Painless swelling in scrotum incrses while crying and reducing while resting is the main symptoms of Hydrocele or hernia

Torsion testis: This is an emergency.The condition when a testicle rotates on its own, twisting the spermatic cord that brings blood to the scrotum is Torsion Testis. The reduced blood flow causes sudden and often severe pain and swelling. The symptom is Excruciating one-sided testicular pain, with sudden swelling. If treatment is delayed, testis will get strangulated and then it has to be removed.

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Un-descended testis: An un-descended testicle (testis) is more common in boys who are born prematurely. Testes stops short of reaching the scrotum, thus found in the groin commonly. Often mothers, while bathing the child, notice empty scrotum. They need surgical fixation of the testis.

Hypospadias: Hypospadias is a congenital condition. This condition is caused when the opening of the urethra is seen under the penis rather than at the tip. This might be associated with bent penis. This needs surgical correction.

UPJ Obstruction:  Ureteropelvic junction (UPJ) is located where the pelvis of the kidney meets the ureter. UPJ obstruction occurs when that part is blocked. This leads to ballooning of the kidney and slow reduction in the function of the kidney. This may lead to  Kidney infection, Blood in urine, Poor growth in infants, Urinary tract infection.

PU valves: Posterior urethral valves are extra flaps of tissue that are in the tube that carries urine out of the urine bladder. This another congenital condition where the urine outlet is obstructed. This is best treated by early intervention.

VU reflux: Vesicoureteral reflux is the abnormal flow of urine from the bladder to the upper urinary tract. Recurrent urinary tract infection Frequent and urgent urination, Foul smelling or cloudy urine, Backache, Burning or pain while urinating are the main symptoms. this is common in female child.

When your child develops a urology issue, you need to take him/her to the doctor as soon as possible to avoid further complications. Do visit Dr. Mahendra Jain, pediatric urologist bangalore for expert care and treatment.

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