'PURE' (Pediatric Urology Ramachandra Education)
Paediatric Urology deals with surgical problems of kidneys, bladder and genitalia in children. Often these problems can be detected antenatally and the parents may need counselling. Some of the problems require urgent treatment immediately after birth. It is a complex field and needs specialist experience to decide when surgery is required and when it can be avoided.
MS, MCh, FRCSGlas, FRCSEdin, FRCSPaed
Professor & Senior consultant in Pediatric Urology,
Sri Ramachandra Hospital, Porur, Chennai.
Visiting consultant at Apollo Hospital, Kanchi Kamakoti Childs Trust Hospital
Consultations by Appointment only:
Phone: 9840359062, Mail: firstname.lastname@example.org
(only for making appointments; kindly avoid phone/email consultation)
6 pm-9 pm CHILD CLINIC 3/5 Jai Nagar 7th st, Arumbakkam, Chennai
HYDRONEPHROSIS: Hydronephrosis can be due to congenital anomalies like PUJ obstruction, Vesico ureteric reflux, posterior urethral valves etc. Antenatal counselling and prompt treatment after birth will help in preventing recurrent urine infections and loss of kidney function.
PUJ OBSTRUCTION: Majority are detected these days antenatally and do not need surgical correction. However a small proportion of them are severe obstrucion that can result in loss of kidney function over a period of time. It is essential to identify these by proper evaluation with DTPA/ MAG3 scan and ultrasound. Pyeloplasty is advised in such a situation.
POSTERIOR URETHRAL VALVES (PUV): Often suspected antenatally and confirmed by a test called MCU/ VCUG after birth. Current treatment involves endoscopic correction of valves immediately after birth. Regular follow up is essential to prevent renal failure
URINE INFECTION; VESICO URETERIC REFLUX (VUR): Recurrent UTI in children may be due to VUR. Often it resolves spontaneously. Recurrent UTI despite medical treament warrants intervention. Endoscopic STING procedure, or open Ureteric Reimplantation is
HYPOSPADIAS: In this condition, boys pass urine from under surface of penis. Correction at the age of 1 makes them pass urine like other children and prevents future problems like infertility.
ENDOSCOPIC SURGERY: Endoscopic treatment is available for conditions like Posterior urethral valves, urinary stones, ureterocele, vesico ureteric reflux and many similar problems that can occur in children.
LAPAROSCOPIC SURGERY: Laparoscopic surgery is offered to many paediatric urology problems (undescended testis, varicocele, nephrectomy for multi cystic dysplastic kidneys or non functioning kidney in ectopic ureter; pyeloplasty for PUJ obstruction).
ESWL: Stones in children can be broken without surgery with the help of ESWL. They can also be removed with the help of endoscope or PCNL.
URODYNAMICS: This special test provides information about a bladder that is not functioning well. Neurogenic bladder is a problem seen in children with spine abnormalities like meningocele, myelomeningocele and spina bifida.
To access any of these services please contact.
Disclaimer: The contents provided here are for educational purpose only. Patients are urged not to take decisions based on the contents alone. Consultation in person is essential to arrive at the pros and cons of a particular treatment method. Multiple treatment options may be available for the same condition and often the treatment is individualized based on the best option for that particular patient considering several factors (age, severity, associated medical problems, social/ economical/ geographic factors etc).