Urological Problems In Children

Urologists at Advance Urology Centre, Anand Hospital are committed to providing children and families with the expert diagnosis, treatment, guidance and support needed to address the full range of pediatric urology issues, from common urinary disorders to complex urological conditions. We take a collaborative approach to care, partnering with families to identify and choose the best path forward to resolve urological problems.

Bed Wetting (Nocturnal )

Bed-wetting also called nighttime incontinence or nocturnal enuresis is involuntary urination while asleep after the age at which staying dry at night can be reasonably expected.

Soggy sheets and pajamas and an embarrassed child are a familiar scene in many homes. But don't despair. Bed-wetting isn't a sign of toilet training gone bad. It's often just a normal part of a child's development.

Generally, bed-wetting before age 7 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. Lifestyle changes, bladder training, moisture alarms and sometimes medication may help reduce bed-wetting.

Recurrent UTIs (RUTI)

Urinary tract infections (UTIs) happen when bacteria (germs) get into the kidneys, ureters, bladder, or urethra. UTIs are common in kids.

Some kids get UTIs again and again, these are called recurrent UTIs. If they're not treated, recurrent UTIs can cause kidney damage, especially in kids younger than 6. So it's important to know how to recognize the signs of these infections and get help for your child.

PUJO

Pelvic-ureteric junction obstruction (PUJO) is a condition in which urine flow disruption occurs between kidney pelvis and proximal ureter.

Pelvic-ureteric junction obstruction (PUJO) is a common condition, and one of the lead causes of hydronephrosis in children. Currently, the gold standard treatment of PUJO is open surgery.

PHIMOSIS

Phimosis is a condition of the penis that occurs in some adults and children who are not circumcised. If you have phimosis, your foreskin can not be pulled back (retracted). It may look like your penis has rings around the tip.

Having phimosis is not necessarily a problem. It only becomes a problem when it causes symptoms. This could be when phimosis is severe and leaves an opening the size of pinhole.

Actually, there are two types of phimosis: physiologic and pathologic. The physiologic type is associated with childhood and usually resolves as you age. The pathologic type is associated with a condition called balanitis xerotica obliterans (BXO).

Hypospadias

Hypospadias is a birth defect (congenital condition) in which the opening of the urethra is on the underside of the penis instead of at the tip. The urethra is the tube through which urine drains from your bladder and exits your body.

Hypospadias is common and doesn't cause difficulty in caring for your infant. Surgery usually restores the normal appearance of your child's penis. With successful treatment of hypospadias, most males can have normal urination and reproduction.

VUR

Vesicoureteral reflux (VUR) is a condition in which urine flows backward from the bladder to one or both ureters and sometimes to the kidneys. VUR is most common in infants and young children. Most children do not have long-term problems from VUR.

Normally, urine flows down the urinary tract, from the kidneys, through the ureters, to the bladder. With VUR, some urine will flow back up or reflux through one or both ureters and may reach the kidneys.

Doctors usually rank VUR as grade 1 through 5. Grade 1 is the mildest form of the condition, and grade 5 is the most serious.

Other Congenital and acquired problems of Urinary Tract

The urinary tract comprises the renal pelvis, the ureter, the urinary bladder, and the urethra.

The tract acts as a functional unit, first propelling urine from the kidney to the bladder, then storing it at low pressure inside the bladder which intermittently and completely voids urine through the urethra. Congenital diseases of these structures can lead to a range of diseases sometimes associated with fetal losses or kidney failure in childhood and later in life.

In some of these disorders, parts of the urinary tract are severely malformed. In other cases, the organs appear grossly intact yet they have functional deficits that compromise health.