Pediatric Urology

Pediatric Urology at Vivanta – The Kidney & Surgical Hospital

At Vivanta – The Kidney & Surgical Hospital, we recognize that children are not just small adults. Their urinary and reproductive systems have unique anatomical and functional differences that require specialized expertise, gentle techniques and a child-friendly environment. Our Pediatric Urology unit is dedicated to the compassionate diagnosis, management and surgical treatment of genitourinary conditions in infants, children and adolescents. Our multidisciplinary team works closely with pediatricians, nephrologist and surgeons to ensure your child receives the safest, most effective and minimally invasive care available.

I. Why Specialized Pediatric Urology Matters

Pediatric urology focuses on conditions that are often congenital (present at birth) or related to developmental stages, ranging from simple voiding issues to complex reconstructive surgeries.

• Expertise in Development: Our specialists understand the developmental milestones of the urinary tract and reproductive organs, allowing for accurate diagnosis and timely intervention to prevent long-term damage.

• Child-Centric Care: We employ play therapy, reassuring communication and anesthesia protocols specifically designed for children to minimize anxiety and make the hospital experience as comfortable as possible for both the child and the family.

• Prenatal Consultation: We offer Antenatal Counseling for parents whose babies are diagnosed with a urological anomaly (like hydronephrosis) during fetal ultrasound, providing clarity and a plan for care immediately after birth.

II. Common Pediatric Urological Conditions We Treat

We provide expert care for the full spectrum of pediatric urological issues, categorized for clarity:

A. Congenital and Structural Abnormalities (Birth Defects)

• Hypospadias & Epispadias: Surgical correction for the urethral opening being located on the underside (Hypospadias) or upper side (Epispadias) of the penis. Our surgeons focus on single-stage repair for optimal cosmetic and functional results.

• Undescended Testes (Cryptorchidism): Surgical relocation of one or both testicles into the scrotum (Orchiopexy), typically performed before one year of age to ensure proper development and reduce future risks.

• Vesicoureteral Reflux (VUR): A condition where urine flows backward from the bladder up to the kidneys. We manage this with observation, low-dose antibiotics or minimally invasive procedures like DEFLUX injection or Ureteral Reimplantation surgery.

• Hydronephrosis & Obstruction: Swelling of the kidney due to a blockage, often at the Ureteropelvic Junction (UPJO) or Ureterovesical Junction (UVJO). This is often corrected surgically via Laparoscopic or Robotic Pyeloplasty.

• Posterior Urethral Valves (PUV): A congenital membrane in the male urethra that causes obstruction. This is often an emergency requiring endoscopic surgery (Valve Ablation).

B. Voiding Dysfunction and Functional Issues

• Bedwetting (Nocturnal Enuresis) & Daytime Incontinence: Comprehensive evaluation, including Urodynamic Studies and Biofeedback Therapy, to diagnose and treat underlying causes like overactive bladder or dysfunctional voiding.

• Recurrent Urinary Tract Infections (UTIs): Thorough investigation (e.g., VCUG, Renal Scan) to find and treat anatomical causes that predispose children to frequent infections.

• Neurogenic Bladder: Specialized care for bladder issues associated with neurological conditions like Spina Bifida, including medication, intermittent catheterization training and complex reconstructive surgeries (e.g., Bladder Augmentation).

C. Other Common Conditions

• Pediatric Kidney Stones (Urolithiasis): Using child-sized endoscopic instruments and laser lithotripsy to safely break and remove stones.

• Hernia and Hydrocele: Surgical repair of fluid accumulation around the testicle (hydrocele) or an inguinal hernia.

• Phimosis & Circumcision: Sensitive diagnosis and treatment options as detailed in the previous section.

III. Advanced Diagnostic and Treatment Modalities

Our commitment to pediatric health is supported by state-of-the-art technology tailored for children:

• Specialized Pediatric Imaging: Utilizing low-radiation or radiation-free techniques like Ultrasound and MRI to diagnose conditions without compromising safety.

• Video Urodynamics (VUDS): Advanced testing to precisely measure bladder pressure, flow rate and storage capacity, essential for diagnosing voiding issues.

• Minimally Invasive Surgery: We prioritize Laparoscopic and, where appropriate, Robotic Surgery (see next section) to perform complex reconstructions, leading to:

  • Smaller Incisions and Scarring.

  • Significantly Reduced Pain.

  • Faster Recovery Times, allowing children to return to play quickly.

Why Choose Vivanta for Your Child’s Urological Care?

Choosing a pediatric urologist is an act of trust. At Vivanta, we offer:

• Integrated Team: Close collaboration between Pediatricians, Pediatric Nephrologists, Anesthesiologists and Urologists.

• Family-Centered Approach: We take the time to explain every diagnosis and treatment option to parents, empowering them to make informed decisions for their child’s future health.

• Dedicated Child Safety: Protocols designed to ensure the safest possible surgical and post-operative environment for our smallest patients.

We are dedicated to ensuring every child receives the best foundation for a healthy life.