Best Pediatric Urology Treatment Surat

In most cases, parents are referred to a pediatric urologist by their child’s pediatrician. Many pediatric urologists work at, with, or near university or pediatric medical centers.

Parents should make sure children have access to water and a bathroom at school and at home. They can limit fluids before bedtime and make sure children urinate before going to sleep at night to reduce bedwetting.

Parents should teach girls to always wipe from front to back to reduce urinary-tract infections. Boys should wear an athletic supporter with a protective cup right away if they start playing contact sports.

The operation is carried out under general anaesthetic and lasts for between 1½ and 2½ hours. The blockage can either be removed using keyhole surgery (laparoscopy) or traditional open surgery. Your surgeon will discuss with you which method is most appropriate for your child. In keyhole surgery, the surgeon uses a telescope, with a miniature video camera mounted on it, inserted through a small incision (cut) to see inside the abdomen. Carbon dioxide gas is used to inflate the abdomen to create space in which the surgeon can operate using specialised instruments that are also passed through other smaller incisions (cuts) in the abdomen. The small incisions are covered with Steristrips. In traditional open surgery, the surgeon will make an incision (cut) in his or her side over the kidneys. The incision will be closed using dissolvable stitches and covered with Steri-strips®. Whichever method is used, the surgeon will locate the blockage in the ureter, remove the affected section and join the cut ends of ureter again. They will insert either a blue stent or a JJ stent into the ureter to keep it stable while it heals. Both types of stent will need to removed some weeks after the operation The blue stent is removed on the ward one week after surgery. The JJ stent is removed in a short procedure under anaesthetic around six weeks after the operation.

There is a chance that keyhole surgery will not be possible for your child. Sometimes the surgeon will not be able to carry out an operation using the keyhole method for technical reasons, or because of unexpected findings. If this is the case, the surgeon will carry out the operation using a larger incision (cut) instead. All surgery carries a small risk of bleeding during or after the operation. There is a risk that bleeding could occur when the surgeon removes the blocked section of ureter, but usually there is only a small amount of bleeding, which does not cause any problems. There is a risk that urine could leak from the join in the ureter. Placing a tube (‘blue stent’) in the ureter to drain urine can help prevent this from happening. There is a small chance that the join may narrow so the flow of urine becomes blocked again, which may mean your child would need to have a second operation. There is a risk of infection associated with all types of surgery, but your child will usually continue to take the antibiotics previously prescribed to prevent any infection developing. Every anaesthetic carries a risk of complications, but this is very small. Your child’s anaesthetist is an experienced doctor who is trained to prevent and deal with any complications.

Your child will recover from the anaesthetic and operation on the ward and will be able to eat and drink soon afterwards, if he or she feels like it. When he or she comes back from the operating theatre, there may be a thin, plastic tube (‘blue stent’) draining urine from your child’s kidney to give the ureter time to heal; this is usually blocked off one or two days after the operation, after which you and your child will be able to go home.