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Thoracoscopic Surgery For Children

Thoracosopic surgery, is a Minimally Invasive Surgery which uses multiple small incisions, and is suitable for children who need to undergo surgery for various  chest conditions. Thoracoscopy is now very frequently used for various simple and complex surgical chest conditions. Since a Minimally Invasive Surgery can be done with small incisions, this avoids injury to chest wall muscles and nerves. On the contrary, large incisions as used in open surgery are painful and can cause chest wall deformity in long run. Minimally Invasive Surgery have shown great results, with lesser pain, reduced hospitalization, lesser complications and a better cosmetic result  as compared to traditional thoracotomy. However, Thoracotomy will still be needed in some select cases. Dr. Prashant Jain, is one of the best paediatric surgeon in Delhi (India), who has achieved excellent results in the removal of chest tumors through minimally invasive surgery. Following are some other procedures that he performs:

Excision of mediastinal tumors: Thoracoscopy has been found to be very useful in excision of mediastinal tumors/ masses like neuroblastoma, thymoma, teratoma etc. The advantage of thoracoscopy is it gives excellent magnified vision which helps in complete excion without damaging adjacent vital structures.

Excision of Mediastinal cysts: Various mediastinal and lung cysts can be safely removed in newborns, infants and pediatric patients with excellent results. This include bronchogenic cyst, enteric duplication cyst, thymic cyst, hydatid cyst etc. Some of these cyst are diagnosed during antenatal period.

Lung Malformations: Thoracoscopy excision of lung malformation involves CCAM, CLE and lung sequestration.

Empyema: Empyema is an infection due to pus formation in the chest cavity or the pleural space. Children with empyema requires treatment with antibiotics, thoracostomy and thoracoscpic decprtication. For thoracoscopic decortication, three to four small incisions (3-5mm) are made to access the pleural space. Following which, the pleural space is cleansed off all debris and infected material, using a camera to see inside. Thus making the lung re-expand. Thoracoscopy addresses the symptoms and aids in a faster recovery, thereby reducing the patient’s stay in the hospital, especially when it is done in the initial stages of the illness.

Lung Biopsy: Lung Biopsy is carried out for children with chronic lung conditions, which may be difficult to diagnose, even after numerous tests. The Lung Biopsy is done using three small incisions, through which, the targeted area of the lung is biopsied. Diagnosis is achieved in almost 95% of the biopsies. It eliminates the requirement a large incision and its associated complications, while providing the same amount of tissue for analysis, as that of thoracotomy. Due to limited post-operative pain, and discomfort which does not compromise respiration, this procedure is well tolerated, even in children with advanced lung disease.

Spontaneous Pneumothorax:  Pneumothorax is a life-threatening condition in which the lung collapses. Teenagers progressing through their adolescent growth spurt and children with underlying lung diseases, like apical cysts or cystic fibrosis are more prone to pneumothorax. The lungs need to be re-expanded to allow healing and removal of symptoms. Thoracoscopy is recommended for children with a recurring pneumothorax. The apical cysts (if present) are removed with an endoscopic stapling device. To carry out this procedure, three small incisions of 5mm – 12mm are made. To avoid air leaks in the future, the pleural cavity lining is abraided so that the lung adheres to the chest wall.

 Dr. Prashant Jain, is a renowned Paediatric Laparascopic Surgeon in Delhi, India. To book an appointment call (+91) 8766350320.

Tags =  Thoracoscopic Surgery For Children, best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi, best pediatric surgeon in india

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Thoracoscopic Surgery In Children | Paediatric Laparascopic Surgeon in Delhi, India

Thoracoscopic Surgery For Children

Thoracosopic surgery, is a Minimally Invasive Surgery which uses multiple small incisions, and is suitable for children who need to undergo surgery for various  chest conditions. Thoracoscopy is now very frequently used for various simple and complex surgical chest conditions. Since a Minimally Invasive Surgery can be done with small incisions, this avoids injury to chest wall muscles and nerves. On the contrary, large incisions as used in open surgery are painful and can cause chest wall deformity in long run. Minimally Invasive Surgery have shown great results, with lesser pain, reduced hospitalization, lesser complications and a better cosmetic result  as compared to traditional thoracotomy. However, Thoracotomy will still be needed in some select cases. Dr. Prashant Jain, is one of the best paediatric surgeon in Delhi (India), who has achieved excellent results in the removal of chest tumors through minimally invasive surgery. Following are some other procedures that he performs:

Excision of mediastinal tumors: Thoracoscopy has been found to be very useful in excision of mediastinal tumors/ masses like neuroblastoma, thymoma, teratoma etc. The advantage of thoracoscopy is it gives excellent magnified vision which helps in complete excion without damaging adjacent vital structures.

Excision of Mediastinal cysts: Various mediastinal and lung cysts can be safely removed in newborns, infants and pediatric patients with excellent results. This include bronchogenic cyst, enteric duplication cyst, thymic cyst, hydatid cyst etc. Some of these cyst are diagnosed during antenatal period.

Lung Malformations: Thoracoscopy excision of lung malformation involves CCAM, CLE and lung sequestration.

Empyema: Empyema is an infection due to pus formation in the chest cavity or the pleural space. Children with empyema requires treatment with antibiotics, thoracostomy and thoracoscpic decprtication. For thoracoscopic decortication, three to four small incisions (3-5mm) are made to access the pleural space. Following which, the pleural space is cleansed off all debris and infected material, using a camera to see inside. Thus making the lung re-expand. Thoracoscopy addresses the symptoms and aids in a faster recovery, thereby reducing the patient’s stay in the hospital, especially when it is done in the initial stages of the illness.

Lung Biopsy: Lung Biopsy is carried out for children with chronic lung conditions, which may be difficult to diagnose, even after numerous tests. The Lung Biopsy is done using three small incisions, through which, the targeted area of the lung is biopsied. Diagnosis is achieved in almost 95% of the biopsies. It eliminates the requirement a large incision and its associated complications, while providing the same amount of tissue for analysis, as that of thoracotomy. Due to limited post-operative pain, and discomfort which does not compromise respiration, this procedure is well tolerated, even in children with advanced lung disease.

Spontaneous Pneumothorax:  Pneumothorax is a life-threatening condition in which the lung collapses. Teenagers progressing through their adolescent growth spurt and children with underlying lung diseases, like apical cysts or cystic fibrosis are more prone to pneumothorax. The lungs need to be re-expanded to allow healing and removal of symptoms. Thoracoscopy is recommended for children with a recurring pneumothorax. The apical cysts (if present) are removed with an endoscopic stapling device. To carry out this procedure, three small incisions of 5mm – 12mm are made. To avoid air leaks in the future, the pleural cavity lining is abraided so that the lung adheres to the chest wall.

Dr. Prashant Jain, is a renowned Paediatric Laparascopic Surgeon in Delhi, India. To book an appointment call (+91) 8766350320.

Tags =  Thoracoscopic Surgery For Children, best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi, best pediatric surgeon in india

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Conditions treated by the best pediatric laparoscopy surgeon in Delhi

Pediatric Laparoscopy Surgery

Surgeries are scary, and when it is for your child it is the scariest! You would be terrified to make your mind to take your child to a surgery, preparing for the hospital stay and going through the child recovery process. The happy news is that, there are minimally invasive approaches to treat children with surgical conditions.

Pediatric Laparoscopic surgeries are performed by makings small incisions in your child’s skin, through which the surgeon inserts small tubes with a tiny telescope to see inside and then special instruments to operate on the child.

Pediatric laparoscopic surgery in Delhi

It would be your wisest decision choosing to do a pediatric laparoscopy surgery for your child in Delhi. The best pediatric laparoscopy surgeon in Delhi has the specialised expertise to diagnose, treat and administer your child’s surgical conditions. He has the experience in handling the children patiently and in treating the child after a thorough examination and precise diagnosis. He also uses state-of-the-art facilities and specialised equipment. Your child is treated in a very comfortable and fearless environment by the best pediatric laparoscopy surgeon in Delhi.

Conditions treated by the best pediatric laparoscopy surgeon in Delhi

Advanced medical technology allows many of the surgical conditions to be performed through minimally invasive laparoscopic techniques. Below are few conditions treated laparoscopically –

Treatment of a blocked kidney

Ureteral re-implant to treat vesicoureteral reflux or a blocked ureter

Treatment of an ectopic ureter or a ureterocele

Treatment of an infected belly button

Removal of a bladder diverticulum (pocket in the bladder)

Removal of a nonfunctioning kidney

Treatment of an undescended testicle

Treatment of a swollen vessels in the scrotum

The procedure

The pediatric laparoscopic surgical procedure is performed under general anaesthesia. 3 – 5 small incisions are made in the abdomen, depending on the condition to be treated – close to the belly button, either side of the belly and below or above the belly button. Hollow tubes (cannulas) are inserted into the incisions to operate on the child. Initially, carbon dioxide is filled inside the abdomen to make enough space for the surgeon to operate. A tiny telescope (laparoscope) is inserted through one of the tubes, which shows your child’s inside organs on a television screen in the theater. The surgeon inserts special instruments through other tubes at the other sites to perform the surgery. Give your child in the hands of the best pediatric laparoscopy surgeon in Delhi, and you would have no fear and no worries.

The benefits of pediatric laparoscopic surgery for your child

Pediatric laparoscopic surgeries performed by the best pediatric laparoscopy surgeon in Delhi is completely safe for your child. This technique has many advantages over the traditional open surgery.

There is no big cuts or big scars as the procedure is done through small incisions

This is a painless procedure as there is no big cuts

The healing of small incisions is faster than bigger cuts

No complications of incision healings

Quicker recovery and your child returns to his normalcy much faster

Less costly

Aftercare at the hospital

The aftercare given by the best pediatric laparoscopy surgeon in Delhi is commendable. It is accompanied with a family-centered care that ensures the parents are always connected with their babies during the whole stay at the hospital. Your child will be kept in the Post Anesthesia Care Unit for about 1 – 2hours. Once the child becomes conscious, he will be kept under observation in another room. During this time, he will be given some medications through an intravenous line. At the stage where the nursing staff gives oral painkiller medications, your child is also ready to sip liquid foods. The nursing staff will encourage your child to bend up and will take him to walk around the room, soon after the procedure.  This is to help with easy breathing and stimulate blood circulation.

How do you take care of your child after pediatric laparoscopy surgery?

The wound dressing can be removed in 3 – 4 days after surgery, following consultation of the pediatric surgeon. Small strips under the big dressing should be left in their places for about 1 – 2 weeks, and until the surgeon says they can be removed off. Your child can be let to have showers and make sure the incision area is made to dry well. Give your child ample rest for the first week and make sure no heavy lifting, no sports, no bike riding or swimming until he is completely recovered. Be cautious on any unusual symptoms of rare complications and be never late to call the doctor.

Corrective surgeries with no complications for your child is an absolute possibility by consulting the best pediatric laparoscopy surgeon in Delhi. You need not have any hesitance in taking your child for a pediatric laparoscopic surgery in Delhi.

Tags = best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi, best pediatric surgeon in india, pediatric laparoscopic surgeon in delhi, best pediatric laparoscopy surgeon in delhi

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Wilms Tumor

A Wilms’ tumour is a type of kidney cancer that usually affects young children. It is also known as a ‘Nephroblastoma’. Wilm’s tumour is the most common type of kidney cancer in children but is very rare.

The treatment for Wilms’ tumour usually includes surgery and may also include chemotherapy and radiotherapy. The outcome is usually very good and most children diagnosed with Wilms’ tumour will survive long-term.

A Wilm’s tumour is thought to come from very specialised cells that are involved in the development of kidneys. The specialised cells usually develop into normal kidney cells. If something goes wrong and some of the cells stayimmature then they grow out of control and develop into a Wilms’ tumour.

Wilms’ tumours are often divided into two main groups. The cells in each group look very different when looked at under a microscope. The appearance of cells under the microscope is called histology. The two types are:

Wilms’ tumour with favourable histology. Most Wilms’ tumours have favourable histology. This means that the cells have some similar features to normal kidney cells. Wilms’ tumours with favourable histology have an excellent chance of being cured with treatment.

Wilms’ tumour with unfavourable histology. Unfavourable histology means that the cells are completelyabnormal. This is called anaplasia. The cancer is less likely to be cured if there are lots of cells with anaplasia.

Wilms’ tumours usually only affect one kidney (unilateral). However, it can affect both kidneys (bilateral) in about 1 out of every 20 children who are diagnosed with Wilms’ tumour.

In most children, the causes of Wilms’ tumour are unknown. In about 1 in 100 children with Wilms’ tumour, another family member will also have Wilms’ tumour. This is because these children have inherited an abnormal gene from one of their parents. The abnormal gene increases the risk of Wilms’ tumour.

The most common symptom is a swelling in the abdomen which is gradually increasing in size and is felt by the parent one fine day. Other symptoms may include:

Blood in urine.

High temperature (fever).

Loss of appetite with nausea and vomiting.

Loss of weight.

A number investigation are done to diagnose a Wilms’ tumour and also for staging. An  abdominal ultrasound scan is usually the first thing that is done. This is followed by an MRI scan and/or a  CT scan  of the abdomen and chest. These scans help to show exactly where the tumour is and whether it has spread to other parts of the body.Other tests will include blood tests to see how well the kidneys are working (kidney function tests) and to  test for anaemia.

The stage of a cancer is used to describe the size of the cancer and whether it has spread to other parts of the body. This helps in deciding the treatment.

After examining the whole tumour under the microscope, Wilms’ tumours can be divided into a number of risk groups. The treatment following surgery will depend on these risk groups. The three main risk groups are known as low risk, intermediate risk and high risk.

Most Wilms’ tumours are in the ‘intermediate-risk’ group. So-called ‘low-risk’ tumours require less treatment after surgery than intermediate-risk tumours. ‘High-risk’ tumours need more treatment after surgery than ‘intermediate-risk’ tumours. The treatment will depend on a number of factors, including how the cells appear under the microscope (histology) and the stage of the tumour. Treatment usually includes an operation (surgery) and may also include  chemotherapy and radiotherapy.

Surgery

All children with Wilms’ tumour will require surgery. Based on the imaging the surgeon decides for initial surgery or chemotherapy. The aim of surgery is to remove the whole of the tumour with the affected kidney (nephrectomy). However, in case of bilateral tumour or tumour in a solitary kidney, the tumour is removed leaving as much normal healthy kidney as possible.

Chemotherapy

Chemotherapygiven before surgery is known as neoadjuvant chemotherapy and is given to to shrink the size of the tumor and allow for complete surgical removal. Further chemotherapy may be needed after surgery, especially for Intermediate and ‘high-risk’ Wilms’ tumours, this is called adjuvant chemotherapy. Adjuvant chemotherapy helps to reduce the risk of the cancer coming back.

Radiotherapy

Not all children with Wilms’ tumour need radiotherapy. Radiotherapy may occasionally be used to shrink tumours that are too large to remove by surgery. Radiotherapy can also be used when tumours have spread elsewhere in the body.

Follow-up

After treatment for Wilms’ tumour your child will need regular check-ups to look for any return of cancer or for problems following treatment.

Outcome

The outcome for Wilms’ tumour is very good for all children, whatever their tumour stage. With treatment, 9 out of every 10 children diagnosed with Wilms’ tumour survive long-term. Most of the children with cancer that has spread to other parts of the body (metastatic disease) also survive long-term.

When one kidney is removed, the other will be able to work normally and can take over the work of the other kidney. Very few children with Wilms’ tumour have long-term kidney problems.

Tags = best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi, best pediatric surgeon in india,  Wilms Tumor Treatment In India

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Wilms Tumor Treatment In India done by our best pediatric urologist in india

Wilms Tumor

A Wilms’ tumour is a type of kidney cancer that usually affects young children. It is also known as a ‘Nephroblastoma’. Wilm’s tumour is the most common type of kidney cancer in children but is very rare.

The treatment for Wilms’ tumour usually includes surgery and may also include chemotherapy and radiotherapy. The outcome is usually very good and most children diagnosed with Wilms’ tumour will survive long-term.

A Wilm’s tumour is thought to come from very specialised cells that are involved in the development of kidneys. The specialised cells usually develop into normal kidney cells. If something goes wrong and some of the cells stayimmature then they grow out of control and develop into a Wilms’ tumour.

Wilms’ tumours are often divided into two main groups. The cells in each group look very different when looked at under a microscope. The appearance of cells under the microscope is called histology. The two types are:

Wilms’ tumour with favourable histology. Most Wilms’ tumours have favourable histology. This means that the cells have some similar features to normal kidney cells. Wilms’ tumours with favourable histology have an excellent chance of being cured with treatment.

Wilms’ tumour with unfavourable histology. Unfavourable histology means that the cells are completelyabnormal. This is called anaplasia. The cancer is less likely to be cured if there are lots of cells with anaplasia.

Wilms’ tumours usually only affect one kidney (unilateral). However, it can affect both kidneys (bilateral) in about 1 out of every 20 children who are diagnosed with Wilms’ tumour.

In most children, the causes of Wilms’ tumour are unknown. In about 1 in 100 children with Wilms’ tumour, another family member will also have Wilms’ tumour. This is because these children have inherited an abnormal gene from one of their parents. The abnormal gene increases the risk of Wilms’ tumour.

The most common symptom is a swelling in the abdomen which is gradually increasing in size and is felt by the parent one fine day. Other symptoms may include:

Blood in urine.

High temperature (fever).

Loss of appetite with nausea and vomiting.

Loss of weight.

A number investigation are done to diagnose a Wilms’ tumour and also for staging. An  abdominal ultrasound scan is usually the first thing that is done. This is followed by an MRI scan and/or a  CT scan  of the abdomen and chest. These scans help to show exactly where the tumour is and whether it has spread to other parts of the body.Other tests will include blood tests to see how well the kidneys are working (kidney function tests) and to  test for anaemia.

The stage of a cancer is used to describe the size of the cancer and whether it has spread to other parts of the body. This helps in deciding the treatment.

After examining the whole tumour under the microscope, Wilms’ tumours can be divided into a number of risk groups. The treatment following surgery will depend on these risk groups. The three main risk groups are known as low risk, intermediate risk and high risk.

Most Wilms’ tumours are in the ‘intermediate-risk’ group. So-called ‘low-risk’ tumours require less treatment after surgery than intermediate-risk tumours. ‘High-risk’ tumours need more treatment after surgery than ‘intermediate-risk’ tumours. The treatment will depend on a number of factors, including how the cells appear under the microscope (histology) and the stage of the tumour. Treatment usually includes an operation (surgery) and may also include  chemotherapy and radiotherapy.

Surgery

All children with Wilms’ tumour will require surgery. Based on the imaging the surgeon decides for initial surgery or chemotherapy. The aim of surgery is to remove the whole of the tumour with the affected kidney (nephrectomy). However, in case of bilateral tumour or tumour in a solitary kidney, the tumour is removed leaving as much normal healthy kidney as possible.

Chemotherapy

Chemotherapygiven before surgery is known as neoadjuvant chemotherapy and is given to to shrink the size of the tumor and allow for complete surgical removal. Further chemotherapy may be needed after surgery, especially for Intermediate and ‘high-risk’ Wilms’ tumours, this is called adjuvant chemotherapy. Adjuvant chemotherapy helps to reduce the risk of the cancer coming back.

Radiotherapy

Not all children with Wilms’ tumour need radiotherapy. Radiotherapy may occasionally be used to shrink tumours that are too large to remove by surgery. Radiotherapy can also be used when tumours have spread elsewhere in the body.

Follow-up

After treatment for Wilms’ tumour your child will need regular check-ups to look for any return of cancer or for problems following treatment.

Outcome

The outcome for Wilms’ tumour is very good for all children, whatever their tumour stage. With treatment, 9 out of every 10 children diagnosed with Wilms’ tumour survive long-term. Most of the children with cancer that has spread to other parts of the body (metastatic disease) also survive long-term.

When one kidney is removed, the other will be able to work normally and can take over the work of the other kidney. Very few children with Wilms’ tumour have long-term kidney problems.

Tags = best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi, best pediatric surgeon in india,  Wilms Tumor Treatment In India

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What is hypospadias?

Hypospadias is a birth defect in boys in which the opening of the urethra is not located at the tip of the penis. In boys with hypospadias, the urethra forms abnormally during 8-14 weeks of pregnancy. The abnormal opening can be anywhere, from just below the end of the penis to the scrotum. Depending on the site of the opening they are classified as distal (minor type)and proximal (major type).

Types of Hypospadias:

The types of hypospadias a boys has depends on location of the opening of the urethra:

Subcoronal: The opening of the urethra is located somewhere near the head of the penis.

Midshaft: The opening of the urethra is located along the shaft of the penis.

Penoscrotal: The opening of the urethra is located where the penis and scrotum meet.  

Understanding the normal penis and urethra

The normal urethra is a tube through which that urine flows out of the bladder. It passes through the penis. The opening of the urethra (meatus) is normally at the end of the penis, partly covered by the foreskin.

What is the penis like in hypospadias?

The main problem is that the urethra opens on the underside of the penis instead of at the end of the penis. The opening can be anywhere from just below the normal position (mild) to as far back as the base of the scrotum (severe).

Hypospadias may also include the following:

A hooded appearance of the foreskin. This is because the foreskin does not develop on the underside of the penis.

Tightening of the tissues on the underside of the penis (called ‘chordee’). This pulls the penis down and it cannot fully straighten. This is commanly seen in severe hypospedias

What problems can hypospadias cause?

Problems are likely to occur if hypospadias is left untreated. The further back the opening of the urethra is, the more severe the problems are likely to be.

Passing urine is different to normal. A baby in nappies will have no problem. However, when older, the urine stream may not be able to be directed forward into a urinal. When going to the toilet the urine is likely to ‘spray’ backwards. Sitting on a toilet may be needed to pass urine without mess.

Chordee causes bending of the penis. This is more noticeable when the penis is erect. Sexual intercourse may be difficult or impossible in severe cases.

Psychological problems about being ‘different’ to normal are common.

How common is hypospadias and what causes it?

About 1 in 300 boys are born with some degree of hypospadias. It seems to be getting more common. The reason why the penis does not develop properly is still not clear. The development of the penis while the baby is growing in the womb (uterus) is partly dependent on the male sex hormones such as testosterone.

What is the treatment for hypospadias?

If the hypospadias is mild, with the opening of the urethra just a little down from normal and with no bending of the penis, no treatment may be needed. However, in most cases an operation is required to correct the hypospadias. This can usually be done in one operation. However, if the hypospadias is more complicated, two operations may be necessary. The operation is usually done when the child is around 6-18 months old. The goals of treatment are:

For urine to be passed in a forward way.

For the penis to be straight when erect.

For the penis to look as normal as possible.

The position of the opening of the urethra is altered. Also, if chordee is present then this is corrected to allow the penis to straighten. The foreskin is usually used during the operation to make the new urethra so it is important that a circumcision is not done before the corrective surgery is performed.depanding on the surgery of hypospedias surgeryes

The success of the operation and the ‘normality’ that can be achieved depends on the severity of the hypospadias done in single as two stage

What happens after the operation?

Your son will be brought back to the ward to recover. He will be able to eat and drink after 3 hours He will have a dressing on his penis and a tube draining away the urine. The patients are usually kept for 2 days in the hosptial and then discharged. The dressing and tube need to stay in place for 10 days, then you will need to come back to the Hospital to have them removed.

What are the risks of hypospadias repair?

All surgery carries a small risk of bleeding during or after the operation.

For about one in ten boys, the original hole opens up again, so that your son passes urine through two holes. This can occur at any time after the operation. If this happens, your son will need the operation again. Occasionally, the new hole at the tip of the penis is too small, so your son will need another operation to make the hole larger. The drainage tube can irritate the inside of the bladder, which is painful. This is called ‘bladder spasm’. To reduce this, your son will be given ‘bladder spasm medicine’ as well as pain relief.

When you get home

Your son will go home with the catheter and dressing in place. Staff on the ward will give you full details of how to care for these at home.

You should encourage, to drink plenty of water/fluids.

Your child may need some pain relief when you get home.

You should not have a bath or shower until after the dressing comes off.

Putting your son in two nappies at a time can protect the area from accidental knocks.

Your son should not ride a bicycle or any sit-on toy until the area has healed.

Try to avoid getting the dressing dirty when nappy changing. If this happens, dab any faeces off with a damp cloth.

As there is a small risk of infection, your son will need to take antibiotics until he returns for his outpatient appointment.

Post Op Teaching

Case of cethetea

How to empty urine bag

How to avoid kinking, twisting, blockage of catheter or stent

May empty straight into nappy

How to tape drainage bag to leg allowing a child to be mobile

Never clamp off catheter

Child encouraged to increase fluid intake

Twice daily sponging recommended and loose clothing

No outdoor activity

You should contect:

your child is in a lot of pain and pain relief does not seem to help

there is any oozing from the wound

the dressing falls off/becomes wet

the tube stops or reduces the amount of urine draining from it or the tube falls out

What happens next?

You will be called for dressing as per instructions given in discharge summary. This can be painful, so before hand make sure that your son has the maximum dose of pain relief possible but no bladder spasm medicine. When the dressing has been removed, the penis will look red and swollen. This is normal and will settle down within a few days.

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Hypospadias surgery in delhi

What is hypospadias?

Hypospadias is a birth defect in boys in which the opening of the urethra is not located at the tip of the penis. In boys with hypospadias, the urethra forms abnormally during 8-14 weeks of pregnancy. The abnormal opening can be anywhere, from just below the end of the penis to the scrotum. Depending on the site of the opening they are classified as distal (minor type)and proximal (major type).

Types of Hypospadias:

The types of hypospadias a boys has depends on location of the opening of the urethra:

Subcoronal: The opening of the urethra is located somewhere near the head of the penis.

Midshaft: The opening of the urethra is located along the shaft of the penis.

Penoscrotal: The opening of the urethra is located where the penis and scrotum meet.  

Understanding the normal penis and urethra

The normal urethra is a tube through which that urine flows out of the bladder. It passes through the penis. The opening of the urethra (meatus) is normally at the end of the penis, partly covered by the foreskin.

What is the penis like in hypospadias?

The main problem is that the urethra opens on the underside of the penis instead of at the end of the penis. The opening can be anywhere from just below the normal position (mild) to as far back as the base of the scrotum (severe).

Hypospadias may also include the following:

A hooded appearance of the foreskin. This is because the foreskin does not develop on the underside of the penis.

Tightening of the tissues on the underside of the penis (called ‘chordee’). This pulls the penis down and it cannot fully straighten. This is commanly seen in severe hypospedias

What problems can hypospadias cause?

Problems are likely to occur if hypospadias is left untreated. The further back the opening of the urethra is, the more severe the problems are likely to be.

Passing urine is different to normal. A baby in nappies will have no problem. However, when older, the urine stream may not be able to be directed forward into a urinal. When going to the toilet the urine is likely to ‘spray’ backwards. Sitting on a toilet may be needed to pass urine without mess.

Chordee causes bending of the penis. This is more noticeable when the penis is erect. Sexual intercourse may be difficult or impossible in severe cases.

Psychological problems about being ‘different’ to normal are common.

How common is hypospadias and what causes it?

About 1 in 300 boys are born with some degree of hypospadias. It seems to be getting more common. The reason why the penis does not develop properly is still not clear. The development of the penis while the baby is growing in the womb (uterus) is partly dependent on the male sex hormones such as testosterone.

What is the treatment for hypospadias?

If the hypospadias is mild, with the opening of the urethra just a little down from normal and with no bending of the penis, no treatment may be needed. However, in most cases an operation is required to correct the hypospadias. This can usually be done in one operation. However, if the hypospadias is more complicated, two operations may be necessary. The operation is usually done when the child is around 6-18 months old. The goals of treatment are:

For urine to be passed in a forward way.

For the penis to be straight when erect.

For the penis to look as normal as possible.

The position of the opening of the urethra is altered. Also, if chordee is present then this is corrected to allow the penis to straighten. The foreskin is usually used during the operation to make the new urethra so it is important that a circumcision is not done before the corrective surgery is performed.depanding on the surgery of hypospedias surgeryes

The success of the operation and the ‘normality’ that can be achieved depends on the severity of the hypospadias done in single as two stage

What happens after the operation?

Your son will be brought back to the ward to recover. He will be able to eat and drink after 3 hours He will have a dressing on his penis and a tube draining away the urine. The patients are usually kept for 2 days in the hosptial and then discharged. The dressing and tube need to stay in place for 10 days, then you will need to come back to the Hospital to have them removed.

What are the risks of hypospadias repair?

All surgery carries a small risk of bleeding during or after the operation.

For about one in ten boys, the original hole opens up again, so that your son passes urine through two holes. This can occur at any time after the operation. If this happens, your son will need the operation again. Occasionally, the new hole at the tip of the penis is too small, so your son will need another operation to make the hole larger. The drainage tube can irritate the inside of the bladder, which is painful. This is called ‘bladder spasm’. To reduce this, your son will be given ‘bladder spasm medicine’ as well as pain relief.

When you get home

Your son will go home with the catheter and dressing in place. Staff on the ward will give you full details of how to care for these at home.

You should encourage, to drink plenty of water/fluids.

Your child may need some pain relief when you get home.

You should not have a bath or shower until after the dressing comes off.

Putting your son in two nappies at a time can protect the area from accidental knocks.

Your son should not ride a bicycle or any sit-on toy until the area has healed.

Try to avoid getting the dressing dirty when nappy changing. If this happens, dab any faeces off with a damp cloth.

As there is a small risk of infection, your son will need to take antibiotics until he returns for his outpatient appointment.

Post Op Teaching

Case of cethetea

How to empty urine bag

How to avoid kinking, twisting, blockage of catheter or stent

May empty straight into nappy

How to tape drainage bag to leg allowing a child to be mobile

Never clamp off catheter

Child encouraged to increase fluid intake

Twice daily sponging recommended and loose clothing

No outdoor activity

You should contect:

your child is in a lot of pain and pain relief does not seem to help

there is any oozing from the wound

the dressing falls off/becomes wet

the tube stops or reduces the amount of urine draining from it or the tube falls out

What happens next?

You will be called for dressing as per instructions given in discharge summary. This can be painful, so before hand make sure that your son has the maximum dose of pain relief possible but no bladder spasm medicine. When the dressing has been removed, the penis will look red and swollen. This is normal and will settle down within a few days.

Tags = hypospadias surgery in delhi, best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi, best pediatric surgeon in india

[best-pediatric-surgeon-in-india]

Pediatric Laparoscopy Surgery

Surgeries are scary, and when it is for your child it is the scariest! You would be terrified to make your mind to take your child to a surgery, preparing for the hospital stay and going through the child recovery process. The happy news is that, there are minimally invasive approaches to treat children with surgical conditions.

Pediatric Laparoscopic surgeries are performed by makings small incisions in your child’s skin, through which the surgeon inserts small tubes with a tiny telescope to see inside and then special instruments to operate on the child.

Pediatric laparoscopic surgery in Delhi

It would be your wisest decision choosing to do a pediatric laparoscopy surgery for your child in Delhi. The best pediatric laparoscopy surgeon in Delhi has the specialised expertise to diagnose, treat and administer your child’s surgical conditions. He has the experience in handling the children patiently and in treating the child after a thorough examination and precise diagnosis. He also uses state-of-the-art facilities and specialised equipment. Your child is treated in a very comfortable and fearless environment by the best pediatric laparoscopy surgeon in Delhi.

Conditions treated by the best pediatric laparoscopy surgeon in Delhi

Advanced medical technology allows many of the surgical conditions to be performed through minimally invasive laparoscopic techniques. Below are few conditions treated laparoscopically –

Treatment of a blocked kidney

Ureteral re-implant to treat vesicoureteral reflux or a blocked ureter

Treatment of an ectopic ureter or a ureterocele

Treatment of an infected belly button

Removal of a bladder diverticulum (pocket in the bladder)

Removal of a nonfunctioning kidney

Treatment of an undescended testicle

Treatment of a swollen vessels in the scrotum

The procedure

The pediatric laparoscopic surgical procedure is performed under general anaesthesia. 3 – 5 small incisions are made in the abdomen, depending on the condition to be treated – close to the belly button, either side of the belly and below or above the belly button. Hollow tubes (cannulas) are inserted into the incisions to operate on the child. Initially, carbon dioxide is filled inside the abdomen to make enough space for the surgeon to operate. A tiny telescope (laparoscope) is inserted through one of the tubes, which shows your child’s inside organs on a television screen in the theater. The surgeon inserts special instruments through other tubes at the other sites to perform the surgery. Give your child in the hands of the best pediatric laparoscopy surgeon in Delhi, and you would have no fear and no worries.

The benefits of pediatric laparoscopic surgery for your child

Pediatric laparoscopic surgeries performed by the best pediatric laparoscopy surgeon in Delhi is completely safe for your child. This technique has many advantages over the traditional open surgery.

There is no big cuts or big scars as the procedure is done through small incisions

This is a painless procedure as there is no big cuts

The healing of small incisions is faster than bigger cuts

No complications of incision healings

Quicker recovery and your child returns to his normalcy much faster

Less costly

Aftercare at the hospital

The aftercare given by the best pediatric laparoscopy surgeon in Delhi is commendable. It is accompanied with a family-centered care that ensures the parents are always connected with their babies during the whole stay at the hospital. Your child will be kept in the Post Anesthesia Care Unit for about 1 – 2hours. Once the child becomes conscious, he will be kept under observation in another room. During this time, he will be given some medications through an intravenous line. At the stage where the nursing staff gives oral painkiller medications, your child is also ready to sip liquid foods. The nursing staff will encourage your child to bend up and will take him to walk around the room, soon after the procedure.  This is to help with easy breathing and stimulate blood circulation.

How do you take care of your child after pediatric laparoscopy surgery?

The wound dressing can be removed in 3 – 4 days after surgery, following consultation of the pediatric surgeon. Small strips under the big dressing should be left in their places for about 1 – 2 weeks, and until the surgeon says they can be removed off. Your child can be let to have showers and make sure the incision area is made to dry well. Give your child ample rest for the first week and make sure no heavy lifting, no sports, no bike riding or swimming until he is completely recovered. Be cautious on any unusual symptoms of rare complications and be never late to call the doctor.

Corrective surgeries with no complications for your child is an absolute possibility by consulting the best pediatric laparoscopy surgeon in Delhi. You need not have any hesitance in taking your child for a pediatric laparoscopic surgery in Delhi.

Tags = best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi, hypospadias surgery in delhi

[best-pediatric-surgeon-in-india]

Conditions treated by the best pediatric laparoscopy surgeon in Delhi

Pediatric Laparoscopy Surgery

Surgeries are scary, and when it is for your child it is the scariest! You would be terrified to make your mind to take your child to a surgery, preparing for the hospital stay and going through the child recovery process. The happy news is that, there are minimally invasive approaches to treat children with surgical conditions.

Pediatric Laparoscopic surgeries are performed by makings small incisions in your child’s skin, through which the surgeon inserts small tubes with a tiny telescope to see inside and then special instruments to operate on the child.

Pediatric laparoscopic surgery in Delhi

It would be your wisest decision choosing to do a pediatric laparoscopy surgery for your child in Delhi. The best pediatric laparoscopy surgeon in Delhi has the specialised expertise to diagnose, treat and administer your child’s surgical conditions. He has the experience in handling the children patiently and in treating the child after a thorough examination and precise diagnosis. He also uses state-of-the-art facilities and specialised equipment. Your child is treated in a very comfortable and fearless environment by the best pediatric laparoscopy surgeon in Delhi.

Conditions treated by the best pediatric laparoscopy surgeon in Delhi

Advanced medical technology allows many of the surgical conditions to be performed through minimally invasive laparoscopic techniques. Below are few conditions treated laparoscopically –

Treatment of a blocked kidney

Ureteral re-implant to treat vesicoureteral reflux or a blocked ureter

Treatment of an ectopic ureter or a ureterocele

Treatment of an infected belly button

Removal of a bladder diverticulum (pocket in the bladder)

Removal of a nonfunctioning kidney

Treatment of an undescended testicle

Treatment of a swollen vessels in the scrotum

The procedure

The pediatric laparoscopic surgical procedure is performed under general anaesthesia. 3 – 5 small incisions are made in the abdomen, depending on the condition to be treated – close to the belly button, either side of the belly and below or above the belly button. Hollow tubes (cannulas) are inserted into the incisions to operate on the child. Initially, carbon dioxide is filled inside the abdomen to make enough space for the surgeon to operate. A tiny telescope (laparoscope) is inserted through one of the tubes, which shows your child’s inside organs on a television screen in the theater. The surgeon inserts special instruments through other tubes at the other sites to perform the surgery. Give your child in the hands of the best pediatric laparoscopy surgeon in Delhi, and you would have no fear and no worries.

The benefits of pediatric laparoscopic surgery for your child

Pediatric laparoscopic surgeries performed by the best pediatric laparoscopy surgeon in Delhi is completely safe for your child. This technique has many advantages over the traditional open surgery.

There is no big cuts or big scars as the procedure is done through small incisions

This is a painless procedure as there is no big cuts

The healing of small incisions is faster than bigger cuts

No complications of incision healings

Quicker recovery and your child returns to his normalcy much faster

Less costly

Aftercare at the hospital

The aftercare given by the best pediatric laparoscopy surgeon in Delhi is commendable. It is accompanied with a family-centered care that ensures the parents are always connected with their babies during the whole stay at the hospital. Your child will be kept in the Post Anesthesia Care Unit for about 1 – 2hours. Once the child becomes conscious, he will be kept under observation in another room. During this time, he will be given some medications through an intravenous line. At the stage where the nursing staff gives oral painkiller medications, your child is also ready to sip liquid foods. The nursing staff will encourage your child to bend up and will take him to walk around the room, soon after the procedure.  This is to help with easy breathing and stimulate blood circulation.

How do you take care of your child after pediatric laparoscopy surgery?

The wound dressing can be removed in 3 – 4 days after surgery, following consultation of the pediatric surgeon. Small strips under the big dressing should be left in their places for about 1 – 2 weeks, and until the surgeon says they can be removed off. Your child can be let to have showers and make sure the incision area is made to dry well. Give your child ample rest for the first week and make sure no heavy lifting, no sports, no bike riding or swimming until he is completely recovered. Be cautious on any unusual symptoms of rare complications and be never late to call the doctor.

Corrective surgeries with no complications for your child is an absolute possibility by consulting the best pediatric laparoscopy surgeon in Delhi. You need not have any hesitance in taking your child for a pediatric laparoscopic surgery in Delhi.

Tags = best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi, hypospadias surgery in delhi

[best-pediatric-surgeon-in-india]

Pediatric Urology

Congenital defects and diseases in the urinary tract or genitals of your child has to be identified early and rectified sooner. Unattended conditions put your child into various complications for rest of their life. The urinary tract includes the kidneys, ureters, and the bladder while the genital system includes the reproductive organs.  Many of these conditions can now be diagnosed during antenatal period and this permits to properly counsel the parents regarding the natural course of the problem, management and finances involved. Also most of these conditions can be treated by using various endoscopic techniques avoiding any large morbid incisions of open surgery. Consultation of a pediatric urologist becomes essential when you notice any abnormalities in your child’s organs and system.

Best pediatric urologist in India

Pediatric urologists are the specialised experts who can diagnose, treat and administer your child related urinary and genital conditions. You may find the best solution for your child’s problem through the best pediatric urologist in India.

Finding out the real problem in your child is not always easy. Children cannot exactly indicate what is troubling them. They do not know to answer medical questions correctly, and they are not at all cooperative during medical tests. The best pediatric urologist in India has the experience in handling the children patiently and in treating the children after a thorough examination and precise diagnosis. He also uses state-of-the-art facilities and specialised equipment. Your child is treated in a very comfortable and fearless environment by the best pediatric urologist in India.

Conditions requiring treatment

The pediatric urologist would diagnose as your childis affected by one of the below conditions, although this list is not exhaustive –

Hypospadias: This is a congenital condition, where the urinary opening (urethra) is on the underside of the penis instead of being at the tip.

Epispadias: This is a congenital condition, where the urinatory opening (urethra) is on the top of the penis instead of being at the tip. In girls, the urinatory opening is towards the clitoris or even belly area.

Chordee: This is also a congenital condition, where the penis usually curves downwards. This could also be accompanied by Hypospadias.

Undescended Testis: this is a condition in which the testis does not descend down to there normal position in scrotal sacs.

Vesicoureteral reflux: This is an abnormality of urinatory function where flow of urine from the bladder reverts to the ureters (tubes which connect kidneys and bladder).

Pelvi-Ureteric Junction Obstruction:  This is a blockage between the kidney pelvis and draining pipe(ureter) which can affect the kidney functions.

Posterior Urethral Valve: This is condition in which a valve in the urinary passage obstructs the urinary flow.

Balanoposthitis: This is the inflammation in both the penis head and the foreskin, caused by yeast or fungal infections or any other reasons.

Renal and Adrenal tumor: Wilms tumor and Neuroblastoma

Symptoms requiring pediatric urologist’s consultation

Some of the abnormalities are thoroughly visible, whereas many of the symptoms need to be observed in your child during his normal course of a day. Below are few symptoms you need to know –

Urinary opening located not at the right spot

Abnormalities in the shape of genitals

Unusual skin tethering

Poor urinary stream

Persistent urge to urinate

Passing urine frequently in small amounts

Complaining of pain or burning sensation during urinating

Hesitancy to urinate

Blood in urine

Cloudy or strong-smelling urine

Lump or pain in abdomen

Complications of ignoring the symptoms

Repercussions of postponing the doctor appointments are serious than you think. Children tend to indicate their problems, only if it is impossible to bear up the pain any more. As responsible parents, we need to be vigilant and wise enough to spot the doubtful symptoms. Complications of ignoring the symptoms are unimaginable. This includes –

Abnormal curvature of the penis

Problems in learning to use toilets

Possibility to develop pyelonephritis during pregnancy of a girl child once grown up

Kidney scarring or failure

Hypertension or blood pressure

What types of treatments are given by the best pediatric urologist in Delhi?

Diagnosis and treatment of conditions that require a surgery

Surgical reconstruction of the urinary tract and genital abnormalities

Diagnosis and treatment of kidney stone disease

Surgical administration of tumors and problems of the bladder, kidney and testis

Evaluation and treatment of urological tract conditions diagnosed before birth

Things to do before consulting the best pediatric urologist in Delhi

Precise diagnosis and effective treatment depends on your commitment and choice of the best pediatric urologist. Before making the appointment, here are the things to do –

Note down all the signs and symptoms of your child that you doubt necessitating treatment

Get your child’s medical history on other health problems and recent reports

Think of your family’s medical history that you feel the child could have inherited

Doctor prescriptions of any medications that your child is taking

Quick questions and clarifications to know from your doctor

Our doctors are committed to give the best treatment that your child require. It is your responsibility to make an urgent appointment with a consultant, once you notice any symptoms of genitals or urinary tract disorders in your child. Be sure your child is taken to the best pediatric urologist in India, who possess the greatest expertise, comprehensive training and extensive experience treating children.

Tags: best pediatric urologist, best pediatric urologist in Delhi, Best pediatric urologist in India, Epispadias, Hypospadias, Posterior Urethral Valve, Vesicoureteral Reflux

[best-pediatric-surgeon-in-india]

Best pediatric urologist in India, best pediatric urologist in delhi

Pediatric Urology

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Pediatric UrologyPediatric Urology

Congenital defects and diseases in the urinary tract or genitals of your child has to be identified early and rectified sooner. Unattended conditions put your child into various complications for rest of their life. The urinary tract includes the kidneys, ureters, and the bladder while the genital system includes the reproductive organs.  Many of these conditions can now be diagnosed during antenatal period and this permits to properly counsel the parents regarding the natural course of the problem, management and finances involved. Also most of these conditions can be treated by using various endoscopic techniques avoiding any large morbid incisions of open surgery. Consultation of a pediatric urologist becomes essential when you notice any abnormalities in your child’s organs and system.

Best pediatric urologist in India

Pediatric urologists are the specialised experts who can diagnose, treat and administer your child related urinary and genital conditions. You may find the best solution for your child’s problem through the best pediatric urologist in India.

Finding out the real problem in your child is not always easy. Children cannot exactly indicate what is troubling them. They do not know to answer medical questions correctly, and they are not at all cooperative during medical tests. The best pediatric urologist in India has the experience in handling the children patiently and in treating the children after a thorough examination and precise diagnosis. He also uses state-of-the-art facilities and specialised equipment. Your child is treated in a very comfortable and fearless environment by the best pediatric urologist in India.

Conditions requiring treatment

The pediatric urologist would diagnose as your childis affected by one of the below conditions, although this list is not exhaustive –

Hypospadias: This is a congenital condition, where the urinary opening (urethra) is on the underside of the penis instead of being at the tip.

Epispadias: This is a congenital condition, where the urinatory opening (urethra) is on the top of the penis instead of being at the tip. In girls, the urinatory opening is towards the clitoris or even belly area.

Chordee: This is also a congenital condition, where the penis usually curves downwards. This could also be accompanied by Hypospadias.

Undescended Testis: this is a condition in which the testis does not descend down to there normal position in scrotal sacs.

Vesicoureteral reflux: This is an abnormality of urinatory function where flow of urine from the bladder reverts to the ureters (tubes which connect kidneys and bladder).

Pelvi-Ureteric Junction Obstruction:  This is a blockage between the kidney pelvis and draining pipe(ureter) which can affect the kidney functions.

Posterior Urethral Valve: This is condition in which a valve in the urinary passage obstructs the urinary flow.

Balanoposthitis: This is the inflammation in both the penis head and the foreskin, caused by yeast or fungal infections or any other reasons.

Renal and Adrenal tumor: Wilms tumor and Neuroblastoma

Symptoms requiring pediatric urologist’s consultation

Some of the abnormalities are thoroughly visible, whereas many of the symptoms need to be observed in your child during his normal course of a day. Below are few symptoms you need to know –

Urinary opening located not at the right spot

Abnormalities in the shape of genitals

Unusual skin tethering

Poor urinary stream

Persistent urge to urinate

Passing urine frequently in small amounts

Complaining of pain or burning sensation during urinating

Hesitancy to urinate

Blood in urine

Cloudy or strong-smelling urine

Lump or pain in abdomen

Complications of ignoring the symptoms

Repercussions of postponing the doctor appointments are serious than you think. Children tend to indicate their problems, only if it is impossible to bear up the pain any more. As responsible parents, we need to be vigilant and wise enough to spot the doubtful symptoms. Complications of ignoring the symptoms are unimaginable. This includes –

Abnormal curvature of the penis

Problems in learning to use toilets

Possibility to develop pyelonephritis during pregnancy of a girl child once grown up

Kidney scarring or failure

Hypertension or blood pressure

What types of treatments are given by the best pediatric urologist in Delhi?

Diagnosis and treatment of conditions that require a surgery

Surgical reconstruction of the urinary tract and genital abnormalities

Diagnosis and treatment of kidney stone disease

Surgical administration of tumors and problems of the bladder, kidney and testis

Evaluation and treatment of urological tract conditions diagnosed before birth

Things to do before consulting the best pediatric urologist in Delhi

Precise diagnosis and effective treatment depends on your commitment and choice of the best pediatric urologist. Before making the appointment, here are the things to do –

Note down all the signs and symptoms of your child that you doubt necessitating treatment

Get your child’s medical history on other health problems and recent reports

Think of your family’s medical history that you feel the child could have inherited

Doctor prescriptions of any medications that your child is taking

Quick questions and clarifications to know from your doctor

Our doctors are committed to give the best treatment that your child require. It is your responsibility to make an urgent appointment with a consultant, once you notice any symptoms of genitals or urinary tract disorders in your child. Be sure your child is taken to the best pediatric urologist in India, who possess the greatest expertise, comprehensive training and extensive experience treating children.

Tags: best pediatric urologist, best pediatric urologist in Delhi, Best pediatric urologist in India, Epispadias, Hypospadias, Posterior Urethral Valve, Vesicoureteral Reflux

[best-pediatric-surgeon-in-india]

Pediatric urologists treat various Genito-urinary disorders in children

Pediatric Urology

What Is Pediatric Urology?

Children frequently suffer from Genito-urinary disorders. Infants are not able to comprehensively express the discomfort due to these disorders. In such a scenario, a trained and experienced pediatric urologist is required. Pediatric urologists are the doctors that diagnose and treat various Genito-urinary disorders in children.

The genito-urinary system includes ureter, kidney, bladder, and reproductive organs. It has been estimated that of all the disorders requiring surgery in children, almost 50% of them are associated with the Genito-urinary system. These disorders may include both congenital as well as acquired. A pediatric urologist is an expert in handling the simple as well as complex cases of the Genito-urinary tract in infants and children.

How Pediatric Urology Is Different From Adult Urology?

Pediatric urology is quite different from adult urology. The symptoms of pediatric disorders are different from those of adult urology. Most of the urological disorders are congenital disorders and requires altogether a different treatment approach. Most of these problems can be managed with close observation and may not require any intervention. Pediatric surgeons are now well-equipped to precisely diagnose and manage various conditions without any surgery. Minimally invasive surgery also plays an important role in minimizing complications.

What Are The Various Pediatric Disorders?

Following are the various pediatric urological conditions:

Hypospadias : Hypospadias is the condition in which the opening of the urethra is not present on the tip of the penis. It is rather present on the underside of the penis.

Undescended testicles: Medically known as cryptorchidism, it is the condition in which either one or both the testicles failed to descend.

Vesicoureteral reflux: This condition involves the flowing of urine in the wrong direction.

Bladder exstrophy: When the bladder protrudes outside the abdominal wall, the condition is termed as bladder exstrophy.

Pelvic-ureteric junction obstruction: This condition is characterized by impairment in the flow of urine at the junction of pelvis and ureter.

Epispadias: When the urethra opens on the upper side of the penis, the condition is termed as epispadias.

Other conditions: Various other pediatric urological conditions include Testicular torsion, Ureterocoele, Horseshoe kidney, Duplex kidney, Ectopic ureters, and Absent kidney or renal agenesis.

What Are The General Symptoms Of Pediatric Disorders?

Symptoms of pediatric disorders are presented based on the type of Genito-urinary disorder. However, common symptoms include:

Painful urination

Fever

Blood in urine

Thin urine stream

Abdominal pain

Swelling in testis

Urinary tract infection which may frequently recur

Pus in urine

Increased urine frequency.

Tags: best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi, best pediatric surgeon in india

[best-pediatric-surgeon-in-india]

Pediatric urologists treat various Genito-urinary disorders in children

Pediatric Urology

What Is Pediatric Urology?

Children frequently suffer from Genito-urinary disorders. Infants are not able to comprehensively express the discomfort due to these disorders. In such a scenario, a trained and experienced pediatric urologist is required. Pediatric urologists are the doctors that diagnose and treat various Genito-urinary disorders in children.

The genito-urinary system includes ureter, kidney, bladder, and reproductive organs. It has been estimated that of all the disorders requiring surgery in children, almost 50% of them are associated with the Genito-urinary system. These disorders may include both congenital as well as acquired. A pediatric urologist is an expert in handling the simple as well as complex cases of the Genito-urinary tract in infants and children.

How Pediatric Urology Is Different From Adult Urology?

Pediatric urology is quite different from adult urology. The symptoms of pediatric disorders are different from those of adult urology. Most of the urological disorders are congenital disorders and requires altogether a different treatment approach. Most of these problems can be managed with close observation and may not require any intervention. Pediatric surgeons are now well-equipped to precisely diagnose and manage various conditions without any surgery. Minimally invasive surgery also plays an important role in minimizing complications.

What Are The Various Pediatric Disorders?

Following are the various pediatric urological conditions:

Hypospadias : Hypospadias is the condition in which the opening of the urethra is not present on the tip of the penis. It is rather present on the underside of the penis.

Undescended testicles: Medically known as cryptorchidism, it is the condition in which either one or both the testicles failed to descend.

Vesicoureteral reflux: This condition involves the flowing of urine in the wrong direction.

Bladder exstrophy: When the bladder protrudes outside the abdominal wall, the condition is termed as bladder exstrophy.

Pelvic-ureteric junction obstruction: This condition is characterized by impairment in the flow of urine at the junction of pelvis and ureter.

Epispadias: When the urethra opens on the upper side of the penis, the condition is termed as epispadias.

Other conditions: Various other pediatric urological conditions include Testicular torsion, Ureterocoele, Horseshoe kidney, Duplex kidney, Ectopic ureters, and Absent kidney or renal agenesis.

What Are The General Symptoms Of Pediatric Disorders?

Symptoms of pediatric disorders are presented based on the type of Genito-urinary disorder. However, common symptoms include:

Painful urination

Fever

Blood in urine

Thin urine stream

Abdominal pain

Swelling in testis

Urinary tract infection which may frequently recur

Pus in urine

Increased urine frequency.

Tags: best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi, best pediatric surgeon in india

[best-pediatric-surgeon-in-india]

Pediatric Surgery: Choosing Your Pediatric Surgeon

Introduction

For parents, children are the most valuable assets. They leave no stones unturned to provide them with necessities and facilities. They make no compromise to their child’s health and provide with them the best healthcare facilities. They search for the best pediatric doctor and pediatric surgeon in India to restore their child’s health.

When You Require A Pediatric Surgeon?

Various diseases in children require surgery. The pediatric surgeon performs surgery in children. The pediatric surgeon generally treats infants, neonatal and adolescent patients. General surgeons can perform surgery on both the child and the adults. However, pediatric surgeons are believed to have more skills while handling, listening, diagnosis, and treating a child patient. They are more experienced in handling the child both psychologically, physically, and emotionally.

What Is The Function Of Pediatric Surgeon?

Many children have congenital disorders. They are not able to live a healthy life until those disorders are effectively treated. Some of the diseases are even life-threatening. A pediatric surgeon is an expert in handling diseases, either congenital or acquired, in children. Following are the functions performed by the pediatric surgeon:

Diagnosis: Diagnosis of the disease is the first step towards treatment. With a proper diagnosis, the pediatrician would be able to start appropriate treatment.

Non-surgical treatment: After the diagnosis is done, the pediatric surgeon may prescribe certain medications that may either help reduce the symptoms or treat the disease or may reduce the symptoms and treat the condition.

Surgical Interventions: If the non-surgical interventions are not able to provide adequate relief, a pediatric surgeon may advise surgical interventions and also perform the surgery.

Post-operative care: After the surgery is completed, post-operative care and monitoring are also done by a pediatric surgeon.

What Are The Diseases In Which Surgery May Be Required In Children?

Diseases that require surgery in children are:

Abdominal Cyst: Abdominal cyst is a condition characterized by presence of abnormal mass inside the abdomen. In some cases, the cyst does not cause any problem. However, in other cases it may lead to complications. Although largely asymptomatic, obstruction in the abdomen, internal bleeding and pain may occur in some patients.

Hirschsprung disease: Hirschsprung disease is present in the child by birth. In this disease, the nerve cells in the large intestine are absent. The condition leads to functional obstruction in bowel movement.

Gallstones: Gallstones are formed due to supersaturation of bile. The most common form of gallstones present in children are pigment gallstones. The are found in children with hemolytic disorders. Also cholesterol stones are found quiet often.  Pigment gallstones, formed due to high concentration of bilirubin in bile, is a common type of gallstone in children.

Imperforate anus: In this condition, there is a defect in the opening of anus. The anal opening is either not formed or is blocked.

Biliary atresia: In this condition, the one or more bile ducts of the child are either absent, narrow or blocked. The condition may be present with birth or is acquired later in life. Liver failure may occur if biliary atresia is not adequately treated.

Choledochal cyst: Choledochal cyst is the dilation of one or more bile ducts. The condition is congenital i.e. present at the time of birth. The surgery done to remove the cyst is considered as definite treatment for this condition.

Merkel’s diverticulum: Merkel’s diverticulum is the condition in which there is growth of pouch in intestine. This condition is congenital. It is considered as one of the most common congenital abnormality.

Appendicitis: Inflammation of appendix is known as appendicitis. Patient experiences pain in the lower right abdomen, loss of appetite, and nausea and vomiting.

What Are The Various Specializations Of Pediatric Surgeon?

Following are the various specializations of the pediatric surgeon:

Neonatal

Prenatal

Trauma

Pediatric oncology

Tags : best pediatric surgeon in india, best pediatric urologist in delhi, best pediatric urologist in india

[best-pediatric-surgeon-in-india]

For Pediatric Surgery: Choosing Your Best Pediatric Surgeon In India

Pediatric Surgery: Choosing Your Pediatric Surgeon

Introduction

For parents, children are the most valuable assets. They leave no stones unturned to provide them with necessities and facilities. They make no compromise to their child’s health and provide with them the best healthcare facilities. They search for the best pediatric doctor and pediatric surgeon in India to restore their child’s health.

When You Require A Pediatric Surgeon?

Various diseases in children require surgery. The pediatric surgeon performs surgery in children. The pediatric surgeon generally treats infants, neonatal and adolescent patients. General surgeons can perform surgery on both the child and the adults. However, pediatric surgeons are believed to have more skills while handling, listening, diagnosis, and treating a child patient. They are more experienced in handling the child both psychologically, physically, and emotionally.

What Is The Function Of Pediatric Surgeon?

Many children have congenital disorders. They are not able to live a healthy life until those disorders are effectively treated. Some of the diseases are even life-threatening. A pediatric surgeon is an expert in handling diseases, either congenital or acquired, in children. Following are the functions performed by the pediatric surgeon:

Diagnosis: Diagnosis of the disease is the first step towards treatment. With a proper diagnosis, the pediatrician would be able to start appropriate treatment.

Non-surgical treatment: After the diagnosis is done, the pediatric surgeon may prescribe certain medications that may either help reduce the symptoms or treat the disease or may reduce the symptoms and treat the condition.

Surgical Interventions: If the non-surgical interventions are not able to provide adequate relief, a pediatric surgeon may advise surgical interventions and also perform the surgery.

Post-operative care: After the surgery is completed, post-operative care and monitoring are also done by a pediatric surgeon.

What Are The Diseases In Which Surgery May Be Required In Children?

Diseases that require surgery in children are:

Abdominal Cyst: Abdominal cyst is a condition characterized by presence of abnormal mass inside the abdomen. In some cases, the cyst does not cause any problem. However, in other cases it may lead to complications. Although largely asymptomatic, obstruction in the abdomen, internal bleeding and pain may occur in some patients.

Hirschsprung disease: Hirschsprung disease is present in the child by birth. In this disease, the nerve cells in the large intestine are absent. The condition leads to functional obstruction in bowel movement.

Gallstones: Gallstones are formed due to supersaturation of bile. The most common form of gallstones present in children are pigment gallstones. The are found in children with hemolytic disorders. Also cholesterol stones are found quiet often.  Pigment gallstones, formed due to high concentration of bilirubin in bile, is a common type of gallstone in children.

Imperforate anus: In this condition, there is a defect in the opening of anus. The anal opening is either not formed or is blocked.

Biliary atresia: In this condition, the one or more bile ducts of the child are either absent, narrow or blocked. The condition may be present with birth or is acquired later in life. Liver failure may occur if biliary atresia is not adequately treated.

Choledochal cyst: Choledochal cyst is the dilation of one or more bile ducts. The condition is congenital i.e. present at the time of birth. The surgery done to remove the cyst is considered as definite treatment for this condition.

Merkel’s diverticulum: Merkel’s diverticulum is the condition in which there is growth of pouch in intestine. This condition is congenital. It is considered as one of the most common congenital abnormality.

Appendicitis: Inflammation of appendix is known as appendicitis. Patient experiences pain in the lower right abdomen, loss of appetite, and nausea and vomiting.

What Are The Various Specializations Of Pediatric Surgeon?

Following are the various specializations of the pediatric surgeon:

Neonatal

Prenatal

Trauma

Pediatric oncology

Tags : best pediatric surgeon in india, best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi

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For Pediatric Surgery: Choosing Your Best Pediatric Surgeon In India

Pediatric Surgery: Choosing Your Pediatric Surgeon

Introduction

For parents, children are the most valuable assets. They leave no stones unturned to provide them with necessities and facilities. They make no compromise to their child’s health and provide with them the best healthcare facilities. They search for the best pediatric doctor and pediatric surgeon in India to restore their child’s health.

When You Require A Pediatric Surgeon?

Various diseases in children require surgery. The pediatric surgeon performs surgery in children. The pediatric surgeon generally treats infants, neonatal and adolescent patients. General surgeons can perform surgery on both the child and the adults. However, pediatric surgeons are believed to have more skills while handling, listening, diagnosis, and treating a child patient. They are more experienced in handling the child both psychologically, physically, and emotionally.

What Is The Function Of Pediatric Surgeon?

Many children have congenital disorders. They are not able to live a healthy life until those disorders are effectively treated. Some of the diseases are even life-threatening. A pediatric surgeon is an expert in handling diseases, either congenital or acquired, in children. Following are the functions performed by the pediatric surgeon:

Diagnosis: Diagnosis of the disease is the first step towards treatment. With a proper diagnosis, the pediatrician would be able to start appropriate treatment.

Non-surgical treatment: After the diagnosis is done, the pediatric surgeon may prescribe certain medications that may either help reduce the symptoms or treat the disease or may reduce the symptoms and treat the condition.

Surgical Interventions: If the non-surgical interventions are not able to provide adequate relief, a pediatric surgeon may advise surgical interventions and also perform the surgery.

Post-operative care: After the surgery is completed, post-operative care and monitoring are also done by a pediatric surgeon.

What Are The Diseases In Which Surgery May Be Required In Children?

Diseases that require surgery in children are:

Abdominal Cyst: Abdominal cyst is a condition characterized by presence of abnormal mass inside the abdomen. In some cases, the cyst does not cause any problem. However, in other cases it may lead to complications. Although largely asymptomatic, obstruction in the abdomen, internal bleeding and pain may occur in some patients.

Hirschsprung disease: Hirschsprung disease is present in the child by birth. In this disease, the nerve cells in the large intestine are absent. The condition leads to functional obstruction in bowel movement.

Gallstones: Gallstones are formed due to supersaturation of bile. The most common form of gallstones present in children are pigment gallstones. The are found in children with hemolytic disorders. Also cholesterol stones are found quiet often.  Pigment gallstones, formed due to high concentration of bilirubin in bile, is a common type of gallstone in children.

Imperforate anus: In this condition, there is a defect in the opening of anus. The anal opening is either not formed or is blocked.

Biliary atresia: In this condition, the one or more bile ducts of the child are either absent, narrow or blocked. The condition may be present with birth or is acquired later in life. Liver failure may occur if biliary atresia is not adequately treated.

Choledochal cyst: Choledochal cyst is the dilation of one or more bile ducts. The condition is congenital i.e. present at the time of birth. The surgery done to remove the cyst is considered as definite treatment for this condition.

Merkel’s diverticulum: Merkel’s diverticulum is the condition in which there is growth of pouch in intestine. This condition is congenital. It is considered as one of the most common congenital abnormality.

Appendicitis: Inflammation of appendix is known as appendicitis. Patient experiences pain in the lower right abdomen, loss of appetite, and nausea and vomiting.

What Are The Various Specializations Of Pediatric Surgeon?

Following are the various specializations of the pediatric surgeon:

Neonatal

Prenatal

Trauma

Pediatric oncology

Tags : best pediatric surgeon in india, best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi

[best-pediatric-surgeon-in-india]

Pediatric Laparoscopic and Thoracoscopic surgery In Delhi

Availability of pediatric laparoscopes has revolutionized the management of pediatric surgical conditions. Utilizing these techniques pediatric surgeons can avoid larger incision used in traditional surgery, decrease the post operative discomfort to child and reduce the time needed for recovery. Laparoscopic and Thoracoscopic surgery can be performed on infants, children of any size & even newborns.

Laparoscopic surgeries we offer:

Laparoscopic Appendicectomy

Laparoscopic Nephrectomy

Laparoscopic Cholecystectomy

Laparoscopic Pyeloplasty

Laparoscopic Orchidopexy

Thoracoscopic repair of diaphragmatic hernia

Thoracoscopic cyst and mass excision

Tags : Thoracoscopic Surgery In Children, Undescended Testis In Children