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pelvi-ureteric-obstruction · 12 days ago

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Pelvi Ureteric Junction Obstruction Treatment Delhi: Expert Care

Advanced PUJ Obstruction Surgery in Delhi by Dr. Prashant Jain

Best Pelvi Ureteric Junction Obstruction Treatment in Delhi

Get advanced pelvi ureteric junction obstruction treatment Delhi with Dr. Prashant Jain. Expert care for PUJ obstruction. Book your consultation now!

Pelvi-Ureteric Junction (PUJ) obstruction is a condition where urine flow from the kidney to the ureter is blocked or restricted, leading to swelling in the kidney (hydronephrosis) and potential kidney damage. Early diagnosis and proper treatment are critical to prevent severe complications. With advanced healthcare infrastructure and renowned pediatric urologists like Dr. Prashant Jain, Pelvi Ureteric Junction Obstruction Treatment Delhi has become a top choice for patients seeking expert care.

Understanding Pelvi-Ureteric Junction Obstruction

What is Pelviureteric Junction Obstruction ?

It is a blockage or narrowing between the kidney pelvis and the ureter. PUJO impairs drainage of urine and this causes the urine to remain collected in the kidney causing swelling (Hydronephrosis). If it increases progressively then it causes back pressure on kidneys and subsequently affects the renal functions and may lead to a non functioning kidney.

How common is PUJ obstruction?

About 1 in 1500 childran have PUJ obstruction from birth (congenital). PUJ obstruction is one of the conditions that can cause hydronephrosis, which is the most common condition found in prenatal ultraound.

What are the symptoms of PUJ obstruction?

Sometimes there aren’t any outward symptoms of PUJ obstruction and it is only found when an ultrasound shows that the kidneys are swollen. This is called hydronephrosis. Some children may experience back or side (flank) pain, or a urinary tract infection (UTI). Some children experience pain that comes and goes.

How diagnosis of PUJ obstruction is confirmed ?

The diagnosis of PUJ obstruction is confirmed by a study called a DTPA scan. A DTPA scan shows how well the kidneys are working and also about the severity of blockage.

How is PUJ obstruction treated ?

The treatment for a PUJ obstruction depends on severity of the blockage. Blockages that are mild, appear to be stable or are improving over the time, will be monitored with ultrasound.

Blockage that are more severe or worsening can cause permanent kidney damage. These obstruction require a surgery to remove the portion of the blocked ureter. The surgery is called as pyeloplasty.

What is Pyeloplasty?

Pyeloplasty is the pocedure of choice for PUJ obstruction. The surgery involves removing the PUJ obstruction and joining the kidney pelvis onto the ureter (pyeloplasty). It has good results. This can be acheived through a traditional surgery (‘open pyeloplasty’) or by keyhole surgery (‘laparoscopic pyeloplasty’).

What can I expect after surgery?

The child needs to stay in the hospital for 1 to 2 days and then is called after 5 days for removal of the dressing. A tube called stent is placed in the ureter at the time of surgery to keep the ureter open and draining while it heals. Stents are temporary and need to be removed after 4-6 weeks after the surgery. Removing the stent is a day care surgery and is removed with a scope passed through the urethra into the bladder.

PUJ obstruction occurs at the junction where the kidney connects to the ureter, affecting the proper drainage of urine.

1. Causes of PUJ Obstruction

Congenital Defect: A birth defect causing abnormal narrowing at the PUJ.

Scarring or Injury: Previous surgeries or infections may lead to scar tissue formation.

Blood Vessels: Abnormal blood vessels near the PUJ can compress and obstruct urine flow.

2. Symptoms of PUJ Obstruction

Pain in the abdomen or flank, often aggravated by fluid intake.

Blood in urine (hematuria).

Recurrent urinary tract infections (UTIs).

Reduced urine output or difficulty urinating.

Nausea and vomiting associated with kidney swelling.

Diagnosis of PUJ Obstruction

Accurate diagnosis is vital to tailor the appropriate treatment plan.

1. Ultrasound

A non-invasive imaging test to detect kidney swelling (hydronephrosis).

2. Renal Scan

Evaluates kidney function and the degree of obstruction.

3. CT Urogram

Provides a detailed image of the urinary tract to identify abnormalities.

4. Voiding Cystourethrogram (VCUG)

A specialized X-ray to rule out reflux or other associated conditions.

Treatment Options for PUJ Obstruction

The choice of treatment for Pelvi Ureteric Junction Obstruction Treatment Delhi depends on the severity of the condition and the patient’s overall health.

1. Non-Surgical Management

Observation: In mild cases, regular monitoring may suffice, especially in infants where the condition may resolve naturally.

Medications: To manage symptoms like pain or prevent infections.

2. Surgical Interventions

Pyeloplasty:

A gold-standard surgical procedure that removes the obstructed segment and reconnects the healthy parts of the ureter and kidney.

Performed through open, laparoscopic, or robotic-assisted techniques.

Endopyelotomy:

A minimally invasive procedure to remove the blockage using endoscopic methods.

Stent Placement:

A temporary stent may be inserted to ensure proper urine flow post-surgery.

Benefits of Early PUJ Obstruction Treatment

Prevents Kidney Damage: Reduces the risk of permanent kidney impairment.

Improves Quality of Life: Relieves symptoms like pain and infections.

Minimally Invasive Options: Advanced techniques ensure quicker recovery and less discomfort.

Cost-Effective in Delhi: Affordable treatment options without compromising on quality.

Why Choose Delhi for PUJ Obstruction Treatment?

Delhi is a hub for advanced medical care, offering several advantages for those seeking Pelvi Ureteric Junction Obstruction Treatment Delhi.

1. Expert Pediatric Urologists

Dr. Prashant Jain is a leading specialist in treating PUJ obstruction with expertise in minimally invasive techniques.

2. State-of-the-Art Facilities

Delhi hospitals are equipped with the latest imaging and surgical tools to ensure accurate diagnosis and effective treatment.

3. Affordable Healthcare

Compared to global standards, Delhi offers high-quality yet cost-effective treatment options.

4. Comprehensive Patient Support

From diagnosis to post-operative care, patients receive holistic treatment and counseling.

5. Medical Tourism Destination

International patients often choose Delhi for its exceptional healthcare infrastructure and streamlined medical tourism processes.

Preparing for PUJ Obstruction Surgery

Proper preparation is essential for a successful outcome.

1. Pre-Surgery Consultation

A detailed discussion with Dr. Prashant Jain to understand the procedure and address concerns.

2. Diagnostic Tests

Blood tests and imaging studies to evaluate kidney function.

3. Preparing the Patient

Instructions on fasting and medications to be taken before surgery.

Post-Surgery Care and Recovery

Recovery after PUJ obstruction surgery depends on the type of procedure performed.

1. Hospital Stay

Typically, patients stay in the hospital for 1-3 days for observation.

2. Pain Management

Prescribed medications to ensure comfort during recovery.

3. Follow-Up Visits

Regular follow-ups to monitor healing and kidney function.

4. Lifestyle Adjustments

Ensure proper hydration and a healthy diet to support recovery.

Why Dr. Prashant Jain is the Right Choice

Dr. Prashant Jain is renowned for his expertise in Pelvi Ureteric Junction Obstruction Treatment Delhi. His patient-centered approach, combined with advanced surgical techniques, ensures the best outcomes for children and adults alike.

Conclusion

Pelvi-Ureteric Junction Obstruction is a serious condition that can lead to significant health issues if left untreated. Delhi offers world-class treatment for PUJ obstruction, with specialists like Dr. Prashant Jain providing expert care. For those seeking effective and affordable Pelvi Ureteric Junction Obstruction Treatment Delhi, consulting Dr. Jain is the first step towards better health and quality of life. Contact Dr. Jain today to explore your treatment options.

#Pelvi Ureteric Junction Obstruction Treatment Delhi

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best-pediatric-urologist-delhi · 2 months ago

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Best Pediatric Urologist in Delhi for Genito-Urinary Care

Top Pediatric Urologist in Delhi for Urinary Disorders

Looking for the Best Pediatric Urologist in Delhi? Consult experts for effective treatment of children's genito-urinary disorders and improve their health.

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.

Conclusion:

If you’re seeking the Best Pediatric Urologist in Delhi, our team offers specialized care for genito-urinary disorders in children, ensuring the highest quality of treatment and compassion for your child's health.

Category : Pediatric Urologist

#Best Pediatric Urologist in Delhi

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prashantjainsblog · 5 months ago

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What Is Antenatal Hydronephrosis?

Antenatal hydronephrosis is the condition that occurs in the fetus during pregnancy. The condition is characterized by enlargement of the kidney due to the accumulation of fluid. Antenatal hydronephrosis indicates various renal disorders in the fetus. found more in males as compared to females. The condition is It is found in 0.5 percent of females and 1 percent in males. Fortunately, in almost all the case, other organs are not affected due to antenatal hydronephrosis.

How Is Antenatal Hydronephrosis Diagnosed?

Antenatal hydronephrosis is diagnosed through various methods. Some diagnostic techniques involve advanced equipment and may not be available at al the centers for diagnosing this condition. Most cases of antenatal hydronephrosis are found during a routine ultrasound at around 20 weeks gestation period.

Following are the methods to diagnose antenatal hydronephrosis:

Laboratory testing: Evaluating the urine sample of the fetus may help in identifying kidney dysfunction or renal dysplasia. Through the ultrasound-guided technique, the urine sample of the fetus is obtained. In the case of a healthy fetus, the urine so formed is hypotonic. However, in a diseased condition, the urine obtained is isotonic. Increased level of calcium, sodium, Microglobulin, and chloride indicates possible renal dysplasia.

Ultrasonography: Ultrasonography was the first diagnostic method that helped in identifying hydronephrosis in the fetus. It also helps in identifying the possible cause of accumulation of fluid in the kidney.

Magnetic Resonance Imaging: Magnetic resonance imaging during pregnancy provides more detailed condition and provide important insight into the severity of the disease. Once the severity is identified, optimum medical interventions can be designed.

Other additional procedures: The procedures that can help in diagnosis include amniocentesis, chromosomal analysis, maternal serum biochemistry, and chorionic villus sampling.

What Are The Various Grades Of Antenatal Hydronephrosis?

The grades of antenatal hydronephrosis are determined by the Antero-posterior diameter (APD) of the renal pelvis. The diameter is evaluated through ultrasonography. The grades or classification of antenatal hydronephrosisis done as mild, moderate and severe.

Following are the various grades for antenatal hydronephrosis:

Almost 57–88% of the antenatal hydronephrosis is mild while 10 to 30 % of the cases are of moderate grade. 2–13% of the cases of antenatal hydronephrosis are severe.

Antenatal hydronephrosis is caused due to the following conditions:

Ureteral obstruction or blockage: This obstruction may be either

Ureteropelvic junction obstruction (UPJ) or ureterovesical junction obstruction (UVJ) or megaureter. The UPJ obstruction is indicated when there is a dilation of the pelvic-calyceal system without any ureteral dilation.

Renal anomalies: Generally, only a single ureter drains the urine from a kidney. However, in almost 1 % of the humans, there are two ureters originated from a kidney. This duplication does not cause any complications in the majority of patients. In approximately 1 in 1500 infants, there is an obstruction in the upper tube.

Urethral obstruction: Urethral obstruction in the fetus may also lead to antenatal hydronephrosis.

Vesicoureteral reflux: When there is the backflow of urine from the ureter and bladder towards the kidney, the urine does not flow properly and gets accumulated.

Polycystic Kidney: Due to the complete obstruction of the ureter, one of the kidneys is not normally developed. The other kidney functions normally and the baby usually born with a multicyclic kidney.

If there is a prolonged obstruction of urine and increased pressure, this may cause a progressive reduction in kidney function. Medical interventions may reduce the pressure and allow the kidney to function but may not be able to regain the lost function.

No intervention is required in antennal hydronephrosis due to various reasons such as lack of technology for accurate diagnosis, non-identification of the definite reason for the fluid accumulation, and no strong data corresponding to safety and efficacy of medical/surgical interventions. However, a follow-up is required during the post-natal period in infants with varying degrees of antenatal hydronephrosis.

#Postnatal Management Of Hydronephrosis #Polycystic Kidney #antenatalhydronephrosis #AntenatalHydronephrosisDiagnosed

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drprashantjain1 · 9 months ago

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Hydronephrosis Treatment In Delhi

Many people have never heard of the term hydronephrosis. That’s because it is only prevalent in around 1% of the general population according to a research paper published by Science Direct. Hydronephrosis can affect both children and adults. In fact, it can even affect babies in the womb; this can be found via prenatal ultrasound. The same study by Science Direct observed that 1 in 100 to 200 fetuses suffered from hydronephrosis. Because of this, finding out that you suffer from hydronephrosis and require surgery might seem daunting. But don’t worry about it. You can find hydronephrosis treatment in Delhi without breaking a sweat!

What exactly is it?

Hydronephrosis is a condition wherein one or both of the kidneys swell up. This happens either because of some blockage in drainage system of urineor urine refluxing back in the kidneys which can eventually damage the kidney of child.

Therefore, it is essential that you consult doctor once hydronephrosis has been diagnosed. Once the diagnosis is made child needs to be evaluated in detail. Not all hydronephrosis requires surgical intervention but needs to be monitored closely to avoid any renal damage.

Signs of Hydronephrosis

Here are some of the most commonly known signs and symptoms of hydronephrosis.

Antenatal diagnosis on ultrasound scan.

Urinary tract infection

Pain and lump in the back and the sides.

Urinary symptoms like frequent urination, crying during urination etc.

These signs are particularly useful to suspect hydronephrosis in children. Infants, in particular, can have failure to thrive. If you have suspicion that your child may be suffering from hydronephrosis or has all the signs mentioned above, it might be a good idea to consult a doctor.

Causes of Hydronephrosis

As mentioned above, hydronephrosis is a condition that prevents urine draining from the kidneys, which causes the kidneys to swell up. Hydronephrosis usually develops because of two main causes:

Obstruction in Urinary System

Blockage in the upper ureter (Pelvi-ureteric Junction) or lower ureter (Uretero-vesical junction) or Bladder oulet (Posterior urethral valve) can cause hydronephrosis on one side or both sides.

One of the commonest cause is blockage at ureteropelvic junction. This is essentially the very point (or junction) where the ureter and kidney meet.

Posterior Urethral valves are seen in boys and usually causes bilateral hydronephrosis. This is treated by endoscopic resection surgery. If not treated timely it can cause significant morbidity.

Vesicoureteral Reflux

Another cause of hydronephrosis is the vesicoureteral reflux where the urine flows backward from the bladder to the kidneys via the ureter. This condition is unique because usually the urine should only flow from the kidneys to the bladder- not the other way around.

Hydronephrosis treatment in Delhi

If you’re looking for hydronephrosis treatment in Delhi, then you’ll be happy to know that there’s plenty of options available. Your doctor who, after examination, ask for a few tests. This may include the following:

Blood test

Urine test

Ultrasound Imaging

Voiding Cystourethrogram

Renal Scan (DTPA or DMSA scan)

Combined, these tests examine your kidneys, bladder, Urethra and checks if they’re working fine. The kind of treatment you’ll receive for hydronephrosis depends strictly on how severe the condition is.

Some of the causes are self-limiting and may need just close observation with regular testings. Hydronephrosis causing recurrent urinary infections or deterioration of renal functions might require surgical intervention.

However, we do not recommend that you go with this approach as it can even lead to your mild case developing into a severe case of hydronephrosis, which will need surgery. Hydronephrosis surgery cost depends solely on how critical the situation is.

However, you should not look at hydronephrosis surgery costs when looking to treat the disease. As we mentioned, it’s not life-threatening at the same time living with hydronephrosis can severely impact your quality of living. So don’t wait it out!

#cause of hydronephrosis #hydronephrosis surgury #hydronephrosis treatment in delhi #signs of hydronephrosis

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curenishant · 11 months ago

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Dr. Vikram Barua Kaushik: Experienced Urologist and General Surgeon in Gurgaon

Dr. Vikram Barua Kaushik is a highly experienced Urologist and General Surgeon based in Gurgaon Sector 51, with an impressive 27 years of practice in these specialized fields. He is affiliated with Artemis Hospital in Gurgaon Sector 51, where he offers his expertise to patients seeking urological and surgical care.

Professional Background

Dr. Vikram completed his MBBS from Dibrugarh University, Assam, in 1994, followed by MS in General Surgery from the same university in 1999. He further pursued DNB in Urology/Genito-Urinary Surgery from the National Board of Examination in 2005. As a member of the Medical Council of India (MCI), Dr. Vikram is committed to upholding the highest standards of medical practice.

Areas of Specialization

Dr. Vikram's practice encompasses a wide range of urological and general surgical services, including Urethrotomy, Laser Piles Treatment, FUT Hair Transplant, Minimally Invasive Surgery, and Foot Infection management. He has a particular interest in endo-urology and laparoscopic urology, with extensive experience in renal transplantation.

Clinical Expertise

Dr. Vikram focuses on addressing various urological conditions, such as urinary stone disease, cancers of the genitourinary tract, prostatic disease, urinary incontinence, and neurogenic bladder dysfunction. He employs advanced procedures for the treatment of stone diseases, including minimally invasive and laser techniques such as URS (Ureteroscopy), PCNL (Percutaneous Nephrolithotomy), and RIRS (Retrograde Intra-Renal Surgery).

Surgical Procedures

In addition to managing stone diseases, Dr. Vikram performs surgeries for cancers affecting the kidney, prostate, urinary bladder, penis, and testis. His expertise includes procedures such as radical prostatectomy, radical cystectomy, construction of neobladder, radical nephrectomy, and more. He also specializes in treating pediatric urological disorders, including PUJ (Pelvi-Ureteric Junction) obstruction, VUR (Vesicoureteral Reflux), urethral valves, and childhood tumors.

Professional Journey

Throughout his career, Dr. Vikram has been actively involved in academic activities and has contributed to numerous publications and international peer-reviewed urologic literature. He has held positions at renowned medical institutions, including R.G. Stone Urological Institute in Mumbai, Indraprastha Apollo Hospital in Delhi, and RG Stone Urology & Laparoscopy Hospital in Gurgaon.

Continued Commitment to Excellence

Dr. Vikram's association with Artemis Hospital since September 2009 underscores his dedication to delivering high-quality urological care. He continues to prioritize patient well-being and remains at the forefront of advancements in endo-urology, laparoscopic urology, and renal transplant surgery.

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bestpediatricurologist · 4 years ago

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Esophageal Replacement Surgery In Children - Dr Prashant Jain

Esophageal Replacement Surgery In ChildrenIntroduction

Various conditions require esophageal replacement surgery in children. Some conditions are congenital i.e., present from the time of birth, and some others are due to trauma or injury. Various techniques are used for esophageal replacement surgery.

When Esophageal Replacement Surgery Is Required?

A healthy esophagus is required to perform various functions. It helps in the transport of food and other substances from the mouth to the stomach. It also prevents the reflux of acid and other substances back into the upper part by forming a barrier. This barrier is the lower esophageal sphincter. However, various conditions may require esophageal replacement surgery. These conditions are:

Long gap esophageal atresia: The esophagus is divided into an upper esophagus and lower esophagus. When the gap between the upper and lower esophagus is large, the condition is known as long gap esophageal atresia. This condition requires immediate medical intervention.

Caustic strictures: Caustic esophageal stricture occurs when the child accidentally ingests caustic substances such as strong alkali. This condition is not very common in the adult population.

Peptic strictures: People with severe gastroesophageal reflux disease are prone to peptic strictures. The acid reflux causes scars and narrows the esophagus.

Anastomotic strictures: When the surgery is done to repair esophageal conditions such as esophageal achalasia, it may result in anastomotic strictures like esophageal stenosis.

Tumors: The doctor may perform esophageal replacement surgery to remove the cancerous tissue or tumors.

Tracheoesophageal fistula: The trachea is the tube that assists in passing the air to the lungs. It is a part of the respiratory system. The esophagus is a part of the digestive system. In the tracheoesophageal fistula, there is a connection between these two tubes. This results in the passing of food into the lungs. It may result in aspiration.

Epidermolysis bullosa: It is a rare genetic disease that may result in blistering of mucus membrane and skin. This disease may result in esophageal strictures.

Prolong impaction: Prolonged impaction of foreign objects such as radiolucent substances may cause damage and requires esophageal replacement surgery.

Intractable achalasia: Achalasia is the disease of the muscles associated with the lower esophageal sphincter. In this condition, the patient experiences difficulty swallowing, pain in the chest, and food and fluid regurgitation.

Strictures due to HIV infections: HIV infections may result in ulcerative esophagitis, which may sometimes result in esophageal strictures.

Esophagitis due to chemotherapy: Chemotherapy may result in esophagitis that causes complications resulting in esophageal replacement.

What Are The Ideal Requirements For New Esophageal Passage?

Following are the requirements for ideal esophageal passage:

It should be easily replaced with the natural esophagus.

Does not cause any compression or respiratory problems.

Functional throughout life.

Either prevent or limit the reflux.

Helps in normal functioning such as swallowing

Does not increase the risk for malignancy.

Types Of Esophageal Replacement Surgery

There are generally four types of esophageal replacement surgery. The doctor will decide which surgery will suit you, depending upon the cause and severity of the condition.

Gastric interposition: In gastric interposition, the stomach is pulled up and connected to the upper part of the esophagus. The stomach can tolerate this pull-up because of the presence of a venous plexus and a rich network of submucosal arteries. The advantage of this technique includes the easy procedure, reduced risk of stricture, low risk of necrosis, and requires only one anastomosis. The disadvantage of this technique is that it may cause thoracic organ compression as the stomach may occupy a large area of the chest.

Gastric tube interposition: This is a highly technical and demanding procedure and is associated with postoperative complications. The surgery may be either isoperistaltic or reverse peristaltic. In this technique, the surgeon constructs the gastric tube from the greater curve of the stomach. The surgeon then connects the tube with the upper part of the esophagus. Advantages of this technique include high acid reflux and reduced size of the stomach.

Colonic interposition: It is one of the most commonly used methods for esophageal replacement. In this surgery, a part of the colon is removed and is positioned as the esophagus. The technique is relatively easy and simple and has less serious and less frequent complications.

Jejunal interposition: In this technique, the surgeon replaces the missing esophagus with a section of jejunum. This technique is generally used in redo cases. The children who have undergone surgery for esophageal achalasia repair and the surgery gets failed may undergo jejunal interposition surgery.

For More Info.(http://www.pedsurgerydelhi.com/)

Tag = Choledochal Cyst In Children, Thoracoscopic Surgery In Children, Undescended Testis In Children, pelvi ureteric junction obstruction treatment delhi

#Choledochal Cyst In Children #Thoracoscopic Surgery In Children #Undescended Testis In Children #pelvi ureteric junction obstruction treatment delhi

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drprashantjain · 3 years ago

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#best pediatric urologist in delhi

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best-pediatric-surgeon-in-india · 5 years ago

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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 urologist #best pediatric urologist in Delhi #Best pediatric urologist in India

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urologistinnoida · 5 years ago

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Kidney Stone: Everything You Need To Know

What Are Kidney Stones?

When we speak of the presence of kidney stones, we are referring to the disease known as kidney stones or nephrolithiasis, which is characterized by the presence of stones in the kidneys, however, in most cases, the stones in the kidney are related to the presence of stones in the ureters. Most of the kidney stones contain calcium. The pain that is caused by the presence of kidney stones is colic (renal colic) and is caused by dilation, stretching and spasm, due to acute ureteral obstruction, which explains urologist in Noida.

What are the signs and symptoms of a kidney stone patient?

The classic presentation for a patient with kidney stones is the sudden and intense appearance of acute renal colic, which originates in the flank (abdominal region) and moves down and forward, it is known that in 50% Nausea and vomiting are present in the cases of patients with kidney stones, says the best urologist in Noida. Patients with urinary stones may report pain, urinary infection or hematuria (presence of blood in the urine). Patients with small, non-obstructive stones may experience moderate and easily controlled symptoms and may even have no symptoms at all, says urologist in Greater Noida.

The location and characteristics of pain that occurs in patients with kidney stones are given as follows: Stones that obstruct the ureteropelvic junction: Mild to severe deep flank pain, without the presence of irradiation towards the groin, irritating symptoms of urination (increased urinary frequency, dysuria, among others); suprapubic pain, urinary urgency, intestinal symptoms. Stones inside the ureter. Abrupt, severe colic pain on the flank and lower ipsilateral abdomen (on the side where the stone is); irradiation to the testicles or vulvar area; severe nausea that may (or may not) progress to vomiting. Upper ureteral stones: Colic pain radiates to the lumbar (lower back) or flank areas. Mesoreteral Calculi: Colic pain radiates anteriorly and caudal. Distal ureteral stones: Colic pain radiates to the groin or testicle (men) or labia majora (women). Stones passed to the bladder: Most of the time they do not cause any symptoms; however, on very rare occasions they can lead to positional urinary retention. Nausea and vomiting occur in at least 50% of patients with acute renal colic. Nausea is caused by the common innervation pathway of the renal pelvis, stomach, and intestines through the celiac axis and the afferents of the vagus nerve. This is often compounded by the effects of narcotic pain relievers, which often induce nausea and vomiting through a direct effect on gastrointestinal motility and an indirect effect on the chemoreceptor activation zone in the medulla oblongata. Non-steroidal anti-inflammatory drugs (NSAIDs) can often cause gastric irritation and gastrointestinal upset, explains the best urologist in Greater Noida. The presence of kidney or ureter stones is not a guarantee that the patient does not have some other unrelated underlying medical problem causing gastrointestinal symptoms.

How are kidney stones diagnosed?

The diagnosis of nephrolithiasis is usually made based solely on the clinical symptoms that the patient presents; however, studies can be performed to corroborate the diagnosis, says urologist in Ghaziabad. The laboratory tests that are recommended by the best urologist in Ghaziabad are the following: Urine sediment test/test strip: It is performed to demonstrate the presence of blood cells, with a bacteriuria test (presence of nitrites) and urine culture in case of a positive reaction. Serum creatinine level: It is done to measure kidney function. Complete blood count. Evaluation of serum electrolytes, especially in patients who present with vomiting. PH level in serum and urine: It is performed to provide information about the patient's kidney function and the type of stone (calcium oxalate, uric acid, cystine, among others). Microscopic urinalysis. 24-hour urine profile. Imaging studies that are helpful in kidney stone patients include the following: Abdominopelvic computed tomography without contrast, because it is the modality of choice for the evaluation of urinary tract disease, especially in acute renal colic. Renal ultrasound to determine the presence of kidney stones and the presence of hydronephrosis or ureteral dilation. Abdominal radiograph to assess a total load of stones, as well as the size, composition, and location of urinary stones.

What is the treatment for kidney stones?

The kidney stone treatment in Noida used in patients is of several types, in the first instance, it is necessary to treat the patient's symptoms and eliminate them, so various medications are used, such as pain relievers, antiemetics, among others. In cases where the patient deserves surgery for kidney stone treatment in Ghaziabad, the options available will be explained to the patient. There are multiple surgeries to remove kidney stones, however, the application of each one depends on the characteristics of the stones and the patient. If you or any of your family members present or have presented symptoms related to kidney stones, do not hesitate to consult a urologist in Delhi to have a certain diagnosis and initiate appropriate kidney stone treatment in Greater Noida. Read the full article

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Best Pediatric Urologist in Delhi | Dr. Prashant Kumar Jain

Dr. Prashant Kumar Jain: Best Pediatric Urologist in Delhi

Discover expert pediatric urology care with Dr. Prashant Kumar Jain, the best pediatric urologist in Delhi. With years of experience and a compassionate approach, he provides exceptional treatment for children's urological issues.

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 childi’s 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 a condition in which a valve in the urinary passage obstructs the urinary flow.