Specialized Urinary and Genital Care

Comprehensive Pediatric Urology Care for Congenital and Acquired Conditions

Paediatric urology focuses on urinary and genital conditions in babies, children, and adolescents. Many concerns are identified on prenatal scans, while others appear later as infections, abnormal urine flow, swelling, or difficulty with toilet habits. Care often involves understanding the child’s anatomy, kidney and bladder function, and growth over time. Some children need surgery, while others need observation, medicines, bladder management, or ongoing follow-up.

Dr. Rashmi D offers paediatric urology support with attention to preserving kidney function, planning reconstruction carefully, and matching treatment to the child’s age and symptoms.

What This Service Covers

Scope of Care

Paediatric urology focuses on urinary and genital conditions in babies, children, and adolescents. Many concerns are identified on prenatal scans, while others appear later as infections, abnormal urine flow, swelling, or difficulty with toilet habits. Care often involves understanding the child’s anatomy, kidney and bladder function, and growth over time. Some children need surgery, while others need observation, medicines, bladder management, or ongoing follow-up.

Conditions and Situations Commonly Managed

Families usually seek this service for one or more of the following concerns:

  • Phimosis, circumcision-related concerns, and foreskin problems
  • Undescended testis, hypospadias, and genital reconstruction
  • PUJ obstruction, antenatal hydronephrosis, and kidney drainage issues
  • Vesicoureteric reflux, recurrent urinary infections, and bladder dysfunction
  • Posterior urethral valve and obstructive urinary conditions in boys
  • Acute problems such as torsion of testis that need emergency review

When to Book a Consultation

A specialist review is particularly useful when a child has:

  • Abnormal prenatal kidney or bladder scan findings
  • Poor urinary stream, recurrent urinary infections, or wetting concerns
  • A testis that is absent from the scrotum or a genital appearance concern
  • Swelling, pain, or sudden scrotal symptoms
  • A child with known urinary tract dilation who needs structured follow-up

How Evaluation and Planning Are Done

The assessment is tailored to the child's symptoms, scan findings, age, and urgency.

  • Clinical assessment focused on urinary symptoms, growth, and examination findings
  • Ultrasound and selected functional imaging based on the condition
  • Urine tests, blood tests, or bladder studies where needed
  • Detailed counselling about observation, timing of surgery, and long-term follow-up

Treatment and Care Pathways

The treatment route depends on the diagnosis and whether the child needs observation, medical support, a procedure, or surgery.

  • Medical treatment and surveillance for children who can be monitored safely
  • Reconstructive or corrective surgery for anatomical problems
  • Endoscopic or minimally invasive treatment in selected cases
  • Bladder management, urodynamics, and coordinated follow-up for functional disorders

Why Early Specialist Review Helps

Many paediatric urology conditions affect kidney growth, bladder function, fertility, or urinary control over time. Early review helps avoid complications and supports treatment at the most appropriate stage of development.

Guidance for Families

Families are guided through scan findings, the need for follow-up, the benefits and timing of surgery, and the practical steps required before and after treatment.

FAQs

Common Questions About Paediatric Urology

Practical answers about who may need this service, how planning works, and what families can expect.

Paediatric urology focuses on urinary and genital conditions in babies, children, and adolescents. Many concerns are identified on prenatal scans, while others appear later as infections, abnormal urine flow, swelling, or difficulty with toilet habits. Care often involves understanding the child’s anatomy, kidney and bladder function, and growth over time. Some children need surgery, while others need observation, medicines, bladder management, or ongoing follow-up.

A consultation is useful for concerns such as abnormal prenatal kidney or bladder scan findings, poor urinary stream, recurrent urinary infections, or wetting concerns, a testis that is absent from the scrotum or a genital appearance concern.

No. Some children need surgery, while others are managed with observation, medicines, bladder training, or serial imaging. The decision depends on symptoms, anatomy, kidney function, and growth.

Treatment planning is individualised. In suitable cases, endoscopic, laparoscopic, or other minimally invasive options may be part of the discussion.

Recovery depends on the underlying diagnosis and treatment, but families are given clear guidance about pain control, catheter care if relevant, activity, and follow-up imaging.

Call Book