Urological disorders in children

07 Feb, 2022

Expansion of renal pelvis

A common problem diagnosed in embryos during pregnancy is the expansion of the renal pelvis, where the pelvis increases in size due to urine accumulation within the kidney pelvic. Congenital defects such as urine impedance, blockage between the kidney pelvic and the ureter, or retraction and retention of the urine to the kidney are the most prominent causes of the disease.

Diagnosis and treatment

It is essential to conduct regular follow-ups with a post-natal urinary tract doctor. Postponing or neglecting such appointments can lead to complications that can cause permanent damage to kidney tissues.

Some cases may not require any surgical intervention, but in the event of a medical problem such as urine embolism or the effect of injury on the function of the kidney, surgical intervention must be performed using an endoscope. We advise parents on the need for immediate follow-up with the doctor to begin assessing the child's condition and explore the appropriate treatment early.

Hypospadias

Hypospadias is a birth defect in boys where the opening of the urethra is not located at the tip of the penis. This can be detected during pregnancy and the severity of the condition varies from child to child.

Treatment

Most cases require surgical intervention at around nine to 18 months. After an accurate diagnosis, the physician will decide to operate in one or several phases, depending on the case.

Circumcision and Hypospadias

The doctor may need to use the skin in the genitals area of male new-borns, so it is advised not to perform circumcision in this case.

Vesicoureteral reflux

Kidney diseases occur in children of both sexes due to urine flow from the bladder back up the ureters. They may reach the kidney due to a congenital disability detected during pregnancy or after birth during examination, for example, to find the causes of severe and recurrent urinary infections.

Neglecting early treatment of this problem may cause damage and complications such as kidney dysfunction.

Symptoms

Symptoms are fever and a burning sensation when urinating, or involuntary urination. We advise parents to visit a doctor for the necessary tests and to determine the appropriate treatment plan before the problem worsens.

Treatment

Before starting treatment, the condition and cause of urinary reflux are diagnosed through a wide range of tests on the kidneys, ureters, and the bladder, including tests to detect any scars in the kidneys.

In some mild cases, taking preventive drugs and antibiotics as prescribed by your doctor is enough to resolve the problem. In other cases, surgical intervention may be required with an endoscope, a recent surgery that leaves no visible scar like conventional surgery.

Dallah employs leading pediatricians that are experts in their field and are able to advise on urological disorders.