#Hypospadias surgery in delhi

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Best Pediatric Urologist in Delhi - Dr. Prashant Jain

Are you seeking the utmost care and expertise for your child's urological needs in Delhi? Look no further! Delve into the realm of pediatric urologist in the capital city.

With a blend of advanced medical prowess, compassionate care, and a dedication to ensuring your child's well-being, Delhi's pediatric urologists stand out as beacons of excellence in the field.

Dr. Prashant Jain is the best pediatric urologists in Delhi and their exemplary skills and dedication to excellence are highlighted by his achievements as a gold medalist in both pediatric surgery and urology.his specialized expertise in pediatric urology and minimal invasive surgery indicates a keen focus on advanced and precise medical techniques for treating young patients. The opportunity to work at Great Ormond Street in London likely provided him with invaluable international experience and exposure to cutting-edge practices in his field.

With such a robust education, specialized training, and international exposure, it’s evident that Dr. Prashant Jain is a highly qualified and experienced professional in pediatric surgery and urology. His dedication to his field and continuous pursuit of knowledge and expertise make him a valuable asset to the medical community, particularly in the realm of pediatric care.

Dr. Prashant Jain’s accomplishments in the field of pediatric surgery and urology are truly remarkable. His success in performing reconstructive surgeries for congenital anomalies showcases his exceptional skills and dedication to improving the lives of young patients with complex medical conditions. Successfully treating previously failed cases of urological anomalies like hypospadias and bladder exstrophy speaks volumes about his expertise and innovative approaches.

Why Choose Delhi's Pediatric Urologists?

Expertise: Each of these specialists possesses extensive training and experience in pediatric urology, ensuring the highest standard of care for your child.

Compassionate Care: Beyond medical expertise, these doctors prioritize the emotional well-being of both children and parents, fostering a supportive environment throughout the treatment journey.

State-of-the-Art Facilities: Collaborating with leading hospitals and clinics in Delhi, these pediatric urologists have access to cutting-edge technology and facilities, facilitating precise diagnoses and effective treatments.

Continued Innovation: With a commitment to staying abreast of the latest advancements in pediatric urology, these specialists continuously refine their skills and techniques, offering innovative solutions for even the most challenging cases.

Take the First Step Towards Your Child's Health:

When it comes to your child's urological health, trust only the best.  Best pediatric urologist in delhi with combine skill, compassion, and innovation to provide unparalleled care for your little ones. Take the first step towards ensuring your child's health and happiness by scheduling a consultation with one of these esteemed specialists today.

[hypospadiasclinics]

Is Hypospadias a Genetic Problem?

I saw a charming young couple in my clinic today. They brought their 1-year-old son to me for hypospadias surgery. After examining the child, I discussed the plan of treatment with them. They were obviously concerned that their child has this defect of his penis and would require surgery at such a young age! Further, they had apparently read somewhere that hypospadias is a genetic problem. Just before they left my clinic, they asked a common question asked by parents of a child with hypospadias “Doctor, if we have another child (boy) in future, is he also going to get hypospadias?”

To know more click here :  Best pediatric surgeon in hyderabad

[drprashantpediatricsurgeon]

Director and Sr Consultant Pediatric Surgery and Pediatric Urology - Dr. Prashant Jain

Dr. Prashant Jain is a young and dynamic pediatric surgeon and pediatric urologist in Delhi, India. He has been trained in premier institutes, King Edward Memorial Hospital (KEM), Mumbai and Kalawati Saran children’s hospital, New Delhi. He has been a meritorious student throughout his medical career and was gold medalist in his training in pediatric surgery and pediatric urology. He has special expertise and vast experience in pediatric urology and pediatric minimal invasive surgery. He was fortunate to get opportunity to work in Great Ormond Street, London. He has been performing reconstructive surgeries for congenital anomalies with great skills and excellent results. He has successfully treated many previously failed cases of urological anomalies like hypospadias, bladder exstrophy etc. Over the years he has devised his own innovative techniques in several surgical procedures which have won him accolades. He has presented his innovations in various conferences and workshops for which he has received critical acclaim. He has multiple publications in pediatric surgery and pediatric urology in various national and international journals.

Presently he heads the department of pediatric surgery Dr BL Kapur Memorial Hospital, New Delhi. The department of pediatric urology and pediatric surgery in Dr BL Kapur Super speciality hospital, performs all pediatric reconstructive surgeries for complex congenital anomalies and pediatric laparoscopies.

Recently, he had privilege of heading a team of 40 super specialists doctors involved in the surgical separation of conjoined twins (pygopagus) from Nigeria, which involved major and complex genito-urinary reconstructive work. This rare and exclusive work got acknowledged worldwide.

TAG- Best pediatric Surgeon in Delhi, Best pediatric urologist in Delhi, Best pediatric surgeon in India

[supertechsurvey]

Urethra and Penile Surgery (UPS) is home to the best and most respected urology hospital in Delhi and NCR. Book a free online consultation with the best Urologist in Delhi.

Urethra and Penile Surgery (UPS) is a center of exclusivity & excellence for Andrology and Reconstructive Urology. We specialize in Urethral stricture, Peyronie’s disease, Erectile dysfunction, Penile implant placement & revision, Hypospadias repair, congenital penile curvature correction and other disorders of the male external genitalia such as epispadias, hydrocele, phimosis etc. Urethra and Penile Surgery (UPS) is home to the best and most respected urology hospital in Delhi and NCR. Urethra and Penile Surgery (UPS) hospital’s Department of Urology has state-of-the-art diagnostic equipment and laboratories for diagnosing various urinary tract disorders. You can receive both in-patient and out-patient treatments depending on your medical condition. We are a regional, national, and international tertiary referral center dedicated to the treatment of disorders of the male Urethra, External Genitalia and Andrology. We have been managing patients from more than 35 countries across the globe and patients from more than 15 Indian states with good success rate.We encourage our patients to come for a follow up after the surgery for better clinical outcome.

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Hypospadias Surgery in Delhi by Dr. Prashant Jain

Tag:  Hypospadias Surgery in Delhi

Hypospadias is a birth defect in boys in which the opening of the urethra is not located at the tip of penis. In these cases the tube that carries urine from the bladder to outside of the body or the urethra does not end at the tip of the penis, rather ends on the underside of the penis. It can be mild or severe, in severe cases, the urethra opens in the middle of the penis or in some cases even behind the scrotum.

The treatment is aimed to facilitate the following.

Urine should pass in a forward way

The penis should be straight when erect

The penis should look as normal as possible

The surgery for this condition is known as Urethroplasty. If chordee is present then this is corrected to straighten the penis. The success of the operation and the ‘normality’ that can be achieved depends on the severity of the hypospadias.

Why is Hypospadias Surgery needed?

Hypospadias Surgery is performed generally when boys are1 Year to 2 years old. If the hypospadias is mild, with the opening of the urethra just a little down from normal and with no bending of the penis, in that case treatment may not 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.

Preparation before the Surgery:

As mentioned earlier, the surgery isn’t a major one and does not require very specific pre-surgery preparations. The child’s health care provider may ask for the medical history of the child and suggest for a complete medical checkup before the surgery.

The procedure of the surgery:

The procedure is pretty simple and direct. The tissue extracted from the foreskin or some other part is used to make a tube. This tube is used to increase the length of the urethra. The extension is done so that the urethra opens at the tip of the penis. In many cases, during the surgery, an external tube called a Catheter is sewn or fastened to the head of the penis. This is done to keep it in place and help it retain a proper shape. It is usually removed after 1 – 2 weeks of the surgery. In many cases of Hypospadias, boys have a non-uniform or underdeveloped foreskin. This foreskin is circumcised at the end of the surgery. Most of the stitches used in this surgery are of a special type that dissolves on their own after the surgery and need not be removed manually.

Post-surgery Care:

After the surgery, the child’s penis is taped to his belly so that there is a minimal movement to prevent any casualties. Often, the penis is protected by doing bulky dressing around the surgical area. A urinary catheter is placed so that the urine can flow out of the dressed area into the diaper. The child is encouraged to drink fluid so that he will urinate more, this prevents pressure from building up in the urethra. The child is given medicines to help relieve the pain. In most of the cases, the child is discharged within a day. A urinary catheter may be needed for 6-14 days after the surgery. The penis of your child may be seen swollen and bruised but it’s nothing to worry about. The whole healing process takes around 6-7 weeks.

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 boy, the original hole opens up again (fistula), and the patient passes urine through two holes. If this happens, the patient will need the operation again.

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Hypospadias is a birth defect in boys in which the opening of the urethra is not located at the tip of the penis. Consult best pediatric urologist in delhi, India for hypospadias surgery.

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Antenatal Hydronephrosis Treatment In Delhi, India - Dr Prashant Jain

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:

GRADING OF ANHII TRIMESTERIII TRIMESTER

Mild4-< 7 mm7 – < 9 mm

Moderate7 – ≤ 10 mm9 – ≤ 15 mm

Severe>10 mm>15 mm

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.

What Is The Etiology Of Antenatal Hydronephrosis?

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.

What Are The Possible Complications Of Antenatal Hydronephrosis?

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.

What Are The Treatment Options For Antenatal Hydronephrosis?

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.

How Postnatal Management Of Hydronephrosis Is Done?

Post-natal management of infants with moderate to severe hydronephrosis is done by identifying the cause of the condition and designing a treatment strategy. KUB ultrasound is done usually 48-72 hours after birth. Antibiotics are administered as prophylactic therapy. Before discharge, complete diagnosis, evaluation, and treatment should be provided to the infant.

What Is The Prognosis Of Antenatal Hydronephrosis?

Most fetuses with antenatal hydronephrosis have an excellent prognosis. The condition resolves on its own in many cases. The morbidity and mortality depend upon various factors such as underlying cause, or whether one or both the kidneys are affected.

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

Tag = pediatric laparoscopic surgeon in delhi, hypospadias surgery in delhi, vesicoureteral reflux surgery child in delhi, hirschsprung disease treatment in india,  hydronephrosis in child treatment delhi

[prashantjainsblog]

Hypospadias is a congenital condition that affects boys, where the urethral opening is not positioned at the tip of the penis. This occurs due to abnormal formation of the urethra during the 8-14 weeks of pregnancy. The urethral opening can appear anywhere along the underside of the penis, including at the scrotum. Depending on the location of the opening, the condition can be classified as either distal.

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 and depending on the hypospedias surgery in delhi

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.

[medical6270-blog]

Hypospadias Repair Surgery in India. Hypospadias is a relatively rare congenital condition where the opening of the penis is on the underside of the organ. This condition is more common in infants with a family history of hypospadias. The penis may curve down in an infant and the baby may spray while urinating. It usually requires surgical correction to restore the proper flow of urine.

[best-pediatric-surgeon-in-india]

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

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TREATMENT

Hypospadias is completely treatable. However, it is completely treated in stages depending upon the severity of the condition and associated complications.

Hypospadias is treated by surgical intervention and necessarily needed to be operated. Ideally, the surgery is often performed during the first year of a boy’s life for a better clinical outcome.

The objective of the hypospadias repair is to:

· Correct the downward curvature,

· Reconstruct the urethra so that the urethra is of adequate size and with the opening at the usual place i.e, at the tip of the penis,

· Provide a normal cosmetic appearance of the penis.

[bestpediatricurologistindelhi]

About Dr. Prashant Jain The best pediatric surgeon in india

Director and Sr Consultant Pediatric Surgery and Pediatric Urology

Dr. Prashant Jain is a young and dynamic pediatric surgeon and pediatric urologist in Delhi, India. He has been trained in premier institutes, King Edward Memorial Hospital (KEM), Mumbai, and Kalawati Saran children’s hospital, New Delhi. He has been a meritorious student throughout his medical career and was a gold medalist in his training in pediatric surgery and pediatric urology. He has special expertise and vast experience in pediatric urology and pediatric minimally invasive surgery. He was fortunate to get the opportunity to work in Great Ormond Street, London. He has been performing reconstructive surgeries for congenital anomalies with great skills and excellent results. He has successfully treated many previously failed cases of urological anomalies like hypospadias, bladder exstrophy, etc. Over the years he has devised his own innovative techniques in several surgical procedures which have won him accolades. He has presented his innovations in various conferences and workshops for which he has received critical acclaim. He has multiple publications in pediatric surgery and pediatric urology in various national and international journals.

Presently he heads the department of pediatric surgery Dr. BL Kapur Memorial Hospital, New Delhi. The department of pediatric urology and pediatric surgery in Dr. BL Kapur Super specialty hospital performs all pediatric reconstructive surgeries for complex congenital anomalies and pediatric laparoscopies.

Recently, he had the privilege of heading a team of 40 super specialists doctors involved in the surgical separation of conjoined twins (pygopagus) from Nigeria, which involved major and complex genito-urinary reconstructive work. This rare and exclusive work got acknowledged worldwide.

Know more about our successful pediatric treatments by Dr. Prashant Jain visit our official website - http://www.pedsurgerydelhi.com/

Tags = best pediatric surgeon in Delhi, best pediatric urologist in Delhi

[hellohealing123me-blog]

Hypospadias Repair Surgery in India. Hypospadias is a relatively rare congenital condition where the opening of the penis is on the underside of the organ. This condition is more common in infants with a family history of hypospadias. The penis may curve down in an infant and the baby may spray while urinating. It usually requires surgical correction to restore the proper flow of urine. This usually takes place before 18 months of age.

[drprashantjain]

Kidney salvage surgery for renal tumors in children

4 year old child, presented with c/o mass in the right side of the abdomen noticed for the last 15 days which was gradually increasing in size. The child was evaluated and ultrasound and CECT abdomen was suggestive of large cystic right kidney mass of approx 10X8 cm, localized to the upper pole of the right kidney. The lower pole of the right kidney was spared. In view of the localized upper pole cystic tumor and imaging suggestive of benign lesion, the child was planned for renal sparing surgery along with frozen section biopsy. The child underwent excision of the tumor salvaging the lower part of the right kidney, the frozen section was suggestive of benign lesion. The biopsy confirmed the diagnosis of cystic nephroma, which is a very rare benign kidney tumour in children.

The commonest renal tumor in the paediatric age group is Wilm’s tumor which is a malignant tumor, which requires nephrectomy along with chemotherapy. While cystic nephroma is generally considered as a benign end of the spectrum. In these types of tumor renal sparing surgery should be considered whenever feasible.

TAGS- best pediatric surgeon in india best pediatric urologist in delhi hypospadias surgery in delhi