Pediatric surgical urology

Some severe pathologies, for example, bladder exstrophy, are diagnosed before the birth of a baby, in the course of prenatal (intrauterine) ultrasound diagnostics. In case of such a pathology a child has no anterior wall of the urinary bladder and a part of the anterior abdominal wall, that is why the child needs cystoplasty just after birth.

Some severe congenital renal and urinary bladder developmental anomalies manifest with time as a child grows. It can be noticed as neoformations in the abdominal and lumbar areas. Hypospadia and epispadia of the penis can manifest in the first days of child’s life; it means that the external urethral orifice is located on the lower or the upper surface of the penis. Apart from a serious curvature of the boy’s penis, the child may suffer from urinary incontinence. The pathology requires surgical treatment. Physiologic phimosis is also one of the most frequent pathologies of boys. It is a condition when the narrowing of the foreskin obstacles the balanus exteriorization.

You should see an urologist in the following cases:

• it is impossible to expose the balanus;
• the external urethral orifice is located in a nontypical place;
• the penis is very small;
• secondary sexual characteristics are absent;
• the scrotum is enlarged or abnormally small on one or on both sides;
• one or both testicles are absent in the scrotum.

The diseases we provide treatment for:

• phimosis;
• webbed penis;
• delayed sexual development;
• sex differentiation abnormality;
• libido disorders;
• improperly formed genitalia;
• hypospadia;
• epispadia;
• ureterocele;
• urinary bladder exstrophy;
• posterior urethral valves;
• polycystosis, multicystosis;
• various types of renal dystopia;
• nephroptosis;
• kidney duplication;
• cryptorchism;
• varicocele;
• urinary tract infections;
• acute cystitis;
• acute/chronic pyelonephritis;
• chronic renal diseases;
• urinary stone disease;
• hydronephrosis;
• megaloureter;
• ectopic ureteric orifice;
• ureterocele;
• hydrocele;
• bladder ears;
• vesicoureteral reflux;
• spinal bladder;
• neurogenic bladder;
• urinary incontinence;
• acute scrotum syndrome;
• urogenital system injuries (injuries of kidneys, urinary bladder, genitalia, testicle bruising).

Surgical treatment methods:

Endoscopic urology, minimally invasive surgical interventions and laparoscopic surgical techniques are widely used at Dobrobut clinic chain:

Endoscopic treatment

Endoscopy as a modern therapeutic approach widely used in pediatric urology nowadays. The newest minimally invasive technologies used by the specialists of Dobrobut clinic chain, in particular, Karl Storz laparoscopic holder, allow performing the following procedures:

• plastics of the ureterovesical segment with Nubiplant / Vantrix gel;
• removal of foreign bodies of the bladder;
• contact lithotripsy of different localization of the stone;
• endoscopic dissection of the ureterocele.

Surgical treatment

Dobrobut clinic chain performs surgical treatment of urogenital system diseases of children from birth till the age of 18 years. The specialists, whose experience is confirmed by the work in the best clinics of the world and of Ukraine, will perform the most complicated surgeries with the minimal risk for your child:

• surgical circumcision in case of phimosis;
• Ross surgery in case of hydrocele;
• orchiopexy in case of cryptorchism;
• plastic reconstruction of the urethrovesical segment: creation of anastomosis (conjunction) between the ureter and the urinary bladder;
• urethroplasty in case of hypospadia;
• cystoplasty;
• open plastic reconstruction of the pyelourethral segment, formation of an anastomosis (new conjunction) between the pelvis of kidney and the ureter in case of hydronephrosis.

Laparoscopy

This modern surgical technique is also minimally invasive, as the surgeries are performed through small incisions to insert a laparoscope. The technique is used for the following procedures:

• laparoscopic plastic reconstruction of the pyelourethral segment, formation of an anastomosis (new conjunction) between the pelvis of kidney and the ureter in case of hydronephrosis;
• ureterocystostomy in case of reflective megaureter;
• heminephrectomy (removal of a part of the kidney);
• aparoscopic transsection of the testicular vein in case of varicocele;
• cystectomy (removal of cyst formations in kidneys);
• nephrectomy (kidney removal);
• diverticulectomy (removal of the bladder ears).

Advantages of treatment at Dobrobut clinic chain

• State-of-the-art medical equipment for diagnostics and treatment that allows for minimal traumatization of a child
• One-day surgery
• Minimally invasive surgical interventions that allow for the procedures of various complexity with a short-term stay in the hospital
• Highly proficient in laparoscopic surgical techniques
• Te most advanced methodologies of treatment of pediatric urologic pathologies.