Congenital Pediatric Urological Disorders

Our paediatric urology team at KM NU Hospitals, Ambur, Tiruputtar district, offers compassionate and expert care for children with kidney and bladder problems such as Hypospadias, bedwetting, swollen kidneys, undescended testes, frequent urinary tract infections (UTIs) or VUR, poor bladder control, enlarged kidney or UPJO, kidney & bladder tumours, etc. We provide comprehensive diagnosis, treatment plans tailored to each child's needs, and ongoing support throughout their journey.

1] Overview of Hypospadias:

Hypospadias is a condition in which the baby's tube carrying urine forms differently during pregnancy. It can vary in severity, impacting urination direction, fertility, or self-esteem later.

This birth abnormality affects 1 in 125 boys.It can range from minor to more pronounced, but all are manageable. Thankfully, safe and effective surgical techniques can restore natural function and appearance, often in a single outpatient procedure.

How Hypospadias Affects Baby Boys?

Most cases of hypospadias are mild and have no impact on daily life. But in some cases, the opening might cause urine to spray differently. In rarer situations, hypospadias might affect future fertility and/or self-esteem.

Hypospadias treatment:

Hypospadias is a common condition and treatable. Early diagnosis and expert care are key to fixing the baby boy’s urine problem. Our team of expert paediatric urologists will carefully assess your son's unique situation and discuss treatment options, which might include gentle, minimally-invasive surgery. Along with the children's urology doctors and the entire staff of KM NU Hospitals, Ambur are here to guide you every step of the way.

2] Antenatal hydronephrosis definition:

Antenatal hydronephrosis describes swollen kidneys in your unborn baby due to urine buildup. In most cases, it's mild and resolves on its own, but careful monitoring is important.

Causes: Blockages, valve issues, or normal development phases can cause urine backflow, leading to swelling.
Symptoms: No typical symptoms exist, but it's often detected during routine ultrasounds.
Diagnosis: Ultrasounds provide detailed views of the kidneys and urine flow. Additional tests may be needed in severe cases.
Treatment: Most cases require observation only. In rare instances, surgery after birth may be needed to clear blockages.

3] Bedwetting Overview:

Bedwetting, or nocturnal enuresis, is the involuntary release of urine during sleep after a certain age which is around 5 years old. While common in young children, it can also affect teenagers and adults and can be stressful for families as well.


4] Undescended Testes Overview:

Undescended testes occur when one or both of a boy's testicles haven't dropped down from the abdomen into the scrotum, where they belong. It's quite common, affecting about 1 in 25 newborns.

Causes are mostly unknown, but genetics and developmental factors likely play a role.

Signs & Symptoms: During routine checkups, doctors will gently feel for the testicles in the scrotum. If they're absent, an ultrasound can confirm the diagnosis.

Treatment options: In most cases, the testicles descend naturally within the first few months. If not, Laparoscopic Orchidopexy surgery, Orchidopexy or Orchiopexy surgery is recommended to gently guide them into the scrotum before age 1.

5] Vesicoureteral Reflux (VUR) Overview:

Imagine urine flowing the wrong way – up the tubes from your bladder to your kidneys. This unusual condition, called vesicoureteral reflux (VUR), affects children most often and, while not always symptomatic, can lead to complications if left untreated

What causes VUR?
What are the symptoms?
How is VUR diagnosed?
When to see a doctor:
Treatment options for VUR:

6] Ureteropelvic Junction Obstruction (UPJO) Overview:

Ureteropelvic junction (UPJ) occurs at the point where the ureter (tube carrying urine from your kidney) meets the pelvis of your kidney. When this junction gets blocked, urine flow backs up, causing ureteropelvic junction obstruction (UPJO).

What causes UPJO?
What are the symptoms?
When to see a doctor:
Treatment for UPJO:

7] Overview of Kidney and Bladder Tumours in children

Tumours of the kidney and bladder can affect children even when it is rare. Early detection and prompt treatment are essential for optimal outcomes. Let's explore these childhood cancers:

When to see a doctor:

Further, here's a brief overview of some of the other paediatric urological conditions that children also get affected.

Spina Bifida: A birth defect where the spinal cord doesn't close completely, potentially affecting nerve function and bladder control.

Neurogenic Bladder: A dysfunction of the bladder due to nerve damage, impacting its ability to store and empty urine properly.

Hydrocele : A collection of fluid around the testicle, usually painless and harmless, but occasionally requiring surgical drainage.

Hernia : Protrusion of an organ or tissue through a weak spot in the muscle or abdominal wall. Inguinal hernias are common in children, often requiring surgical repair.

These conditions can significantly impact a child's health and well-being. Early diagnosis and intervention are crucial for managing symptoms and preventing complications. If you have any concerns about your child's health, we urge you to seek medical attention from our expert paediatric doctors or contact us at KM NU Hospitals, Ambur.