Pediatric Urology
Common causes of pediatric urology consultation


Hematuria
The hematuria may have many causes. Its origin could be the kidneys, ureters, bladder or urethra. It may include infections, obstructions in the kidney or ureter or urethra, kidney cysts, kidney stones or kidney tumors. Radiological procedures such as ultrasound, uretrocistogramas, CT, MRI and intravascular ultrasound allow a specific diagnosis and timely treatment.



Hernia - Hydrocele
The communication between the abdomen and scrotum in boys; or the abdomen and is labia abdominal in girls, ends in the content of fluid through the groin into the scrotum in boys or the labia in girls.


Hydronephrosis
This condition requires dilation of the kidney. Hydronephrosis is detected through an ultrasound during pregnancy. The causes include obstruction of urine flow, reflux of urine from the bladder to the kidney, it also may be a temporary condition or in some cases, a normal finding.


Kidney stones (calculi)
Usually cause back pain or abdominal pain, with hematuria and fever.


Phimosis
The inability to retract the foreskin over the glans penis. This may require to "liberate" the skin of the penis or excessive circumcision.


Undescended testes
The lack of full descent of the testicles is known as cryptorchidism. Failure to recognize this disease and to treat it in a timely manner, can result in later infertility. Hormone therapy, surgery on the groin or laparoscopy is used to treat this condition, depending on its severity.


Varicocele
Abnormally varicose veins of the vessels that carry blood flow to the testicle. This condition is usually discovered just before or during puberty. The increase in scrotal temperature caused by these large veins can sometimes affect growth and maturation of the testicles causing infertility and scrotal upset. Treatment may only require observation in order to control the growth of the testis. In severe cases, surgery is the procedure of choice.


Vesicoureteral reflux (VUR)
The urine from the bladder back into the kidneys is known as VUR. This is an abnormal condition that is frequently discovered in children who develop urinary tract infections. Located in the evaluation of the cause of urinary tract infections. In some children, treatment with antibiotics and observation gives excellent results in other cases, antireflux surgery is usually necessary. .


Some of the conditions we treat with laparoscopy and robot are:

VUR
Malformations of kidney and ureter
Ureteropelvic junction obstruction
Renal and ureteral calculi
Cryptorchidism
Treatment of urolithiasis
Extracorporeal shock wave lithotripsy
Percutaneous
Wilms' Tumor

Wilm's Tumor
The Wilms tumor is kidney cancer of childhood. This usually occurs in young children. It has become a highly curable cancer when surgery is combined with other treatments such as chemotherapy and radiotherapy.

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