Many times urological surgical care is needed to stop or prevent problems with the bladder, kidneys or urethra. One of the most common surgical procedures is circumcision.
Circumcision, the removal of the foreskin, is most often performed before the infant leaves the hospital by his Pediatrician or mother's Obstetrician. Outside the newborn period, circumcision is only performed for medical indications like urinary infection or voiding difficulty. Forceable manipulation of the foreskin should be avoided as it may lead to serious complications.
Endourology surgery involves operating on the internal structures of the urinary tract by passing small instruments with a light and telescope up the natural passages of the urinary tract, the urethra or through a small puncture in the bladder or kidney. This procedure is used mostly to diagnose and remove stones in the kidney, ureter or bladder.
Cystoscopy is used for vesicoureteral reflux to inject a biodegradable material under the ureter to correct the reflux. The success rate is about 75 to 80 percent.
Hypospadias is treated with surgery to make sure the opening of the ureter is in the proper position and to repair any curvature of the penis.
If the testicles do not move into the scrotal sac by themselves, surgery is necessary for undescended testicles. It is a routine surgery that can be performed laproscopically on boys of age 6 to 12 months. A small incision is made and the testicle is pulled down into the scrotum and anchored in place. After the surgery, the doctor will monitor the testicle to make sure it stays in place and functions properly.
Hernia and Hydrocele Repair
Hernia surgery is performed when the bulge cannot easily slide back into the abdomen. Usually in children under 5, the other side of the abdomen is also examined and repaired if necessary. This surgery has a very low rate of complications.
Hydroceles need to be repaired if they change in size throughout the day or persist for six months or more. Repair is similar to a hernia because the surgeon is trying to close off the connection to the abdominal cavity.