Urology

Hernia, circumcision, pyeloplasty

Bed wetting

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Bedwetting, or nocturnal enuresis,

can be a distressing issue at any age, but it’s especially challenging for teenagers. While it’s often something children grow out of, it can persist into adolescence.

Potential Causes

There are several reasons why a young child might experience bedwetting:

  • Medical Conditions:

    • Urinary tract infections (UTIs)
    • Diabetes
    • Kidney problems
    • Sleep disorders
    • Hormonal imbalances

  • Lifestyle Factors:

    • Excessive fluid intake before bed, especially caffeinated drinks
    • Irregular sleep patterns
    • Stress or anxiety
    • Constipation
    • Certain medications

  • Developmental Factors:

    • Delayed maturation of the bladder
    • Genetics (family history of bedwetting)

Seeking Professional Help

It’s essential to consult a healthcare professional to determine the underlying cause. They can conduct a thorough examination and recommend appropriate treatments.

Here’s what to expect from a doctor’s visit:

  • Medical history review
  • Physical examination
  • Possible urine tests
  • Referral to a specialist if needed (e.g., urologist, sleep specialist)

Coping and Support

While seeking medical advice is crucial, it’s also important to provide emotional support to the teenager. Bedwetting can be embarrassing, and it’s essential to create a supportive environment.

  • Open communication: Encourage her to share her feelings and concerns.
  • Avoid blame: Reassure her that it’s not her fault and that you’re there to help.
  • Limit liquids before bed: This can help reduce nighttime urination.
  • Establish a regular bedtime routine: Consistent sleep patterns can be beneficial.
  • Consider bladder training exercises: These can help strengthen bladder muscles.
  • Explore treatment options: If necessary, discuss potential treatments with the doctor, such as medication or alarms.

  • Understanding the underlying cause of bedwetting is crucial for determining the most effective treatment. However, here are some common approaches:

 
 
 
 
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Lifestyle Modifications

 

  • Limit fluid intake before bed: Reducing water, juice, and caffeinated beverages can help.
  • Regular bathroom breaks: Encourage her to empty her bladder completely before going to bed.
  • Consistent sleep schedule: Maintaining a regular sleep pattern can aid bladder control.
  • Bladder training exercises: These can help strengthen bladder muscles.

Medical Treatments

  • Medications:
    • Desmopressin (DDAVP): Reduces urine production at night.
    • Anticholinergics: Relax the bladder to increase its capacity.
    • Antidepressants: Can sometimes help with bedwetting but are often a last resort.
  • Bedwetting alarms: These devices wake the individual when they start to wet the bed, helping to retrain the bladder.

Other Considerations

  • Stress management: Techniques like relaxation exercises or meditation can help reduce stress, which may contribute to bedwetting.
  • Psychological support: If emotional factors are involved, therapy can be beneficial.

It’s important to note that these are general treatment options, and the best approach will depend on the specific cause of the bedwetting. 

 
 

Inguinal hernia

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inguinal hernia

Causes of Inguinal Hernia

The exact cause of an inguinal hernia in children is often unknown. However, it’s believed to be related to a weakness in the abdominal wall that develops during fetal development. Premature babies and boys have a higher risk of developing an inguinal hernia.

 
 

Inguinal Hernia in Children: Why Early Treatment is Crucial

Understanding Inguinal Hernia

An inguinal hernia occurs when part of your child’s intestine or other tissue bulges through a weak spot in the abdominal wall. This bulge often appears in the groin area and can sometimes extend into the scrotum in boys. Why is early inguinal hernia surgery for children in Sri Lanka so important? Because it prevents major problems like incarceration and strangling.

 
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Treatment Options

The only effective treatment for an inguinal hernia is surgery, known as herniotomy. This procedure involves making a small incision in the groin, returning the herniated tissue to the abdomen, and closing the weak spot in the abdominal wall.

At our pediatric surgery clinic, we offer both traditional open surgery and laparoscopic surgery for inguinal hernia repair. Laparoscopic surgery involves using small incisions and a camera to perform the procedure, often resulting in less pain and a quicker recovery time.

Our Expert Pediatric Surgeons

Our team of highly skilled pediatric surgeons has extensive experience in diagnosing and treating inguinal hernias in children of all ages. We are committed to providing the best possible care for your child and ensuring a successful outcome.

If you have any concerns about your child’s health or suspect they may have an inguinal hernia, please don’t hesitate to contact our clinic. Early diagnosis and treatment can prevent serious complications and give your child a healthy future.

 
 
 

Inguinal Hernia in Children: Recognizing the Signs

An inguinal hernia usually presents as a painless bulge in the groin area. This bulge may be more noticeable when your child cries, coughs, or strains. In some cases, the hernia can be pushed back into the abdomen. However, it’s essential to consult a pediatrician if you notice any bulge in your child’s groin.

Why Early Treatment is Vital

Delaying treatment for an inguinal hernia can lead to serious complications, including:

  • Incarceration: This occurs when the hernia becomes trapped and cannot be pushed back into the abdomen. It can be extremely painful and can cut off the blood supply to the trapped tissue.
  • Strangulation: This is a life-threatening condition where the blood supply to the trapped tissue is completely blocked. It requires immediate surgical intervention.

To prevent these complications, it’s crucial to have your child evaluated by a pediatric surgeon as soon as you notice any signs of a hernia.

 
 
 
 

Urinary Tract Infections

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UTI

Understanding UTIs in Children

It’s essential to recognize the signs and symptoms of a UTI in your child. Common indicators include:

  • Burning sensation while urinating
  • Frequent urination
  • Pain or discomfort in the lower abdomen
  • Fever
  • Bedwetting (in children who were previously potty trained)
  • Cloudy or strong-smelling urine

If you notice any of these symptoms, it’s crucial to consult a pediatrician immediately. Early detection and treatment are key to preventing complications.

 

Urinary Tract Infections (UTIs) in Children: Understanding and Treatment

Urinary Tract Infections (UTIs) are common bacterial infections that can affect any part of the urinary system, including the kidneys, ureters, bladder, and urethra. While they can occur in anyone, UTIs are more prevalent in girls than boys.

 
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Prevention of UTIs

While UTIs can be challenging to prevent entirely, there are steps you can take to reduce the risk:

  • Encourage good hygiene practices, especially wiping from front to back after using the toilet.
  • Ensure your child drinks plenty of fluids.
  • Regular bowel movements can help prevent constipation, which can increase the risk of UTIs.
  • If your child has recurrent UTIs, consult with your pediatrician about preventive measures.

Remember, UTIs in children should not be ignored. If you suspect your child has a UTI, seek medical attention promptly. Early diagnosis and treatment can prevent complications and ensure your child’s speedy recovery.

 

Urinary Tract Infections (UTIs) in Children: Causes of UTIs in Children

Bacteria, usually from the intestines, are the primary culprits behind UTIs. They can travel up the urethra and into the bladder, causing an infection. Other factors that can increase the risk of UTIs in children include:

  • Constipation
  • Poor hygiene
  • Urinary tract abnormalities
  • Weakened immune system

Treatment of UTIs

UTIs are typically treated with antibiotics. The specific antibiotic and duration of treatment will depend on the severity of the infection and your child’s overall health. It’s crucial to complete the entire course of antibiotics, even if your child starts to feel better. Stopping the medication early can lead to the infection returning.

 
 
 

Religious circumcision

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Safe and Respectful Circumcision: A Tradition Honored

Circumcision, a significant religious and cultural practice for many families, is a rite of passage often performed in childhood. At Paediatric Surgery Clinic, Kandy, we understand the deep-rooted significance of this tradition and are committed to providing safe, pain-free, and respectful circumcision services for your child.

 
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In Kandy Why choose us?

  • Expert Pediatric Surgeons: Our team of highly skilled pediatric surgeons specializes in circumcision procedures, ensuring the utmost care for your child.
  • State-of-the-Art Facility: Our clinic is equipped with modern facilities and advanced medical technology to provide a safe and comfortable environment.
  • Respect for Tradition: We understand the cultural and religious importance of circumcision and tailor our approach to meet your family’s specific needs.
  • Pain Management: We prioritize your child’s comfort. Our advanced pain management techniques ensure minimal discomfort during and after the procedure.
  • Post-Operative Care: We provide comprehensive post-operative care instructions to ensure a smooth healing process.
 
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Understanding the procedure

Circumcision is a surgical procedure involving the removal of the foreskin.  We follow strict hygiene protocols and utilize the latest techniques to minimize discomfort and the risk of complications.

Your child’s well-being is our priority. We believe in open communication and transparency. Our specialists will explain the entire procedure in detail, addressing any concerns or questions you may have. We are dedicated to providing a supportive and reassuring environment for both you and your child.

Trust Paediatric Surgery Clinic, Kandy, to honor your family’s traditions while ensuring the safety and well-being of your child.

If you have any questions or would like to schedule a consultation, please don’t hesitate to contact us. 0777 567 566

 
 

Pyeloplasty

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Helping Tiny Kidneys Drain Better: Pyeloplasty for Childhood Hydronephrosis

Kidneys are the amazing little organs that filter waste from our blood, producing urine. Urine then travels down thin tubes called ureters to the bladder. But sometimes, this drainage system can get blocked, especially in children. This blockage, at the junction of the kidney and ureter, is called Uretero-Pelvic Junction Obstruction (UPJO) and can lead to a condition called hydronephrosis.

Hydronephrosis simply means a swollen kidney. When urine can’t drain properly, it backs up into the kidney, causing it to enlarge. While this may not cause immediate symptoms, it can affect long-term kidney function if left untreated. Thankfully, there’s a surgical solution called pyeloplasty that can help children with hydronephrosis.

What is Pyeloplasty?

Pyeloplasty is a minimally invasive surgery that fixes the blockage at the UPJ. Surgeons can perform this procedure in two main ways:

  • Laparoscopic Pyeloplasty: This is the preferred method. Tiny incisions are made in the abdomen, and a laparoscope (a thin, lighted tube) is inserted to view the kidney and ureter. Surgical instruments are then passed through other small incisions to perform the repair.
  • Open Pyeloplasty: In some cases, an open approach may be necessary. This involves a single larger incision in the abdomen to access the kidney and ureter directly.

During the surgery, the surgeon essentially widens the narrowed junction, allowing urine to flow freely again. The procedure usually takes 1-2 hours, and most children can go home the same day or the next day.

Benefits of Pyeloplasty for Children

Pyeloplasty is a highly successful surgery with a success rate exceeding 90%. Here’s why it’s a great option for children with hydronephrosis:

  • Preserves Kidney Function: By relieving the blockage and preventing further kidney damage, pyeloplasty helps ensure healthy kidney function in the long run.
  • Minimally Invasive: Laparoscopic pyeloplasty offers quicker recovery times and less pain compared to an open approach.
  • Safe and Effective: Pyeloplasty is a well-established surgery with a good safety profile.

Who Needs Pyeloplasty?

The decision for pyeloplasty depends on the severity of the UPJO and its impact on the kidney. Your child’s doctor will consider factors like:

  • The degree of kidney swelling
  • Changes in kidney function
  • Presence of symptoms like pain or urinary tract infections

If you have any concerns about your child’s health, consult a pediatric urologist. They can provide more specific information about pyeloplasty and determine if it’s the right course of treatment for your child.

 
 
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