Best Pediatric Urologist in Delhi

Dr. Prashant Jain is considered one of the best pediatric urologists in Delhi and has expertise in pediatric surgery that makes finest urologist than others.

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Thoracoscopic Surgery In Children: What Is It?

Thoracosopic surgery is a type of minimally invasive surgery that is appropriate for children who require surgery for a variety of chest dis

Thoracosopic surgery is a type of minimally invasive surgery that is appropriate for children who require surgery for a variety of chest diseases. Today, a variety of straightforward and complicated surgical chest problems are regularly treated with thoracoscopy. Small incisions allow for minimally invasive surgery, which prevents damage to the muscles and nerves of the chest wall. On the other hand, huge incisions like those utilized in open surgery are uncomfortable and may eventually result in chest wall deformities.

You will consult with an anesthesiologist as part of your preoperative evaluation. During this time, you will talk about postoperative pain management and anesthesia.

During a thoracoscopic surgery, to see the structures inside the chest, the surgeon uses a thorascope (a small tube with an eyepiece that the surgeon sees through during surgery) and/or an endoscope (a small video camera).

The surgeon can now do procedures that would often require big thoracotomy incisions by using an endoscope to view through them. In order to undergo surgery, patients must be put under general anaesthesia in an operating room.

In Delhi, Dr. Prashant Jain is a well-known pediatric laparoscopic surgeon. Call ([phone] to schedule an appointment and get all your questions answered from the expert.

Tags- Minimally invasive Surgery, Pediatric Laparoscopic Surgeon in Delhi, Thoracoscopic Surgery, Thoracoscopic Surgery in Children, Dr. Prashant Jain

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Best Pediatric Urologist in India: Meeting Your Child Needs

When it comes to your child's health, especially concerning sensitive issues then right pediatric urologist in India is necessary.

Choosing the right Pediatric urologist in India is crucial for ensuring your child receives the best possible care. With India’s growing expertise in pediatric urology, parents have access to world-class specialists and cutting-edge treatments. By considering factors such as qualifications, experience, and hospital affiliation, you can find a pediatric urologist who will provide the compassionate and expert care your child needs.

Remember, early diagnosis and timely intervention are key to managing pediatric urological conditions effectively. If your child is experiencing any urological issues, don’t hesitate to seek the advice of a specialist. Your child’s health and well-being are of utmost importance, and finding the right pediatric urologist can make all the difference.

Pediatric Urologist in India, Pediatric Surgeon in Delhi, Child health Care, Pediatric Urologist in Delhi, Dr. Prashant Jain

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Best Pediatric Surgeon in India- Dr. Prashant Jain

  When it comes to the health and well-being of your child, finding the best pediatric surgeon in India is of paramount importance.  Pediatr

When it comes to the health and well-being of your child, finding the best pediatric surgeon in India is of paramount importance. Pediatric surgery is a specialized field that requires not only advanced medical skills but also a deep understanding of the unique needs of children. Whether it’s a routine procedure or a complex surgery, choosing the right surgeon can make all the difference in ensuring a positive outcome for your child.

Criteria for Choosing the Best Pediatric Surgeon in India:

Selecting the Best pediatric surgeon in India requires careful consideration of several factors:

1. Credentials and Training:

Ensure the surgeon is board-certified in pediatric surgery.

Look for specialized training and experience in pediatric surgical procedures.

2. Experience:

The number of surgeries performed, particularly in the specific area your child needs, is crucial.

Surgeons who have handled a variety of cases are likely to have the expertise needed for complex surgeries.

3. Hospital Affiliation:

Top pediatric surgeons are often affiliated with renowned hospitals equipped with state-of-the-art facilities and specialized pediatric care units.

Ensure the hospital has a dedicated pediatric surgery department with a multidisciplinary team.

4. Success Rates:

Research the surgeon’s success rates in performing the specific surgery your child needs.

High success rates often indicate a surgeon’s proficiency and expertise.

5. Communication and Compassion:

A good pediatric surgeon should be able to communicate effectively with both the child and the parents.

Compassion and patience are essential qualities, as dealing with children requires a gentle and understanding approach.

To know more, visit-Best Pediatric Surgeon in India- Dr. Prashant Jain

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Expert Hernia Surgery for Children in Delhi: What Parents Need to Know | #herniasurgeryindelhi #expertherniasurgeryforchildrenindelhi #chi

When it comes to your child’s health, making informed decisions by parents is paramount. If your child has been diagnosed with a hernia, it’s essential to understand the condition, the treatment options, and what to expect from the surgery.

Delhi, known for its advanced medical facilities and skilled healthcare professionals, is an excellent choice for hernia surgery. In this comprehensive guide, we’ll cover everything parents need to know about expert hernia surgery for children in Delhi.

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https://www.high-enddating.com/blogs/7102/Best-Pediatric-Urologist-in-Delhi-Dr-Prashant-Jain

Dr. Prashant Jain is the best pediatric urologist in Delhi and their exemplary skills and dedication to excellence are highlighted by his achievements as a gold medalist in both pediatric surgery and urology.

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Antenatal Hydronephrosis Treatment In Delhi, India

What Is Antenatal Hydronephrosis? Antenatal hydronephrosis  is the condition that occurs in the fetus during pregnancy. The condition is cha

What Is Antenatal Hydronephrosis?

Antenatal hydronephrosis is the condition that occurs in the fetus during pregnancy. The condition is characterized by enlargement of the kidney due to the accumulation of fluid. Antenatal hydronephrosis indicates various renal disorders in the fetus. found more in males as compared to females. The condition is It is found in 0.5 percent of females and 1 percent in males. Fortunately, in almost all the case, other organs are not affected due to antenatal hydronephrosis.

How Is Antenatal Hydronephrosis Diagnosed?

Antenatal hydronephrosis is diagnosed through various methods. Some diagnostic techniques involve advanced equipment and may not be available at al the centers for diagnosing this condition. Most cases of antenatal hydronephrosis are found during a routine ultrasound at around 20 weeks gestation period.

Following are the methods to diagnose antenatal hydronephrosis:

Laboratory testing: Evaluating the urine sample of the fetus may help in identifying kidney dysfunction or renal dysplasia. Through the ultrasound-guided technique, the urine sample of the fetus is obtained. In the case of a healthy fetus, the urine so formed is hypotonic. However, in a diseased condition, the urine obtained is isotonic. Increased level of calcium, sodium, Microglobulin, and chloride indicates possible renal dysplasia.

Ultrasonography: Ultrasonography was the first diagnostic method that helped in identifying hydronephrosis in the fetus. It also helps in identifying the possible cause of accumulation of fluid in the kidney.

Magnetic Resonance Imaging: Magnetic resonance imaging during pregnancy provides more detailed condition and provide important insight into the severity of the disease. Once the severity is identified, optimum medical interventions can be designed.

Other additional procedures: The procedures that can help in diagnosis include amniocentesis, chromosomal analysis, maternal serum biochemistry, and chorionic villus sampling.

What Are The Various Grades Of Antenatal Hydronephrosis?

The grades of antenatal hydronephrosis are determined by the Antero-posterior diameter (APD) of the renal pelvis. The diameter is evaluated through ultrasonography. The grades or classification of antenatal hydronephrosisis done as mild, moderate and severe.

Following are the various grades for antenatal hydronephrosis:

Almost 57–88% of the antenatal hydronephrosis is mild while 10 to 30 % of the cases are of moderate grade. 2–13% of the cases of antenatal hydronephrosis are severe.

Antenatal hydronephrosis is caused due to the following conditions:

Ureteral obstruction or blockage: This obstruction may be either

Ureteropelvic junction obstruction (UPJ) or ureterovesical junction obstruction (UVJ) or megaureter. The UPJ obstruction is indicated when there is a dilation of the pelvic-calyceal system without any ureteral dilation.

Renal anomalies: Generally, only a single ureter drains the urine from a kidney. However, in almost 1 % of the humans, there are two ureters originated from a kidney. This duplication does not cause any complications in the majority of patients. In approximately 1 in 1500 infants, there is an obstruction in the upper tube.

Urethral obstruction: Urethral obstruction in the fetus may also lead to antenatal hydronephrosis.

Vesicoureteral reflux: When there is the backflow of urine from the ureter and bladder towards the kidney, the urine does not flow properly and gets accumulated.

Polycystic Kidney: Due to the complete obstruction of the ureter, one of the kidneys is not normally developed. The other kidney functions normally and the baby usually born with a multicyclic kidney.

If there is a prolonged obstruction of urine and increased pressure, this may cause a progressive reduction in kidney function. Medical interventions may reduce the pressure and allow the kidney to function but may not be able to regain the lost function.

No intervention is required in antennal hydronephrosis due to various reasons such as lack of technology for accurate diagnosis, non-identification of the definite reason for the fluid accumulation, and no strong data corresponding to safety and efficacy of medical/surgical interventions. However, a follow-up is required during the post-natal period in infants with varying degrees of antenatal hydronephrosis.

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This is an era of minimal-invasive surgery, which includes Laparoscopic Surgery and Robotic Surgery. Laparoscopic surgery is now being used for more than three decades but still has its own limitations in form of a long learning curve and limited range of movement, especially in children with small body cavities requiring reconstructive surgeries.In robotic-assisted surgery (RAS), the surgeon sits besides the patient on a console and manipulates robotic arms with articulated instruments which are controlled by surgeon’s hand. The surgeon’s hand movements are transmitted inside’s the patient’s body to perform precise dissection and suture.The RAS has advantages of providing high definition and magnified 3D vision along with the 7 Degrees of freedom of movement. This is an advantage, especially in children, because of their miniature size. This helps surgeon not only to perform surgery with great precision but also significantly reduces surgical stress.Since 2002, when robotic surgery was started, its application in children have expanded in performing wide range of pediatric urologist surgeries like pyeloplasty in pelvic-ureteric junction, obstruction ureteric rampant in Vesicoureteric reflux, Heminephrectomy, Nephrectomy for renal tumours etc. It is also being used now in Thoracic and gastrointestinal surgeries.

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Thoracoscopic Surgery In Children: What Is It? — Dr. Prashant Jain

Post by Dr. Prashant Jain

Thoracosopic surgery is a type of minimally invasive surgery that is appropriate for children who require surgery for a variety of chest diseases. Today, a variety of straightforward and complicated surgical chest problems are regularly treated with thoracoscopy. Small incisions allow for minimally invasive surgery, which prevents damage to the muscles and nerves of the chest wall. On the other hand, huge incisions like those utilized in open surgery are uncomfortable and may eventually result in chest wall deformities.

During a thoracoscopic surgery, to see the structures inside the chest, the surgeon uses a thorascope (a small tube with an eyepiece that the surgeon sees through during surgery) and/or an endoscope (a small video camera).

In Delhi, Dr. Prashant Jain is a well-known paediatric laparoscopic surgeon. Call ([phone] to schedule an appointment and get all your questions answered from the expert.

#thoracoscopicsurgeryinchildern #pediatricsurgeonindelhi

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Best Pediatric Urologist in India: Meeting Your Child Needs

When it comes to your child's health, especially concerning sensitive and complex issues like urological conditions, finding the right pediatric specialist is paramount. Pediatric urology is a specialized field that focuses on diagnosing, treating, and managing urinary and genital problems in children. India is home to several world-class pediatric urologists who provide expert care tailored to each child's unique needs. This blog aims to guide you through understanding the importance of pediatric urology, recognizing common conditions, and finding the best pediatric urologist in India for your child.

Understanding Pediatric Urology

Pediatric urology encompasses a wide range of conditions affecting the urinary tract and genital organs in children. These conditions can be congenital (present at birth) or acquired, and they vary in severity from minor issues to complex disorders requiring surgery. Pediatric urologist in India are specially trained to handle these delicate conditions, providing care that is both effective and compassionate.

Common Pediatric Urological Conditions

Hypospadias: A congenital condition where the urethral opening is not located at the tip of the penis. Surgical correction is often required.

Vesicoureteral Reflux (VUR): A condition where urine flows backward from the bladder to the kidneys, increasing the risk of urinary tract infections (UTIs) and kidney damage.

Undescended Testes (Cryptorchidism): A condition where one or both testes fail to descend into the scrotum, which may require surgical intervention.

Posterior Urethral Valves (PUV): Abnormal folds of tissue in the urethra of boys that can obstruct urine flow, leading to kidney damage if untreated.

Urinary Tract Infections (UTIs): Recurrent UTIs may indicate an underlying urological issue that needs evaluation.

Spina Bifida and Neurogenic Bladder: Conditions that affect bladder function due to nerve damage or developmental abnormalities.

Hydronephrosis: Swelling of a kidney due to a build-up of urine, often detected prenatally.

Importance of Specialized Care

Children are not just small adults; their bodies are still developing, and their medical needs differ significantly from those of adults. Pediatric urologists undergo extensive training to understand these differences and to provide age-appropriate care. They are skilled in performing delicate surgeries on infants and children and are adept at using minimally invasive techniques to reduce recovery times and minimize discomfort.

Choosing the Right Pediatric Urologist in India

India boasts several renowned pediatric urologists, many of whom are affiliated with top hospitals and medical institutions. When selecting a pediatric urologist for your child, consider the following factors:

Qualifications and Experience: Ensure that the urologist is board-certified and has extensive experience in treating pediatric urological conditions.

Hospital Affiliation: Look for specialists affiliated with reputed hospitals known for their pediatric care facilities.

Specialized Training: Prefer urologists who have undergone specialized training or fellowships in pediatric urology.

Patient-Centered Approach: Choose a doctor who prioritizes patient comfort, provides clear communication, and involves you in the decision-making process.

Advanced Technology and Techniques: Opt for specialists who use the latest diagnostic and surgical technologies to ensure the best outcomes.

Positive Reviews and Testimonials: Seek recommendations from other parents or read reviews to gauge the doctor’s reputation and success rates.

Conclusion

Choosing the right Pediatric urologist in India is crucial for ensuring your child receives the best possible care. With India's growing expertise in pediatric urology, parents have access to world-class specialists and cutting-edge treatments. By considering factors such as qualifications, experience, and hospital affiliation, you can find a pediatric urologist who will provide the compassionate and expert care your child needs.

Remember, early diagnosis and timely intervention are key to managing pediatric urological conditions effectively. If your child is experiencing any urological issues, don’t hesitate to seek the advice of a specialist. Your child’s health and well-being are of utmost importance, and finding the right pediatric urologist can make all the difference.

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Expert Hernia Surgery for Children in Delhi: What Parents Need to Know

When it comes to your child’s health, making informed decisions by parents is paramount. If your child has been diagnosed with a hernia, it’s essential to understand the condition, the treatment options, and what to expect from the surgery. Delhi, known for its advanced medical facilities and skilled healthcare professionals, is an excellent choice for hernia surgery. In this Blog Post, we’ll cover everything parents need to know about expert hernia surgery for children in Delhi.

Understanding Hernias surgery for Children in Delhi:

A hernia occurs when an organ or tissue pushes through a weak spot in the surrounding muscle or connective tissue. In children, the most common types of hernias are:

Inguinal Hernia: This type occurs in the groin area and is more common in boys. It happens when a part of the intestine protrudes through the abdominal wall.

Umbilical Hernia: This type occurs near the belly button and is more common in infants. It happens when part of the intestine bulges through the abdominal muscles near the navel.

Hernias disease can cause discomfort and, in some cases, serious complications. Therefore, timely medical intervention is crucial.

Why Choose Delhi for Hernia Surgery in Delhi?

Delhi is home to some of the best hospitals and pediatric surgeon in India. Here are a few reasons why Delhi stands out for hernia surgery in children:

Expertise and Experience: Delhi’s hospitals boast highly experienced pediatric surgeons who specialize in hernia surgery. These experts have a track record of successful surgeries and positive patient outcomes.

State-of-the-Art Facilities: Delhi’s medical facilities are equipped with the latest technology and infrastructure, ensuring that your child receives the best possible care.

Comprehensive Care: From diagnosis to post-surgery care, Delhi’s hospitals offer comprehensive services, including detailed consultations, advanced surgical procedures, and thorough follow-up care.

Preparing of Hernia Surgery for Children in Delhi

Preparation of Hernia Surgery for Children in Delhi is the key to ensuring a smooth surgical experience for your child. Here are some steps to take:

Consultation with a Pediatric Surgeon: Schedule a consultation with a pediatric surgeon to discuss your child’s condition, the recommended treatment, and the surgical procedure. Ask questions to understand the process and alleviate any concerns.

Pre-Surgery Assessments: Your child may need to undergo certain tests, such as blood tests and imaging studies, to assess their overall health and plan the surgery effectively.

Discuss Anesthesia: Hernia surgery for children is typically performed under general anesthesia. Discuss the anesthesia process with the surgeon and anesthesiologist to ensure your child’s safety and comfort.

The Surgical Procedure of hernia surgery for children in Delhi

Hernia surgery for children in Delhi is usually performed as an outpatient procedure, meaning your child can go home the same day. Here’s what people to expect during the hernia surgery:

Anesthesia Administration: Your child will be given general anesthesia to ensure they are asleep and pain-free during the surgery.

Surgical Technique: The surgeon will make a small incision near the hernia site. The protruding tissue or organ is gently pushed back into place, and the weak spot in the muscle is repaired. In some cases, a synthetic mesh may be used to strengthen the area.

Closure and Recovery: The incision is closed with sutures, and your child will be taken to the recovery room. The surgery typically takes about 30 to 45 minutes.

Hernia Post-Surgery Care

After the hernia post-surgery for children, your child will be monitored in the recovery room until they wake up from the anesthesia. Here’s what to expect during the recovery period:

Pain Management: Your child may experience some pain and discomfort after the surgery. The doctor will prescribe pain medications to manage this effectively.

Activity Restrictions: Encourage your child to rest and avoid strenuous activities for a few weeks. Follow the surgeon’s instructions regarding physical activity and wound care.

Follow-Up Appointments: Schedule follow-up appointments with the surgeon to monitor your child’s recovery and ensure there are no complications.

When to Seek Immediate Medical Attention

While complications are rare, it’s important to be aware of signs that may require immediate medical attention:

Severe Pain: If your child experiences severe pain that is not relieved by medication.

Fever: A high fever may indicate an infection.

Swelling or Redness: Any unusual swelling, redness, or discharge from the incision site.

Conclusion

Choosing the right place for your child’s hernia surgery is a critical decision. Delhi offers some of the best pediatric surgical care in India, with experienced surgeons and state-of-the-art facilities. By understanding the condition, preparing adequately, and following post-surgery care guidelines, you can ensure a smooth and successful surgical experience for your child. Trust Ped Surgery Delhi experts for your child’s hernia surgery and give them the best chance for a healthy, happy future. Schedule a consultation today and take the first step towards your child’s recovery.

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Robotic Assisted Excision of Posterior Mediastinal mass

  9 year old female child, presented with c/o right sided chest pain for 2 weeks. The child was evaluated and skiagram chest was suggestive

9 year old female child, presented with c/o right sided chest pain for 2 weeks. The child was evaluated and skiagram chest was suggestive of right mediastinal opacity. On further evaluation, Magnetic resonance imaging was suggestive of mass in the right posterior mediastinum, of size approximately 5X5 cm, extending from D2 to D6 vertebra involving spinal nerves and spinal canal at the level of D4 and D5 vertebrae. Computer tomographic guided biopsy revealed a ganglioneuroma, which is a benign tumor of the nerve cells. The child was planned for robotic thoracic surgery to excise the mediastinal mass.

The patient was positioned in right lateral position and the robotic Xi Da vinci system was docked from the head end side. 3 robotic ports created in linear fashion in the 6th,7th and 8th intercostal space. The mass was visualized in the right paravertebral from D2-D6 vertebrae. The mass was gently dissected from the adjacent neurovascular structures and removed completely without causing any injury. The estimated blood loss was around 20 ml and the duration of surgery was 15 minutes.

Postoperatively the child did well and was discharged on POD II.

Mediastinal tumors are rare in the paediatric age group. Because of their size, small chest cavity and their close relation with major neurovascular structures in the chest and the spine, surgical excision is always challenging. Due to the well established morbidity of thoracotomy surgery, minimal invasive techniques  (VATS – Video Assisted and Robotic Assisted Thoracic Surgery – RATS) have now been commonly used for surgical excision of these lesions.

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Pediatric Urologist in India

What Is Pediatric Urology?

Children frequently suffer from Genito-urinary disorders. Infants are not able to comprehensively express the discomfort due to these disorders. In such a scenario, a trained and experienced pediatric urologist is required. Pediatric urologists are the doctors that diagnose and treat various Genito-urinary disorders in children.

The genito-urinary system includes ureter, kidney, bladder, and reproductive organs. It has been estimated that of all the disorders requiring surgery in children, almost 50% of them are associated with the Genito-urinary system. These disorders may include both congenital as well as acquired. A Pediatric urologist in India is an expert in handling the simple as well as complex cases of the Genito-urinary tract in infants and children.

How Pediatric Urology Is Different From Adult Urology?

Pediatric urology is quite different from adult urology. The symptoms of pediatric disorders are different from those of adult urology. Most of the urological disorders are congenital disorders and requires altogether a different treatment approach. Most of these problems can be managed with close observation and may not require any intervention. Pediatric surgeons are now well-equipped to precisely diagnose and manage various conditions without any surgery. Minimally invasive surgery also plays an important role in minimizing complications.

What Are The Various Pediatric Disorders?

Following are the various pediatric urological conditions:

Hypospadias : Hypospadias is the condition in which the opening of the urethra is not present on the tip of the penis. It is rather present on the underside of the penis.

Undescended testicles: Medically known as cryptorchidism, it is the condition in which either one or both the testicles failed to descend.

Vesicoureteral reflux: This condition involves the flowing of urine in the wrong direction.

Bladder exstrophy: When the bladder protrudes outside the abdominal wall, the condition is termed as bladder exstrophy.

Pelvic-ureteric junction obstruction: This condition is characterized by impairment in the flow of urine at the junction of pelvis and ureter.

Epispadias: When the urethra opens on the upper side of the penis, the condition is termed as epispadias.

Other conditions: Various other pediatric urological conditions include Testicular torsion, Ureterocoele, Horseshoe kidney, Duplex kidney, Ectopic ureters, and Absent kidney or renal agenesis.

What Are The General Symptoms Of Pediatric Disorders?

Symptoms of pediatric disorders are presented based on the type of Genito-urinary disorder. However, common symptoms include:

· Painful urination

· Fever

· Blood in urine

· Thin urine stream

· Abdominal pain

· Swelling in testis

· Urinary tract infection which may frequently recur

· Pus in urine

· Increased urine frequency.

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Antenatal Hydronephrosis Treatment In Delhi, India

  What Is Antenatal Hydronephrosis?   Antenatal hydronephrosis  is the condition that occurs in the fetus during pregnancy. The condition is

What Is Antenatal Hydronephrosis?

 Antenatal hydronephrosis is the condition that occurs in the fetus during pregnancy. The condition is characterized by enlargement of the kidney due to the accumulation of fluid. Antenatal hydronephrosis indicates various renal disorders in the fetus. found more in males as compared to females. The condition is It is found in 0.5 percent of females and 1 percent in males. Fortunately, in almost all the case, other organs are not affected due to antenatal hydronephrosis.

How Is Antenatal Hydronephrosis Diagnosed?

Antenatal hydronephrosis is diagnosed through various methods. Some diagnostic techniques involve advanced equipment and may not be available at al the centers for diagnosing this condition. Most cases of antenatal hydronephrosis are found during a routine ultrasound at around 20 weeks gestation period.

for more information, visit-

Antenatal Hydronephrosis Treatment In Delhi, India

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Vesicoureteric Reflux Treatment in India by Dr. Prashant Jain

Vesicoureteric reflux is the condition in which the urine flows back from the bladder to the ureter. This condition is also known as vesicoureteral reflux. There is a progressive flow of urine from the kidney to the bladder through ureters. The uni-directional flow of urine from kidney to urinary bladder is ensured by the flaps situated between the ureter and urinary bladder (vesico-ureteric junction). This condition is commonly diagnosed in infants and young children.

In this condition, the urine may flow back form one or both the ureters. Based on the severity of symptoms and extent of disease, the urologist generally grades this condition from Grade 1 to Grade 5 with Grade 1 mildest form and Grade 5, a severe form. Fortunately, most children recover from this condition as they get older. The vesicoureteric reflux is divided into primary and secondary.

What Are The Causes Of Vesicoureteric Reflux?

The causes of vesicoureteric reflux are different for primary vesicoureteric reflux and secondary vesicoureteric reflux.

Primary vesicoureteric reflux: In this type of vesicoureteric reflux, the valve between the ureter and urinary bladder does not work properly. This results in backflow of urine. This is the most common cause of this condition in children. However, as the age increases, the ureter and bladder become mature, and the valve regains functioning. If the urine flows back from only one ureter, it is termed as vesicoureteric unilateral reflux, and if both the ureters are involved in the backflow of urine, the condition is termed as vesicoureteric bilateral reflux.

Secondary vesicoureteric reflux: There are various causes of secondary vesicoureteric reflux. In some cases, there is a blockage of urine due to abnormal tissue fold in the urethra (posterior urethral valve) and in conditions like neurogenic bladder. Obstruction in bladder outlet prevents the voiding of complete urine from the bladder. In cases of neurogenic bladder, the child may also have damaged nerves that control contraction and relaxation of the bladder resulting in reflux.

What Are The Symptoms Of Vesicoureteric Reflux?

Symptoms of vesicoureteric reflux depend upon the severity and complications of the disease. The patients with vesicoureteric reflux may experience the following symptoms:

·         Recurrent urinary tract infection

·         The excessive urge to urinate

·         Fever

·         Cloudy urine

·         Frequent urination

·         Pain during urination

·         Bedwetting

·         Urinary retention

·         Loss of appetite

·         Irritability

·         Presence of protein in the urine

·         High blood pressure

How Vesicoureteric Reflux Is Diagnosed?

The vesicoureteric reflux can be diagnosed both before and after birth. Before birth, the condition can be diagnosed through the ultrasound, which reveals swelling in kidneys (hydronephrosis). Various techniques that are used to diagnose the condition are:

Laboratory workup: Many children have the recurrent urinary infection as the primary symptom of this condition. Thus, urinalysis is done to determine the presence of urinary tract infection.

Imaging techniques: Kidney, bladder, and ureter ultrasound is done to determine the presence of any structural abnormalities.

Micturating cystourethrogram (MCUG):It is a specialized X-ray of the urinary tract. During this procedure, the doctor places a small catheter in the bladder and fill the bladder with a special dye. The X-ray is taken before and after urination. The doctor, by evaluating the flow of dye, determines if the urine flows back in the ureter.

Nuclear scan: During this procedure, the doctor uses a radioisotope. The detector detects the isotope and determines any damages in kidney.

How Vesicoureteric Reflux Is Treated?

 The following are the management options available for vesicoureteric reflux:

Medications: Low dose of antibiotics is provided to the children to prevent urinary tract infection. However, regular monitoring is required to determine the presence of urinary tract infection. Further, doctors should implement imagining techniques to monitor the progression of the disease. Besides various precautions are to be taken like avoiding constipation, perineal hygine and frequent voiding to reduce the risk of infection.

Surgery: Various types of surgeries are available for treating vesicoureteric reflux. Open surgery is done to repair the larger problem in the urinary tract and involves anesthesia. Robotic-and laparoscopic surgery is done to repair the valve between the ureter and urinary bladder. Endoscopic surgery is performed to strengthen the valve with the use of a bulking agent. Ureteric reimplantation is surgery in which the doctor disconnects the ureter and urinary bladder and reattaches them at an angle to create a valve.

What Are The Preventive Measures For Vesicoureteric Reflux?

Although there are no measures to prevent the vesicoureteric reflux,  certain measures may improve the health of the urinary tract. These are:

·         Regular urination and cleaning from front to back.

·         Drinking enough fluids.

·         Eat plenty of fiber-rich food to avoid constipation.

·         Change the diaper frequently or as soon as it gets dirty.

·         Get proper treatment for urinary and fecal incontinence.

What Is The Prognosis Of Vesicoureteric Reflux?

Most children with this condition recover on their own. Surgery has a high rate of success, with a 97%-99% positive outcome. Early diagnosis and monitoring of the condition reduces complications.

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Treatment of Duplex Renal System in India

Introduction

The duplex renal system involves the presence of two ureters in a single kidney. The renal duplex system may be complete or incomplete. Many patients do not have symptoms. Most of these cases are diagnosed on antenatal scan or when they present with urinary tract infections. It is a congenital condition and may require various procedures to salvage the renal functions.

Duplex Renal System

The duplex renal system is also known as a duplicated collecting system or renal duplex. Urine formation takes place in the kidney. From kidneys, the urine flows to the urinary bladder through small tube-like structures. These tube-like structures are known as ureters. In normal case, one ureter from each kidney drains the urine to the bladder. However, in duplex system kidney gets duplicated forming two system with two ureters each. One ureter drains the urine from the upper part of the kidney while another drains urine from the lower part.

Types Of Duplex Renal System

The duplex renal system may be of the following two types:

Incomplete duplex renal system: In the incomplete duplex renal system, two ureters drain the urine from a kidney. However, the ureters join somewhere between the kidney and the bladder and enter the bladder as a single ureter.

Complete duplex renal system: In the complete duplex urinary system, two ureters drain urine from a kidney and enters the bladder at two different points.

Prevalence of Duplex Renal System

Approximately 0.7% of healthy people may have a duplex renal system. The incidence of this condition increases to 2-4% in patients who already have urinary tract issues. The prevalence of incomplete duplex system is three times more in comparison to the complete duplex system. The condition is more common in females.

Symptoms of Duplex Renal System

Till the urine from the duplex ureters drains normally into the bladder and is not refluxing, the person may not experience any symptoms. Sometimes the ectopic ureter may open outside the bladder like urethra or vaginal in females causing urinary incontinent. Some of the common presentation and symptoms are:

Recurrent urinary tract infection

Urinary incontinence

Hydronephrosis

Vesicoureteral reflux

Causes of Duplex Renal System

The condition of the renal duplex system is congenital i.e., it is present by birth. It may be due to abnormal development of the urinary tract system. What causes this in the womb remains unknown. 

Diagnosis of Duplex Renal System

Your doctor may diagnose the condition through the following methods:

Physical examination: The doctor may perform the physical examination and ask you various questions about your symptoms. The doctor may ask you about an alteration in urination, medical history of urinary tract infection, and if you have a family history of a renal duplex system.

Ultrasound: Ultrasound may help in determining the presence of the duplex urinary system and associated hydronephrosis.

MRI Urogram or CT Urogram: The doctor recommends scanning to determine the presence of duplex ureters through 3-D imaging.

VCUG (voiding cysto-urethrogram) : To know the presence of vesico-ureteric reflux which is commonly associated with duplex system.

Treatment Of Duplex Renal System

Most people do not require treatment for the duplex renal system.

Surgery is recommended in a symptomatic child or in case of deteriorating renal function.

In case the patients require treatment, the doctor may recommend the following procedures:

Ureteral reimplantation: In this procedure, obstructed or refluxing ureter is disconnected and again reimplanted in bladder.

Ureteroureterostomy: The obstructed or refluxing ureter is joined to normal ureter.

Hemi-Nephrectomy: The doctor does not commonly use this procedure. The doctor removes the part of kidney, which is not working properly. This helps in avoiding symptoms such as urinary tract infection and urinary incontinence.

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Best Pediatric Surgeon in Delhi

Choosing the best pediatric surgeon for your child in Delhi can be a daunting task. With the increasing number of healthcare professionals and facilities, parents often find themselves overwhelmed with options. This guide aims to provide you with a detailed overview of what to look for in a pediatric surgeon, the top professionals in the field, and what sets them apart in the bustling metropolis of Delhi.

Why Choosing the Right Pediatric Surgeon is Crucial ?

Pediatric surgery involves treating surgical problems in children from newborns to adolescents. Unlike adult patients, children have unique medical needs and responses to treatments, making it crucial to select a surgeon with specialized training and experience in pediatric care.

Specialized Training: Pediatric surgeons undergo extensive training that includes a general surgery residency followed by a fellowship in pediatric surgery. This training equips them with the skills to handle the delicate and varied conditions affecting children.

Experience with Pediatric Conditions: Children are not just small adults; their bodies are still developing, and they can have different medical conditions that are rare in adults. A pediatric surgeon is trained to diagnose and treat these unique conditions.

Child-Friendly Approach: Pediatric surgeons are adept at communicating with children and easing their anxieties. They also ensure that their medical facilities are child-friendly, reducing the stress of a hospital visit.

What to Consider When Choosing a Pediatric Surgeon:

Qualifications and Certifications: Ensure that the surgeon has the necessary qualifications and certifications from recognized medical institutions. Board certification in pediatric surgery is a plus.

Experience: Look for a surgeon with significant experience in treating the specific condition your child has. Experience often correlates with better outcomes.

Hospital Affiliation: The quality of the hospital where the surgeon practices is also important. Look for hospitals that have specialized pediatric units and advanced medical facilities.

Patient Reviews and Testimonials: Check online reviews and testimonials from other parents. Personal recommendations can also be very helpful.

Communication and Comfort: Choose a surgeon who communicates clearly and makes both you and your child feel comfortable. The surgeon should be willing to answer all your questions and address your concerns.

The Pediatric Surgery Process

Understanding the typical process of pediatric surgery can also help in making an informed decision:

Initial Consultation: This involves a thorough medical history review, physical examination, and diagnostic tests. The surgeon will explain the diagnosis and the proposed surgical procedure.

Preoperative Preparation: Detailed instructions will be given regarding pre-surgery care, including dietary restrictions and medication adjustments.

Surgery: On the day of the surgery, the medical team will ensure that your child is comfortable and prepared. The surgery will be performed in a sterile, child-friendly environment.

Postoperative Care: After surgery, the child will be monitored in the recovery room. The surgeon will provide postoperative care instructions and schedule follow-up visits to ensure proper healing and recovery.

Conclusion

Choosing the Best pediatric surgeon in Delhi is a critical decision that can significantly impact your child’s health and well-being. By considering factors such as qualifications, experience, hospital affiliation, and patient reviews, you can make an informed choice. Delhi’s top pediatric surgeon i.e., Dr. Prashant Jain is well-equipped with their team to provide the specialized care that people children require, ensuring the best possible outcomes for young patients.

Frequently Asked Questions (FAQs)

Q: How do People know if their child needs to see a pediatric surgeon?Your child’s pediatrician can refer you to a pediatric surgeon if they believe that a surgical intervention is necessary. Common signs include chronic pain, abnormal growths, or congenital abnormalities.

Q: What should people expect during the initial consultation with a pediatric surgeon?During the initial consultation, the surgeon will review your child’s medical history, conduct a physical examination, and possibly order diagnostic tests. They will explain the diagnosis, treatment options, and answer any questions you may have.

Q: How can people prepare their child for surgery?Follow the preoperative instructions provided by the surgeon. This may include fasting, medication adjustments, and psychological preparation. Explaining the procedure in a child-friendly manner can also help ease their anxiety.

Q: What is the recovery process like after pediatric surgery?The recovery process varies depending on the type of surgery. The surgeon will provide specific postoperative care instructions, including wound care, pain management, and activity restrictions. Follow-up visits are crucial to monitor healing.