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Best Pediatric Urologist in Delhi - Dr. Prashant Jain
Are you seeking the utmost care and expertise for your child's urological needs in Delhi? Look no further! Delve into the realm of pediatric urologist in the capital city.
With a blend of advanced medical prowess, compassionate care, and a dedication to ensuring your child's well-being, Delhi's pediatric urologists stand out as beacons of excellence in the field.
Dr. Prashant Jain is the best pediatric urologists 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.his specialized expertise in pediatric urology and minimal invasive surgery indicates a keen focus on advanced and precise medical techniques for treating young patients. The opportunity to work at Great Ormond Street in London likely provided him with invaluable international experience and exposure to cutting-edge practices in his field.
With such a robust education, specialized training, and international exposure, it’s evident that Dr. Prashant Jain is a highly qualified and experienced professional in pediatric surgery and urology. His dedication to his field and continuous pursuit of knowledge and expertise make him a valuable asset to the medical community, particularly in the realm of pediatric care.
Dr. Prashant Jain’s accomplishments in the field of pediatric surgery and urology are truly remarkable. His success in performing reconstructive surgeries for congenital anomalies showcases his exceptional skills and dedication to improving the lives of young patients with complex medical conditions. Successfully treating previously failed cases of urological anomalies like hypospadias and bladder exstrophy speaks volumes about his expertise and innovative approaches.
Why Choose Delhi's Pediatric Urologists?
Expertise: Each of these specialists possesses extensive training and experience in pediatric urology, ensuring the highest standard of care for your child.
Compassionate Care: Beyond medical expertise, these doctors prioritize the emotional well-being of both children and parents, fostering a supportive environment throughout the treatment journey.
State-of-the-Art Facilities: Collaborating with leading hospitals and clinics in Delhi, these pediatric urologists have access to cutting-edge technology and facilities, facilitating precise diagnoses and effective treatments.
Continued Innovation: With a commitment to staying abreast of the latest advancements in pediatric urology, these specialists continuously refine their skills and techniques, offering innovative solutions for even the most challenging cases.
Take the First Step Towards Your Child's Health:
When it comes to your child's urological health, trust only the best. Best pediatric urologist in delhi with combine skill, compassion, and innovation to provide unparalleled care for your little ones. Take the first step towards ensuring your child's health and happiness by scheduling a consultation with one of these esteemed specialists today.
#best pediatric urologist in delhi#best pediatric surgeon in delhi#best pediatric urologist in india#Hypospadias surgery in delhi#Pediatric laparoscopic surgeon in delhi#best pediatric surgeon in india
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Is Hypospadias a Genetic Problem?
I saw a charming young couple in my clinic today. They brought their 1-year-old son to me for hypospadias surgery. After examining the child, I discussed the plan of treatment with them. They were obviously concerned that their child has this defect of his penis and would require surgery at such a young age! Further, they had apparently read somewhere that hypospadias is a genetic problem. Just before they left my clinic, they asked a common question asked by parents of a child with hypospadias “Doctor, if we have another child (boy) in future, is he also going to get hypospadias?”
To know more click here : Best pediatric surgeon in hyderabad
#Pediatric urologist in hyderabad#Best pediatric surgeon in hyderabad#Pediatric urologist hyderabad#Pediatric surgeon in hyderabad#Best pediatric surgeon in india#Hypospadias surgery in delhi#Dr chandrasekhar urologist#Top pediatric surgeon in india
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Hypospadias is a birth defect in boys in which the opening of the urethra is not located at the tip of the penis. Consult best pediatric urologist in delhi, India for hypospadias surgery.
#hypospadias surgery in delhi#best pediatric urologist in delhi#best pediatric surgeon in india#Pedsurgerydelhi
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#Best pediatric surgeon in Delhi#Best pediatric surgeon in India#Best pediatric urologist in India#Robotic pyeloplasty surgery in delhi
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Director and Sr Consultant Pediatric Surgery and Pediatric Urology - Dr. Prashant Jain
Dr. Prashant Jain is a young and dynamic pediatric surgeon and pediatric urologist in Delhi, India. He has been trained in premier institutes, King Edward Memorial Hospital (KEM), Mumbai and Kalawati Saran children’s hospital, New Delhi. He has been a meritorious student throughout his medical career and was gold medalist in his training in pediatric surgery and pediatric urology. He has special expertise and vast experience in pediatric urology and pediatric minimal invasive surgery. He was fortunate to get opportunity to work in Great Ormond Street, London. He has been performing reconstructive surgeries for congenital anomalies with great skills and excellent results. He has successfully treated many previously failed cases of urological anomalies like hypospadias, bladder exstrophy etc. Over the years he has devised his own innovative techniques in several surgical procedures which have won him accolades. He has presented his innovations in various conferences and workshops for which he has received critical acclaim. He has multiple publications in pediatric surgery and pediatric urology in various national and international journals.
Presently he heads the department of pediatric surgery Dr BL Kapur Memorial Hospital, New Delhi. The department of pediatric urology and pediatric surgery in Dr BL Kapur Super speciality hospital, performs all pediatric reconstructive surgeries for complex congenital anomalies and pediatric laparoscopies.
Recently, he had privilege of heading a team of 40 super specialists doctors involved in the surgical separation of conjoined twins (pygopagus) from Nigeria, which involved major and complex genito-urinary reconstructive work. This rare and exclusive work got acknowledged worldwide.
TAG- Best pediatric Surgeon in Delhi, Best pediatric urologist in Delhi, Best pediatric surgeon in India
#bestpediatricurologistindelhi#bestpediatricsurgeoninindia#pediatricroboticsurgeryindelhi#herniasurgeryforchildindelhi
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Urethra and Penile Surgery (UPS) is home to the best and most respected urology hospital in Delhi and NCR. Book a free online consultation with the best Urologist in Delhi.
Urethra and Penile Surgery (UPS) is a center of exclusivity & excellence for Andrology and Reconstructive Urology. We specialize in Urethral stricture, Peyronie’s disease, Erectile dysfunction, Penile implant placement & revision, Hypospadias repair, congenital penile curvature correction and other disorders of the male external genitalia such as epispadias, hydrocele, phimosis etc. Urethra and Penile Surgery (UPS) is home to the best and most respected urology hospital in Delhi and NCR. Urethra and Penile Surgery (UPS) hospital’s Department of Urology has state-of-the-art diagnostic equipment and laboratories for diagnosing various urinary tract disorders. You can receive both in-patient and out-patient treatments depending on your medical condition. We are a regional, national, and international tertiary referral center dedicated to the treatment of disorders of the male Urethra, External Genitalia and Andrology. We have been managing patients from more than 35 countries across the globe and patients from more than 15 Indian states with good success rate.We encourage our patients to come for a follow up after the surgery for better clinical outcome.
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Care after Hypospadias surgery in Delhi
Hypospadias is a common congenital problem which can be corrected by surgery. Post operative care of hypospadias surgery is equally important as it needs care of pain, infection, dressing and urinary tube (catheter).
Post operative care after hypospadias repair Includes :
The child will require analgesics, usually paracetamol for surgical site pain. He may have spasmodic pains because of the urinary catheter which can sometimes irritate the bladder wall. To prevent this child will be given anticholinergic drugs (Tropan).
Besides the child will be given antibiotics to prevent the risk of infection and laxatives in case of constipation.
The most important is to take care of urinary pipe (catheter). We prefer using double diaper in children less than 3 years old. The diaper which is inside needs to be changed if it gets soiled with stool while the outer diaper which soaks urine needs to be changed on regular basis. The purpose of using double diaper is to avoid mixing of stool and urine and thus avoiding the risk of infection.
Parents should ensure that the catheter is continuously draining urine. They can check this by changing the diaper regularly or emptying the urinary bag in regular intervals. In case the catheter is not draining the urine, one should check for any kinking of the catheter, if this is not the possibility then they have to contact the doctor or report in the emergency. Sometimes the blocked catheter may require flushing with saline.
In case if dressing gets soaked with urine you can use a hair dryer to make it dry (at same time ensure that the catheter is draining urine).
The child will be called after 7 to 10 days to remove the dressing and catheter (or before if it gets soaked with blood or urine.)
He will not be able to take bath till the time catheter is removed, but careful sponging can be done.
After the dressing is removed, he can take shower. He will be advised for sitz bath and application of local antibiotic ointments for 10 days.
You should contact doctor/emergency if the child has lot of pain, dressing gets soaked or has fallen off and if catheter is not draining urine.
Tag = best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in india
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About Dr. Prashant Jain The best pediatric surgeon in india
Director and Sr Consultant Pediatric Surgery and Pediatric Urology
Dr. Prashant Jain is a young and dynamic pediatric surgeon and pediatric urologist in Delhi, India. He has been trained in premier institutes, King Edward Memorial Hospital (KEM), Mumbai, and Kalawati Saran children’s hospital, New Delhi. He has been a meritorious student throughout his medical career and was a gold medalist in his training in pediatric surgery and pediatric urology. He has special expertise and vast experience in pediatric urology and pediatric minimally invasive surgery. He was fortunate to get the opportunity to work in Great Ormond Street, London. He has been performing reconstructive surgeries for congenital anomalies with great skills and excellent results. He has successfully treated many previously failed cases of urological anomalies like hypospadias, bladder exstrophy, etc. Over the years he has devised his own innovative techniques in several surgical procedures which have won him accolades. He has presented his innovations in various conferences and workshops for which he has received critical acclaim. He has multiple publications in pediatric surgery and pediatric urology in various national and international journals.
Presently he heads the department of pediatric surgery Dr. BL Kapur Memorial Hospital, New Delhi. The department of pediatric urology and pediatric surgery in Dr. BL Kapur Super specialty hospital performs all pediatric reconstructive surgeries for complex congenital anomalies and pediatric laparoscopies.
Recently, he had the privilege of heading a team of 40 super specialists doctors involved in the surgical separation of conjoined twins (pygopagus) from Nigeria, which involved major and complex genito-urinary reconstructive work. This rare and exclusive work got acknowledged worldwide.
Know more about our successful pediatric treatments by Dr. Prashant Jain visit our official website - http://www.pedsurgerydelhi.com/
Tags = best pediatric surgeon in Delhi, best pediatric urologist in Delhi
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Pediatric Gastrointestinal Surgery In Delhi, India | Dr. Prashant Jain
Pediatric Gastrointestinal Surgery
The paediatric surgeons have special expertise in dealing with various gastrointestinal congenital anomalies requiring complex reconstruction surgeries. In collaboration with our Paediatric gastroenterologists, we treat many complex conditions like biliary atresia, Hirschsprung’s Disease etc.
Besides we are available round the clock for emergencies like acute appendicitis, gall bladder stones and intestinal obstruction that require immediate attention. Most of these procedures are performed by using advance laparoscopic techniques.
Common conditions and surgeries
Ano-Rectal Malformation
Hirschsprung’s disease
Biliary Atresia
Choledochal cyst
Fundoplication for Gastro-Esophageal Reflux
Abdominal cysts
About Dr.
Dr. Prashant Jain
Director and Sr Consultant Pediatric Surgery and Pediatric Urology
Dr. Prashant Jain is a young and dynamic pediatric surgeon and pediatric urologist in Delhi, India. He has been trained in premier institutes, King Edward Memorial Hospital (KEM), Mumbai and Kalawati Saran children’s hospital, New Delhi. He has been a meritorious student throughout his medical career and was gold medalist in his training in pediatric surgery and pediatric urology. He has special expertise and vast experience in pediatric urology and pediatric minimal invasive surgery. He was fortunate to get opportunity to work in Great Ormond Street, London. He has been performing reconstructive surgeries for congenital anomalies with great skills and excellent results. He has successfully treated many previously failed cases of urological anomalies like hypospadias, bladder exstrophy etc. Over the years he has devised his own innovative techniques in several surgical procedures which have won him accolades. He has presented his innovations in various conferences and workshops for which he has received critical acclaim. He has multiple publications in pediatric surgery and pediatric urology in various national and international journals.
Presently he heads the department of pediatric surgery Dr BL Kapur Memorial Hospital, New Delhi. The department of pediatric urology and pediatric surgery in Dr BL Kapur Super speciality hospital, performs all pediatric reconstructive surgeries for complex congenital anomalies and pediatric laparoscopies.
Recently, he had privilege of heading a team of 40 super specialists doctors involved in the surgical separation of conjoined twins (pygopagus) from Nigeria, which involved major and complex genito-urinary reconstructive work. This rare and exclusive work got acknowledged worldwide.
Tags = best pediatric urologist in delhi, best pediatric urologist in india, best pediatric surgeon in delhi, best pediatric surgeon in india
For more information = http://www.pedsurgerydelhi.com/
See more blogs = https://best-pediatric-surgeon-in-delhi.blogspot.com/2022/06/endourology-treatment-in-delhi-india-by.html
#best pediatric urologist in delhi#best pediatric urologist in india#best pediatric surgeon in delhi#best pediatric surgeon in india
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Antenatal Hydronephrosis Treatment In Delhi, India - Dr Prashant Jain
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:
GRADING OF ANHII TRIMESTERIII TRIMESTER
Mild4-< 7 mm7 – < 9 mm
Moderate7 – ≤ 10 mm9 – ≤ 15 mm
Severe>10 mm>15 mm
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.
What Is The Etiology Of Antenatal Hydronephrosis?
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.
What Are The Possible Complications Of Antenatal Hydronephrosis?
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.
What Are The Treatment Options For Antenatal Hydronephrosis?
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.
How Postnatal Management Of Hydronephrosis Is Done?
Post-natal management of infants with moderate to severe hydronephrosis is done by identifying the cause of the condition and designing a treatment strategy. KUB ultrasound is done usually 48-72 hours after birth. Antibiotics are administered as prophylactic therapy. Before discharge, complete diagnosis, evaluation, and treatment should be provided to the infant.
What Is The Prognosis Of Antenatal Hydronephrosis?
Most fetuses with antenatal hydronephrosis have an excellent prognosis. The condition resolves on its own in many cases. The morbidity and mortality depend upon various factors such as underlying cause, or whether one or both the kidneys are affected.
For More Info.(http://www.pedsurgerydelhi.com/)
Tag = pediatric laparoscopic surgeon in delhi, hypospadias surgery in delhi, vesicoureteral reflux surgery child in delhi, hirschsprung disease treatment in india, hydronephrosis in child treatment delhi
#pediatric laparoscopic surgeon in delhi#hypospadias surgery in delhi#vesicoureteral reflux surgery child in delhi#hirschsprung disease treatment in india#hydronephrosis in child treatment delhi
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Hypospadias is a congenital condition that affects boys, where the urethral opening is not positioned at the tip of the penis. This occurs due to abnormal formation of the urethra during the 8-14 weeks of pregnancy. The urethral opening can appear anywhere along the underside of the penis, including at the scrotum. Depending on the location of the opening, the condition can be classified as either distal.
Types of Hypospadias:
The types of hypospadias a boys has depends on location of the opening of the urethra:
Subcoronal: The opening of the urethra is located somewhere near the head of the penis.
Midshaft: The opening of the urethra is located along the shaft of the penis.
Penoscrotal: The opening of the urethra is located where the penis and scrotum meet.
Understanding the normal penis and urethra
The normal urethra is a tube through which that urine flows out of the bladder. It passes through the penis. The opening of the urethra (meatus) is normally at the end of the penis, partly covered by the foreskin.
What is the penis like in hypospadias?
The main problem is that the urethra opens on the underside of the penis instead of at the end of the penis. The opening can be anywhere from just below the normal position (mild) to as far back as the base of the scrotum (severe).
Hypospadias may also include the following:
A hooded appearance of the foreskin. This is because the foreskin does not develop on the underside of the penis.
Tightening of the tissues on the underside of the penis (called ‘chordee’). This pulls the penis down and it cannot fully straighten. This is commanly seen in severe hypospedias
What problems can hypospadias cause?
Problems are likely to occur if hypospadias is left untreated. The further back the opening of the urethra is, the more severe the problems are likely to be.
Passing urine is different to normal. A baby in nappies will have no problem. However, when older, the urine stream may not be able to be directed forward into a urinal. When going to the toilet the urine is likely to ‘spray’ backwards. Sitting on a toilet may be needed to pass urine without mess.
Chordee causes bending of the penis. This is more noticeable when the penis is erect. Sexual intercourse may be difficult or impossible in severe cases.
Psychological problems about being ‘different’ to normal are common.
How common is hypospadias and what causes it?
About 1 in 300 boys are born with some degree of hypospadias. It seems to be getting more common. The reason why the penis does not develop properly is still not clear. The development of the penis while the baby is growing in the womb (uterus) is partly dependent on the male sex hormones such as testosterone.
youtube
What is the treatment for hypospadias?
If the hypospadias is mild, with the opening of the urethra just a little down from normal and with no bending of the penis, no treatment may be needed. However, in most cases an operation is required to correct the hypospadias. This can usually be done in one operation. However, if the hypospadias is more complicated, two operations may be necessary. The operation is usually done when the child is around 6-18 months old. The goals of treatment are:
For urine to be passed in a forward way.
For the penis to be straight when erect.
For the penis to look as normal as possible.
The position of the opening of the urethra is altered. Also, if chordee is present then this is corrected to allow the penis to straighten. The foreskin is usually used during the operation to make the new urethra so it is important that a circumcision is not done before the corrective surgery is performed and depending on the hypospedias surgery in delhi
The success of the operation and the ‘normality’ that can be achieved depends on the severity of the hypospadias done in single as two stage.
#best pediatric urologist in delhi#hypospedias surgery in delhi#pediatric surgeon in delhi#pediatric urologist in india#Youtube
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Male infertility includes all types of health issues in men, which reduces his chance to make the female partner pregnant. The problem often takes place because of low sperm production, abnormal functioning of sperm and blockages, which prevent the sperm delivery. Injuries, illnesses, chronic health issues and lifestyle choices play a prime role to cause infertility in men.However, the positive thing in this case is that one can easily go for male infertility treatment to overcome infertility conditions with medication or surgery.
#male infertility#male infertility treatment#infertility#hypospadias treatment#urologist in delhi#hypospadias treatment in delhi#epispadias#peyronie disease treatment in delhi#hypospadias surgery cost in india
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Hypospadias Surgery in Delhi by Best Pediatric Surgeon in Delhi - Dr. Prashant Jain
Hypospadias Surgery In Delhi
What is hypospadias?
Hypospadias is a birth defect in boys in which the opening of the urethra is not located at the tip of the penis. In boys with hypospadias, the urethra forms abnormally during 8-14 weeks of pregnancy. The abnormal opening can be anywhere, from just below the end of the penis to the scrotum. Depending on the site of the opening they are classified as distal (minor type)and proximal (major type).
Types of Hypospadias:
The types of hypospadias a boys has depends on location of the opening of the urethra:
Subcoronal: The opening of the urethra is located somewhere near the head of the penis.
Midshaft: The opening of the urethra is located along the shaft of the penis.
Penoscrotal: The opening of the urethra is located where the penis and scrotum meet.
Understanding the normal penis and urethra
The normal urethra is a tube through which that urine flows out of the bladder. It passes through the penis. The opening of the urethra (meatus) is normally at the end of the penis, partly covered by the foreskin.
What is the penis like in hypospadias?
The main problem is that the urethra opens on the underside of the penis instead of at the end of the penis. The opening can be anywhere from just below the normal position (mild) to as far back as the base of the scrotum (severe).
Hypospadias may also include the following:
A hooded appearance of the foreskin. This is because the foreskin does not develop on the underside of the penis.
Tightening of the tissues on the underside of the penis (called ‘chordee’). This pulls the penis down and it cannot fully straighten. This is commanly seen in severe hypospedias
What problems can hypospadias cause?
Problems are likely to occur if hypospadias is left untreated. The further back the opening of the urethra is, the more severe the problems are likely to be.
Passing urine is different to normal. A baby in nappies will have no problem. However, when older, the urine stream may not be able to be directed forward into a urinal. When going to the toilet the urine is likely to ‘spray’ backwards. Sitting on a toilet may be needed to pass urine without mess.
Chordee causes bending of the penis. This is more noticeable when the penis is erect. Sexual intercourse may be difficult or impossible in severe cases.
Psychological problems about being ‘different’ to normal are common.
How common is hypospadias and what causes it?
About 1 in 300 boys are born with some degree of hypospadias. It seems to be getting more common. The reason why the penis does not develop properly is still not clear. The development of the penis while the baby is growing in the womb (uterus) is partly dependent on the male sex hormones such as testosterone.
What is the treatment for hypospadias?
If the hypospadias is mild, with the opening of the urethra just a little down from normal and with no bending of the penis, no treatment may be needed. However, in most cases an operation is required to correct the hypospadias. This can usually be done in one operation. However, if the hypospadias is more complicated, two operations may be necessary. The operation is usually done when the child is around 6-18 months old. The goals of treatment are:
For urine to be passed in a forward way.
For the penis to be straight when erect.
For the penis to look as normal as possible.
The position of the opening of the urethra is altered. Also, if chordee is present then this is corrected to allow the penis to straighten. The foreskin is usually used during the operation to make the new urethra so it is important that a circumcision is not done before the corrective surgery is performed.depanding on the surgery of hypospedias surgeryes
The success of the operation and the ‘normality’ that can be achieved depends on the severity of the hypospadias done in single as two stage
What happens after the operation?
Your son will be brought back to the ward to recover. He will be able to eat and drink after 3 hours He will have a dressing on his penis and a tube draining away the urine. The patients are usually kept for 2 days in the hosptial and then discharged. The dressing and tube need to stay in place for 10 days, then you will need to come back to the Hospital to have them removed.
What are the risks of hypospadias repair?
All surgery carries a small risk of bleeding during or after the operation.
For about one in ten boys, the original hole opens up again, so that your son passes urine through two holes. This can occur at any time after the operation. If this happens, your son will need the operation again. Occasionally, the new hole at the tip of the penis is too small, so your son will need another operation to make the hole larger. The drainage tube can irritate the inside of the bladder, which is painful. This is called ‘bladder spasm’. To reduce this, your son will be given ‘bladder spasm medicine’ as well as pain relief.
When you get home
Your son will go home with the catheter and dressing in place. Staff on the ward will give you full details of how to care for these at home.
You should encourage, to drink plenty of water/fluids.
Your child may need some pain relief when you get home.
You should not have a bath or shower until after the dressing comes off.
Putting your son in two nappies at a time can protect the area from accidental knocks.
Your son should not ride a bicycle or any sit-on toy until the area has healed.
Try to avoid getting the dressing dirty when nappy changing. If this happens, dab any faeces off with a damp cloth.
As there is a small risk of infection, your son will need to take antibiotics until he returns for his outpatient appointment.
Tags -hypospadias surgery in delhi, best pediatric surgeon in delhi, best pediatric urologist in delhi
For more information link - www.pedsurgerydelhi.com
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Hypospadias Repair Surgery in India. Hypospadias is a relatively rare congenital condition where the opening of the penis is on the underside of the organ. This condition is more common in infants with a family history of hypospadias. The penis may curve down in an infant and the baby may spray while urinating. It usually requires surgical correction to restore the proper flow of urine.
#Hypospadias Repair Surgery in India#Hypospadias Repair Surgery in Delhi#Best Hospital for Hypospadias Repair Surgery#Best Doctors for Hypospadias Repair Surgery
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What is hypospadias?
Hypospadias is a birth defect in boys in which the opening of the urethra is not located at the tip of the penis. In boys with hypospadias, the urethra forms abnormally during 8-14 weeks of pregnancy. The abnormal opening can be anywhere, from just below the end of the penis to the scrotum. Depending on the site of the opening they are classified as distal (minor type)and proximal (major type).
Types of Hypospadias:
The types of hypospadias a boys has depends on location of the opening of the urethra:
Subcoronal: The opening of the urethra is located somewhere near the head of the penis.
Midshaft: The opening of the urethra is located along the shaft of the penis.
Penoscrotal: The opening of the urethra is located where the penis and scrotum meet.
Understanding the normal penis and urethra
The normal urethra is a tube through which that urine flows out of the bladder. It passes through the penis. The opening of the urethra (meatus) is normally at the end of the penis, partly covered by the foreskin.
What is the penis like in hypospadias?
The main problem is that the urethra opens on the underside of the penis instead of at the end of the penis. The opening can be anywhere from just below the normal position (mild) to as far back as the base of the scrotum (severe).
Hypospadias may also include the following:
A hooded appearance of the foreskin. This is because the foreskin does not develop on the underside of the penis.
Tightening of the tissues on the underside of the penis (called ‘chordee’). This pulls the penis down and it cannot fully straighten. This is commanly seen in severe hypospedias
What problems can hypospadias cause?
Problems are likely to occur if hypospadias is left untreated. The further back the opening of the urethra is, the more severe the problems are likely to be.
Passing urine is different to normal. A baby in nappies will have no problem. However, when older, the urine stream may not be able to be directed forward into a urinal. When going to the toilet the urine is likely to ‘spray’ backwards. Sitting on a toilet may be needed to pass urine without mess.
Chordee causes bending of the penis. This is more noticeable when the penis is erect. Sexual intercourse may be difficult or impossible in severe cases.
Psychological problems about being ‘different’ to normal are common.
How common is hypospadias and what causes it?
About 1 in 300 boys are born with some degree of hypospadias. It seems to be getting more common. The reason why the penis does not develop properly is still not clear. The development of the penis while the baby is growing in the womb (uterus) is partly dependent on the male sex hormones such as testosterone.
What is the treatment for hypospadias?
If the hypospadias is mild, with the opening of the urethra just a little down from normal and with no bending of the penis, no treatment may be needed. However, in most cases an operation is required to correct the hypospadias. This can usually be done in one operation. However, if the hypospadias is more complicated, two operations may be necessary. The operation is usually done when the child is around 6-18 months old. The goals of treatment are:
For urine to be passed in a forward way.
For the penis to be straight when erect.
For the penis to look as normal as possible.
The position of the opening of the urethra is altered. Also, if chordee is present then this is corrected to allow the penis to straighten. The foreskin is usually used during the operation to make the new urethra so it is important that a circumcision is not done before the corrective surgery is performed.depanding on the surgery of hypospedias surgeryes
The success of the operation and the ‘normality’ that can be achieved depends on the severity of the hypospadias done in single as two stage
What happens after the operation?
Your son will be brought back to the ward to recover. He will be able to eat and drink after 3 hours He will have a dressing on his penis and a tube draining away the urine. The patients are usually kept for 2 days in the hosptial and then discharged. The dressing and tube need to stay in place for 10 days, then you will need to come back to the Hospital to have them removed.
What are the risks of hypospadias repair?
All surgery carries a small risk of bleeding during or after the operation.
For about one in ten boys, the original hole opens up again, so that your son passes urine through two holes. This can occur at any time after the operation. If this happens, your son will need the operation again. Occasionally, the new hole at the tip of the penis is too small, so your son will need another operation to make the hole larger. The drainage tube can irritate the inside of the bladder, which is painful. This is called ‘bladder spasm’. To reduce this, your son will be given ‘bladder spasm medicine’ as well as pain relief.
When you get home
Your son will go home with the catheter and dressing in place. Staff on the ward will give you full details of how to care for these at home.
You should encourage, to drink plenty of water/fluids.
Your child may need some pain relief when you get home.
You should not have a bath or shower until after the dressing comes off.
Putting your son in two nappies at a time can protect the area from accidental knocks.
Your son should not ride a bicycle or any sit-on toy until the area has healed.
Try to avoid getting the dressing dirty when nappy changing. If this happens, dab any faeces off with a damp cloth.
As there is a small risk of infection, your son will need to take antibiotics until he returns for his outpatient appointment.
Post Op Teaching
Case of cethetea
How to empty urine bag
How to avoid kinking, twisting, blockage of catheter or stent
May empty straight into nappy
How to tape drainage bag to leg allowing a child to be mobile
Never clamp off catheter
Child encouraged to increase fluid intake
Twice daily sponging recommended and loose clothing
No outdoor activity
You should contect:
your child is in a lot of pain and pain relief does not seem to help
there is any oozing from the wound
the dressing falls off/becomes wet
the tube stops or reduces the amount of urine draining from it or the tube falls out
What happens next?
You will be called for dressing as per instructions given in discharge summary. This can be painful, so before hand make sure that your son has the maximum dose of pain relief possible but no bladder spasm medicine. When the dressing has been removed, the penis will look red and swollen. This is normal and will settle down within a few days.
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