Nephro-Uro Clinic

Pediatric Urology

Paediatric Urology conditions include a wide range of conditions among children, involving the abnormalities in the genital and urinary tracts. Most of the cases these conditions are congenital (present at birth) and can be diagnosed as early as prenatally, that is before birth during pregnancy or in the infancy stage in many cases, they are treated and resolved early in life, sometimes through surgical reconstruction. The Most Common Paediatric Urology cases are:

Cryptorchidism: Cryptorchidism, also known as undescended testicles, is a condition where one or both testicles fail to move into the scrotum from the abdomen where they develop during fetal life.

  • Premature Birth,
  • Low Birth Weight,
  • Exposure to Pesticides,
  • Alcohol Consumption during pregnancy,
  • Cigarette Smoking,
  • Congenital Malformation Syndromes,
  • In Vitro Fertilization,
  • Use of cosmetics by the mother,
  • Pre-Eclampsia a pregnancy complication.

Retractile Testis: A retractile testicle is a testicle that moves between the scrotum and the groin, and is caused by an overactive reflex of a pouch-like muscle known the cremaster muscle. Cremaster holds the testicle in place. When the cremaster muscle contracts, it pulls the testicle up into the groin. This reflex can be triggered by an emotion, a cold environment, or rubbing a nerve on the inner thigh.

Phimosis: Phimosis, is a paediatric condition where the foreskin can’t be pulled back to expose the glans penis. It’s usually not a problem unless it causes symptoms, such as:

  • Redness,
  • Soreness,
  • Swelling.
  • Difficulty urinating,
  • Painful erections,
  • Blood in urine.
  • Frequent urinary tract infections (UTIs).
  • Bleeding or discharge from under the foreskin.

Phimosis is common in babies, but generally resolves by itself as they grow older. However, if your child’s symptoms don’t improve, or if the foreskin can’t be retracted by elementary school age, they may need medical or surgical treatment.  In adults, uncircumcised people may be more likely to develop skin infections or sexually transmitted diseases. This is usually due to poor genital hygiene, not the foreskin itself.