Pediatric Urology – Accurate Diagnosis & Comprehensive Treatment

Pediatric urological conditions can impact a child’s growth, comfort, and daily activities. Early accurate diagnosis and proper treatment are crucial for ensuring a healthy urinary system. At D. Mena Urology Care Clinic, we use the latest diagnostic techniques and provide personalized treatment plans to achieve the best results and improve your child’s quality of life.

Conditions We Treat & Our Approach

1. Urinary Tract Infections (UTIs) in Children

🔹 Overview: UTIs occur due to bacterial infections in the urinary system, leading to painful urination, fever, and frequent urination. UTIs may indicate an underlying issue such as vesicoureteral reflux (VUR) or urinary tract obstruction.
🔹 Diagnosis:
✔ Urine analysis & culture to identify infection.
✔ Ultrasound of the kidneys and bladder to detect structural abnormalities.
✔ Urodynamic studies if needed for further evaluation.
🔹 Treatment:
✔ Appropriate antibiotics based on test results.
✔ Lifestyle modifications, including increased water intake and avoiding prolonged urine retention.
✔ Regular follow-ups to prevent recurrence and monitor kidney function.

2. Pelviureteric Junction Obstruction (PUJO)

🔹 Overview: A congenital obstruction at the junction between the kidney and ureter, leading to hydronephrosis, increased risk of infections, and potential kidney damage.
🔹 Diagnosis:
✔ Ultrasound and contrast imaging (VCUG, DMSA scans) to assess severity and kidney function.
🔹 Treatment:
✔ Observation & monitoring for mild cases, as some resolve naturally with growth.
✔ Prophylactic antibiotics to prevent infections in select cases.
✔ Surgical correction (pyeloplasty) for severe cases causing significant obstruction.

3. Congenital Urinary Tract Abnormalities (Hypospadias & Urethral Obstruction)

🔹 Overview: Includes conditions like hypospadias, where the urethral opening is misplaced, and ureteral stenosis, which affects urine flow.
🔹 Diagnosis:
✔ Clinical examination at birth to identify external abnormalities.
✔ Ultrasound or contrast imaging to evaluate internal defects.
🔹 Treatment:
✔ Surgical correction for conditions affecting urination or future complications.
✔ Regular monitoring to ensure proper urinary function and development.

4. Nocturnal Enuresis (Bedwetting) & Urinary Incontinence

🔹 Overview: Involuntary urination during sleep after the age of five may result from delayed bladder maturity, psychological factors, or hormonal imbalances (ADH deficiency).
🔹 Diagnosis:
✔ Urine tests to rule out infections or diabetes.
✔ Urodynamic studies for persistent cases.
🔹 Treatment:
✔ Behavioral therapy, such as reducing fluid intake before bedtime and scheduling bathroom visits.
✔ Medications to regulate bladder activity or hormone levels.
✔ Psychological support to reduce stress-related triggers.

5. Kidney & Bladder Stones in Children

🔹 Overview: Stone formation occurs due to mineral deposits in the urinary system, leading to abdominal pain, blood in urine, or recurrent infections.
🔹 Diagnosis:
✔ X-rays, ultrasound, & urine tests to identify the stone type and underlying causes.
🔹 Treatment:
✔ Medications & dietary changes for small stones.
✔ Shockwave lithotripsy (ESWL) for non-invasive stone fragmentation.
✔ Endoscopic or laser stone removal for larger stones that don’t pass naturally.

Why Choose Us?

✅ Advanced diagnostic tools for accurate assessment & early detection.
✅ Customized treatment plans tailored to each child’s needs.
✅ Minimally invasive techniques, including endoscopy, laser therapy, and precise surgical interventions.
✅ Ongoing follow-up care to ensure healthy urinary development.

📌 Don’t let urinary problems affect your child’s health! Book a consultation today for peace of mind and your child’s well-being. 💙