About Paediatric Reconstructive Urology
Key Highlights
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Corrects congenital birth defects to restore normal urinary and genital function.Performed by highly specialised paediatric urologists with expertise in delicate paediatric anatomy.Aims to preserve long-term kidney health and prevent renal damage.Focuses on achieving urinary continence and normal voiding patterns.Designed to support normal psychological and sexual development in adolescence and adulthood.Often utilises minimally invasive and robotic-assisted techniques for precision and faster recovery.liInvolves a comprehensive, family-centred care approach with long-term follow-up./li/ul
Who is this surgery for?
- Hypospadias (urethral opening on the underside of the penis).
- Epispadias and Bladder Exstrophy complex.
- Posterior Urethral Valves (PUV) requiring reconstruction.
- Disorders of Sexual Development (DSD), including ambiguous genitalia.
- Severe Vesicoureteral Reflux (VUR) not managed by medication.
- Urinary tract obstructions (e.g., ureteropelvic junction obstruction).
- Neurogenic bladder requiring augmentation or continent catheterisable channel creation.
- Traumatic injuries to the genitourinary tract.
- Cloacal malformations.
- Failed previous urological surgeries requiring revision.
How to prepare
- Comprehensive diagnostic workup including ultrasound, VCUG (voiding cystourethrogram), MRI, or cystoscopy.
- Detailed consultations with the paediatric urologist and anaesthetist to discuss the plan and anaesthesia risks.
- Pre-operative blood tests and urine analysis to ensure fitness for surgery.
- Management of any active urinary tract infections with antibiotics.
- Fasting instructions as per paediatric anaesthesia protocols (typically 6 hours for solids, 2 hours for clear liquids).
- Psychological preparation of the child and family, often with support from child life specialists.
- Discussion about post-operative pain management and wound care expectations.
Risks & possible complications
- Bleeding during or after surgery.
- Infection at the surgical site or urinary tract infection.
- Anaesthesia-related risks.
- Formation of strictures (narrowing) or fistulas (abnormal connections) in the reconstructed area.
- Persistent urinary leakage or incontinence.
- Damage to surrounding structures like nerves, blood vessels, or the rectum.
- Poor wound healing or wound breakdown.
- Need for additional corrective surgeries in the future.
- Scarring and cosmetic concerns.
- Psychological impact related to body image, especially in older children.
Recovery & hospital stay
- Initial hospital stay for pain management, monitoring of surgical sites, and ensuring urinary drainage (via catheter or stents).
- Detailed instructions on caring for catheters, stents, or drainage tubes at home.
- Pain management with prescribed paediatric-appropriate medications.
- Prevention of constipation with stool softeners to avoid straining.
- Keeping the surgical area clean and dry; specific bathing instructions will be provided.
- Temporary activity restrictions, including no strenuous play, sports, or bicycle riding for several weeks.
- Regular follow-up visits to monitor healing, remove stents, and assess functional outcomes.
- Long-term follow-up into adolescence to monitor urinary function, kidney health, and sexual development.
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Typical hospital stay: 3-7 days
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Expected recovery time: 4-6 weeks for initial recovery; full functional assessment may take months to years
Frequently Asked Questions
If you are considering paediatric reconstructive urology in India, these questions and answers can help you make a confident, informed decision.
Popular choices for paediatric reconstructive urology in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform paediatric reconstructive urology. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for paediatric reconstructive urology compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 150 Thousand – 500 Thousand | 3-7 days | ~ 4-6 weeks for initial recovery; full functional assessment may take months to years | Know More |
| Turkey | TRY 525 Thousand – 1.75 Million | 3-7 days | ~ 4-6 weeks for initial recovery; full functional assessment may take months to years | Know More |
Top hospitals for Paediatric Reconstructive Urology in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing paediatric reconstructive urology.
Vihaan Saxena is a 16-year-old high...
Vihaan Saxena is a 16-year-old high school student and aspiring cricketer. He was born with severe hypospadias, where his urethral opening was located at the base of his penis. An initial repair in childhood had failed, leaving him with a significant curvature (chordee) that made erections painful and caused a messy, spraying urinary stream. He was deeply embarrassed in locker rooms and avoided relationships. His urologist, Dr. Rao, explained that a complex re-do hypospadias repair with chordee correction was needed to straighten the penis and reposition the urethral opening to the tip. The surgery involved delicate tissue grafting and lasted several hours. Recovery was mentally tough for an active teenager; he had to manage a urinary stent and avoid sports for six weeks. Six months post-op, the curvature was fully corrected, and he urinated with a single, straight stream. Vihaan's emotional burden lifted immensely. He regained his confidence, returned to cricket practice, and felt a new sense of normalcy about his body and future.
Urologists for Paediatric Reconstructive Urology
Explore experienced urologists who regularly perform paediatric reconstructive urology and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore