Pediatric Clinic
It is easy to think that most urology-related diseases are only for adults, but various urological diseases can also occur in children and adolescents. However, parents who first encounter the disease with unfamiliar symptoms and diagnostic names are often embarrassed about which hospital and department to visit. Urological diseases in children and adolescents may not be a big problem, but if accurate diagnosis and treatment are not performed early, they may leave irreversible aftereffects when they become adults. Ewha Womans University Urology Institute's pediatric and adolescent clinic treats the following representative pediatric and adolescent urinary diseases.
A Disease usually treated at a Pediatric clinic
• Urology system abnormality : urinary tract infection, hematuria, and receipt
• Abnormalities in the reproductive system : latent testes, scrotum, cystoma, epidermal inflammation, acute scrotum, varicose veins.
• Urology disorders : anemia, night urination, urinary incontinence, neurotic bladder.
• Childhood Urological Tumor: Testicular Tumor, Mr. Wilms' Tumor
Hematuria
Most of the microscopic hematuria found in school health checkups, and sometimes hematuria is confirmed by the eyes, basically, urine tests, blood tests, and ultrasound tests are used to determine the cause.
Latent testicles
If the testicles have not descended into the scrotum, surgery is recommended recently between 6-12 months. Depending on where the testicle is touched, lower and fix the testicle with a groin or scrotum incision. If it is not touched, laparoscopic examination is performed to check if there is a testicle in the abdominal cavity, and if it is a testicle that functions normally, testicular fixation is performed.
Hydrocele
It is caused by the passage of water between the abdominal cavity and the pouch that covers the testicles, causing ascites to come down. In the case of less than 1 year of age, it can improve on its own, so follow-up is observed, but if it is discovered after 18 months of age, surgery to block the passage is performed. If the passage is large, it may be accompanied by a hernia, so it must be differentiated through ultrasound examination. The surgical method is to ligate the passage through a small skin incision in the groin as in the hernia surgery.
Popderitis
Inflammation of the skin covering the glans penis requires topical application or oral antibiotic treatment first. However, circumcision may be considered if recurrent poderitis and urinary tract infections occur.
Various urination abnormalities
In the past, it was neglected because it was considered insignificant, but it can have psychological effects such as lack of confidence and social adjustment disorder in the process of growth. Therefore, early diagnosis and treatment are important. After basic urine and blood tests, the child's urination habits are checked through the patient's urination diary, and lifestyle education, behavioral therapy, and drug therapy are initiated according to the diagnosis. If abnormal bladder function is suspected, a urinary flow test, kidney/bladder ultrasonography, and urodynamics test are performed.