Infants with Urological problem present very badly (High fever, fits, loose stools and dehydration). Children with pediatric Urology problem needs detailed history, clinical examination, imaging with USG, CT Scan, DTPA and specilised investigations like MCU(Micturiting Cysto Urethrogram)
I have done more than three thousand pediatric Urological cases.
Congenital Hydro nephrosis :
This usually happens because of a blockage in the urinary tract (Pelvi ureteric junction), during antenatal scanning of 100-200 pregnant ladies, one fetus is found have this abnormality. To prevent kidney dysfunction (Kidney failure) and prevent recurrent UTI. If diagnosed antenatally surgery has to be done around three months of age. If diagnosed later immediate surgery. When the hydronephrosis is getting worse or the kidney function is reducing surgery called pyeloplasty is recommended
Abnormal opening of Urethral opening in the under surface of penis, very common pediatric urological problem the incidence is one in five hundred. Treatment has to be done because meatus is not in the tip, the penis is curved, should be done before school going age