
“Paediatric urology is not equivalent to urology in children, as children are not just small adults.”
Babies are sometimes born with various deformities of their urogenital tract (deformities of kidneys, ureters, urinary bladder and urethra). Alongside, they may have associated deformities of other systems including gastrointestinal tract, heart and thorax. So paediatric urologists are best trained and equipped to manage them.
Manipal Hospital provides advanced paediatric reconstructive urology under one roof.
Hypospadias, Epispadias, Exstrophy bladder
Posterior urethral valve
Ureteric duplications
Ectopic ureter
Vesicoureteral reflux
Augmentation cystoplasty
This surgery is performed to:
Repair Epispadias and Hypospadias (congenital anomalies of the urethra)
Treat post-infective / post-traumatic narrowing of the urethra
Single stage / 2 stage procedure
Our paediatric urology team prepares your child for surgery through:
Detailed evaluation, including imaging studies and urine tests
Assessment of the severity and location of the urinary meatus
Assessment of any associated endocrine abnormality
Review of medical history and previous treatments
Pre-operative instructions regarding fasting and medications
Counselling for parents to understand the procedure and recovery process
Paediatric Urethroplasty in Mukundapur, Kolkata, is performed under general anaesthesia in the following manner:
The procedure is carried out under general anaesthesia with caudal block
Penile bending (chordee) is corrected
Atrophic spongiosum is dissected till healthy urethra
Healthy tissue may be used to rebuild the urethra in complex cases
Microsurgical techniques ensure precise repair
Neourethra created as a tube or flap
The procedure duration varies depending on complexity
2 stage procedure is sometimes preferred
After surgery, the child is monitored closely for recovery. A urinary catheter stays in place to support healing and proper urine flow. Hospital stay typically lasts a few days, followed by gradual recovery at home.
Parents are advised to maintain hygiene, ensure proper hydration, and follow medication schedules. Regular follow-up visits are essential to monitor healing and ensure long-term success. Most children recover well and resume normal activities within a few weeks. Catheter is kept for 7–12 days; the child may need a change of dressing in between. The catheter is usually removed in the OPD.
Cosmetic correction
Restores normal urine flow and function
Relieves urinary symptoms and discomfort
Prevents recurrent infections
Improves quality of life
High success rate (over 95%) with long-term results
Infection or bleeding at the surgical site
urethrocutaneous fistula
urinary retention
Catheter-related discomfort
Anaesthesia-related risks
Risks are generally low when performed by experienced paediatric urology specialists.
At Manipal Hospitals, our expert paediatric urologists, advanced surgical techniques, and child-focused care ensure safe and effective treatment. With success rates exceeding 95%, we are committed to restoring your child’s urinary health and supporting a healthy, active future.
Ideal age of correction (urethroplasty) is 12–18 months. "Some cases do not need surgical correction.”
Yes, a urinary catheter is typically placed after urethroplasty to support proper healing and ensure smooth urine drainage. It remains in place for 7-12 days and is removed during a follow-up visit based on your child’s recovery progress. It is not very uncomfortable for the child during the tenure of catheterisation.
Although generally safe, risks may include infection, bleeding, urinary leakage, or development of Urethra cutaneous fistula. These complications are uncommon when the surgery is performed in experienced centres with proper post-operative care. 5–7% of patients developed UCF – Which sometimes need a surgical correction after 12–18 months.
Long-term outcomes are excellent, with most children achieving normal urinary function and minimal recurrence. Regular follow-ups help monitor recovery and ensure the sustained success of the procedure.
Paediatric urethroplasty has a high success rate of over 95%, effectively restoring normal urinary function. Most children experience long-term relief from symptoms and improved quality of life after the procedure.
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