If your kid is born with sex organ abnormalities, it may be an extremely confusing and stressful scenario. Some infants are born with both male and female internal and exterior anatomy, while others have male and female bodily parts. Others have all female parts but are internally connected to the intestines. To comprehend their bodies and care for these infants, skilled testing and counselling are required.
If your boy is born with a scrotum or penis deformity, you are probably concerned about two things: Will my child have complete urinary and sexual function, and will their body appear "normal"? Will my child have full urinary and sexual function, and will starting medications or having surgery be beneficial? These are challenging choices that should be made by the kid’s parents and medical care providers. Some children do not require surgery as young kids, while others require surgery to have normal urine, menstrual, reproductive, or sexual function.
Surgical restoration and early intervention can help restore function and look while giving you peace of mind and confidence in your kid later in life.
The paediatric urologists specialise in the medical and surgical treatment of congenital abnormalities, including female genital and vaginal surgery reconstruction. From infancy to maturity, they repair the most difficult urinary and genital defects in children, including surgical problems or failures. The paediatric urologists specialise in the medical and surgical treatment of genitourinary tract diseases, including male genital reconstruction and hypospadias repair. Their expertise encompasses the repair of the most difficult urinary and genital defects in children ranging in age from infancy to adolescence.
Method of Treatment
The current systematic review is followed by a prior determined procedure devised in consultation with Endocrine Society specialists. It is reported in accordance with the guidelines stated in the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement.
Criteria for Eligibility
Randomised clinical trials as well as comparative and noncomparative observational studies that evaluated long-term surgical outcomes relevant to CAH patients undergoing genital reconstructive surgery were considered for treatment. There were no language restrictions. We include patients with both classic and nonclassic CAH, with the intention of presenting the data separately if possible.
Treatment and Diagnosis
A prenatal ultrasound is frequently used to identify bladder exstrophy. Following a diagnosis, families should consult with a paediatric urologist to learn more about the disease, what to expect during delivery, and surgery alternatives. A paediatric urologist in paediatric genital reconstructive surgery in Yeshawanthpur, Bangalore and, in certain cases, a paediatric orthopaedic surgeon will be contacted to consult with the family and establish a reconstructive plan for kids who were diagnosed at birth.
To close the bladder and abdominal wall after bladder exstrophy, reconstructive surgery is required. It may also entail correcting hip bone and genital anomalies. Multiple operations, extensive hospital stays, and careful and regular follow-up may be required for repair. Depending on the type of surgery, the kid may require a cast or be immobilised for a period of time to recuperate.
Depending on the child's circumstances, surgery for bladder exstrophy might be performed days to many months after birth. Good bladder function, the ability to retain urine without leaking, and acceptable external genitalia look and function are the aims of surgery. The long-term objective, however, is to preserve normal kidney function. Book an appointment at Manipal Hospitals now.