Contact Details

+604 - 2229117
Gleneagles Medical Centre
Penang, Malaysia

Testicular Tumour

August 14, 2019 @ 6:06 PM
posted by Dr.Nadesh

A 2 year old boy presented with a hard mass in the left hemisphere scrotum. The mass had been noticed by his parents almost 3 months ago, and appeared to be progressively increasing in size.

Persistent Urachus

@ 5:59 PM
posted by Dr.Nadesh

A 4 year old boy with persistent foul smelling umbilical discharge was brought in to see me for a further opinion. He had been to several GPs and Paediatricians over the last 3.5 years,  and had received conservative treatment and reassurance.

Recurrent Wilms’ Tumour

@ 5:39 PM
posted by Dr.Nadesh

A 4 year old Indonesian girl, who 2 years ago had undergone surgery to resect a left sided Wilms’ Tumour re- presented with a left sided abdominal mass.

A CT scan revealed a large tumour in front of the left kidney with the left kidney being normal in its shape and morphology.

Wilm’s Tumour

May 27, 2019 @ 11:04 AM
posted by Dr.Nadesh

A 2.5 year old boy from Indonesia presented with a large intra abdominal mass. Clinically it appeared to arise from his right kidney. A CT scan confirmed this.

Non functioning Left Kidney of a Horseshoe Kidney

July 5, 2018 @ 3:15 PM
posted by Dr.Nadesh

A 2 year old boy with a palpable right renal mass came to see me for further treatment. He had had a MRI scan done in Indonesia that revealed a hydronephrotic left kidney of a Horseshoe Kidney

Right PUJ ( Pelvi Ueretric Junction) Obstruction

@ 2:48 PM
posted by Dr.Nadesh

A 4 year old girl, previously diagnosed to have gross hydronephrosis of her right kidney (Diagnosed in Singapore) , came to seek further treatment with me following two episodes of right sided flank pain. Ultrasound strongly suggested features of a PUJ obstruction of her right kidney and a MAG3 Nuclear Medicine Scan confirmed a very delayed washout of the tracer across the PUJ with a right renal function of 35%. She underwent a successful Laparoscopic Pyeloplasty over a DJ stent and has since even had the DJ stent removed and is doing very well.

 

LAPAROSCOPIC PYELOPLASTY


DJ STENT INSERTION DURING THE PROCEDURE

Non Functioning Upper Moiety Of A Right Duplex Kidney

March 13, 2018 @ 10:43 AM
posted by Dr.Nadesh

A 1 year old Girl from Indonesia was brought by her mother for further management of recurrent UTI. The child had had her first UTI at the age of 3 months. Investigations in Indonesia revealed that the child had a Duplex Right kidney with what appeared to be Hydronephrosis of the right upper Moiety. Further detailed investigations revealed that the Right Upper Moiety Ureter was also dilated and there was a large Ureterocoele in the bladder. A MAG3 revealed 10% function of the upper moiety. I decided to puncture the ureterocoele and allow drainage of the obstructed right upper moiety and treat the child conservatively to see if the hydronephrosis improves . Follow up scans revealed a decrease in hydronephrosis and a decompression of the ureterocoele.

2 years 6 month old Indian Girl with recurrent UTI from the age of 1 year. Referred to me by a Paediatrician from a neighbouring state. Investigations revealed that the child had Bilateral Duplex Kidneys. On the left there was a very hydronephrotic Upper Moeity with its grossly dilated ureter and a large ureterocoele in the bladder. There was no discernible function in the left  upper Moiety . Hence a Laparoscopic Left Upper Hemi-nephroureterectomy was performed. The child recovered extremely well.

 

Left Non functioning Kidney- Horseshoe Kidney

@ 10:13 AM
posted by Dr.Nadesh

A 3 year old Indonesian boy presented with an abdominal mass that the parents had noticed a year ago. He was initially seen by a paediatric Surgeon at another private centre and referred to an adult Urologist who did certain imaging studies. The parents however chose to seek a second opinion with me.

Physical examination revealed a 3 year old who weighed only 8.9 kgs who was otherwise pink, active and well. The cause of his abdominal mass was an enlarged left kidney.

Left Lower Ureteric calculus ( stone)

January 18, 2018 @ 11:48 AM
posted by Dr.Nadesh

A 23  month old girl presented with lower abdominal pain and low grade temperature. She had microscopic haematuria and an Xray KUB revealed a left sided lower ureteric calculus