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.
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.
A 13 month old baby girl with urinary continence was brought to me by her parents, The mother claimed that the little girl was always wet and had dribbling of urine 24/7. Her entire perineum was erythematous ( red and inflammed) due to the constant wetting.
A 7 year old girl presented with a swelling in the urethra that was causing her difficulty passing urine associated with intermittent pain and bleeding. She had no other problems and was otherwise healthy.
A 12 month old baby girl was brought in to see me for further surgical management of a large mass in her perineum. She was ill and had an obstructed urinary bladder due to compression from this mass.
A 6 month old baby came in with progressive vomiting of curdled milk, food residue as well as bile intermittently. She had no other discernible abnormalities and the vomiting and upper abdominal distension had started after she was weaned to solid foods.
A 3 year old boy born with a Tracheo-Oesophageal Fistula and Oesopgaeal Atresia, who had successful surgery at birth In Indonesia was brought in to me earlier this year for severe dysphagia(difficulty swallowing both liquids and solids)of recent onset.