5 Signs Your Child Might Need a Urologist

Urological issues in children can be concerning for parents, and early detection is crucial for effective treatment. Urologists specialise in conditions affecting the urinary tract and reproductive organs, and timely intervention can prevent long-term complications. Understanding the signs that may indicate a problem can help parents seek appropriate care.

1. Frequent Urinary Tract Infections (UTIs)

Urinary tract infections (UTIs) are relatively common in children, but recurring infections could indicate an underlying urological issue. If a child experiences frequent UTIs, it may be a sign of an anatomical abnormality, such as vesicoureteral reflux (VUR), where urine flows backward from the bladder into the kidneys. Frequent infections can also signal bladder dysfunction, requiring the expertise of a paediatric urologist to diagnose and manage the condition.

Parents should look out for symptoms such as pain or burning during urination, cloudy or strong-smelling urine, and an increase in the frequency of urination. Prompt evaluation by a urologist can help identify the root cause and prevent recurrent infections, which, if left untreated, could lead to kidney damage.

2. Bedwetting Beyond a Certain Age

Bedwetting, also known as nocturnal enuresis, is common among young children and often resolves with time. However, if a child continues to wet the bed beyond the age of five or if bedwetting occurs after a period of dryness, it may indicate a more serious issue, such as a bladder dysfunction or urinary tract abnormality.

In such cases, a paediatric urologist can conduct a thorough assessment to determine whether the bedwetting is linked to a medical condition. Early intervention can help manage the issue through treatment plans, including behavioural techniques, medications, or, in some cases, surgery.

3. Difficulty or Painful Urination

If a child complains of difficulty urinating or experiences pain while urinating, it could be a sign of a urological problem. Painful urination, also known as dysuria, may be caused by infections, inflammation, or obstructions in the urinary tract. In some cases, urinary tract stones or anatomical blockages may be present, requiring medical attention from a specialist.

Difficulty in passing urine, such as straining or weak urine flow, could indicate a blockage or narrowing of the urethra. A paediatric urologist can perform diagnostic tests to determine the cause and recommend appropriate treatment to alleviate discomfort and prevent complications.

4. Abnormalities in Genitalia

Congenital abnormalities in the genitalia, such as hypospadias (where the urethra opening is on the underside of the penis) or undescended testes, often require the attention of a paediatric urologist. Early detection and intervention are crucial for correcting these issues and ensuring healthy development. In the case of undescended testes, if the condition is not treated in early childhood, it may lead to fertility issues or an increased risk of testicular cancer later in life.

Parents should also be aware of any visible lumps, swelling, or abnormal growths in the genital area, as these may indicate conditions such as hernias or hydroceles, which often require surgical correction.

5. Incontinence or Urinary Retention

Urinary incontinence, the involuntary leakage of urine, can be distressing for both children and parents, especially if it occurs beyond the expected age of bladder control. In some cases, incontinence may be related to overactive bladder syndrome or other urological disorders that affect bladder function.

Conversely, if a child is unable to empty their bladder completely or has prolonged gaps between urination, this may indicate urinary retention. Retention could be caused by bladder nerve issues or blockages in the urinary tract. A urologist will evaluate the child’s bladder function and recommend appropriate interventions, such as bladder retraining, medication, or surgery, depending on the severity of the condition.

Resolving Urinary Issues With Expert Care

Recognising the signs of potential urological issues in children is essential for ensuring timely and effective treatment. Consulting a paediatric urologist can provide the specialised care needed to address these concerns. Kanchi Kamakoti CHILDS Trust Hospital (KKCTH) in Chennai offers comprehensive paediatric urology services, with expert teams dedicated to diagnosing and treating urological conditions in children, ensuring their healthy growth and well-being.