Specialized Pediatric and Adolescent Urology Services

Advanced Endourology Precision Care for Stones and Prostate (3)

Urological conditions in children and adolescents require more than just medical expertise; they require a gentle touch, specialized equipment, and a deep understanding of how a growing body develops. At the clinic of Dr. Sreeharsha Harinatha, we provide comprehensive, family-centered care for infants, children, and young adults facing congenital or acquired urological challenges.

As a Director and Lead Consultant with over 15 years of experience and specialized training from Germany and France, Dr. Sreeharsha combines world-class surgical precision with a compassionate approach tailored to the unique needs of younger patients.

Why Pediatric Urology is Different

Children are not “small adults.” Their organs are still developing, and their emotional response to medical treatment is distinct. Pediatric urology focuses on the kidneys, bladder, and genitalia, addressing issues that are often present from birth (congenital) or develop during the rapid hormonal shifts of adolescence.

Our goal is to provide treatments that not only solve the immediate problem but also protect the child’s long-term reproductive and renal health.

Core Areas of Expertise

1. Congenital Abnormalities

Many urological issues are identified during prenatal ultrasounds or shortly after birth. We specialize in:

  • Hypospadias Repair: A condition where the urethral opening is not at the tip of the penis. Dr. Sreeharsha utilizes advanced reconstructive techniques to ensure both functional and cosmetic success.
  • Undescended Testes (Orchidopexy): Ensuring the testes move into the scrotum to prevent future fertility issues or complications.
  • Hydronephrosis: Treating swelling of the kidney often caused by blockages like Ureteropelvic Junction (UPJ) Obstruction.
2. Minimally Invasive & Robotic Surgery

Whenever possible, we utilize Robotic and Laparoscopic techniques. For a child, this means:

  • Significantly less post-operative pain.
  • Smaller, nearly invisible scars.
  • A faster return to school and play.
  • Precision that is unmatched by traditional open surgery, especially in delicate reconstructive procedures like Pyeloplasty.
3. Adolescent Urology

The transition from childhood to adulthood brings specific urological concerns. We provide a private, supportive environment for:

  • Varicocele: Swelling of the veins in the scrotum that can affect sperm production.
  • Phimosis: Difficulty retracting the foreskin, often treated with conservative management or specialized circumcision.
  • Transition Care: Helping patients with chronic childhood urological conditions move into adult urological care seamlessly.
4. Bladder and Urinary Health

We manage common but stressful conditions such as:

  • Vesicoureteral Reflux (VUR): Where urine flows backward from the bladder to the kidneys, potentially causing infections.
  • Nocturnal Enuresis (Bedwetting): Comprehensive evaluation to determine if the cause is behavioral, hormonal, or structural.
  • Neurogenic Bladder: Specialized care for children with Spina Bifida or other neurological conditions affecting bladder control.

Our Approach: Family-Centered Care

We believe that the parents are an integral part of the healing team. From the initial consultation to the final follow-up, we ensure:

  • Clear Communication: Explaining complex conditions in simple, non-medical terms.
  • Conservative First: Surgery is only recommended when absolutely necessary. Many pediatric conditions can be managed with observation or medication.
  • Coordination: Working closely with your pediatrician to ensure a holistic approach to your child’s health.

Frequently Asked Questions

 If the testis has not descended by 6 months of age, it is unlikely to do so on its own. An evaluation by a specialist is recommended at this stage, as surgical correction (orchidopexy) is typically performed between 6 and 18 months to preserve future fertility.

 Yes. Robotic platforms like the Da Vinci system allow for extreme precision in small spaces. Dr. Sreeharsha is a certified proctor for robotic surgery and has extensive experience adapting these techniques for pediatric anatomy.

 While one UTI may be common, recurrent infections in children often signal an underlying structural issue, such as Vesicoureteral Reflux (VUR). A thorough evaluation including an ultrasound is usually the first step.

 Most hypospadias repairs are performed as "day care" or short-stay procedures. Your child will likely be able to go home the same day or the following morning with specific instructions for home care.

 We respect the growing autonomy of our adolescent patients. We offer a balanced environment where the patient can speak privately with the doctor while still ensuring parents are fully informed and involved in major medical decisions.