NetWellness Urinary and Genital Disorders (Children)

Penile Mass

Jack Elder MD, FACS, FAAP — Fri, 18 Nov 2011 00:11:00 EST

Question: My 3 year-old son has this whitish to light yellow non moveable mass at the left side of his penile shaft. No other symptom was noted. Can you give me an expert advice on this? Thank you

Answer: From the description, it sounds like this is either an epithelial inclusion cyst, which is an accumulation of epithelial debris (dead skin cells) under the skin. If he is circumcised, during healing sometimes a skin edge can fold in under the opposite skin edge and the skin cells continue to prolife . . .

Ask an Expert: Jack Elder MD, FACS, FAAP, Urinary and Genital Disorders (Children)

Kidneys Enlarged Post Operation

William DeFoor MD, MPH — Sat, 10 Sep 2011 18:09:00 EST

Question: My son had a left side pyroplasty 16 mths ago and started passing blood. The a&e said he had infection and gave antibiotic and said to phone for the results. No infection found and no further action required. Is this right? They only felt stomach (tender on left side) and took sample.

Answer: The best course of action would be to make an appointment with the surgeon that performed the procedure for a full evaluation including a follow-up ultrasound of the kidneys and bladder.

Ask an Expert: William DeFoor MD, MPH, Urinary and Genital Disorders (Children)

Pain in Flank Area

Jack Elder MD, FACS, FAAP — Thu, 08 Sep 2011 09:09:00 EST

Question: My son is 7 years old. Sometimes he had pain in left flank. Through ultrasound the impression are as such- 1. MESENTERIC LYMPH NODES. 2. URINARY BLADDER FINDING ARE S/O ? CYSTITIS. Further evaluation and clinical correlation is suggested. Doctor suggested us to admit my chid in hospital for 4-5 days . . .

Answer: This is a difficult question to answer. Pain in the flank often results from a kidney problem, such as an obstructing kidney stone, kidney infection, or kidney malformation with obstruction. However, in some cases the cause is uncertain. On the ultrasound report, it does not appear as though there i . . .

Ask an Expert: Jack Elder MD, FACS, FAAP, Urinary and Genital Disorders (Children)

Girl Peeing Abnormality

William DeFoor MD, MPH — Thu, 11 Aug 2011 13:08:00 EST

Question: 4 year old girl when she pees it sprays everywere gets her butt wet.She almost needs a bath or at least wiping all over that area and her butt it sprays like a leaking sprinkler

Answer: A spraying urinary stream in a young girl can be due to a few different things. One possibility would be a labial adhesion where the inner labia become fused and can obstruct or deflect the outflow of urine from the bladder. A cyst located near the urethra may also deflect the stream. A careful exam . . .

Ask an Expert: William DeFoor MD, MPH, Urinary and Genital Disorders (Children)

Recurring UTIs and Non-Functioning Kidney

William DeFoor MD, MPH — Sat, 30 Jul 2011 08:07:00 EST

Question: My daughter has been having recurring UTIs and so was sent for an ultrasound where they found that one kidney never developed. The urologist suggested it might be harboring bacteria. Should she be seeing a nephrologist or stay with the urologist, and at age 17, does it need to be a pediatric special . . .

Answer: A full evaluation including a detailed history, physical examination, review of previous urine cultures, as well as a review of all imaging would be needed to help make a decision regarding your daughter's situation. An adult or pediatric urologist would be able to do the evaluation and come up with . . .

Ask an Expert: William DeFoor MD, MPH, Urinary and Genital Disorders (Children)

Leaking in 6 Year Old After Voiding

Jack Elder MD, FACS, FAAP — Fri, 08 Jul 2011 10:07:00 EST

Question: My 6 year old leaks urine after voiding. This has been the case ever since she was toilet trained. She is very uncomfortable with this! How can this problem be solved?

Answer: There are two common causes of this problem, which is generally termed vaginal voiding. The most common cause is that the child sits with their legs together, compressing the labia together and some of the urine goes backwards into the vagina. When they stand up, the urine dribbles out. To prevent t . . .

Ask an Expert: Jack Elder MD, FACS, FAAP, Urinary and Genital Disorders (Children)

Swollen Penis - 6 year old

Jack Elder MD, FACS, FAAP — Mon, 13 Jun 2011 18:06:00 EST

Question: My 6 year old son`s penis is swollen, red and itchy. Should I be concerned and what can I do to help ease the uncomfortableness for him.

Answer: This question is difficult to answer. It is unclear whether he is circumcised. If he is uncircumcised, then he may have penile swelling under the foreskin from epithelial debris (physiologic). Occasionally it is red and appears inflamed, although infection is uncommon. Some boys who are circumcised . . .

Ask an Expert: Jack Elder MD, FACS, FAAP, Urinary and Genital Disorders (Children)

Bad Dreams and Day/Night Wetting

Mark Splaingard MD — Wed, 01 Jun 2011 12:06:00 EST

Question: We have just moved to a new town 4 months ago. In about the last month, my 4 year old son wakes up 2 or 3 times a night saying he`s having a bad dream and seems scared to sleep in his room, even though his big brother is in there with him. We went away camping over the weekend. Since then he ke . . .

Answer:

If your child was previously dry for 3 consectutive months, his new development of bedwetting is called secondary enuresis. Your history is more complicated however in that your son is now having daytime bedwetting which means that the problem is not just sleep related.

A careful psychologic . . .

Ask an Expert: Mark Splaingard MD, Urinary and Genital Disorders (Children)

Urinary frequency 6 year old male

William DeFoor MD, MPH — Thu, 26 May 2011 10:05:00 EST

Question: My 6 year old son has urinary frequency. His kindergarten teacher states he`s going 5-6 times daily at school (845am-1130am) for the past number of weeks. He denies discomfort there has been no life changes or stressors. He does not have night time control and has heavy wet overnight diapers. We wen . . .

Answer: This is a fairly common issue around this age group. A simple urine test called a "urinalysis" can assess for infection as well as glucose in the urine. If this test is negative, then another common cause for intermittent urinary frequency at this age would be constipation. When the rectum is disten . . .

Ask an Expert: William DeFoor MD, MPH, Urinary and Genital Disorders (Children)

UTI

William DeFoor MD, MPH — Tue, 17 May 2011 13:05:00 EST

Question: I have a neice 6.5 years old. She has white blood cells in her kidneys. They finsh and come to normal when she gets antibiotc but come back again after some time. I`m too much worried for her. She doesnt feel any problem in making urine or pain in kidneys. She has got this problem for the . . .

Answer: There are several reasons to have white blood cells in the urine. The most common reason would be a urinary tract infection. If she is having recurrent infections, then some imaging studies can be ordered by your pediatrician including a kidney and bladder ultrasound. Depending on the results, she m . . .

Ask an Expert: William DeFoor MD, MPH, Urinary and Genital Disorders (Children)