Some Frequently Asked Questions and Answers

Does any growth in urine culture in babies definitely mean infection?

In babies, especially in urine cultures taken by sticking a bag, growth does not always mean infection.

If the baby has no complaints and a urinalysis is performed. If it is clean, the result in the culture may be due to external contamination, which we call contamination.

The tip of my baby's foreskin is very narrow and the skin cannot be peeled back. Should we try to peel it open?

Trying to peel the foreskin back by force is a practice we definitely do not recommend.

It causes more harm than good.

Swelling, bleeding, serious infections. and may cause adhesions.

I see white clusters in my baby's vagina, under the foreskin. Does this mean there is inflammation?

 

These are dead skin deposits that we call smegma, which are generally not due to infection. It does not need to be cleaned. It disappears spontaneously during circumcision or as the child grows.

 

My child wets the bed at night. Is this a psychological problem?

 

Contrary to popular belief, bedwetting at night is most likely not due to psychological reasons. However, if the bedwetting problem that continues after the age of 5-6 is not treated, it may lead to psychological problems such as loss of self-confidence in the child.

 

My child was diagnosed with shy testicles. Is it a condition that requires urgent surgery?

There is no need for surgery for most of the shy testicles.

If the testicle can be easily lowered into the bags during the doctor's examination, it is usually followed up with 6-month or annual check-ups. It will be enough.

My child was circumcised three days ago, his penis is still swollen, red and crusted in places.

When will this situation get better?

 

Swelling, redness, bruising and crusting in the penis after circumcision is a highly expected situation. It takes at least 2 weeks to completely return to normal appearance.

 

I was told that my child has a buried penis.

Will this prevent the penis from growing in the future and its functions in adulthood?

 

If the child's penis size is normal but it is buried inside, this situation may occur at an early age. It will most likely correct itself after the procedure and will not cause any permanent problems in the future.

However, if the impaction causes psychological problems in the child, foreskin infections occur, or if the child has difficulty holding the penis while urinating, it may need to be corrected with surgical intervention.

 

I am pregnant, during the check-ups, I was told that my baby's kidney was enlarged. Is premature birth or prenatal intervention required?

 

Unless kidney enlargement detected in babies during pregnancy causes a problem such as dehydration in the mother, premature birth and prenatal intervention will not be required.

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I see pink brick red stains and small particles in my baby's diaper, should I be worried?

 

These pieces are generally known as sand among the public. What is known is that there are some crystals in the urine.

It is not a situation to worry about. However, due to the possibility of stones in the kidneys and urinary tract, ultrasound examination and some blood and urine tests may be required.

 

My five-year-old daughter has recurrent urinary tract infections. However, there is no fire in any of them. Does it need to be investigated for renal reflux?

 

As long as there is no fever in urinary tract infections, it means that the infection is limited to the bladder and has not reached the kidney. In this case, unless there is a different finding on ultrasound, catheterized film There is no need to investigate renal reflux.

The most important cause of vaginal discharge in girls is; It is the vaginal area remaining wet with some urine after urinating due to incorrect toilet sitting position or hasty toilet habit.

Learning the appropriate toilet sitting position, peeing at regular intervals and not rushing to get up after peeing will mostly solve the problem.

 

My newborn son

I was told that he had a hydrocele (water hernia), is there an urgent need for surgery?

 

Hydrocele, or water hernia as it is popularly known, usually occurs before the age of one.

Therefore, unless the hydrocele grows or turns into an inguinal hernia, it is necessary to wait until the age of 1 year.

However, since the chance of spontaneous recovery disappears in hydroceles that persist after the age of 1, surgical intervention is required. It will be necessary.

 

 

I was told that my son has a curvature in his penis and that it needs to be corrected with surgery. My son has not been circumcised yet. When do you think intervention should be done?

 

In congenitally detected penile curvatures, if the child has not yet been circumcised, our preferred practice is to correct the curvature at the circumcision stage, as the curvature can be corrected surgically and circumcision can be performed at the same time.

 

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However, in cases where curvature is noticed after circumcision, an alternative may be to wait until after puberty and wait for the penis to reach adult size and plan surgery accordingly.

 

 

My 13-year-old son was also diagnosed with varicocele. Is emergency surgery necessary?

 

If there is no pain in varicocele and the size of the left testicle with varicocele is not smaller than the normal testicle size on the right side during follow-ups, there is no need for urgent surgery.

The child is followed up at 6-12 month intervals.

Follow-up continues as long as the testicle size remains normal.

After reaching the age of seventeen or 18, semen count is also added to the follow-up.

As long as the semen count is normal, the patient can be followed up.

 

My son was circumcised 4 months ago. Currently, part of the foreskin is stuck to the penis head. What should I do?

 

Such adhesions may occur after circumcision. There is no need to worry.

Most of the time, no intervention is required. It may also open on its own over time. However, sometimes intervention may be required. In this case, it is necessary to consult a pediatric urologist.

 

1-2 drops of blood are seen in my 11-year-old son's underwear after urinating. What should I do with this problem?

It is quite common in boys at the beginning of puberty.

It is usually due to irritations in its passage through the external urinary tract.

However, blood in the urine is always a situation that should be investigated in detail.

First, do a urine test. The kidneys and urinary tract should be checked with ultrasound.

My son was circumcised at the age of one. He is currently 8 years old. I think his penis is not growing appropriately with his age. What should I do?

Children's penis and genital areas do not grow significantly before puberty.

For growth to occur, puberty must begin, that is, the male hormone must appear.

Average puberty. The age of onset is 11.5, and this may be earlier in some children and later in others.

However, an examination by a specialist is required to make a definitive comment.

 

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