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Year : 2021  |  Volume : 6  |  Issue : 1  |  Page : 37-42

Spectrum of postoperative genitourinary (GU) cases in pediatric patients

Paediatric Surgery Department, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

Correspondence Address:
Mr. Shoheli Alam
Paediatric Surgery Department, Bangabandhu Sheikh Mujib Medical University, Dhaka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/pnjb.pnjb_7_21

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Background: Genitourinary (GU) disorders may be congenital or acquired. Congenital cases are most often undiagnosed. This study was carried out to find the types of congenital, acquired GU cases and redo surgery from neonate to early adult life and the age of diagnosis of congenital anomalies. Materials and Methods: This retrospective study was carried out from January’2016 to December’2018 in the inpatients of the Paediatric Surgery Department of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. All admitted patients having congenital or acquired GU cases and postoperative complications of these systems required redo surgery were included. The data were reviewed for patient demographics, frequency, and distribution pattern of admitted GU cases and types of redo surgery. Result: A total of 1329 patients were operated in the Paediatric Surgery Department of BSMMU, Dhaka, Bangladesh over a 3 years’ period. Among them, 508 patients (38.2%) were GU cases. The age ranged from 2 days to 18 years (mean age: 5.68 ± 3.77) at diagnosis. The male: female ratio was 5.7:1. Out of the total 508 patients, 432(85%) were boys while only 75 (15%) were girls. Among the 508 GU cases, 355 (69.9%) were congenital cases, 56(11%) were acquired cases, and redo cases were 97(19.1%). In this study, 43.7% of children who had congenital GU anomalies were >5 to 12 years old, and the neonatal age group was in 2.3% of cases. Among the congenital GU anomalies, hypospadias was more common in 141(27.8%) cases. 41(8.1%) had urogenital tumors. Wilm’s tumor was in 18 (3.5%) of children, 9 (1.8%) patients had urethral stricture, 6(1.2%) patients had urolithiasis. In case of redo surgery, urethrocutaneous fistula was found in 42(8.3%) patients. Conclusion: GU cases are more common than the other systemic cases in pediatric surgical patients. Among the GU cases, congenital anomalies are more than the acquired cases in our institution. But most of the congenital anomalies were diagnosed at a later age.

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