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Best Pediatric Urology Treatment in Bangalore | Kshema Pediatrix
Urological conditions in infants and children require sub-specialized pediatric surgical techniques rather than standard adult urology approaches. At Kshema Pediatrix (Basavangudi & Kanakapura Road, Bangalore), led by Dr. Ramesh Santhanakrishnan, we offer specialized diagnosis and treatment for congenital and acquired urinary tract, kidney, and genital conditions in children from birth to 18 years.
By leveraging advanced Minimally Invasive Laparoscopic & Endoscopic Pediatric Urology, we ensure high surgical success rates, minimal pain, virtually invisible scars, and long-term protection of your child’s renal and reproductive health.
Led by Premier Pediatric Surgical Leadership in Bangalore
Dr. Ramesh Santhanakrishnan
Director & Senior Pediatric Surgeon / Pediatric Urologist
30+ Years of Surgical Expertise: Former Head of the Department of Pediatric Surgery at the Indira Gandhi Institute of Child Health (IGICH) for 27 years.
Specialized Reconstructive Surgeon: Successfully performed thousands of complex reconstructive procedures, including Hypospadias repairs, Laparoscopic Pyeloplasties, and VUR corrections.
Academic Leader: Trained over 300 pediatric surgeons across India in advanced pediatric minimal access and reconstructive surgery.
“Reconstructive pediatric urology requires sub-millimeter precision. Operating during the optimal developmental window preserves renal function and protects future fertility.” — Dr. Ramesh Santhanakrishnan
Age-Wise Pediatric Urology Treatment Matrix
| Age Group | Common Conditions | Ideal Treatment Window | Key Procedures |
| Newborns (0 – 3 Months) | Antenatal Hydronephrosis, Posterior Urethral Valves (PUV) | Immediate to 4 Weeks | Postnatal Ultrasound, Endoscopic Valve Ablation |
| Infants (6 – 18 Months) | Hypospadias, Undescended Testis (Cryptorchidism), PUJ Obstruction | 6 to 12 Months | TIP Urethroplasty, Orchidopexy, Laparoscopic Pyeloplasty |
| Toddlers (1 – 3 Years) | Vesicoureteric Reflux (VUR), Recurrent UTIs | As diagnosed | STING / HIT (Deflux Injection), Ureteral Reimplantation |
| Older Children (3+ Years) | Phimosis, Bedwetting (Enuresis), Neurogenic Bladder | Non-emergent | Topical Steroids, Circumcision, Urodynamic Studies |
Our Services
- General Pediatric Surgery
- Advanced Minimal Access Surgery
- Pediatric Robotic Surgery
- Pediatric Urology
- Pediatric Orthopaedic Surgery
- Pediatric ENT Surgery
- Pediatric Plastic Surgery
- Antenatal Counselling
- Pediatric Onco-Surgery
- Pediatric Hepato-Biliary Surgery
- Pediatric Thoracic Surgery
- Pediatric Colorectal Surgery
- Pediatric Ophthalmology
- Pediatric Dentistry
- Pediatric Neurosurgery
Get in touch today!
Contact Us
For inquiries, please contact us at: [email protected]
Kshema Pediatrix - Dr. Ramesh Santhanakrishnan
#110, 1st Floor, 560019, Bull Temple Road Hanumanthnagar, Banashankari 1st Stage, Bengaluru, Karnataka 560050
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Phone/WhatsApp: +91 7204261631 Phone: +91 9019161631
Dr. Ramesh Santhanakrishnan
Director & Chief Pediatric Surgeon
Dr. Ramesh Santhanakrishnan is a highly experienced pediatric surgeon with more than 33 years of expertise. He is a pioneer in pediatric minimal access surgery and was at the forefront of establishing pediatric minimally invasive surgery in the country. He has conducted several national and international workshops, trained more than 300 pediatric surgeons, and served as an invited speaker and operating faculty at scientific meetings and live operative workshops.
Ms. Anupama Ramesh
Child Psychologist
Dr. Vinupriya D
Pediatric Surgical Oncologist
Dr. Soumyashree Narayan
Child & Adolescent Psychiatrist
Dr. Vandana Bharadwaj
Pediatric Hematologist & Oncologist
Dr. Sanjeev G N
Pediatric Geneticist
Dr. Shruthi Badarinath Pranav
Pediatric Gastroenterologist
Dr. Sameer Holageri
Pediatric Plastic Surgeon
Dr. Rudraprasad
Pediatric Orthopedic Surgeon
Dr. Rekha Bathala
Pediatric Endocrinologist
Dr. Ravneet Chhabra
Pediatric Surgeon
Dr. Prem Kumar
Pediatric ENT Surgeon
Dr. Rashmi Agarwal
Pediatric Dermatologist
Dr. Prashantha Kesari
Pediatric Plastic Surgeon
Dr. Pradeep Kumar N
Pediatric Plastic & Reconstructive Surgeon
Dr. Nagendra Kumar
Pediatric Gastro & Hepatologist
Dr. Nagalatha Chidananda
Lactation Consultant
Dr. Mohammad Yaqub
Pediatric Orthopedic Surgeon
Dr. Manmeet Chhabrra
Pediatric Neuro Surgeon
Dr. Kalyan
Pediatric Cardiologist
Dr. Jayaranganath
Senior Pediatric Cardiologist
Dr. Rajeshwari M
Pediatric Nephrologist
Dr. Chandrika Rao
Adolescent Pediatrician
Dr. Chandana KPS
Developmental Pediatrician
Dr. Viveka Santosh Reddy
Pediatric Neurologist
Dr. Abhishek S Bhasme
Pediatric Orthopedic Surgeon
Dr. Anand Rao
Pediatric Rheumatologist
Pediatric Urological Conditions We Treat
1. Hypospadias Repair (Penile Reconstruction)
Hypospadias is a congenital condition where the urethral opening is located on the underside of the penis rather than at the tip.
Ideal Age for Surgery: 6 to 18 months (before toilet training and psychological genital awareness).
Technique: Tubularized Incised Plate (TIP) Urethroplasty and staged repairs for complex proximal forms.
Outcome: Single-stage repair in over 90% of cases, achieving natural cosmetic and functional results.
2. Undescended Testis (Cryptorchidism)
Occurs when one or both testes fail to descend naturally into the scrotum before birth.
Why Early Surgery Matters: Surgery preserves future fertility and allows early detection/monitoring of testicular tissue.
Technique: Standard Inguinal Orchidopexy or 2-Stage Laparoscopic Orchidopexy for high intra-abdominal testes.
Hospital Stay: Performed as a day-care procedure (discharged the same day).
3. PUJ Obstruction & Hydronephrosis
Pelvi-Ureteric Junction obstruction blocks urine flow from the kidney, leading to kidney swelling (hydronephrosis).
Diagnosis: Antenatal ultrasound follow-up, Renal Ultrasound, and nuclear scans (MAG3/DTPA).
Technique: Laparoscopic & Robotic Pyeloplasty with success rates exceeding 95%.
Recovery: 1 to 2 days hospital stay with minimal post-operative pain.
4. Vesicoureteric Reflux (VUR) & Recurrent UTIs
VUR is the backward flow of urine from the bladder into the ureters and kidneys, increasing the risk of recurrent pyelonephritis and renal scarring.
Minimally Invasive Treatment: STING / HIT Procedure (Subureteric Deflux Injection)—a 15-minute endoscopic day-care treatment with zero external incisions.
Surgical Treatment: Cohen Cross-Trigonal Ureteral Reimplantation for severe high-grade reflux.
5. Posterior Urethral Valves (PUV)
A severe obstructive condition in newborn boys caused by abnormal mucosal folds in the urethra.
Emergency Intervention: Immediate primary endoscopic valve ablation to relieve urinary blockage and protect long-term kidney function, co-managed with pediatric nephrologists.
6. Phimosis & Foreskin Problems
A tight foreskin that cannot be retracted, causing pain, ballooning during urination, or recurrent infections.
Conservative-First Approach: Topical steroid ointment application resolves over 70% of mild cases without surgery.
Surgical Option: Circumcision or Preputioplasty under gentle pediatric anesthesia when non-surgical methods fail.
Treatment Comparison: Open vs. Laparoscopic / Endoscopic Urology
| Parameter | Traditional Open Surgery | Advanced Laparoscopic / Endoscopic Urology |
| Incision Size | 4 – 8 cm surgical incision | 3 mm micro-ports or NO external incision (Endoscopic) |
| Post-Op Discomfort | Moderate pain requiring strong painkillers | Minimal discomfort requiring mild oral analgesics |
| Hospital Stay | 3 to 5 Days | Day-care or 24-Hour Discharge |
| Scar Visibility | Permanent visible scar | Micro-dots or completely scarless |
| Recovery Time | 2 to 3 Weeks | 3 to 5 Days |
Advanced Diagnostic Capabilities at Kshema Pediatrix
Accurate diagnosis prevents unnecessary surgical intervention:
Pediatric Renal Ultrasound: Tailored high-frequency probe protocols for infants and children.
Nuclear Medicine Scans (DTPA / MAG3 / DMSA): Evaluates exact differential kidney function and urine drainage.
Micturating Cystourethrogram (MCUG): Diagnostic imaging to confirm VUR grade and urethral anatomy.
Pediatric Urodynamics: Evaluates complex bladder dysfunction and neurogenic bladder conditions.
What Our Little Patients Say
“You’re the nicest doctor ever! Can you be my doctor forever?”
5-Star Google Reviews That Reflect Our Trusted Pediatric Care
Frequently Asked Questions
Children have delicate tissues, developing organs, and unique congenital conditions. Pediatric urologists like Dr. Ramesh Santhanakrishnan specialize in operating on micro-structures in infants using pediatric-sized instruments and child-specific anesthesia protocols.
Hypospadias repair is best performed between 6 and 18 months of age. Operating early ensures optimal tissue healing, prevents psychological trauma, and completes recovery before toilet training begins.
Not always. Many mild cases resolve spontaneously after birth. We perform a postnatal ultrasound around day 3 to 7 or at 4 weeks to determine whether your baby needs simple monitoring or surgical correction.
No. Tight foreskin (physiological phimosis) is normal in young boys. We first attempt non-surgical treatment with topical steroid creams. Surgery is only recommended if the child experiences recurrent UTIs, pain, or urinary obstruction.
Our clinic is located at No. 110, 1st Floor, Bull Temple Road, Hanumanthnagar, Banashankari 1st Stage, Bengaluru - 560050 (Near Ramakrishna Ashrama & Bull Temple).
General urologists primarily treat adults for age-related conditions like prostate enlargement or kidney stones. Pediatric urologists complete additional sub-specialty fellowship training dedicated exclusively to infants, children, and teenagers. They specialize in operating on delicate micro-structures, managing congenital birth anomalies, and utilizing child-sized surgical equipment and pediatric anesthesia protocols.
Physical Preparation: Follow the strict fasting (NPO) guidelines provided by our clinical team regarding milk, water, and solids prior to surgery to ensure safe general anesthesia.
Emotional Preparation: For toddlers and young children, use simple, reassuring language (e.g., "The doctor is going to fix your tummy so you can play better"). You are welcome to bring your child’s favorite comfort toy or blanket to the day-care recovery room.
Post-op care depends on the specific procedure performed:
Wound Care & Diapering: Keep the surgical area clean and dry. For infant procedures like hypospadias or orchidopexy repair, double-diapering may be recommended to buffer the surgical site.
Pain Management: Oral pediatric pain relievers are prescribed to keep your child comfortable.
Activity Restrictions: Avoid rough play, straddle toys (bicycles, rocking horses), and swimming for 2 to 3 weeks following surgery.
For reconstructive procedures like Hypospadias repair or Laparoscopic Pyeloplasty, a temporary micro-stent or urinary catheter (Foley catheter) may be placed to allow the newly reconstructed tissues to heal safely without urine irritation. Stents are lightweight, minimally uncomfortable, and are typically removed or slide out painlessly in 7 to 14 days during a routine follow-up visit.
Early corrective surgery is specifically designed to protect and preserve long-term growth and fertility. Correcting conditions like Cryptorchidism (undescended testis), severe VUR, or Hypospadias before age 2 restores natural anatomy during crucial early growth windows, ensuring normal reproductive function, sexual development, and kidney health into adulthood.
