Dr. Oriol Martín Solé · Information for families

Urological treatments in children

Understand the options, learn about the procedure and prepare for recovery. Treatment tailored to each child.

A decision shared with the family

Observation, medication and surgery serve different needs. Age, symptoms, test results and progression help guide treatment choices.

Kidney and ureter

Restore urine drainage and protect the kidney.

Markedly dilated renal pelvis; the arrow points to narrowing at the pelviureteric junction.

Pyeloplasty

Repair of a narrowing between the renal pelvis and the ureter.

What does it involve? →
Dilated ureter and kidney collecting spaces; a broad red arrow shows urine flowing back from the bladder towards the kidney.

Ureteric reimplantation

Reconstruction of the connection between the ureter and bladder.

What does it involve? →
Dilated ureter and kidney collecting spaces; a broad red arrow shows urine flowing back from the bladder towards the kidney.

Endoscopic reflux treatment

Injection beneath the ureteric opening to reduce backward urine flow.

What does it involve? →
Dilated ureter with distal narrowing; the red arrow points to the ureterovesical junction.

Megaureter treatment

Observation or intervention according to obstruction, symptoms and kidney function.

What does it involve? →
A prominent ureteric stone with dilatation of the proximal ureter and renal pelvis.

Urinary stone treatment

Options to support stone passage, fragment stones or remove them.

What does it involve? →

Bladder and urethra

Improve urine outflow and bladder function.

An intravesical ureterocele: a balloon-like swelling at the end of a ureter inside the bladder.

Ureterocele treatment

Endoscopic decompression or reconstruction according to anatomy and progression.

What does it involve? →
Posterior urethral valves diagram showing the obstructing membrane, dilated proximal urethra, thick-walled bladder and dilated upper urinary tract.

Posterior urethral valve treatment

Endoscopic removal of membranes that obstruct urine outflow.

What does it involve? →
Recognisable lumbar vertebrae and sacrum, interrupted nerve signals and an example of a small, pear-shaped, multidiverticular bladder.

Bladder botulinum toxin

Bladder muscle injections for selected urine storage problems.

What does it involve? →
Recognisable lumbar vertebrae and sacrum, interrupted nerve signals and an example of a small, pear-shaped, multidiverticular bladder.

Bladder reconstruction

Individualised surgery that may include bladder augmentation or a Mitrofanoff channel.

What does it involve? →

Penis and foreskin

Medical and surgical care tailored to each condition.

Illustration of phimosis with a narrow foreskin opening.

Phimosis treatment

Observation, topical steroid treatment or surgery according to symptoms and cause.

What does it involve? →
Illustration of hypospadias with the urethral opening on the underside of the penis.

Hypospadias repair

Urethral reconstruction and correction of associated abnormalities when indicated.

What does it involve? →
Side view of ventral penile curvature compared with a dashed straight reference axis.

Penile curvature correction

Surgery to straighten the penis when the degree of curvature warrants it.

What does it involve? →
Illustration of penoscrotal webbing, with scrotal skin extending onto the underside of the penis.

Webbed penis correction

Reconstruction of the skin junction between the penis and scrotum.

What does it involve? →

Testes and scrotum

Address testicular position, enlarged veins and other scrotal conditions.

A unilateral example of a testis retained in the inguinal canal, with an empty corresponding hemiscrotum.

Orchidopexy

Moving and securing an undescended testis in the scrotum.

What does it involve? →
Front view with enlarged veins in the patient’s left spermatic cord above the testis.

Varicocele treatment

Monitoring or treatment of enlarged veins according to their effects.

What does it involve? →
Diagram of fluid around the testis.

Hydrocele surgery

Repair of a communication or a persistent collection of fluid.

What does it involve? →
A clearly twisted spermatic cord and dark-purple testis in a diagram of testicular torsion.

Testicular torsion surgery

Urgent surgery to untwist the cord and assess the testis.

What does it involve? →

Voiding and continence

Support children and families with a stepwise treatment plan.

A bladder with multiple large, prominent droplets below the urethral outlet representing involuntary urine leakage.

Urotherapy

Voiding routines, fluid habits and constipation management.

What does it involve? →
A bladder with multiple large, clearly visible urine droplets and a moon representing wetting during sleep.

Bedwetting treatment

Supportive measures, an alarm or medication tailored to each child.

What does it involve? →
A smaller bladder, urgency lightning symbols on both sides and multiple prominent droplets representing urine leakage.

Bladder medication

Individualised medication to improve urine storage.

What does it involve? →
A bladder with multiple large, prominent droplets below the urethral outlet representing involuntary urine leakage.

Biofeedback

Guided training to help coordinate bladder emptying.

What does it involve? →
Recognisable lumbar vertebrae and sacrum, interrupted nerve signals and an example of a small, pear-shaped, multidiverticular bladder.

Intermittent catheterisation

Regular bladder emptying with a catheter, supported by supervised training.

What does it involve? →

An approach for each situation

Open surgery, laparoscopy and endoscopy are different approaches. The choice depends on the condition and the child’s individual needs.

Further reading

Do you have questions about your child’s treatment options?

Information about care and consultations