Traditional view is circumcision should be done at an early age.<\/span>\u00a0It is most appropriate to apply circumcision within the first 1 month or after 7 years.<\/span><\/p>\n Advantaged of the circumcision applied within 1<\/span>st<\/span>\u00a0month of life:<\/span><\/p>\n \u2022\u00a0Because of baby\u2019s pain sensation doesn\u2019t fully develop within the first month, circumcision can be done without anaesthetized.<\/span><\/p>\n \u2022\u00a0Bleeding will not occur during circumcision because vascularity is not too much in penis.<\/span><\/p>\n \u2022\u00a0Wound healing is quicker in infants, for this reason circumcision wounds heal faster.<\/span><\/p>\n \u2022\u00a0By doing the circumcision in an early time, situation requiring emergency circumcision is prevented.<\/span>\u00a0The foreskin strictures may occur in an advanced age.<\/span><\/p>\n \u2022\u00a0The Personality doesn\u2019t develope in newborn, for this reason, the negative effect of the circumcision is prevented by doing the circumcision in an early time.<\/span><\/p>\n Between 1-6 years, especially between 4-5 years, is the period of psycho-social development of children.<\/span>\u00a0Children are afraid to lose their wienie in this periodAfter 7 years of age, this psycho-social circuit enters a recession and continues until the age of puberty.<\/span>\u00a0At this age the circumcision will develop the child in psycho-social aspects.<\/span>\u00a0He will distinguish he is is a member of the community, will understand the circumcision\u2019s causes.<\/span><\/p>\n A specialist (urologist \u2013 pediatric surgeons \u2013 general surgeon \u2013 plastic surgeon) needs to do healthy circumcision.<\/span>\u00a0Thus, a lot of circumcision faults can be prevented.<\/span><\/p>\n Intravenous Sedation + surgical circumcision application under local anesthesia is the most appropriate method.<\/span><\/p>\n \u2022\u00a0Less cutting of the foreskin<\/span><\/p>\n \u2022\u00a0Cutting the head of the penis (glans)<\/span><\/p>\n \u2022\u00a0Bleeding<\/span><\/p>\n \u2022\u00a0Penis gangrene:<\/span>\u00a0it is the result of tight binding of the penis.<\/span><\/p>\n \u2022\u00a0Inflammation:<\/span>\u00a0If hygiene is not cared.<\/span><\/p>\n \u2022\u00a0Inablility to urinate Due to tight bandage after the circumcision<\/span><\/p>\n \u2022\u00a0Narrowness on urine hole (meatus)<\/span><\/p>\n It is the case one or both of the eggs (testicle) are not present in the sac after the birthUndescended testicle is seen %26-30 of the premature birth and also %2.7-3.2 of the patients born on time.<\/span><\/p>\n Treatment is to descend the testicle into the scrotum and fix there.<\/span>\u00a0Also, hernia is commonly seen with undescended testicle.<\/span>\u00a0Hernia is treated during the same operation.<\/span>\u00a0To be able to provide this, hormonal and \/ or surgical treatments are applied as a result of the assessment made by the physicians\u2019 expertise in this subject.<\/span><\/p>\n The distention of testicle to the sacs happen in the last 3 months in the mother\u2019s womb that may continue after the birth and in the first birthday the frequency of the undescended testicle lowers to the % 5.4 at the premature and to % 1 at the ones born on time.<\/span>\u00a0\u0130f it does not descend during that time it must be treated without losing time<\/span><\/p>\n \u0130f the undescended testicle is not treated on time, it may cause serious issues such as infertility, testicle cancer and testicle distortion.<\/span>\u00a0.<\/span><\/p>\n Inguinal hernia does not occur by pressure as at adults.<\/span>\u00a0The babies extend from a glow finger kind of bulge from the membrane covering the abdomen while getting developed (process vaginitis).<\/span>\u00a0If this opening stays open even after the birth, it causes swelling in the testicle area.<\/span>\u00a0It is more stretched at men.<\/span>\u00a0If the relation between these residues with the abdomen is stretch, the abdominals liquid gets lower slowly and form a swelling full of liquid.<\/span>\u00a0This condition causes some diseases such as hydrocele and cordon cyst.<\/span>\u00a0If the relation of the related residue with the abdomen is large, or if the narrow passage gets larger in tine, intestines in the abdomen enter into this sac and causes inguinal hernia.<\/span>\u00a0As the reason of the inguinal hernia at children is a residue, there is no chance of getting healed on its own.<\/span><\/p>\n The main purpose of the treatment of all diseases is to find and remove the sac created by vaginal process and to close its intrabadominal contact.<\/span><\/p>\n It is the case when the urine hole is opened somewhere under the penis apart from the place where it is supposed to be or somewhere between the sac or sac and the groin.<\/span>\u00a0It may not only affect the future psychological and sexual life of the child but it may also affect his fertility depending on the severity of the case.<\/span>\u00a0It is required to do the treatment as early as possible and surgically.<\/span>\u00a0It is very important not to circumcise these children in any way because the circumcision skin is used in the surgery of these children as the most ideal reparation material in the nature<\/span><\/p>\n It is the case when the urine hole is opened somewhere above the penis apart from the place where it is supposed to be.<\/span>\u00a0Usually this anomaly is accompanied by the skeleton and muscle system anomalies and development anomalies of the intestine front wall Wall and abdomen frontal Wall ( extrophy vesicle).<\/span>\u00a0The treatment is the early surgery<\/span><\/p>\n We can mention about the presence of this disease at the children who urinates in bed more than one or two times in a month after 5 years old age.<\/span>\u00a0It is commonly believed that the diseases are related to the deepness of the sleep and bladder capacity.<\/span>\u00a0Also psychological factors also have role in the apparition of the disease.<\/span>\u00a0It is seen more often at boys than the girls<\/span><\/p>\n Actually for some cases with the age it is treated on its own.<\/span>\u00a0However it is wrong to let the child wait the end of something without knowing the final point of a condition as it will affect his mental condition .<\/span><\/p>\n Gece alt\u0131n\u0131 \u0131slatan \u00e7ocu\u011fu olan aileler e\u011fer \u00e7ocuklar\u0131 5 ya\u015f\u0131ndan b\u00fcy\u00fck ise tedavi yollar\u0131n\u0131 aramal\u0131d\u0131rlar.<\/span><\/p>\n Motivation Techniques:<\/span>\u00a0Recording and Awarding<\/span><\/p>\n Liquid Restriction, Urinating Before Sleeping and Waking Up At Night\u00a0<\/span>:<\/span><\/p>\n Bladder Exercises, Bladder training exercises<\/span><\/p>\n :\u00a0<\/span>This method is quite successful with the children with smaller bladder.<\/span><\/p>\n Sphincter training exercises<\/span><\/p>\n While urinating the children are asked to stop and redo the urination.<\/span>\u00a0So that sphincter muscles are aimed to be reinforced<\/span><\/p>\n Conditioning (alarm device)<\/span><\/p>\n When the child starts to urinate, the alarm starts ringing.<\/span><\/p>\n Drug treatment<\/span><\/p>\n Drug treatment s generally started with the children who did not responds the behavioral treatments.<\/span>\u00a0Basic aims are two:<\/span><\/p>\n 1.\u00a0<\/span>Decrease the deepness of the sleep of the child<\/span><\/p>\n 2.\u00a0<\/span>Decrease the urine production at night<\/span><\/p>\n Drugs are recommended to be used maximum for 6 months.<\/span>\u00a0After stopping the drugs, enuresis may repeat.<\/span>\u00a0Tricyclic, antidepressants, \u0130buprofen, diclofenac, anticholinergic, antidiuretic hormones may be used for the drug treatment.<\/span><\/p>\n During VUR, at each urination, one part of the urine in the bladder escapes to the upper system via urethra.<\/span><\/p>\n The microorganisms in this undercharged urine reproduce and cause urinary infection.<\/span>\u00a0Urine escaped to upper side with pressure, gets the tubes in the kidney wider ( pelvic laical system) and get then kidney parenchyma thinner and most importantly causes that infected urine to enter in this collective canals in the kidney( intra renal reflux) and scarification in the parenchyma<\/span><\/p>\n In this way, the most unwanted but expected result of the VUR:<\/span>\u00a0chronic pyelonephritis appears.<\/span>\u00a0The most common reason of the chronic pyelonephritis at children group is VUR.<\/span><\/p>\n There is continuously repeating urinary infection history in the history (anamnesis).<\/span>\u00a0Any particularity is not detected in the physical examination.<\/span>\u00a0Final diagnosis and grading of VUR is made, as stated above, placing catheter into the bladder and inserting colored substance into the bladder and the urine cystography (voiding cysturethrograph VCUG)<\/span><\/p>\n After the diagnosis, especially bilateral reflux cases kidney structures and functions should be assessed.<\/span>\u00a0Glomerular filtration rate must be detected and the its function at that time must be known which is important for the follow up<\/span><\/p>\n DMSA kidney cystography is the best method showing the parenchyma scares.<\/span><\/p>\n Treatment form is determined according to the VUR grade.<\/span><\/p>\n 1) Medical (for grade I \u2013II reflux) \u2013 Antibiotherapy for urinary tract infection and then chemoprophylaxis with low dose trimethoprim-sulphometoxasole for long term.<\/span>\u00a0.\u00a0<\/span>However Ist and IInd level of refluxed that does not disappear in spite of this treatment may require a more advanced level of surgical intervention.<\/span><\/p>\n 2) Surgical Intervention:<\/p>\n a) Minimally invasive:<\/span>\u00a0suburreteral injection<\/span><\/p>\n b) Invasive:<\/span>\u00a0Uretereoneocystostomy (re-arrangement of the oreteropelvic joint)<\/span><\/p>\n","protected":false},"excerpt":{"rendered":" WHEN SHOULD CIRCUMCISION BE APPLIED? Traditional view is circumcision should be done at an early age.\u00a0It is most appropriate to apply circumcision within the first 1 month or after 7 years. Advantaged of the circumcision applied within 1st\u00a0month of life: \u2022\u00a0Because of baby\u2019s pain sensation doesn\u2019t fully develop within the first month, circumcision can be […]<\/p>\n","protected":false},"author":1,"featured_media":45,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-44","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-your-queries"],"_links":{"self":[{"href":"https:\/\/www.leonsaporta.com\/en\/wp-json\/wp\/v2\/posts\/44","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.leonsaporta.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.leonsaporta.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.leonsaporta.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.leonsaporta.com\/en\/wp-json\/wp\/v2\/comments?post=44"}],"version-history":[{"count":4,"href":"https:\/\/www.leonsaporta.com\/en\/wp-json\/wp\/v2\/posts\/44\/revisions"}],"predecessor-version":[{"id":738,"href":"https:\/\/www.leonsaporta.com\/en\/wp-json\/wp\/v2\/posts\/44\/revisions\/738"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.leonsaporta.com\/en\/wp-json\/wp\/v2\/media\/45"}],"wp:attachment":[{"href":"https:\/\/www.leonsaporta.com\/en\/wp-json\/wp\/v2\/media?parent=44"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.leonsaporta.com\/en\/wp-json\/wp\/v2\/categories?post=44"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.leonsaporta.com\/en\/wp-json\/wp\/v2\/tags?post=44"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}WHO SHOULD APPLY CIRCUMCISION?<\/h3>\n
WHAT IS THE MOST APPROPRIATE METHOD APPLIED IN CIRCUMCISION ?<\/h3>\n
WHAT ARE CIRCUMCISION FAULTS?<\/h3>\n
WHAT IS UNDESCENDED TESTIS? WHAT IS THE FREQUENCY?<\/h3>\n
HOW IS UNDESCENDED TESTIS TREATED?<\/h3>\n
WHEN IS UNDESCENDED TESTIS TREATED?<\/h3>\n
WHAT PROBLEMS DO UNDESCENDED TESTIS CAUSE IF LEFT UNTREATED?<\/h3>\n
WHAT DOES PEADIATRIC INGUINAL HERNIA AND CORDON CYST FORMATION DEPEND?<\/h3>\n
HOW IS PEADIATRIC INGUINAL HERNIA AND CORDON CYST FORMATION TREATED?<\/h3>\n
WHAT IS HYPOSPADIAS, HOW IS IT TREATED, IS CIRCUMCISION NECESSARY FOR THESE CHILDREN?<\/h3>\n
WHAT IS EPISPADIAS, HOW IS IT TREATED?<\/h3>\n
WHAT IS ENEURESIS NOCTURNA (BED WETTING AT NIGHT)?<\/h3>\n
HOW SHOULD ENEURESIS NOCTURNA (BED WETTING AT NIGHT) TREATMENT BE PLANNED?<\/h3>\n
WHAT IS VUR (VESICOURETERAL REFLUX)? WHICH PROBLEMS DOES IT CAUSE?<\/h3>\n
HOW IS VUR DIAGNOSED?<\/h3>\n
WHAT ARE TREATMENT ALTERNATIVES FOR VUR?<\/h3>\n