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Urinary bladder of an individual has 2 important functions: o Storage of urine o Periodic elimination. A child goes through series of maturational phases till he/she remains “dry by day” by the age of 3 to 3 1/2 yrs and dry by night by 7 yrs. Eneuresis inadvertent passage of urine, which is commonly seen in children only at night. This is called Nocturnal Enuresis. If the child has enuresis also in the day it is called as Diurnal Enuresis or INCONTINENCE. The latter can be caused by birth defects of structural or functional nature. Some of these are treatable surgically.
A team of doctors, with special interest and understanding of this problem can work together to diagnose the underlying cause, assess the state of the kidneys and bladder, and take steps to change the lives of these children, whereby they remain DRY and can mingle with fellow children, attend normal school & activities without having to worry about leaking urine. Such a team comprises of :
o A pediatric urologist/surgeon who can rectify anatomical defects surgically o A pediatric nephrologist to keep a check on the kidney function, urinary infections and therapy, o A pediatric neurologist to deal with neural causes o A developmental pediatrician to accurately assess the need for intervention.
The team, along with a trained pediatric nurse can bring about a difference in the lives of these miserable children, making their lives worth living, and with them, bringing about relief to the anxious parents.
URINARY INCONTINENCE IN CHILDREN, wet underwear, no control over urination, dribbling of urine.
Brief write up
"Trained at Seth GS Medical College and KEM Hospital, and at Nair Hospital
Trained as a Guest Resident at Kinderspital Luzern in 1995
Practicing Pediatric Surgeon since 1996, also attached to Breach Candy, Bhatia and Saifee Hospitals
Visiting Pediatric Surgeon at SEC School for Disabled Children, set up a programme for management of children with lack of urine and stool control
Formerly associated with Bombay Hospital and Kokilaben Dhirubhai Ambani Hospital "
Awards/Fellowship
Been voted as one of Mumbai’s Top Docs in Pediatric Surgery for three years, in a survey conducted by InterNovation, and reported by India Today.
Area of expertise
"Special expertise in Disorders of Sexual Development i.e. children born with ambiguous genitalia.
Runs a BLADDER CLINIC for children who have urinary incontinence, children who leak urine.
NEONATAL surgery, Hypospadias."
Worked at Sir J.J.Group of Hospitals & Grant Medical College from 1977 to 2005, almost 28 years, first as Associate Professor and later as Professor and Head of the Department. Also worked at Wadia
Children’s Hiospital as Professor & Head of the dept. from 2006 to 2007.
"Was awarded the British Commonwealth Fellowship, and worked in London at the Hospital for Sick Children Great Ormond Street for 1 year.
Established the first of its kind laboratory for 24 hours pH probe and anorectal manometry for children at J.J.Hospital"
Pediatric Urosurgery especailly reconstructive surgery & neonatal surgery
During my career as Senior Pediatric surgeon, have handled many complicated Pediatric Surgical Problems. I am at present service head of Pediatric surgery, Bai Jerbai Wadia Hospital of children. It is a teaching hospital for Pediatric surgery where I am attached at Honarary Ped surgeon.
I am also into minimally invasive surgery in children. I also quite a few laparascopic & thoracoscopic work. I have performed a number of Genitourinary reconstruction which requires higly expertize surgery with very good results.
* Faculty member at Medico-surgical meet & other CME programs
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