Dr. Sujit Chowdhary is a leading Pediatric Urologist in Delhi-NCR. He currently serves as the Senior Consultant for Pediatric Urology and Pediatric Neurosurgery at the prestigious Indraprastha Apollo Hospital, Delhi since 2005. Dr. Sujit has professional experience of over 25 years in the field of Pediatric Urology with absolutely zero complaints.
This is an ailment that afflicts the fetus’s bladder. And such an event happens merely after 4-5 weeks of conception. A bladder exstrophy epispadias is a developmental abnormality in the fetus where the bladder grows outside the body. As the name suggests, in exstrophy, a fetus’s bladder rear walls are positioned outwards rather than inwards.
This condition has a lasting impact making it difficult to have proper urine storage and bladder functions.
Genetic Factors- The presence of master control gene ISL, a gene responsible
for bladder exstrophy.Environmental Factors- The age of the mother becomes relevant.Family History- It is relevant only if a parent suffers from Exstrophy epispadiasThen the firstborn child has a 50% chance of having it too. The fertility treatment.How do I diagnose the Exstrophy epispadias in my baby?
We perform a series of diagnostic tests to confirm Exstrophy epispadias in infant-like:Physical examination- In a physical examination, the specialist studies the
abnormal appearance of the genital organs of the newborn baby. It is done a few
hours after the birth itself.X-Ray- If there is any abnormality present than specialists recommend an X-ray
to check the status of the internal urinary tract systems. The specialist looks for
signs like umbilical cord low on the abdomen, separation of the pubic and pelvic
bone and smaller genitals.In prenatal diagnosis, the pediatric urologist does the high-resolution fetal
ultrasound test and ultrafast Fetal MRI. These show the image of the fetus’s
organs.
Once an infant is diagnosed with Exstrophy epispadias the surgery is the option for a permanent cure. We use the reconstructive surgical technique to heal exstrophy epispadias in newborn boys and girls. The type of surgery is dependent on the severity of the condition.
Complete primary repair of bladder exstrophy- It is a single step surgery done on
a three-month-old baby, involving the complete repair of the bladder and genital
organs. Here, the pediatric urologist surgeon closes the bladder, abdomen and
repairs the urethra and infant’s genitals. If it’s done on a newborn this also
includes repairing pelvic bones.Modern stages repair of bladder exstrophy- This surgery is for infants who are
between 6- 12 months. There are three stages in this operation. First 72 hours
after birth, the second one at the age of 6-12 months and last at age of 4-5 years.
The first surgery is critical as it closes the bladder and abdomen. When the child
is 2-3 years old, the pediatric surgeon does the bladder neck reconstruction
surgery.Mitchell technique- This is a new surgical technique for penis reconstruction. The
penis is taken apart and assembled in normal shape. It also corrects the dorsee
bend condition of the penis.My son has undergone treatment for Exstrophy epispadias under his watch twice. He is very kind and cooperative. The smile and the friendly interaction with the patient make him one of the best. He takes full responsibility for his patient. I remember when I had this hurdle due to covid, he not just helped but also made sure for the availability of all the necessary things and the measures.
We consulted Dr. Sujit regarding the Exstrophy epispadias concerns of my daughter. The response, diagnosis was simply wonderful. All the possibilities of the issue were discussed, explained and all probable spheres which could lead to the issue were ruled out. The process of moving ahead with all the investigations was very structured and Dr. Sujit was available anytime for any discussions all the time.
He is one of the finest doctors I have come across, my son was treated for extracorporeal shock wave lithotripsy that involved surgery. The best thing about Dr. Sujit is that he would make you understand what you would be going through in the process of the treatment and make you really comfortable. Be assured you will be cared for and are in the best hands. I will strongly recommend Dr. Sujit and wish people find it helpful.
Dr. Sujit is a very professional & qualified Urologist in Vasant Kunj, New Delhi. My son was treated with Extracorporeal shock wave lithotripsy with great sincerity & advised the treatment promptly will recommend him as a very nice professional & great ambassador of noble profession wish him all the very best.
Dr. Sujit Chowdhary best Pediatric Urologist in India with Zero Complaints in 25 years of professional practise.
