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Department of Urology SLK Kliniken Heilbronn - Pediatric Urology

We treat all urological disorders that may affect your child!

With the therapies it has to offer, the Urology Clinic in Heilbronn provides pediatric urological treatments whether it be for the Heilbronn region or far beyond its borders.

The highest degree of diagnostic and therapeutic quality is also made available for child patients. We have specialists for testicular disorders (undescended testicles), malformations of the bladder, ureter and the external genitalia (hypospadias), various forms of enuresis (bedwetting) and ureterorenal reflux.

We work with minimally invasive methods that create the least possible burden for your child, and – if at all possible – we also endeavour to carry out interventions purely on an outpatient basis. This spares your child from having to stay overnight in unfamiliar surroundings.

Competence centre

The Urology Clinic in Heilbronn works interdisciplinarily with the Center for Pediatrics, led by Prof. Dr. Walter Kachel and other local pediatricians in Heilbronn. The medical care of our younger patients takes place within the wards of the Pediatric Clinic in Gesundbrunnen.


Pediatric outpatient department

In Heilbronn we offer parents the chance to inform themselves fully and talk to us about their children’s health in special sessions held within the pediatric outpatient department.

Please arrange an appointment for such a session under 07131-49 2403:
Senior physician Dr. Michael Schulze and Dr. Marcel Hruza, Wednesdays 1pm - 3pm

For this consultation we will need a referral by a pediatrician to the pediatric clinic.



We would like to introduce you to a number of common diseases, and the surgical options that are available at the Pediatric Urology Clinic in Heilbronn.


Undescended testicles

In about 3% of male newborns and 29% of male premature births the child has undescended testicles. In such cases the testicles do not make their whole way into the scrotum. If such a condition does not normalize within the first three months of life, it may be necessary to surgically displace the testicles into the scrotum. At the Pediatric Urology Clinic in Heilbronn this is done using minimally invasive surgical treatments (ie. Laparoscopy). It is important to treat an undescended testicle, since testes that do not descend into the scrotum can later become the cause of a possible infertility. In addition, undescended testicles are at a higher risk of developing testicular cancer in adulthood.


Inguinal testes and
abdominal testes

At the Urology Clinic in Heilbronn we carry out surgical displacements of the testis into the scrotum with inguinal and (on an inpatient basis) abdominal testes using a minimally invasive laparoscopic surgical technique.


Hypospadias

One focus of pediatric urology Heilbronn is the treatment of hypospadias and other malformations of the genital area. In this context, we carry out all kinds of paediatric reconstructive surgery for diseases such as ureterorenal reflux, megaureter or renal pelvic stenosis.

Hypospadia is one of the most common congenital malformations of the external male genitalia, which is often associated with a malfunction of the genitals.

The defect arises from the fact that the urethral opening is not located at the tip of the glans, but somewhere on the underside of the penis. Depending on the position of the opening, hypospadias can be subclassified into distal and proximal hypospadias. In 50% of children with proximal hypospadias, curvature of the penis is also diagnosed.


Enuresis

Enuresis is primarily a symptom and is only considered a disease if neurological findings are also present. Enuresis is one of the most common problems in paediatric urology.

At the age of four, most children achieve some control over their bladder function. Two-thirds of all five year old children still wet their beds at night (pediatric incontinence). The reasons for this may well be genetic.

In our urological clinic we diagnose the medical cause of the enuresis and specialise in the treatment of any potential malformations.

Among the possible causes of enuresis include
- bladder capacity
- familial predisposition
- plasma levels of ADH
- urinary tract infections
- neurological causes


Ureterorenal reflux

The treatment of malformations of the urogenital tract is included amongst the stalwarts of therapy at the Pediatric Urology Clinic in Heilbronn.

The backflow of urine from the bladder into the kidney is referred to in the field of urology as reflux. This malfunction when left untreated can potentially lead to kidney damage. The causes of this disease are manifold.

At the Urology Clinic in Heilbronn, both conservative drug treatments and surgical therapies are used depending on the diagnosis of the reflux disease.

As standard treatment we prefer the minimally invasive endoscopic underinjection of the ureteral orifice. Depending on the indication, we use a Lich Gregoir anti-reflux plasty as a surgical technique, or instead opt for a ureteral reimplantation.


Circumcision

Circumcison may become necessary in case of phimosis or recurrent infetions of the gland (ie. balanitis). This procedure is performed at the outpatient department of the Pediatric Urology Clinic in Heilbronn. It is carried out in three forms: triple incision of the constricted foreskin, cosmetic circumcision with preservation of the outer foreskin, and radical circumcision.


Ureteropelvic stenosis

With ureteropelvic stenosis one or both kidneys produce more urine than can be cleared by their respective ureter from the renal pelvis. The causes underlying such a malfunction in urinary flow lie within a thickening of the ureter or blood vessels that lie against the renal pelvis.

Urinary congestion in the kidney leads to urinary tract infection, including fever and flank pain, kidney stones and blood in the urine.

In the Paediatric Urology Clinic at Heilbronn, diagnosis is carried out by ultrasound as the first effective screening procedure. The extent of the malfunction is verified by a further examination involving renal scintigraphy. The malfunction is eliminated using minimally invasive methods, and most particularly laparoscopic pyeloplasty using miniaturized instruments (SMART).


Inguinal testes and
abdominal testes

At the Urology Clinic in Heilbronn we carry out surgical displacements of the testis into the scrotum with inguinal and (on an inpatient basis) abdominal testes using a minimally invasive laparoscopic surgical technique.