Pediatric urology in Paris
Dr Adam Vardi - Urological Surgeon
Pediatric urology in Paris & Neuilly
Surgical care for the young patient in Paris
Pediatric urology is an essential component of urological surgery, dedicated to the diagnosis and treatment of congenital or acquired anomalies of the urinary and genital system in children and adolescents. Surgical management in young patients meets specific physiological and anatomical requirements, with a twofold objective: restoring normal function and preventing complications in adulthood, particularly in terms of fertility and continence.
Dr. Adam Vardi provides this surgical follow-up by favouring minimally invasive techniques and an educational approach designed to limit the anxiety associated with the procedure, both for the child and for the parents.
Circumcision and phimosis in Paris
Urological surgery, Dr Vardi
Phimosis is defined as a narrowing of the preputial ring preventing the complete retraction of the foreskin over the glans. While physiological during the first years of life, its persistence or its scarred nature may require surgery. Management may be medical, through the application of topical corticosteroids, or surgical when episodes of infection (balanoposthitis) or paraphimosis recur. Preputial plasty or circumcision (posthectomy) is then performed under brief general anesthesia, most often as a day-case procedure, to restore optimal hygiene and voiding function.
Management of undescended testicle in Paris & Neuilly
Doctor Adam Vardi
Testicular ectopia, or undescended testicle, corresponds to the absence of one or both testicles in the scrotum at birth. This abnormality of migration requires careful monitoring during the first months of life, as spontaneous descent remains possible. However, in the absence of normalization before the age of one, a surgical procedure called orchidopexy is recommended. The stake here is major: repositioning the testicle in the scrotal compartment helps preserve future fertility potential and facilitates the self-monitoring essential for the early detection of testicular tumors in adulthood.
Pediatric urology
Urological surgeon in Paris
Inguinal hernia and hydrocele
Inguinal hernia and hydrocele in children result from a defective closure of the peritoneo-vaginal duct, a communication between the abdomen and the scrotum that should normally close before birth. When this duct remains patented, it may allow peritoneal fluid (hydrocele) or a loop of bowel (hernia) to pass through. While a hydrocele may sometimes resolve spontaneously before the age of two, an inguinal hernia presents a risk of strangulation that mandates surgical repair. The procedure consists of a ligation of the duct to abolish communication and prevent any digestive or testicular complication.
Post-operative follow-up and long-term outcomes
Follow-up after laser surgery is an essential step in the care pathway. A check-up consultation is systematically scheduled a few weeks after the procedure to assess the quality of bladder emptying through uroflowmetry and to ensure the absence of post-void residual urine. Long-term functional results are excellent, with a lasting improvement of urinary flow and resolution of obstructive symptoms.
Unlike pure vaporization techniques, where tissue is destroyed, enucleation (HoLEP) allows the removed tissue to be analyzed in a pathology laboratory, providing additional safety by verifying the absence of unrecognized cancerous foci within the adenoma.
In conclusion, laser prostate surgery represents a major step towards less invasive and safer medicine. The choice of the specific technique is determined by Dr Vardi during the consultation, after a rigorous analysis of the urodynamic assessment, prostate imaging and the patient’s medical history.
Specialized in pediatric urology, Dr. Vardi treats the following pathologies: infant circumcision, undescended testicles, enuresis, etc.