a newborn with antenatally diagnosed hydroureteronephrosis was evaluated after birth and a large ureterocele causing bladder outlet obstruction was found. staged management was planned- Stage 1- neonatal fulguration of ureterocele, taking care that no obstructing shelve is created by incision of ureterocele. stage 2- follow up- by USG , DMSA scan and MCU. Findings were USG- no parenchyma in upper pole and dilated tortuous ureter, which has decreases in size after fulguration. DMSA- Non functional upper pole in right kidney MCU- Grade 5 Reflux in right upper moiety. Lower moiety normal stage 3- followed up on continuous antibiotic prophylaxis ( CAP). parents counselled and at age of 1.3 years, laparoscopic upper polar nephrectomy was planned. This video demonstrates the stage 1 and stage 3 procedures

This video describes Laparoscopic excision of right adrenal ganglioneuroma in a 3 year old child.

This video demonstrates laparoscopic Pyeloplasty in a seven year old boy.

3.5 year old girl.. Sudden onset pain abdomen. History of similar pain around 1 years back, for which diagnostic Laparoscopy was done .Left ovarian torsion was found with necrotic ovary. It was derotated and left as such( not excised). As parents were aware of symptoms, when pain recurred, they investigated early and USG showed normal size ovary with suspicion of torsion. When the child presented to us, she had tenderness in lower abdomen. She underwent Diagnostic Laparoscopy and findings were 1.right adnexal torsion with impending necrosis of right ovary 2. Left ovary, which was left, was streak like gonad .We derotated adenexa and fixed ovary in pelvis. Important points raised by this case 1.Should contralateral Oophoropexy be standard of care? 2.Should necrotic ovary be always excised or can be left? 3.Whether this streak ovary will function later or not?

This video displays Laparoscopic dissection of crossing vessel causing pelviureteric junction obstruction in a 4 year old female child. Laparoscopic pyeloplasty was done.

Duplex with obstructed non functioning upper moiety and refluxing lower moiety – Approach can be Upper tract approach Lower tract approach Combined upper and lower tract approach Staged upper and lower tract approach We report a case in which we preferred staged approach

Adrenal cysts are very rare , especially in children. Most of them are incidentally diagnosed. Controversy in Pediatric population include need of hormonal workup, whether Conservative or operative and If operative, adrenalectomy or adrenal preserving surgery? We describe one child with adrenal cyst and its management. It included the clinical details, short literature review and operative video.The HPE suggested endothelial cyst.

This video demonstrates stage 2 of two stage Fowlers-Stephens orchidopexy.

This video describes management of a small girl with left single system ectopic ureter with Pyonephrosis. She was initially treated by diversion ( end ureterostomy) for Pyonephrosis and then she underwent cardiac surgery. After one year of diversion, her renal function did not improved and she needed Laparoscopic Left Nephroureterectomy. This video describes steps of surgery along with initial Cystoscopy and RGP findings.

This video demonstrates Laparoscopic pyeloplasty in a three month old antenatally diagnosed male child with left pelviureteric junction obstruction.

Vesicoureteric reflux management is done by many means one of which in Endoscopic Dextranomer/Hyaluronic Acid Injection (Dexell®). This video describes the procedure

This video demonstrates endoscopic evaluation of two children of common cloaca and operative steps of total urogenital sinus mobilization(TUM) in one of the child.

This video demonstrates Right Laparoscopic upper pole nephroureterectomy in an infant by Dr Shandip sinha, Pediatric Surgeon, Pediatric Urologist and Pediatric Laparoscopic Surgeon. Duplex kidney literally means that the child has a double kidney on one side or very rarely both sides. The double section is usually limited to the part of the kidney where the urine collects (the collecting system or renal pelvis), before the urine passes down the bladder via the ureter. However, in some cases there is also duplication of the ureter . This can be a partial duplication (so the ureter is a ‘Y’ shape) or there may be a completely separate extra ureter.The limited duplex kidney (where only the collecting system is double) is usually an incidental finding and rarely causes problems. The more extensive duplication, however, does often cause problems and can typically mean a child is more prone to urine infections. Also the extra ureter can insert into the bladder in an abnormal place or even in the urethra (the tube leading from the bladder to the outside), causing constant urinary dribbling.The duplicated part of the kidney drained by that ureter has often not developed normally (it is known as ‘dysplastic‘) and thus has poor function. This video describes one of these infant, who had poorly functioning upper moiety on right side and needed Laparoscopic Nephroureterectomy

Posterior urethral valve fulguration by hook,loop and bugbee

This video shows Laparoscopic scenarios for impalpable undescended testes- blind ending vas and vessels by Dr Shandip Sinha, Pediatric Surgeon

This video describes our technique of placement of peritoneal dialysis catheter in neonates and infants

Laparoscopic Pyeloplasty is being increasingly used for Pediatric pelviureteric junction obstruction(PUJO). This video describes the steps of Laparoscopic Pyeloplasty in a seven year old male child.

This video demonstrates Cystoscopic Incision of Ureterocle in a three months old Female. It was large Ureterocele almost Obstructing Bladder, leading to Large Bladder.

Laparoscopic upper moiety nephrectomy with partial ureterectomy for duplex system in one year old child

This Video Describes approach to diagnosis and treatment of Bilateral Single System Orthotopic Ureterocele in an Infant. Important points highlighted are 1. Ureterocele are visible when the bladder is half full and appear as filling defect. They disappear when the bladder is full as shown during cystoscopy. So it is important to take films during partially filled bladder during MCU. 2. Transverse incision at base is described as one of the methods of incision, apart from creating Multiple holes in ureterocele. However, appearance of reflux is possibility with all the methods used. 3. Follow up is important and few of the children needs further intervention.

Malrotation diagnosed during Laparoscopic pyeloplasty-what to do?

posterior urethral valve fulguration dobe with resectoscope

Endoscopic deroofing of ureterocele

video showing both stages stage 1 and 2 ,fowlers stephens of laparoscopic orchidopexy in a child

posterior urethral valve with neonatal ascites

Impalpable testes ;laparoscopy done and it showed vanishing testes.

Posterior urethral valve(PUV) fulgration by bug bee electrode in a small child

pyelolithotomy for renal stone in a child

Diagnosis of a vanishing testis requires documentation of blind-ending spermatic vessels in the abdomen, inguinal canal, or scrotum.Blind ending vas is often associated, but is non diagnostic as it can be seen with an intra abdominal testes.This case emphasises this important distinction, which we surgeons should have in mind. Vessel Intact Laparoscopic Orchidopexy (VILO) was done