NAMNAM ConsultantsUrology OPD · Imphal, Manipur
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Children's Urology · Imphal

Urology care
for children.

Common problems in boys and girls — from a tight foreskin to an undescended testis or bedwetting — explained for parents, with the right timing for treatment.

● Gentle, child-friendly visits● Ultrasound in the same visit● Clear timing for treatment
Dr. Nameirakpam Shantajit
Dr. Nameirakpam ShantajitMBBS (SPMC Bikaner) · MS Surgery & M.Ch Urology (RIMS Imphal) · MMC Reg. No. MNP 150

When to bring your child

Most of these are common and very treatable.

  • A testis not in the scrotum
  • Swelling in the groin or scrotum
  • Ballooning or infection of the foreskin
  • Bedwetting after age 5–7
  • Urine infection with fever
  • Sudden scrotal pain — emergency
Undescended testisBest treated by about 18 months
HydroceleOften settles by age 1–2
BedwettingCommon till 5–7 years
Testis painEmergency — within hours
Common Conditions

What we see in children

🔵

Undescended testis

A testis not in the scrotum. If it hasn't come down by about 6 months, an operation (orchidopexy) is usually advised, ideally by 18 months of age.

💧

Hydrocele & hernia

A fluid swelling (hydrocele) often settles by age 1–2. A hernia — a swelling that comes and goes with crying — needs an operation.

🎈

Phimosis (tight foreskin)

Normal in young boys. Treatment is needed only for ballooning with infection, scarring or difficulty passing urine — often a steroid cream first.

🌙

Bedwetting

Common until 5–7 years. Treated with simple habits, a bedwetting alarm, treating constipation and, if needed, medicines.

🦠

Urine infections

A UTI with fever in a child needs evaluation, usually with an ultrasound, to check how the urinary tract drains.

🧬

Hypospadias & antenatal findings

Where the urine opening is not at the tip (repair usually at 6–18 months — avoid circumcision before), or kidney swelling seen on pregnancy scans.

Your Visit

What to expect

Talk & examine

A gentle examination with a parent present, explained in simple words.

Ultrasound

Painless, in the same visit, when needed.

Urine tests

For infections or bedwetting.

Clear plan

Watchful waiting, medicines or an operation — with the right timing for your child.

Urgent

Don't wait

⏱️

Sudden scrotal pain is an emergency

Sudden pain or swelling in the scrotum, especially with vomiting, can be testicular torsion. The testis can be saved only if treated within a few hours — go to the nearest hospital immediately.

🚑

Go to the nearest hospital emergency if you have

  • Sudden pain or swelling of the scrotum or testis
  • A groin swelling that is hard, painful and can no longer be pushed back
  • High fever in an infant, or a child who is very unwell
  • Unable to pass urine
WhatsApp numbers and the chatbot are not emergency services.
Questions

Frequently asked questions

Should my son's foreskin pull back?

Not in young boys — a tight foreskin is normal and usually loosens with age. Don't force it back. See us if there is ballooning with infection, scarring, or difficulty passing urine.

When should an undescended testis be operated?

If it hasn't come down by about 6 months of age, an operation is usually advised, ideally by 18 months, to protect fertility and allow regular checks.

Will a hydrocele go away on its own?

Often yes, in babies, by age 1–2. If it persists, gets bigger, or comes and goes (suggesting a hernia), an operation is advised.

My child still wets the bed. Is that normal?

Bedwetting is common until 5–7 years and often runs in families. Treating constipation, simple habits and a bedwetting alarm help most children; medicines are also available.

Does a child with a urine infection need tests?

A UTI with fever in a child usually needs an ultrasound, and sometimes further tests, to check the urinary tract drains properly.

Should we do circumcision for hypospadias?

No — the foreskin is often used in the repair. Please see us before any circumcision if the urine opening is not at the tip.

Book a consultation

NAM Consultants, Singjamei: mornings daily 6:00–9:30 AM (Mar–Oct) / 6:30–9:30 AM (Nov–Feb), evenings 4–6 PM Mon–Sat · Raj Medicity Hospital: Mon–Sat 11 AM–1 PM

Medically reviewed by Dr. Nameirakpam Shantajit, M.Ch Urology (MMC Reg. No. MNP 150) · Last reviewed: 10 October 2026

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