A pediatric urology examination is a specialized evaluation that takes into account the physical, psychological, and emotional states of children. This examination assesses the urinary system, genital organs, and related diseases. Pediatric urology examinations involve multiple evaluation steps and tests.

Medical History (Anamnesis)
Our pediatric urology examination begins with listening to the patient's medical history. This step is crucial for gathering general health information, family history, and identifying complaints. The history helps us understand the root of the child's symptoms and map out the needs of the child and family. The evaluation includes questions about the child's toilet habits (bladder and bowel), eating and drinking habits, family history, congenital anomalies, and previous tests or treatments related to the complaint. This information helps our pediatric urologist, Prof. Dr. M. Selçuk Sılay, decide how to proceed with the examination and which tests to perform.

General Condition Assessment
Your child's general health is another important aspect of the urological examination. The following factors are reviewed during the general assessment:

Growth and Development
We evaluate whether your child's height and weight are appropriate for their age. Some developmental delays may be related to urological conditions.

Vital Signs
A urological problem may not always be limited to the urinary or genital system; it could be a sign of another systemic condition or an emergency. Therefore, checking vital signs before the urological examination is essential. Basic vital signs such as pulse, blood pressure, and respiration are measured during the examination by our clinical nurse, İbrahim Tosun. This step helps determine if there are any general health issues.

Physical Examination
The physical examination is one of the most critical steps in pediatric urology. During this stage, your child's body structure, genital organs, and urinary system are thoroughly evaluated by our pediatric urologist, Prof. Dr. M. Selçuk Sılay.

Uroflowmetry (Voiding Test) and Residual Urine Measurement
Uroflowmetry is a simple yet clinically informative test that measures the rate and flow of urine from the bladder. In children, uroflowmetry (voiding test) is used for those with suspected bladder dysfunction. This test helps determine if the bladder is functioning properly and if there are any obstructions or functional issues in the urinary tract. It also provides information about bladder volume, voiding pattern, and urine flow rate, which are valuable for treatment planning. It is routinely requested by our pediatric urologist for conditions such as daytime and/or nighttime incontinence, recurrent urinary tract infections, kidney reflux, overactive bladder, underactive bladder, neurogenic bladder (in cases of voluntary voiding), and giggle incontinence. After the voiding test, an ultrasound is performed to measure residual urine in the bladder, completing the objective assessment of your child's daily toilet habits in a simple and practical manner.

Laboratory Tests and Imaging
During the physical examination, various laboratory tests and imaging methods may be requested based on your child's complaints and the findings of the pediatric urologist. These tests may include urinalysis and culture, blood tests, urinary system ultrasound, X-rays, computed tomography, and voiding cystourethrography (VCUG).

Psycho-Social Assessment
In pediatric urology examinations, evaluating psychological and social factors is crucial. Certain bladder problems, such as daytime and/or nighttime incontinence, or bowel issues like constipation and/or fecal incontinence, may be linked to psychological stress. Interviews with parents help understand the child's social development, stressors at school, and challenges related to toilet training at home. If a psychological issue accompanies the problem, our pediatric urologist may recommend support from relevant health professionals.