And What To Do About It In Malaysia
The urinary system starts from the kidneys, down the ureter (water-pipe) to the bladder and from the bladder out through the urethra (another waterpipe), in boys, urine also needs to go through the foreskin before leaving the body.
The one other difference between boys and girls is the length of the urethra.
When it comes to urinary problems in children, the urine may be cloudy or blood stained
or there is pain on passing urine.
A young child may not be able to tell you about his or her symptoms, which can make it hard to decide what your child needs.
As a parent there are two main types of problems you need to be aware of: Urinary Tract Infections & Urinary Tract Stones.
Urinary Tract Infection
Urinary tract infections are reasonably common, especially in girls. Symptoms include pain when passing urine, fever, blood stained or cloudy urine, which may also be strong smelling.
Urinary Tract Stones
Poor fluid intake, recurrent urinary tract infections or admission to the intensive care as a premature baby in the early years are factors that could contribute to stones formation in children.
It's best to seek a doctor’s immediate advice if your child has been experiencing
any of the symptoms below for over 24 hours.
Do NOT wait to schedule an appointment.
Urinary tract infections are reasonably common, especially in girls. Symptoms include pain when passing urine, fever, blood stained or cloudy urine, which may also be strong smelling. Rarely your child may have difficulties even initiating a urinary flow and not able to pass urine at all.
It’s common for bacteria to reside in the genital and perineal area (underpants area) however most bacteria are relatively harmless. Usually the bacteria that’s found in your child’s feces is what’s resides in this area, despite washing each time they have bowel motion. When there is an “opportunity”, some bacteria can go up the child’s external “water-pipe” and cause trouble “inside”. The bacteria usually enter the urinary tract through the urethra, from outside.
With the above symptoms, your child will need to see a doctor and a urine sample taken to confirm that its truly a urinary tract infection, and if so, antibiotics should be started. If severely ill, its best to treat your child with intravenous antibiotics at a hospital. When there is confirmed infection for the very first time, an ultrasound scan of the kidneys and the bladder should be done to look for any structural abnormalities. Most infections can be treated safely with antibiotics.
If the ultrasound suggests a structural abnormality, it is best to see a child surgeon, the timing of which is dependent on the response to the antibiotics. With poor response or a significant issue like a blockage to the urinary system with a stone, for example, its an urgent referral but something like a vesico-ureteric reflux is an outpatient visit once the infection is settled. The aim is to prevent anything that may cause permanent irreversible damage to the kidney(s).
This, fortunately, is rare for children in Malaysia. Poor fluid intake, recurrent urinary tract infections or admission to the intensive care as a premature baby in the early years are factors that could contribute to stones formation in children. It’s extremely rare for children to develop stones due to a “chemical imbalance” (metabolic). The problem with stones is that it can cause obstruction to urine flow. This can then lead to infection in the stagnant pool of urine. Both the obstruction or the infection can cause irreversible kidney damage.
Symptoms of stones in the upper part of the urinary tract (kidney and ureter) are loin pain (side of the tummy) which is sometimes sharp and colicky (comes and goes), blood in the urine, pain with passage of urine (radiating from the loin to the groin) or smelly/ cloudy urine. Stone in the bladder, could present with most of the above symptoms or with similar pain but in the lower abdomen and perhaps with intermittency of urine passage (stop and start).
It’s crucial that the urinary system is not blocked or to have infection towards the kidneys (in a stagnant pool of urine), in both these situations it likely to cause damage to the kidney(s).
With any of the above symptoms, its best to take your child to a hospital with a child surgeon. Urine test and an Ultrasound scan is usually done in the first instance. The urgent issues are to relieve any obstruction or to treat any infection so as to prevent kidney damage. Minimal intervention is always the aim but with an obstructing stone, the drainage need to be reestablished to avoid kidney injury, therefore a surgical procedure such as inserting a stent or tube to bypass the obstruction is needed.
Most boys are born with tight foreskin which cannot be retracted over the glans (head of the penis). This is called phimosis and this is referred as physiological phimosis as its normal. At the age of 5 years, almost 10% of boys will still have this and 5% at 10 years, all of whom are still normal. Only about 1% of all boys will run into trouble with physiological phimosis past puberty and they are the ones who need a circumcision to avoid issues as an adolescent.
With the phimosis, it’s difficult to clean under the skin and there will be some whitish secretion from the skin collecting there. They can appear as pearly lumps that may be visible through your boy’s foreskin, called smegma. This however can cause infection under the foreskin (balanitis). With infection here, the treatment is to soak the penis in a warm salt water bath and applying topical antibiotics cream into the foreskin (see your GP), as long as your boy can pass urine, albeit with a little pain and hesitation. This will get better and usually the skin will get back to normal. If the foreskin returns to normal in a few weeks, there is no need for surgery. Some boys may get recurrent infections here but this is also thought to be beneficial to help with the foreskin separating for the glans of his penis. If there is scarring or thickening of the skin (pathological phimosis or abnormal foreskin), then your boy will require a circumcision.
A child who cannot pass urine or is having difficulties emptying his bladder or has a scarred foreskin, progressively making it harder to pass urine should see a paediatric surgeon urgently, at the hospital emergency department.
For a detailed article on circumcision and when it is needed please click here.
(Antenatally diagnosed kidney dilatation)
The most common cause of upper tract obstruction is at the pelvi-ureteric junction. (PUJ obstruction) (junction between the pelvis, the collecting funnel at the kidney to the tube that leads this to the bladder, the ureter). This is mostly congenital or something your child is born with. Very occasionally, this is due to some scarring after birth (non congenital). The symptoms that is caused by dilated kidney pelvis may be intermittent pain over that area or possibly urine infections.
Antenatal pick up of PUJ obstruction is increasing in number. Unless the growth of the kidney is effected, there is little to be done during the antenatal period other than regular scans to monitor. Once baby is born, a baseline ultrasound scan is done to have an idea of size and for comparisons with subsequent scans and so we can detect any changes or decide on the need to intervene surgically. Further scans like a nuclear isotope scan is done to assess the function of their kidneys and how good the urine flow is across this junction before the decision for surgery. Unless infected or with acute deterioration, your child should be seen by a pediatric surgeon soon after birth and followed up in the outpatient clinic setting. With the acute setting, surgery is usually done immediately to release the obstruction and reduce the risk of significant kidney damage.
For the less acute situation, follow up scans are done and if there is worsening of the swelling with poor urine flow across the PUJ, a keyhole surgery with minimal incisions on the tummy can be done to rectify the problem.
This is a condition where the natural “valve” between the ureter and the bladder is faulty. What happens as a result is that when the child passes urine, the urine comes out through the urethra externally and also some urine refluxes up via the “faulty” valve and up the ureter towards the kidney. This can be single sided or on both sides. There are various degrees to this reflux problem, from the milder grade 1 to the worst, grade 5, vesicoureteric reflux. VUR predisposes the child to urinary tract infection as their bladder is never empty at any one time. Infected urine that is pushed towards the kidney may cause irreversible kidney damage and scarring. The aim with this condition is to prevent urinary tract Infection or even to reduce the degree of reflux to lower grades so that we don’t get infected urine reaching the kidney and cause damage there.
For this reason, every child who has the first episode of urinary tract infection should have an ultrasound scan to exclude this or any other structural problems.
The other investigation required for diagnosis and treatment management is a micturating cystourethrogram which is a dye test injected into the bladder via a tube, to demonstrate reflux and its severity. VUR can also be diagnosed on antenatal scans, though the majority in Malaysia are picked up with urinary tract infection within the first year of life.
The mainstay of treatment is to avoid urinary tract infections. This may include a long period of low dose antibiotics, circumcision for a boy child or minor endoscopic surgery (injection of deflux) to reduce the degree of reflux. Very rarely would bigger surgery such as re-implantation of the ureters be required with effective active prevention of urinary tract infection.
It’s imperative that early consult with a paediatric surgeon is made to plan optimal management form the offset to prevent any risk of kidney injury.
Bowel and bladder function goes hand in hand. The rectum and colon sits just behind the bladder in a small pelvis of a child. Constipation causes a full colon or rectum, will push the bladder forward and can kink its outlet. This in turn will cause urine being stagnant and increase the risk of urinary tract infection. Bacteria that lives on the skin over the perineum is derived from the feces. With constipation, the stagnant feces in the colon, will “breed” more bacteria within. Often these are the more “aggressive” types of bacteria which may cause urinary tract infection when they travel up the urethra.
Regular bowel evacuation would require your child to consume good amount of water and fiber. Adequate water intake will in turn produce more urine to flush out the urinary system and not have stagnancy to encourage urinary tract infections. Children who has a tendency for constipation or urinary tract infections should take probiotics. The “good” bacteria not only help with the bowel motion but also have healthy non “aggressive” bacteria over the perineal skin.
My advice is to take good amounts of fruits and vegetables and fluid, mainly in the form of plain water, daily and supplements of probiotics to help with constipation and preventing urinary tract infection.
Children and adults should empty their bladders no longer than every 3 to 4 hourly if they are taking their adequate daily fluid requirement. Some children are too busy playing that they forget to pass urine. Their bladder then begins to become enlarged can eventually give problems with the way it normally function, that is distend to a normal maximum size and empties out completely when required. The stagnant type of bladder then has a higher risk if urine infection. A child who was previously toilet trained and was dry both day and night and has wetting symptoms may have this as their cause of their wetting problem.
These kids will be required to go through a bladder retraining program as they can have issues with incontinence or urinary retention on the both ends of the spectrum. An early visit to their friendly pediatric surgeon is probably what they require.
Injury can happen to any part of the urinary tract from the kidney down to the bladder and urethra. The kidneys are partially protected by the lower ribs and the chances of significant injuries to them are pretty low however even with an innocuous fall microscopic bleeding can be found in the urine sample though not obvious to the eyes, these are nothing to be worried about.
With a penetrating injury (puncture to the back or abdomen)or a high impact injury, it’s best to take your child to an emergency department and usually a CT scan is done to look for any intra-abdominal or intra thoracic injuries. Bladder injuries are again rare though it can be seen with lap-belt injury when a child is sat in a car or bus, with a full bladder. Urethral injuries are sometimes seen when children land on their perineum or when they fall and something hits them hard between their legs (straddle injury). This can injure the urethra. A child who is passing frank blood instead of urine need to be taken to the emergency department urgently. It is impossible to give all the possible scenarios of injury and when to take your child in to see the doctor. As a rule of thumb, a high impact injury or if your child has difficulties passing urine of if there is obvious blood coming out of the urethra are examples of possible symptoms for significant injury to your child’s urinary tract system. Otherwise take them to the hospital if you are worried in any way if they has some sort of injury.
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As a parent myself, I know how daunting it is when you’re faced with the dilemma of finding the best treatment for your children.
My passion is to make sure that all my patients get the best quality of care.
That involves good communication with children and parents while making the journey as pain-free as possible.
Articles and videos to help you diagnose your children and make the right decision for their treatment
Dr. Nada featured in SinChew newspaper on Surgery for Lung Malformations (PART 2) >
胸腔镜治肺畸形 患童少痛楚 2岁前切肺可重生
一般建议,肺畸形婴儿在8至10个月大时进行手术。这个时候的婴儿较为健壮,足以接受择期手术,并且在切除肺叶后,还留有足够的时间让新的肺组织再生。手术方法主要分成传统的开放式手术和胸腔镜手术两种,后者的好处在于孩子在术后不会有太大的痛苦。
在文章中了解更多信息 >
easily.sinchew.com.my/node/4153/%E8%83%B8%E8%85%94%E9%95%9C%E6%B2%BB%E8%82%BA%E7%95%B8%E5%BD%A2-%...
#DrNada #lungmalformation
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Dr. Nada featured in SinChew newspaper on Lung Malformations (PART1) >
肺呼吸道异常 肺隔离 肺气肿 3大常见先天性肺畸形
胎儿肺部发育期间的任何阶段出现异常,就会导致不同类型的肺畸形,但是目前尚不知肺畸形发生确切原因。大约每2万至3万名儿童之间,就有1人患上肺畸形,其中绝大多数是CPAM。
“肺畸形(lung malformation)是指肺组织异常形成的肿块,涵盖了累及气道(airaway)或肺组织本身的病症,例如:
‧先天性肺部呼吸道畸形(Congenital Pulmonary Airway Malformation,CPAM),旧称先天性囊肿性腺瘤样畸形(Congenital Cystic Adenomatoid Malformation,CCAM)
‧支气管肺隔离症(Broncho-Pulmonary Sequestration,BPS)
‧先天性肺叶性气肿(Congenital Lobar Emphysema,CLE)
肺畸形是先天性的,与胎儿肺部形成有关。肺部是从一对肺芽(lung buds)发育而来,它们生长成主要呼吸道、气管、左右肺叶支气管(图1),继续分支出细支气管和末端海绵状的肺泡(alveoli)。就像一棵大树由主干长成树枝,在这种情况下,支气管分支和肺泡就像树叶。👇
easily.sinchew.com.my/node/4151/%E8%82%BA%E5%91%BC%E5%90%B8%E9%81%93%E5%BC%82%E5%B8%B8-%E8%82%BA%...
#DrNada #lungmalformation
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See Part 2 - surgery for Lung Malformation: easily.sinchew.com.my/node/4153/%E8%83%B8%E8%85%94%E9%95%9C%E6%B2%BB%E8%82%BA%E7%95%B8%E5%BD%A2-%...
More here > www.drnadachildsurgeon.com/zh-CN/resources/what-is-lung-malformation-in-children-causes-symptoms-...
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Questions parents can ask a potential paediatric surgeon >>>
𝐐𝐮𝐞𝐬𝐭𝐢𝐨𝐧 𝟏𝟏. 𝐈𝐟 𝐬𝐨𝐦𝐞𝐭𝐡𝐢𝐧𝐠 𝐠𝐨𝐞𝐬 𝐰𝐫𝐨𝐧𝐠, 𝐜𝐚𝐧 𝐲𝐨𝐮 𝐟𝐢𝐱 𝐢𝐭 𝐚𝐠𝐚𝐢𝐧 𝐥𝐚𝐭𝐞𝐫 𝐢𝐟 𝐈 𝐧𝐞𝐞𝐝 𝐚𝐧𝐨𝐭𝐡𝐞𝐫 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧?
𝐃𝐫 𝐍𝐚𝐝𝐚: "When we assess the outcomes of surgery, we like to see that function is as normal as we can get it after surgery and secondly the appearance should be great too.
If something does not turn out as expected, there may be non-surgical remedies that can prevent issues with function or appearance. However, in rare cases, there may be a need for surgical repair."
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- 𝐇𝐨𝐰 𝐓𝐨 𝐂𝐡𝐨𝐨𝐬𝐞 𝐓𝐡𝐞 𝐑𝐢𝐠𝐡𝐭 𝐏𝐚𝐞𝐝𝐢𝐚𝐭𝐫𝐢𝐜 𝐒𝐮𝐫𝐠𝐞𝐨𝐧 𝐅𝐨𝐫 𝐘𝐨𝐮𝐫 𝐂𝐡𝐢𝐥𝐝 𝐢𝐧 𝐌𝐚𝐥𝐚𝐲𝐬𝐢𝐚 -
In this series, Dr. Nada shares some questions parents can and should ask a potential paediatric surgeon to help them decide if he or she is the right surgeon to care for their child.
Dr. Nada offers his own answers to these questions so that you can get a general sense of what to expect as a good answer.
Choosing the right paediatric surgeon for your child in Malaysia can be a difficult task.
You want to make sure that you are putting your trust in the best possible care for your child.
www.drnadachildsurgeon.com/resources/how-choose-paediatric-surgeon-child-malaysia/
#drnada #paediatricsurgeon #pediatrics #paediatrics #paediatricsurgery
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Questions parents can ask a potential paediatric surgeon >>>
𝟏𝟎. 𝐖𝐡𝐚𝐭 𝐢𝐬 𝐭𝐡𝐞 𝐩𝐨𝐬𝐬𝐢𝐛𝐥𝐞 𝐨𝐮𝐭𝐜𝐨𝐦𝐞 𝐢𝐟 𝐭𝐡𝐞 𝐬𝐮𝐫𝐠𝐞𝐫𝐲 𝐟𝐚𝐢𝐥𝐬 𝐭𝐨 𝐜𝐨𝐫𝐫𝐞𝐜𝐭 𝐦𝐲 𝐜𝐡𝐢𝐥𝐝’𝐬 𝐜𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧?
Dr Nada: "For any situation, especially in children, surgery is best done once and done well so there are no problems with your child for the rest of his or her life.
It is essential to pick your surgeon carefully. For your child, do look for a Paediatric surgeon (not an adult general surgeon) who is experienced in the field. You will have an idea of your surgeon's experience and often a gut feeling from your rapport with the surgeon.
A skilled paediatric surgeon should be able to make good progress with your child’s condition, so do avoid adult surgeons for even common conditions such as appendicectomies or hernias where the risk of complications in the wrong hands are greater.
If the surgery fails, reassessment is made to decide if repeat surgery is required.
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- 𝐇𝐨𝐰 𝐓𝐨 𝐂𝐡𝐨𝐨𝐬𝐞 𝐓𝐡𝐞 𝐑𝐢𝐠𝐡𝐭 𝐏𝐚𝐞𝐝𝐢𝐚𝐭𝐫𝐢𝐜 𝐒𝐮𝐫𝐠𝐞𝐨𝐧 𝐅𝐨𝐫 𝐘𝐨𝐮𝐫 𝐂𝐡𝐢𝐥𝐝 𝐢𝐧 𝐌𝐚𝐥𝐚𝐲𝐬𝐢𝐚 -
In this series, Dr. Nada shares some questions parents can and should ask a potential paediatric surgeon to help them decide if he or she is the right surgeon to care for their child.
Dr. Nada offers his own answers to these questions so that you can get a general sense of what to expect as a good answer.
Choosing the right paediatric surgeon for your child in Malaysia can be a difficult task.
You want to make sure that you are putting your trust in the best possible care for your child.
www.drnadachildsurgeon.com/resources/how-choose-paediatric-surgeon-child-malaysia/
#drnada #paediatricsurgeon #pediatrics #paediatrics #paediatricsurgery
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The first signs of 𝐚𝐩𝐩𝐞𝐧𝐝𝐢𝐜𝐢𝐭𝐢𝐬 are often a mild fever and pain around the belly button. It might seem like just a stomachache.
But with appendicitis, the pain usually gets worse and moves to the lower right side of the belly.
If a child has belly pain, be on the lookout for these signs of appendicitis:
- strong pain, mainly around the belly button or in the lower right part of the belly (the pain might come and go at first, then grow steady and intense)
- low-grade fever
- loss of appetite
- nausea (feeling sick) and vomiting (throwing up)
- diarrhea (especially small amounts, with mucus)
- swollen belly
If pain spreads across the belly, it may mean the appendix has burst. Doctors call this ruptured appendicitis, and it’s serious. A high fever reaching 104°F (40°C) is another sign of a burst appendix.
𝐂𝐚𝐥𝐥 𝐚 𝐩𝐚𝐞𝐝𝐢𝐚𝐭𝐫𝐢𝐜 𝐬𝐮𝐫𝐠𝐞𝐨𝐧 𝐫𝐢𝐠𝐡𝐭 𝐚𝐰𝐚𝐲 𝐢𝐟 𝐲𝐨𝐮 𝐭𝐡𝐢𝐧𝐤 𝐚 𝐜𝐡𝐢𝐥𝐝 𝐡𝐚𝐬 𝐚𝐩𝐩𝐞𝐧𝐝𝐢𝐜𝐢𝐭𝐢𝐬. 𝐓𝐡𝐞 𝐬𝐨𝐨𝐧𝐞𝐫 𝐢𝐭’𝐬 𝐜𝐚𝐮𝐠𝐡𝐭, 𝐭𝐡𝐞 𝐞𝐚𝐬𝐢𝐞𝐫 𝐢𝐭 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐭𝐨 𝐭𝐫𝐞𝐚𝐭.
LEARN MORE in the article and videos below (also available in BM and Chinese)
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Dr. Nada Sudhakaran, is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps a child experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
#appendicitis #surgery #pediatrics
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Questions parents can ask a potential paediatric surgeon >>>
𝟗. 𝐖𝐡𝐚𝐭 𝐡𝐚𝐩𝐩𝐞𝐧𝐬 𝐢𝐟 𝐬𝐨𝐦𝐞𝐭𝐡𝐢𝐧𝐠 𝐠𝐨𝐞𝐬 𝐰𝐫𝐨𝐧𝐠 𝐝𝐮𝐫𝐢𝐧𝐠 𝐬𝐮𝐫𝐠𝐞𝐫𝐲?
Dr. Nada: "In my experience, it is rare for something bad to happen during surgery.
Usually the problem is addressed in the acute situation and what happens during surgery is discussed with the child’s parents.
If I were to find something unusual during surgery and require further discussion and consent from parents, I would stop surgery, discuss with the child’s parents and then proceed with the decision of that discussion."
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- How To Choose The Right Paediatric Surgeon For Your Child in Malaysia -
In this series, Dr. Nada shares some questions parents can and should ask a potential paediatric surgeon to help them decide if he or she is the right surgeon to care for their child.
Dr. Nada offers his own answers to these questions so that you can get a general sense of what to expect as a good answer.
Choosing the right paediatric surgeon for your child in Malaysia can be a difficult task.
You want to make sure that you are putting your trust in the best possible care for your child.
www.drnadachildsurgeon.com/resources/how-choose-paediatric-surgeon-child-malaysia/
#drnada #paediatricsurgeon #pediatrics #paediatrics #paediatricsurgery
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When it comes to Appendicitis in children, usually the only solution is to remove the appendix via surgery (appendectomy).
Parents will have two types of surgery to choose from:
1) OPEN surgery, or
2) KEYHOLE surgery (or laparoscopic surgery).
Do you know what the difference is between these two techniques?
One of them leads to less scarring, less pain and faster recovery for the child.
Find out which one that is by watching Dr Nada's video below 👇
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Also you can find out all about Appendicitis in children and how it can be treated in Malaysia by reading this helpful article:
www.drnadachildsurgeon.com/resources/appendicitis-children-symptoms-causes-treatment-recovery/
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Dr. Nada Sudhakaran, is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps a child experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
#appendicitis #surgery #pediatrics
... See MoreSee Less
Good explanation Dr. Simple for layman
Questions parents can ask a potential paediatric surgeon >>>
𝟖. 𝐖𝐡𝐚𝐭 𝐢𝐬 𝐭𝐡𝐞 𝐜𝐨𝐦𝐩𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐫𝐚𝐭𝐞 𝐟𝐨𝐫 𝐩𝐞𝐫𝐟𝐨𝐫𝐦𝐢𝐧𝐠 𝐭𝐡𝐢𝐬 𝐬𝐮𝐫𝐠𝐞𝐫𝐲 𝐨𝐧 𝐜𝐡𝐢𝐥𝐝𝐫𝐞𝐧 𝐨𝐟 𝐦𝐲 𝐜𝐡𝐢𝐥𝐝’𝐬 𝐚𝐠𝐞 𝐚𝐧𝐝 𝐰𝐞𝐢𝐠𝐡𝐭 𝐫𝐚𝐧𝐠𝐞?
Dr. Nada: "Surgery is done only if it's necessary and done at the appropriate time.
Some conditions may require emergency surgery, even for a newborn, if the condition requires it. There are therefore a variety of conditions and severity of illnesses in children that I face, also their ages range from newborn or even premature babies up to someone of 18 years old. Obviously, the more sick child has a higher risk when going for surgeries.
Anaesthesia these days is extremely safe even for newborn babies. As mentioned before for 99% of the surgeries I do, the risks are minimal.
The very rare sick child or newborn baby may carry a higher risk for surgery and these risks will be discussed with their parents thoroughly before every surgery."
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- How To Choose The Right Paediatric Surgeon For Your Child in Malaysia -
In this series, Dr. Nada shares some questions parents can and should ask a potential paediatric surgeon to help them decide if he or she is the right surgeon to care for their child.
Dr. Nada offers his own answers to these questions so that you can get a general sense of what to expect as a good answer.
Choosing the right paediatric surgeon for your child in Malaysia can be a difficult task.
You want to make sure that you are putting your trust in the best possible care for your child.
www.drnadachildsurgeon.com/resources/how-choose-paediatric-surgeon-child-malaysia/
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Dr Nada Sudhakaran is a consultant Paediatric Surgeon providing specialized children surgery and based in Kuala Lumpur Malaysia. He has extensive experience in reconstructive paediatric surgery, with a special interest in Minimally Invasive Surgery (keyhole surgery). He is on the specialist register to practice Paediatric Surgery in UK, Malaysia and Australia
MBBS University of Wales, UK, MRCS (Glasgow, UK), FRCS (Paediatric Surgery, Intercollegiate Board, UK), CCT Paediatric Surgery General Medical Council (UK), No: 4193546, FRACS Paediatric Surgery, Australia, No: 200030, National specialist Register Malaysia: No: 129809
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A Project By Roberto Cumaraswamy & Website Artisan
© Copyright 2022 Dr Nada Child Surgeon | All Rights Reserved
A Project By Roberto Cumaraswamy & Website Artisan