Bangalore, June 16, 2025: Aster CMI Hospital continues to set benchmarks in pediatric surgical excellence with the successful management of a highly complex congenital urological condition in a 1-year 9-month-old child. The young patient diagnosed antenatally with right sided hydronephrosis, suffered from recurrent urinary tract infections (UTIs) since the age of six months. On evaluation, the child presented with a grossly enlarged right kidney, right lumbar mass, and obstructive uropathy. Despite early postnatal detection, the case became complicated due to missed follow-up and recurring infections.

Antenatally with right sided hydronephrosis, a condition in which the kidney becomes swollen due to a buildup of urine, often caused by a blockage or structural abnormality in the urinary tract. After birth, the child began suffering from recurrent urinary tract infections (UTIs), a common complication when urine flow is obstructed or backs up into the kidneys, creating an environment prone to infection. In cases of congenital PUJO (Pelvic-Ureteric Junction Obstruction), around 10% may have associated ipsilateral vesicoureteric reflux (VUR), which can be suspected from a history of recurrent UTIs and confirmed with a micturating cystourethrogram (MCU). The combination of these conditions required timely medical intervention and a carefully coordinated treatment plan.

The case required not just surgical precision but also a carefully coordinated, staged plan involving DJ stenting, robotic pyeloplasty, and circumcision, followed by percutaneous nephrostomy (PCN)
also identified and managed vesicoureteric reflux (Grade III) during the process. Post surgery, the child is asymptomatic, gaining weight appropriately, and shows no further signs of UTI.

Dr. Manjiri Somashekhar, Lead & Senior Consultant, Department of Pediatric Surgery, Aster CMI Hospital, said: “The child was diagnosed antenatally with right-sided hydronephrosis, and later developed recurrent urinary tract infections due to the underlying obstruction. Timely diagnosis and a staged, multidisciplinary approach were crucial in managing this complex case and ensuring a full recovery.

SGS Lakshmanan, Chief Operating Officer of Aster CMI Hospital, added:
“This case reflects our mission to offer world-class pediatric surgical care with compassion and precision. By combining early diagnosis, advanced technology, and expert clinicians, we aim to transform outcomes for even the most complex conditions in children.”

About ASTER DM HEALTHCARE

Aster DM Healthcare Limited is one of the largest private healthcare service providers operating in GCC and in India. With an inherent emphasis on clinical excellence, we are one of the few entities in the world with a strong presence across primary, secondary, tertiary, and quaternary healthcare through our 30 hospitals, 121 clinics, 459* pharmacies, 19 labs and 140 patient experience centers in seven countries, including India. We have over 28,400 plus dedicated staff including 3,622 doctors and 8,095 nurses across the geographies that we are present in, delivering a simple yet strong promise to our different stakeholders: “We’ll treat you well.” We reach out to all economic segments in the GCC states through our differentiated healthcare services across the “Aster”, “Med care” and “Access” brands. * Including 214 Pharmacies in India operated by Alfaone Retail Pharmacies Private Limited under brand license from Aster.