Medically reviewed by Dr. I. R. Ravish, MBBS, MS, MCh (Urology), Nephro Uro Clinic, Bengaluru | Last Reviewed: October 2026
When your child has trouble passing urine, keeps getting fevers no one can explain, or still wets the bed long after friends have stopped, it is hard not to worry. You want a doctor who has seen these problems many times, explains things clearly and never rushes your child.
Dr. I. R. Ravish is a paediatric urologist in Bengaluru with over 28 years of medical experience and specialised fellowship training in paediatric urology. At Nephro Uro Clinic in Jayanagar, he cares for babies, children and teenagers with kidney, bladder and genital conditions.
This page explains what a paediatric urologist does, the signs that mean your child should see one, the conditions Dr. Ravish treats, and what to expect at your first visit.
Dr. I. R. Ravish at a Glance
| Qualifications | MBBS, MS (General Surgery), MCh (Urology), Fellowship in Paediatric Urology (KLE University, Belagavi), International Fellow (University of Minnesota, USA) |
| Experience | 28+ years in medicine |
| Special interests | Paediatric urology, kidney stones, prostate conditions, minimally invasive and laser urology |
| Clinic | Nephro Uro Clinic, 7th Block, Jayanagar, Bengaluru |
| Also consults at | Sagar Hospitals, Tilak Nagar, Bengaluru |
| Appointments | 88612 21822 |
What Does a Paediatric Urologist Do?
A paediatric urologist diagnoses and treats problems of the kidneys, bladder, urine tubes and genitals in children, from newborn babies to teenagers.
Children are not small adults. Many of their urological problems are present from birth, and their kidneys and bladder are still growing. A paediatric urologist thinks about both the problem today and how it may affect your child’s growth, kidney health and fertility in the future. Many conditions can be managed without surgery. When surgery is needed, it is planned around your child’s age and development.
About Dr. I. R. Ravish
Dr. Ravish completed his MBBS and MS in General Surgery at JSS Medical College, Mysuru, and his MCh in Urology at JNMC, Belagavi, in 2007. He then completed a Fellowship in Paediatric Urology at KLE University, Belagavi. In 2008, he trained in the United States as an International Fellow at the University of Minnesota and as a Stoker’s Scholar in Columbus, Ohio, where he received the Best Outgoing International Student award.
Over his career, Dr. Ravish has:
- worked as Assistant Professor and Professor in urology departments, and published papers in national and international journals
- served as Medical Director at Vikram Hospital, Bengaluru
- performed endoscopic, laparoscopic and laser procedures across a wide range of urological conditions
- worked as a consultant urologist at leading Bengaluru hospitals, including Aster RV Hospital, Aster CMI Hospital, Vikram Hospital and Mallige Hospital
- received the Best Paper Award at the World Congress of Endourology in Seoul, South Korea
- received the Young Surgeon’s Award from Rotary Bangalore in 2015
- received an award of appreciation from the Somali Ministry of Health for operating on about 2,000 patients free of charge in Somalia
His approach with families is calm and unhurried. He explains findings in simple language, discusses every option, including watchful waiting, and makes sure parents understand the plan before any decision is made.
When Should Your Child See a Paediatric Urologist?
Your family doctor or paediatrician may refer you. You can also book directly if you notice any of these signs:
- Repeated urine infections. A urine infection with fever in a baby or young child should be checked. Repeated infections sometimes point to a problem in how urine drains, so a specialist can decide which tests, if any, are needed.
- Fever without a clear cause. In babies and young children, a high fever with no cold or cough can sometimes be a urine infection. A urine test helps find out.
- Blood in the urine. Even a small amount, even once, should be checked.
- Straining, a weak stream or dribbling. This can be a sign of a blockage, such as posterior urethral valves in boys.
- A swollen kidney on a pregnancy scan. If your baby was found to have hydronephrosis before birth, a check after birth is usually advised. The timing and type of scan depend on how severe the swelling was.
- A testicle that can’t be felt in the scrotum or seems not to have come down. If this is still the case at about 6 months of age, a specialist should check it. Some testicles move up and down normally (a retractile testis), which is different and is managed differently.
- Wetting that doesn’t improve. Bedwetting that continues after about age 7, or earlier if it is upsetting your child or family. Also wetting that starts again after months of being dry, or daytime wetting.
- Pain that comes and goes in the tummy, side or back, which may be linked to a blockage or, less often, a kidney stone.
Sudden, severe pain in the testicle or scrotum is an emergency. One possible cause is testicular torsion, where the testicle twists and its blood supply is cut off. Seek emergency medical care immediately.
Conditions Treated by a Paediatric Urologist in Bengaluru
Kidney and Urine Drainage Problems
- Antenatal hydronephrosis: swelling of the kidney seen on a pregnancy scan. Many cases improve on their own and only need follow up scans. Some need further tests, and a few need surgery.
- Pelviureteric junction (PUJ) obstruction: a narrowing where the kidney joins the urine tube. Many children only need monitoring. An operation called pyeloplasty is considered when the blockage is significant, the kidney is not draining or working well, there are symptoms, or it is getting worse over time.
- Vesicoureteral reflux (VUR): urine flows back from the bladder toward the kidneys, which can increase the risk of kidney infections. Some children only need monitoring. Some are given a low dose antibiotic to help prevent infections. A few need an endoscopic procedure or surgery.
- Posterior urethral valves (PUV): extra flaps of tissue in the urine tube in boys that block the flow of urine. They need early specialist care to protect the bladder and kidneys.
- Duplex kidney and ureterocele: differences in how the kidney and urine tubes formed before birth.
Bladder Problems
- Urinary tract infections (UTIs): common in children. Not every repeated infection means there is a structural problem. Whether tests are needed depends on your child’s age, whether there was fever, and how often infections happen.
- Bedwetting (nocturnal enuresis): very common, and most children outgrow it. Bedwetting on its own is rarely caused by a problem in the urinary tract. It needs a closer look if it comes with daytime wetting, repeated infections or other symptoms. Treatment can help when it continues or causes distress.
- Daytime wetting and bladder dysfunction: often helped by bladder training, regular toilet habits and treating constipation.
- Neurogenic bladder: bladder problems in children with spine or nerve conditions. Long term care aims to protect the kidneys and improve bladder control.
Genital Conditions in Boys
- Undescended testis: a testicle that has not moved down into the scrotum. Surgery (orchiopexy) is usually started after 6 months of age and ideally finished by 12 months, or 18 months at the latest. Timely surgery helps preserve fertility potential, although results depend on the child’s condition.
- Hypospadias: the opening of the urine tube is not at the tip of the penis. Repair is usually done between 6 and 18 months of age, depending on the child.
- Phimosis: a tight foreskin. In young boys, a foreskin that doesn’t pull back is usually normal and often loosens with age. Never force it back. Treatment is needed only in some cases.
- Hydrocele and inguinal hernia: swelling in the groin or scrotum, which should be checked by a specialist.
Kidney Stones in Children
Kidney stones are less common in children than adults. When they happen, Dr. Ravish looks for possible causes, which may include diet and fluid intake, metabolic or genetic conditions, or differences in how the urinary tract formed. He then plans both treatment and prevention.
How Diagnosis Works
Dr. Ravish chooses tests carefully, based on your child’s symptoms, and explains each one in advance. Tests may include:
- ultrasound scan of the kidneys and bladder
- urine tests and urine culture
- micturating cystourethrogram (MCUG, also called VCUG), an X ray test to check for reflux or blockage
- nuclear scans, such as a DMSA scan to check for kidney scarring or a MAG3 renogram to check kidney drainage
- urodynamic studies, which measure how the bladder fills and empties
Treatment Options
Non surgical care first, when suitable. Many conditions, such as mild reflux, bedwetting, daytime wetting and some cases of hydronephrosis, are managed with monitoring, medicines, bladder training and lifestyle changes.
Surgery when needed. When a child needs an operation, Dr. Ravish performs procedures such as pyeloplasty, orchiopexy, hypospadias repair, reflux correction, valve ablation for PUV and circumcision. Where suitable, he uses endoscopic and laparoscopic (keyhole) techniques. These may involve smaller cuts and, for some procedures, a shorter recovery. Circumcision is advised only when there is a medical reason, not simply because a young boy’s foreskin is tight.
Follow up. Many children’s conditions need regular check ups as they grow. Dr. Ravish plans follow up visits to monitor kidney health, bladder function and healing.
What to Expect at Your First Visit
- History and examination. Dr. Ravish will ask about your child’s symptoms, birth history, past infections and any scans or reports. Please bring all previous reports and scan images.
- Tests if needed. Only the tests that are needed will be advised.
- A clear plan. He will explain what is happening, all the options, and what each involves, including the risks and recovery for any surgery.
- Time for questions. Parents are encouraged to ask anything. Children are never rushed.
Clinic Locations
Nephro Uro Clinic, Jayanagar 34, Ground Floor, 31st A Cross Road, 7th Block, Jayanagar, Bengaluru 560082
Sagar Hospitals, Tilak Nagar 44/54, 30th Cross, Tilak Nagar, Bengaluru 560041
The Jayanagar clinic is easy to reach from JP Nagar, Banashankari, Basavanagudi, BTM Layout and Padmanabhanagar.
Appointments: 88612 21822 Urgent concerns: 82776 74213
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