The Pediatric Surgical and Proctology Outpatient Clinic provides specialized outpatient care to children and adolescents with surgical and proctological conditions. It is intended for patients from newborns up to 18 years of age.
The outpatient clinic focuses on the examination, diagnosis, monitoring, and treatment of both common and specialized pediatric surgical conditions, including issues related to the rectum and bowel movements. Care also includes assessing the appropriateness of surgical intervention, recommending next steps, and ensuring a smooth transition to specialized care when necessary.
Parents can contact the outpatient clinic especially if they suspect a hernia—such as an umbilical, inguinal, or other type—as well as in cases of undescended testicles (cryptorchidism), hydrocele, a tight foreskin (phimosis), skin and subcutaneous masses, pilonidal cysts, constipation, or rectal problems such as anal fissures, polyps, and other conditions. The outpatient clinic also provides postoperative follow-ups and specialist consultations prior to scheduled surgical procedures.
The outpatient clinic does not address issues related to bones, tendons, or limb pain.
The outpatient clinic’s goal is to provide parents with a clear explanation of their child’s condition, propose a safe and appropriate treatment plan, and, if necessary, arrange for follow-up specialized or surgical care.
Most Common Reasons for an Examination
The most common reasons for an examination at the pediatric surgery and pediatric proctology outpatient clinic include:
- hernias
- undescended testicle (cryptorchidism)
- hydrocele
- tight foreskin (phimosis)
- skin and subcutaneous masses, cysts, atheromas, and other masses
- pilonidal sinus
- constipation
- rectal problems, such as anal fissures, polyps, and other conditions
- Follow-up visits after surgical procedures
- Consultations prior to scheduled surgery
- Second opinions for selected pediatric surgical diagnoses
Routine Care
At the outpatient clinic, we perform a clinical examination of the child, evaluate their symptoms, review their medical history, and recommend a course of action. Our care includes monitoring selected diagnoses, determining indications for surgical treatment, conducting postoperative follow-ups, and educating parents.
Depending on the nature of the symptoms, an ultrasound exam, laboratory tests, or a referral to the appropriate specialist may be recommended.
At the outpatient clinic, we can perform dressing changes, suture removal, and treatment of minor wounds. By prior arrangement and upon the recommendation of a dermatologist, we can also treat or excise minor skin lesions under local anesthesia.
If surgical treatment is necessary, the child is provided with surgical care as part of same-day surgery for minor procedures, such as hernias, phimosis, hydrocele, hemangiomas, or undescended testicles. For more complex conditions requiring surgical treatment, follow-up care is provided at a specialized pediatric surgery facility.
Diagnostic and Treatment Methods
Diagnosis is based on a thorough medical history, a clinical examination of the child, and an evaluation of available medical records. In indicated cases, additional imaging methods are recommended, most commonly an ultrasound examination, or, if necessary, laboratory tests or other specialized examinations.
Depending on the type of diagnosis, treatment may be conservative, outpatient, or surgical. For scheduled procedures, parents are informed about the reason for the surgery, how it works, the appropriate timing, potential risks, and follow-up care.
Follow-up Care and Collaboration
As needed, collaboration is possible with all specialties involved in the care of pediatric patients, either directly within the AKESO POLICLINIC or at other specialized facilities providing care for pediatric patients.
For the initial examination, we recommend bringing:
- a referral from a primary care physician or another specialist, if one has been issued
- any available medical records
- results of previous examinations, particularly ultrasounds, lab tests, or discharge summaries
- a list of medications taken long-term
- information about the child’s allergies
How to Schedule an Appointment
Appointments are made through the central reception desk at AKESO POLICLINIC.
Practical Tips for Your Visit to the Outpatient Clinic
It is not necessary to keep your child on an empty stomach before a routine outpatient examination, unless otherwise agreed upon in advance.
For younger children, it is a good idea to bring a favorite toy or other comfort item. If the examination involves the abdomen, groin, genital area, or rectum, we recommend choosing clothing that is easy to remove.
In the event of a sudden worsening of your child’s condition, you must seek emergency medical care; do not wait for a scheduled appointment at the outpatient clinic.
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