mr.cherian

Paediatric Urologist

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qualifications

M.S.Ramaiah Medical College, Bangalore 1984-89

Internship 89-90

Bangalore University

Madurai Medical College, Government Erskine Hospital.

Madras University 1994

Diplomate of the National Board.

National Board of Examinations. New Delhi 1994

Fellow of the Royal College of Surgeons of Glasgow 1990

Fellow of the Royal College of Surgeons, Edinburgh 2023

Paediatric Surgery, Intercollegiate Board, UK 2007

Fellow of the Royal College of Surgeons, Edinburgh.

Fellow of the European Academy of Paediatric Urology

JCPU 2018

affiliations

British Association of Paediatric Urology

European Society of Paediatric Urology

British Association of Paediatric Endoscopic Surgeons

Children’s Cancer & Leukaemia Group, UK

International Society of Hypospadias and DSD

Member of the British Association Paediatric and Adolescent Gynaecology

links

registration

General Medical Council. UK. Reg No 5179453

Belgian Medical Council No 655226-211-59

visiting surgeon

Whipps Cross University Hospital, London. UK

Antwerp University Hospital, Antwerp, UZA. Belgium

Evelina London Children's Hospital, London

Royal Belfast Hospital for Sick Children, Belfast

Addenbrooke's Children's Hospital, Cambridge

Brighton Children's Hospital, Brighton

Lister Hospital, Stevenage

Centre Hospitalier Universitaire, Lausanne, Switzerland

Institute for Children's Diseases, Montenegro

Lviv Regional Children's Hospital, Ukraine

Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India

office

President of the British Association of Paediatric Endoscopic Surgeons (2020-2022)

Honorary Secretary 2017-2020

National Training Programme Director of Paediatric Urology Fellowship Programme, UK (2016-2020)

Programme Director European Paediatric Urology Fellowship Programme GOSH (2015)

Examiner for the UK FRCS Paediatric Surgery Intercollegiate Examination Board 2015-2022

External assessor - Master of Paediatric Surgery Postgraduate Programme at the University of Malaya.

areas of interest

Cloacal malformation occurs in early fetal life due to an as yet unknown cause. It is seen exclusively in females resulting in a common opening in the perineum for the urinary, genital and intestinal tract which is otherwise separate. The incidence is around 1 in 50,000 and up to 90% have associated malformations involving other systems. Correction of the malformation is in stages and outcomes are dependent on a variety of factors.

This is an entirely different condition when compared to a Cloacal Malformation above. Here there is an absence or deficiency of the lower abdominal wall, pelvis, part of the bladder and terminal bowel, which is open to the surface. It is more severe than a cloacal malformation and has a higher incidence of lower spine defects. Corrective surgery is in stages or completed in a single stage.

This anomaly occurs in girls characterised by a common channel draining the urinary and genital tract to the exterior through a single opening. The anal opening is separate and normal in contrast to the cloacal anomaly where the anal canal also opens into the common channel. More commonly it occurs in the background of a female with congenital adrenal hyperplasia, but can also occur on its own as an isolated anomaly. Corrective surgery involves separating the two channels and bringing them to the surface.

Previously known as Intersex Disorders or Ambiguous Genitalia now encompasses a variety of other conditions that were not included in the previous terminology. This involves complex decision making by a specialised multidisciplinary team and corrective surgery taking into account molecular genetics, hormonal imbalance and influence, psychology, sexual function, fertility potential and risk of malignancy.

This condition is fairly common occurring in 1 in 200 boys where the under surface of the penis is poorly developed. This gives rise to a hooded foreskin, abnormally placed urethral opening and penile curvature also called chordee. Surgery is aimed to normalise the anatomical defect which may involve more than a single operation.

This is an uncommon condition characterised by abnormally developed blood vessels and lymphatic channels that causes lumps, or bleeding. Treatments may include sclerotherapy, laser, surgery and or medication.

This field includes a wide variety of surgical techniques employed in achieving anatomical normality or alternatives in congenital or acquired abnormalities of the urogenital system. This would include all the above conditions and many others.

Minimally Invasive Surgery
This area includes the use of specialised equipment and instruments to perform surgery through very small body surface incisions to minimise pain and scarring, and in addition enhance recovery. Techniques used are laparoscopy, endoscopy, retroperitoneoscopy, cystoscopy, ureteroscopy, renoscopy, single incision / single port surgery, and robot assisted surgery.