Need for Reconstructive Urology
Birth defects in the reproductive organs or urinary tract
Bladder fistulas, a condition where the bladder has abnormal openings or connections with
organs like rectum or vagina
Disorders in the pelvic floor which primarily has three main types: Urinary incontinence
reduced bladder control, fecal incontinence or reduced bowel control and pelvic organ
Peyronie’s disease is a non-malignant medical condition wherein some fibrous scar tissues
on the penis leading to painful and curved erections.
Prolapse of pelvic organs, a situation where one or more pelvic organs slip from their
position and bulge into the vagina.
Traumatising injuries to reproductive organs or urinary tract
Neurological diseases like Parkinson’s disease or multiple sclerosis
Urethral stricture is a medical condition which involved scarring that narrowed the
passage for the flow of urine out of the body.
Treatment under Reconstructive Urology
The study of reconstructive urology has come a long way in the past 20 years. Moving ahead of
male genital and scrotal reconstruction and urethroplasty, it now includes reconstruction off
bladder and ureter, prosthetic surgery, radiation injuries, tissue engineering, surgery fr
urinary incontinence. The prime stay of restructuring urology is to fetch sufficient and viable
tissues from locations other than the urinary tract to enable the restructuring of the urinary
tract.though its best to use the self harvested tissues of the patient( autologous tissues) from
other areas to reconstruct the urinary tract or reproductive organ, there is ongoing research to
see if the need for autologous tissues can be eliminated.
Ureteric Defects caused by any reason is usually treated by Boari flap, PSOAS hitch, or
transureteroureterostomy. In some cases, ureteric replacement with ileum or
could also be performed.
Augmentation and substitution of the bladder are performed for cases of neurological
diseases, tuberculosis or malignancies. It is performed using continent urinary diversion or
in some cases using intestinal conduit diversion.
Urethral reconstruction is performed using anastomotic and substitution urethroplasty.
Fistula repair is conducted to close an opening between the bladder and any other organ
Penile surgery is conducted to repair a birth defect called hypospadias in which the
urethral opening is on the underside of the penis, rather than on the tip.
Surgeries conducted in the vagina to treat pelvic organ prolapse and urinary
Buccal mucosa grafting is a complex female genital reconstruction surgery for some
intersex state, like for people born with both male and female characteristics. Grafting is
done from the cheek’s inner lining.
Surgeries for repairing traumatic injuries in the kidneys, penis, testicles and bladder.
Laparoscopy and robot-assisted laparoscopy is aptly and uniquely suited to ureter and bladder
reconstruction. It helps to reduce recovery and hospitalisation time. Being an evolving field,
experts foresee that reconstruction urology will become far more minimally invasive in the days