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Reconstructive urology is a specialized branch of urology that focuses on restoring the function and structure of the urinary tract and male reproductive system. It addresses conditions caused by congenital defects, trauma, infections, cancer, or previous surgeries. These conditions can lead to urinary dysfunction, pain, and a reduced quality of life if left untreated. Common reconstructive procedures include urethral structure repair, bladder reconstruction, and surgical treatments for pelvic organ prolapse and fistulas.
condition where there is a blockage at the junction where the renal pelvis meets the ureter, impeding the flow of urine from the kidney to the bladder. It can be congenital, due to developmental abnormalities, or acquired from causes like kidney stones, scarring, or tumors. The condition may lead to hydronephrosis, where the kidney swells due to urine buildup, potentially causing pain, urinary infections, or impaired kidney function.
Treatment –Laparoscopic /Robotic correction is done in Ace hospital.
Vesico-Ureteric Reflux (VUR) is a condition where urine flows backward from the bladder into one or both ureters and, sometimes, the kidneys . It is often congenital, caused by a defect in the valve mechanism at the vesico-ureteric junction, but may also result from bladder dysfunction or urinary tract obstruction. VUR increases the risk of recurrent urinary tract infections (UTIs) and can lead to kidney damage or scarring.
Treatment -depends on the severity (graded I-V) and age. Mild cases often resolve.
Surgical Treatment –we offer Laparoscopic/Robotic correction by ureteric reimplantation
Refers to the narrowing of the urethra due to scarring, which obstructs the normal flow of urine. This condition can result from trauma, infections (e.g., sexually transmitted diseases), iatrogenic causes (e.g., catheterization or surgery), or inflammatory conditions. In some cases, no clear cause is identified.
Treatment– we have various techniques of repairing complex urethral strictures by using buccal mucosa artificial skin, end to end resection and LASER stricture cutting.
Vesico-Vaginal Fistula (VVF) is an abnormal connection between the bladder and the vagina, leading to the continuous leakage of urine into the vaginal canal. It commonly results from obstetric complications, such as prolonged obstructed labour, or surgical trauma during gynecological procedures. Less common causes include radiation therapy, malignancies, or severe pelvic infections.
Treatment is primarily surgical.We offer laparoscopic/Robotic techniques.
Uretero-Vaginal Fistula is an abnormal connection between a ureter and the vagina, leading to the leakage of urine into the vaginal canal. This condition often occurs as a complication of pelvic surgeries, such as hysterectomy or cesarean section. Other causes include radiation therapy, pelvic trauma, or malignancies.
Treatment – We offer leparoscopic robotic techniques for repair of such defects
• Urethroplasty: A surgical procedure to repair or replace a narrowed urethra. This can involve excising the scarred portion and reconnecting healthy segments or using tissue grafts from the patient’s body.
• Endoscopic Treatment: Minimally invasive procedures like urethrotomy or dilation to widen the urethra. These treatments are often performed as an outpatient procedure but may not be a permanent solution for severe cases.
• Augmentation Cystoplasty: A procedure that expands the bladder using a segment of the intestine. It is performed for conditions such as neurogenic bladder dysfunction, severe bladder damage, or congenital abnormalities.
• Neobladder Reconstruction: Creating a new bladder from intestinal tissue after bladder removal (radical cystectomy), often due to bladder cancer. The neobladder allows patients to urinate normally without an external bag.
• This procedure restores support to the bladder, urethra, and other pelvic organs, commonly used for treating conditions like stress, urinary incontinence and pelvic floor dysfunction. Techniques include the use of mesh, sutures, or tissue grafts.
• Ileal Conduit: A segment of the small intestine is used to create a pathway for urine to exit the body through a stoma, typically after bladder removal.
• Indiana Pouch: An internal reservoir made from a section of the intestine, which allows patients to store urine and empty it using a catheter.
• Includes phalloplasty (penile reconstruction) for trauma or gender-affirming procedures.
• Hypospadias and Epispadias Repair: Surgical correction of congenital conditions where the urethral opening is mispositioned.
• Pyeloplasty: A surgical procedure to remove blockages in the ureteropelvic junction to ensure proper urine flow from the kidney to the bladder.
• Ureteral Reimplantation: Fixing ureteral reflux or damage by repositioning the ureter to the bladder.
• Boari Flap Procedure: A technique that replaces a damaged section of the ureter using a flap from the bladder wall.
Blood tests, urine tests, imaging, and anesthesia assessment.
Stop blood thinners; manage diabetes and hypertension.
Quit smoking and alcohol; maintain a healthy diet.
Laxatives/enemas if required.
Take prescribed antibiotics, and maintain hygiene.
No food/drink 6–8 hours before surgery.
Discuss risks, arrange post-surgery care.
Monitoring, IV fluids, pain management, catheter care.
Keep clean, avoid dislodging, watch for infection signs.
Prescribed medications, warm compresses.
No heavy lifting, strenuous activities for 4–6 weeks.
High-fiber foods, plenty of fluids to prevent constipation.
Clean surgical site, wear loose clothing.
Regular check-ups, imaging if required.
Fever, severe pain, excessive blood in urine, pus, or foul smell.
Ace Hospital is a trusted name in reconstructive urology, backed by nearly 40 years of expertise in handling complex cases with precision and care. Our team specializes in advanced procedures like urethroplasty, correction of uretero-pelvic junction obstruction, and reflux treatment, ensuring the highest standards of urological care. With state-of-the-art technology and a patient-centric approach, we provide effective solutions for even the most challenging conditions. Our extensive experience allows us to deliver successful outcomes with minimal complications and faster recovery. Choose Ace Hospital for expert, reliable, and comprehensive reconstructive urology care.
Reconstructive urology is a surgical specialty that restores the normal function and structure of the urinary tract due to conditions like strictures, trauma, or congenital abnormalities.
Recovery time varies based on the procedure but generally takes 4–8 weeks for initial healing and several months for full recovery. Strict activity restrictions apply for at least 4–6 weeks.
Yes, most reconstructive urology surgeries require a catheter for 1–3 weeks to aid healing and allow urine drainage. Proper catheter care is essential to prevent infection.
Potential risks include infection, bleeding, strictures, urinary incontinence, and recurrence of the issue. Following post-care instructions reduces these risks.
Light activities can resume after 2–3 weeks, but strenuous exercise, heavy lifting, and sexual activity should be avoided for at least 4–6 weeks or as advised by the doctor.
Seek immediate medical help if you experience severe pain, fever, excessive bleeding, difficulty urinating, pus or foul-smelling drainage, or signs of infection around the surgical site.