Reconstructive Urology
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Reconstructive Urology
Reconstructive urology is a subspecialty within urology that focuses on restoring the structure and function of the urinary tract and male reproductive organs through surgical interventions. It involves the surgical correction of congenital abnormalities, injuries, trauma, diseases, and complications arising from previous surgeries or treatments. Reconstructive urology procedures require specialized surgical skills and expertise to address complex anatomical and functional issues. Urologists with training in reconstructive urology undergo additional fellowship training to develop proficiency in these procedures.
Reconstructive urology encompasses a wide range of procedures and treatments, including:
Urethral reconstruction: This involves repairing or reconstructing the urethra, the tube that carries urine from the bladder to the external opening. Urethral strictures (narrowing), hypospadias (abnormal urethral opening), and urethral trauma are conditions that may require urethral reconstruction.
Bladder reconstruction: Bladder reconstruction procedures are performed to restore the structure and function of the bladder. This may involve reconstructing the bladder following bladder removal (cystectomy) due to cancer or improving bladder function in cases of neurogenic bladder dysfunction.
Genital reconstruction: Reconstructive urology also includes procedures to restore or improve the function and appearance of the male genitalia. This may involve surgical techniques to correct penile abnormalities, such as hypospadias or epispadias, or to address erectile dysfunction.
Urinary diversion: In cases where the bladder needs to be removed or bypassed, urinary diversion procedures create an alternative pathway for urine elimination. These procedures involve redirecting urine flow either to a stoma (an opening in the abdominal wall) or creating a new internal reservoir using a segment of the intestine.