Reconstructive Urology

Reconstructive urology is a specialized field that plays a crucial role in addressing various urological conditions. This branch of urology deals with the treatment of various congenital, acquired or traumatic conditions that affect the urinary tract and male reproductive organs.

Reconstructive urologists are highly trained surgeons who can help patients regain normal function and improve their quality of life through surgical interventions.

At The University of Kansas Health System, we are dedicated to offering top-tier care and use leading-edge treatments for our patients. We collaborate closely with every individual to craft a customized treatment strategy that considers their distinct requirements and objectives.

• Urethral reconstruction: Urethral reconstruction is a common procedure in reconstructive urology. It involves repairing or reconstructing the urethra, the tube that carries urine from the bladder to the outside of the body. Conditions such as urethral strictures (narrowing) and urethral fistulas (abnormal connections) may require surgical intervention.
• Bladder reconstruction: Bladder reconstruction may be necessary in cases of bladder exstrophy (a congenital condition where the bladder is exposed outside the body), neurogenic bladder dysfunction or bladder injuries due to trauma or cancer. Surgical procedures may involve reconstructing the bladder and improving its function.
• Penile reconstruction: Penile reconstruction procedures are performed to correct congenital penile abnormalities, repair penile injuries or address erectile dysfunction. These surgeries can help restore normal appearance and function.
• Testicular reconstruction: Testicular reconstruction is primarily done to treat conditions like undescended testicles (cryptorchidism) or to address issues related to testicular trauma or cancer.

Prior to any reconstructive urology treatments, testing will be performed to develop a treatment plan. In addition to a medical history and physical examination, testing may include imaging tests (such as ultrasound, CT scans, or an MRI), urodyamic testing, cystoscopy, and blood and urine tests.

Common reconstructive urology treatments include:

• Surgical interventions: Reconstructive urology often involves surgical procedures to repair or reconstruct affected organs. The choice of surgery depends on the specific condition. For example, urethral strictures may be treated with urethroplasty, while bladder exstrophy may require complex reconstructive surgery.
• Medications: In some cases, medications may be used to manage symptoms or underlying conditions. For example, antibiotics can treat infections, and medications like phosphodiesterase inhibitors (e.g., Viagra) may help with erectile dysfunction.
• Physical therapy: Pelvic floor physical therapy may be recommended to improve bladder or pelvic muscle function in certain conditions.
• Counseling and psychological support: For conditions affecting sexual function, psychological support and counseling may be part of the treatment plan to address emotional and relational aspects of the condition.

Reconstructive urology plays a vital role in restoring normal urinary and reproductive function for individuals with a range of urological conditions. Many reconstructive urology procedures have high success rates when performed by skilled surgeons. However, outcomes can vary, and some conditions may require multiple surgeries or ongoing management. Successful reconstructive urology can significantly improve a patient’s quality of life by restoring normal urinary and reproductive function. Patients often experience relief from symptoms and improved self-esteem and well-being.