• Reconstructive Urology Overview

    Reconstructive urology is also known as genitourinary (GU) reconstruction. It is a subspecialty field that specifically manages and treats genitourinary injuries/ailments that affect normal voiding and sexual function. Diseases cared for by reconstructive urologists include urethral strictures and stenoses, ureteral strictures, ureteropelvic junction obstruction, urinary tract fistulas, urinary incontinence, Peyronie’s disease, erectile dysfunction, buried penis, penile cancer, bladder cancer, urethral cancer, genital lymphedema, hidradenitis genital warts or lesions, and gender dysphoria. Procedures performed include urethroplasty, fistula repair, artificial urinary sphincter insertion, penile and testicular implantation, skin/mucosal graft harvesting, buried penis corrective surgery, genital wound coverage, phalloplasty, gender confirmation surgery, pyeloplasty, ureteral reimplantation, ureteral substitution, vesicopsoas hitch, Boari flap, and urinary diversion. - Mang Chen, MD

Recent Articles

Ureteral Strictures

RPG showing a long proximal and mid ureteral stricture.

INTRODUCTION The ureter is a tubular structure that transports urine made by the kidney into the bladder. Strictures (or narrowing) of the ureter can lead to flank pain, infection, stone formation, and even kidney failure. ANATOMY The ureter for each kidney acts as a conduit, actively transporting urine into the bladder. They are about 3 […]

Urethral Strictures in Women

INTRODUCTION The urethra is a tubular structure that helps transport urine out of the bladder during urination. Patients who have strictures (or narrowing) of their urethra can have significant and bothersome obstructive urinary symptoms which include a weak force of stream, straining during urination, incomplete bladder emptying, and hesitancy (difficulty initiating void). Interestingly, however, most […]

Buried Penis in Adults

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Adults with a buried penis are unable to void normally and perform sexually. Some may even present with life-threatening infections. Surgical reconstruction to unbury the penis and remove surrounding obstructive tissue will frequently improve a patient’s urinary and sexual health.

Urethral Strictures in Men

Bulbar mucosal graft ventral onlay urethroplasty

Urethral stricture disease causes significant voiding problems that hinders a patient’s normal way of life. Treatment for patients suffering from this disease varies depending on the type of stricture, the etiology of the stricture, and the patient’s overall health and goals. Surgical reconstruction yields low failure and high satisfaction rates.

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