Advanced Reconstructive Urology Care
Reconstructive urology aims to restore the structure and function of the urinary tract. It can also involve the male genitalia in some cases. If someone has suffered an injury, developed a blockage, or experienced changes due to cancer, reconstructive urology aims to help them regain a healthy, functional urinary system and natural appearance.
The urinary tract and surrounding structures involved in reconstruction include:
- Kidneys- organs that filter waste from the bloodstream, creating urine.
- Ureters- tubes that carry urine from the kidneys to the bladder.
- Bladder- where urine is stored until it is time to urinate.
- Urethra- the path through which urine exits the body.
- Pelvic floor- a network of muscles and connective tissue that supports your bladder and urethra. In women, this includes other reproductive organs.
- Penis, scrotum, and prostate gland in men- areas that may require reconstructive procedures for injuries or functional concerns
Why Might Someone Need a Reconstructive Urology Procedure?
People undergo reconstructive urology procedures for various reasons, including:
- Traumatic injuries to the kidneys, ureters, bladder, and genitalia
- Cancer treatments that remove or damage parts of the urinary tract or reproductive organs
- Congenital abnormalities that interfere with normal function and appearance
- Nerve damage affecting bladder control
- Obstructions, including narrowed areas called strictures, in the ureters or urethra that prevent proper urine flow
What Types of Reconstructive Procedures are Available?
Some of the surgeries urologists perform include:
Bladder reconstruction
This treatment is used to rebuild the bladder and is often needed after injuries or cancers in the pelvic region. Sometimes, it is combined with major cancer surgeries, such as removing the bladder in a procedure called a cystectomy.
Neurogenic bladder treatment
In cases of bladder dysfunction caused by nerve damage, urologists may recommend robotic-assisted bladder augmentation. This helps the bladder store urine more effectively and can improve disruptive symptoms.
Ureter reconstruction
Damage within the tubes carrying urine from the kidneys to the bladder can be repaired with ureter reconstruction. Minimally invasive approaches are used to eliminate strictures and other obstructions.
Ureteropelvic junction (UPJ) obstruction repair
Robotic pyeloplasty is often recommended for a blockage where the kidney meets the ureter. Blockages here cause hydronephrosis or kidney swelling. This minimally invasive technique helps maintain kidney function.
Urethral reconstruction
Issues like urethral strictures, injuries, and abnormal connections known as fistulas can be repaired. In some cases, urethral reconstruction can also address severe urinary incontinence.
For Men
Addressing prostate issues
Restoring urinary function after prostate surgery, trauma, or cancer treatment through procedures like urethral and bladder neck repair and urinary diversions.
Genital reconstruction
Genital reconstruction addresses trauma or deformities of the penis and scrotum. This includes issues present at birth and conditions like Peyronie’s disease, which causes a bent or curved erection.
Penile prosthetics
Implants are available to restore function for men dealing with erectile dysfunction.
For Women
Urogynecologic reconstruction
Procedures focus on female patients with issues often resulting from childbirth, surgery, and radiation, including:
- Pelvic floor relaxation
- Urethral diverticula
- Urethral injuries
- Incontinence
- Fistulas, or openings between the bladder and vagina
How Are Reconstructive Procedures Performed?
Modern reconstructive urology leverages robotic and minimally invasive techniques whenever possible. This approach typically involves smaller incisions, which can mean:
- Reduced pain
- Quicker recovery times
- Lower risk of infection
- Less scarring
Complex surgeries, especially those involving extensive tissue loss, may require open, traditional surgery to achieve the best possible outcome.
What Happens After Reconstructive Surgery?
Recovery varies widely based on the procedure and the complexity of the surgery.
People who adhere to post-surgical instructions tend to experience better results. Strategies to improve outcomes include:
- Managing catheters properly
- Sticking to infection-prevention routines
- Attending all follow-up appointments
In some cases, doctors might recommend pelvic floor exercises or other forms of rehab. This will help you strengthen muscles and optimize urinary control.
FAQs
1. How long does it take to recover from a reconstructive urology surgery?
Recovery time can vary from a couple of weeks for less invasive procedures to several months for significant reconstructions. You may need short-term help with bladder drainage, such as a catheter. You should also plan for multiple follow-up appointments to ensure proper healing.
2. Can reconstructive urology improve sexual function as well as urinary function?
Yes. Many reconstructive procedures, especially genital reconstruction and penile prosthetics, aim to restore function and, when possible, the natural appearance. The exact benefits depend on the specific issue being corrected, so it’s best to discuss expected outcomes with your urologist.
3. Do lifestyle changes play a role in long-term success after reconstructive urology?
Maintaining a healthy lifestyle can support urinary tract health and help protect any repaired areas. This can include:
- Staying hydrated
- Managing chronic conditions like diabetes
- Avoiding tobacco use
- Following an exercise routine
- Dietary modifications to control bladder symptoms
Urology Center Of Iowa
Clinic Locations
We proudly serve patients throughout Central and Southern Iowa with the following locations:
Phone
515-400-3550
Fax
515-400-3551
Address
12129 University Ave, Clive, IA 50325
Our main office in Clive offers comprehensive urology services, including diagnostics, treatment, and follow-up care in a modern, patient-focused environment.
Need A Urologist?
Contact us at one of our locations to schedule an appointment.