Reconstructive Urology

Surgery to repair, reroute, or recreate parts of the upper and lower urinary system and some reproductive organs is known as reconstructive urology. Reconstructive urology may be required by patients due to illnesses, congenital deformities, traumas, complications from surgery, or other circumstances.

Urethroplasty- The surgical treatment of an injury or defect inside the urethra’s walls is known as urethroplasty. The three most frequent factors leading to urethral damage that has to be repaired are trauma, iatrogenic injury, and infections. The gold standard therapy for urethral strictures is urethroplasty, which has a lower recurrence rate than dilatations and urethrotomies. Even though recurrence rates are greater for this challenging treatment population, it is likely the only effective treatment option for lengthy and severe strictures.

Pyeloplasty-If the remaining renal function is sufficient, a pyeloplasty is performed to relieve a blockage at the uretero-pelvic junction.

By removing the stenotic portion of the renal pelvis or uretero-pelvic junction and building a larger conduit out of the tissue of the remaining ureter and renal pelvis, this revision of the renal pelvis removes the blockage.

Depending on the surgical method and incision patterns employed, there are many varieties of pyeloplasty. These include pyeloplasty techniques like the Y-V, inverted “U,” and dismembered. The most popular kind of pyeloplasty is the dismembered type (also known as an Anderson-Hynes pyeloplasty). The retrocaval ureter was mentioned in regard to this (now renamed as preureteric vena cava). Culp’s pyeloplasty is a different pyeloplasty procedure that rotates a flap from the dilated pelvis to lessen ureter constriction.