Reconstructive urology is used to restore urinary, sexual, and reproductive functions in patients who have had congenital conditions or urethral strictures. It is a highly specialized field of male urology. It also brings back the functions to the genitourinary tract.
The reconstructive urology procedures include – pyeloplasty, ureteric re-implant, hypospadias repair, bladder exstrophy repair, bladder augmentation, bladder neck repair, circumcision, and orchiopexy.
It is the surgical reconstruction of the renal pelvis. The renal pelvis is a part of the kidney. Pyeloplasty is done to drain and decompress the kidney. Almost all cases are to relieve a ureteropelvic junction obstruction or shortly known as UPJ obstruction. Just the tissues where the ureter is obstructed is cut, and the original ureter is repositioned and attached back to the healthy renal pelvic tissue above.
Ureteric re-implant is generally used to treat the refluxes. This surgery aims to fix the tubes that connect the kidneys to the bladder. Ureteric re-implant creates a position change for the tubes at the point where they join the bladder to stop urine from backing up into the kidneys.
Hypospadias repair is a surgical method by which a birth defect on the opening of the penis is corrected. The defect causes the Urethra to end up on the underside of the penis itself. The local tissue is used to reconstruct the Urethra and to bring the opening at the tip of the penis.
Bladder Exstrophy repair surgery is done to correct the birth defect of the bladder that grows outside the abdominal wall. Surgeons close the bladder and the abdomen, repair the Urethra and the outer sex organs. There are basically two methods to do this. A complete repair and a modern staged. The modern stage involves three operations. One within 72 hours after birth, at age 6 to 12 months and again at 4 to 5 years. The first closes the bladder and the abdomen, and the second to repair the Urethra and sex organs.
Bladder augmentation is the surgical method to avoid urine leakage or high pressure by augmenting the bladder so that it can store more urine. A section of the bowel or stomach is used to make the bladder larger.
Adequate circumferential muscular support is required after the reconstruction of Urethra. Facial or muscular or artificial slings are used to support the bladder. The surgery to do so is called Bladder neck repair.
It is the surgical procedure to remove the foreskin from the penis. It reduces the risk of infections. Also, it helps in situations where the person is unable to retract his foreskin. The foreskin is cut after proper anesthesia.
Orchiopexy is done to move an undescended testicle into the scrotum. This surgery is done for kids if the testicles don’t descend on its own until six months of age. The groin is cut by the surgeon, and the testes are located. A pocket is made in the scrotum, and it is properly placed into the sack, and then the groin is stitched back. If you have any problem related to Reconstructive urology you may consult the Best pediatric urologist in Delhi, Dr. Prashant Jain. He is one of the best pediatric urologists in India.