Reconstructive urology is a highly specialized field of urology that restores both structure and function to the genitourinary tract. Prostate procedures, trauma (auto accidents, gunshot wounds, industrial accidents, straddle injuries, etc.), disease, obstructions, blockages (e.g., urethral strictures), can require reconstructive surgery. The urinary bladder, ureters (the tubes that lead from the kidneys to the urinary bladder) and genitalia are other examples of reconstructive urology. These procedures require hospital settings and need careful assessment of types of trauma and/ accidental injury, type of surgical intervention for management of a disease or a disorder, patient’s general health, urological issues, possible risks and contraindications. These cases are reported as accidental cases and need immediate attention. Other parameters of the patient also need to be monitored and hence at times multi-specialty support to deal the medical emergency is required. A well-supported institutional infrastructure can deal with such cases.
Advantages: Accidental and trauma cases need restoration of the structure and function of the genitourinary tract. In these cases reconstructive urology is the only option.
Are reconstructive urological procedures elective?
These procedures need restoration of the traumatised and disfigured bone structure and shape of the organ following accident, trauma etc. hence, it is not an elective procedure. These are emergency procedures requiring immediate attention.
Does this procedure require anaesthesia?
Yes; these procedures require anaesthesia; the patient presents with deep pain and trauma accompanied by anxiety and patient needs to be sedated.
How successful are the reconstructive urological procedures?
These procedures are fairly successful. The outcome also depends on many other factors such as general health of the patient and other co-morbid health issues and impact of trauma on other organ systems.
The prostate gland plays an important role in both sexual and urinary function. It's common for the prostate gland to become enlarged as a man ages. Benign Prostatic Hyperplasia (BPH) is a common disorder in the elderly male. It is usually treated medically and with changes in life style.
The urinary and reproductive tracts are closely linked, and disorders of one often affect the other. Urologic oncology concerns the surgical treatment of malignant genitourinary diseases such as cancer of the prostate, adrenal glands, bladder, kidneys, ureters, testicles, and penis.
Paediatric urologists treat children (and occasionally adults) with reconstructive problems related to the genitourinary tract (kidneys, ureters, bladder, urethra, vagina, genitalia).