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RECONSTRUCTIVE SURGERY

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• Urethral strictures, areas of hardened tissue that narrow the urethra and obstruct urine flow, are a common problem for men who have experienced repeated catheterization, urinary tract infections, or prostate treatments.
• Pelvic floor dysfunction, which may cause urinary incontinence, vaginal pain, and abdominal discomfort, affects approximately 50% of all women.
• Overactive bladder (OAB), a condition that results from sudden, involuntary contraction of the muscle in the wall of the bladder, causes a sudden and unstoppable need to urinate.
• An estimated 31 million Americans, most under age 65, are affected by OAB.
• Urinary incontinence and voiding dysfunction, which involve problems with a series of complex interactions among the brain, nervous system, and organs of the pelvis, affect 1 out of 3 American women.

At the Brady Urological Institute, our highly talented specialists are skilled in all areas of male and female urinary tract, pelvic, and genital reconstruction. Our expertise covers reconstruction for penile deformities and injuries, urethral stricture disease, vesicovaginal fistulas, and other lower urinary tract anatomical defects in adults.

For men suffering significant stress incontinence following prostate surgery, an artificial urinary sphincter is surgically implanted. Jacek L. Mostwin, M.D., the Director of the Division of Reconstructive and Neurological Urology, has performed more than 350 of these procedures for post-prostatectomy patients in the past few years. Quality of life improves significantly for patients, and continence rates above 90% are typical.

Arthur L. Burnett II, M.D., Director of the Male Reconstructive Clinic at the Brady Urological Institute, has special expertise in performing complex penile and urethral reconstructive surgeries- sometimes in combination with the treatment of genital malignancies-and is a foremost authority due to his background in the management of sexual dysfunctions.

For overactive bladder patients, E. James Wright, M.D., the Chief of Urology at the Johns Hopkins Bayview Medical Center, surgically implants the InterStim system into selected patients. Dr. Wright is an internationally recognized authority on this highly effective procedure.

Our reconstructive surgery experts have a long history of penile prosthesis implantation. Penile implants have a high patient and partner satisfaction rating, running higher than 90%.