Genital and pelvic reconstruction refers to a discipline within Urology conceived to reconstitute normal anatomy and function in the genital and pelvic regions of the genitourinary tract affected by an assortment of diseases and afflictions. Reconstructive urology in general has made significant advances in the past twenty years with a better understanding of mechanisms of injury, principles of reconstruction, and the advancement of surgical techniques. Urology has evolved to recognize that surgical aspects of restoring normal bodily functions are as crucial as controlling or removing diseased organs alone. In the genital and pelvic region, advanced surgery has evolved for all areas of reconstruction of the penis and scrotum, male urethral reconstruction, bladder reconstruction, and urogynecologic reconstruction.
Surgical reconstruction is offered for a variety of conditions and can be categorized according to these sectional areas. Surgical reconstruction of the penis and scrotum is often necessary to manage genital trauma, genital cancers, congenital deformities and Peyronie's Disease. Male urethral reconstruction is generally offered for conditions such as urethral stricture disease, urethral injuries/trauma, urinary incontinence and rectourethral fistulas associated with trauma, surgery or radiation. Bladder reconstruction is required for management of injuries or malignancies of the pelvic region and often times is combined with major cancer operations of the pelvis. Urogynecologic reconstruction is offered to manage pelvic floor relaxation, urethral diverticula, urethral injuries in the female, urinary incontinence, and vesicovaginal fistulas caused by prior trauma, surgery or radiation.
Treatments and Services
Surgical reconstruction for genital and pelvic disorders requires expert evaluation and application of procedures. Diagnosis involves review of clinical history, physical examination and appropriately applied radiographic and endoscopic assessments. A surgical game plan often times involves surgical collaborators from other surgical disciplines including plastic surgery, colorectal surgery, and gynecologic surgery specialties. These specialists within the Department of Urology are expert surgeons in a variety of techniques. For disorders of the penis and scrotum treatment options are available in the way of local bodily reconstruction as well as prosthetic surgeries including penile prosthetic implantation. For male urethral disorders, major urethral reconstruction as well as prosthetic surgeries ranging from male sling surgery to artificial urinary sphincter device surgery can be offered. For reconstructive requirements at the level of the bladder, surgical reconstruction can be performed along with a variety of urinary diversion procedures. For female pelvic reconstructive disorders, surgical options range from urinary incontinence procedures to local pelvic floor relaxation surgery.
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