
Reconstructive and Prosthetic Urology
Difficulties in relation to your bladder or sexual health can negatively impact a man’s day-to-day quality of life. Many men suffer from treatable symptoms of genitourinary disorders for years before seeking treatment, causing unnecessary grief and possible long-term problems.
Our team of specialists, led by a fellowship-trained surgeon, offers precise treatments for male genital and urethral disorders that can help put an end to this suffering and facilitate a return to a healthy, normal life.
Male reconstructive urology
As a sub-specialty of urology also called Male Genitourinary Reconstruction, it focuses on restoring normal function by repairing, rerouting or recreating areas of the upper and lower urinary tract.
Patients are referred to a reconstructive urologist when urethral stricture disease is present. This is scar tissue in the urethra that can cause a blockage or obstruct urine flow. These issues can be caused by birth defects, injury, medical conditions or complications from surgery or other treatment, including complications from treatment of prostate cancer.
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Our most common procedures performed include:
- Urethral reconstruction, repair of urethral strictures (narrowing of the urethra)
- Penile implants for treatment of erectile dysfunction
- Procedures for penile curvature (Peyronie’s Disease)
- Bladder neck reconstruction
- Urinary diversion
- Penile and scrotal reconstructive surgery
- Surgical treatment of Male Stress Urinary Incontinence
Urethral stricture
Though often unrecognized by patients, symptoms of urethral stricture are commonly difficulties or irregularities while urinating. This may include a slow prolonged urinary stream, straining to urinate or a feeling of your bladder completely emptying. It is important to diagnose a stricture to determine the best treatment option.
Typically, a cystoscopy procedure in the office will diagnose a stricture, and an imaging study called a retrograde urethrogram will help characterize any strictures or other abnormalities in the urethra. Once the diagnosis and evaluation are complete, your physician will discuss treatment options.
Penile implants for treatment of Erectile Dysfunction
Medical therapy for Erectile Dysfunction (ED) has improved tremendously, but some men find medication and/or all non-surgical options ineffective in achieving satisfactory erections. In these cases, penile implant surgery is a treatment option. This procedure involves the placement of an internal device, called a “penile prosthesis,” that restores your ability to have erections and sexual intercourse.
Your specialist physician will have a detailed discussion with you regarding your individual goals for what you want to achieve with therapy for ED, and review all options to optimize and restore your sexual quality of life.
Peyronie’s Disease
Every man’s anatomy is different from size and shape to possibly having a slight curve. But if you notice a significant bend has formed when your penis is erect, or if you notice narrowing of the penile shaft, it’s time to discuss the possibility of Peyronie’s disease with your urologist.
A curved erection caused by Peyronie’s disease may happen because of a problem in the way the body heals after an injury (a connective tissue disorder). Often the injury is not even noticed by patients, and the curve simply develops over time. When this happens, the body doesn’t properly control how much scar tissue develops and too much builds up gradually. A bump of scar tissue forms under the skin of the penis. This bump is called a Peyronie’s plaque.
