Reconstructive urology focuses on restoring function and anatomy to the urinary tract, addressing a range of urological conditions through advanced surgical techniques. Dr. Rohit Purwar, the best urologist in Lucknow, offers reconstructive urology services designed to improve quality of life and resolve issues related to urinary function, congenital defects, and trauma. Below are some of the key procedures available:
Meatal stenosis refers to the narrowing of the urethral opening (meatus), which can lead to painful urination, infections, and difficulties urinating. Meatotomy or meatoplasty is a reconstructive surgery aimed at widening the meatus and restoring normal urinary flow. This minimally invasive procedure involves making a small incision to open the narrowed area or reconstructing the meatus entirely, relieving symptoms and reducing the risk of complications. With Dr. Purwar’s expertise, patients can expect minimal discomfort and a swift recovery.
Urethral strictures, characterized by the narrowing of the urethra, can lead to significant urinary difficulties requiring surgical intervention. Urethroplasty is the gold-standard treatment for urethral strictures. In cases of short strictures, anastomotic urethroplasty is performed, which involves removing the narrowed segment and reconnecting the healthy ends. For longer or more complex structures, buccal mucosal graft urethroplasty is employed, utilizing tissue from the inside of the cheek (buccal mucosa) to reconstruct the urethra.
Patients with small bladder capacity or a neurogenic bladder—where the bladder does not function properly due to nerve damage—can benefit from augmentation cystoplasty. This complex reconstructive surgery increases bladder capacity by using a section of the intestine to enlarge the bladder, allowing it to store more urine and significantly improving the patient's quality of life.
Hypospadias and epispadias are congenital conditions where the urethral opening is not in its normal position, potentially causing difficulties with urination and sexual function. Hypospadias surgery involves repositioning the urethral opening and reconstructing the penis for normal function and appearance, while epispadias surgery addresses a similar defect where the opening is located on the upper side of the penis.