Pan-Urethral Stricture
Case imaging from the original Reconstructive Urology page.
// Reconstructive Urology
RECONSTRUCTIVE UROLOGY
Reconstructive urology is a challenging subspecialty of urology concerned with restoring the normal genitourinary tract when its function or structure has been disturbed congenitally, by trauma, or by disease or cancer.
Traumatic injuries are often associated with pelvic fractures and may lead to urethral disruption and urethral stricture. Dr Bhagat has expertise and extensive experience in complex reconstructive surgery involving the kidney, ureter, bladder, urethra and male genitals.
His training at CMC Vellore included working with nationally and internationally renowned faculty at a high-volume centre, using a multidisciplinary approach with urologists, plastic surgeons and colorectal surgeons.
// Reconstructive Urology
CONGENITAL UROLOGIC CONDITIONS
Exstrophy of bladder
Epispadias
Hypospadias
Primary obstructive megaureter
Vesicoureteric reflux
Pelvic ureteric junction obstruction
Undescended testis
// Acquired Conditions
ACQUIRED UROLOGIC CONDITIONS
Urethral disruption injuries from pelvic fracture
Recto-urinary fistulas after prostatectomy or pelvic surgery
Refractory male urethral strictures
Radiation-induced urinary fistulas
Major bladder reconstruction – urinary diversion, continent catherizable stomas (Mitrofanoff, Monti), neobladder, augmentation cystoplasty, MACE (antegrade continent enema)
Vesicovaginal or ureterovaginal fistulas after pelvic surgery
Peyronie’s disease – plaque incision and grafting, penile placation.
// Reconstructive Urology Cases
Complex Urethral Reconstruction
A 40-year-old gentleman with a history of major abdominal surgery and prolonged urethral catheterization had undergone multiple EIU and urethral dilations and presented with voiding difficulty. The source case describes an ascending urethrogram showing pan-urethral stricture.
Harvesting Buccal Mucosa
Harvesting buccal mucosa for full length Barbagli’s urethroplasty.
// Patient Case
PFUDD & Successful Urethroplasty
The original case describes a 19-year-old boy who sustained a crush fracture of the pelvis after being trapped between a metallic door in a submarine. He developed urinary retention and urethral bleeding and was later diagnosed with PFUDD (pelvic fracture urethral distraction defect).
He underwent successful urethroplasty after evaluation.