Re-constructive urology differs from regular urology as it usually involves open surgery and requires more general and plastic surgery skills.
The principle areas of surgical activity in reconstructive urology are:
- Dealing with Ureteric Defects Occurring due to Any Cause: These are usually dealt with by psoas hitch, Boari flap or transureteroureterostomy. Occasionally, ureteroureterostomy or ureteric replacement with ileum are also performed for this purpose.
- Bladder Augmentation and Substitution: Bladder augmentation and substitution is performed by continent urinary diversion for neurological diseases, malignant diseases or tuberculosis. At times, it is also performed by intestinal conduit diversion.
- Urethral Reconstruction: Urethral reconstruction is performed by anastomotic and substitution urethroplasty. For example, buccal mucosal graft urethroplasties (single-stage or staged) are performed for traumatic or other acquired stricture disease and hypospadias.
- Other Surgeries: In addition, vesico-vaginal and uretero-vaginal fistula repairs, scrotal and penile reconstructions are also carried out.