Reconstructive urology restores normal function after injury, infection or previous surgery. These are among the most technically demanding urological operations and are planned meticulously with imaging and endoscopy beforehand.
Procedures we perform
- Urethroplasty
- Buccal Mucosal Graft (BMG) Urethroplasty
- VVF Repair
- Sacrocolpopexy
Symptoms that need review
- Progressively weak stream after injury or catheterisation
- Repeated dilatation with quick recurrence
- Continuous urine leak through the vagina after surgery or childbirth
- Pelvic heaviness or a bulge with prolapse
Common causes
- Pelvic trauma or straddle injury
- Prolonged or traumatic catheterisation
- Infection and inflammation
- Complicated obstetric or gynaecological surgery
How we diagnose
- Retrograde urethrogram and micturating cystourethrogram
- Cystoscopy and urethral calibration
- Dye test and CT/MRI for fistula mapping
- Urodynamics where bladder function is uncertain
Treatment options
Anastomotic urethroplasty
Excision of the narrowed segment and re-joining for short bulbar strictures.
BMG urethroplasty
Graft taken from the inner cheek to widen long strictures — high long-term success.
VVF repair
Vaginal or abdominal repair of a vesico-vaginal fistula to restore continence.
Sacrocolpopexy
Mesh suspension for vaginal vault prolapse.
Recovery
Urethroplasty needs a catheter for two to three weeks, confirmed by a check X-ray before removal. Cheek graft discomfort settles within a week. Full recovery in four to six weeks.
Frequently asked
Information on this website is for patient education only and does not replace an in-person consultation. Treatment results vary between individuals and no outcome is guaranteed.