Reconstructive urology is a specialized field that focuses on the restoration of the urinary tract and reproductive organs through advanced surgical procedures. If you are experiencing issues such as urethral strictures, bladder dysfunction, or complications from previous surgeries, reconstructive urology offers solutions to restore normal function and improve your quality of life.
Dr. Aditya Sharma, a top urologist in Lucknow, is renowned for his expertise in reconstructive urology. With years of experience, he provides patients with the most advanced, personalized care for a variety of conditions.
One of the most common conditions in male treated in reconstructive urology is urethral stricture. This occurs when scar tissue forms in the urethra, narrowing the passage and making it difficult to urinate. Urethral strictures can cause a variety of symptoms, including:
If you experience any of these symptoms, it's important to consult a urologist to explore treatment options and prevent further complications. Diagnostic imaging, such as urethrograms, and uroflowmetry, are often employed to assess the severity of the stricture and determine the best course of action for treatment.
Urethroplasty is a surgical procedure designed to repair the urethra and restore normal urine flow. In cases of urethral stricture, buccal mucosa urethroplasty is commonly performed. This involves using tissue from the inner lining of the cheeks (buccal mucosa) to reconstruct the damaged area of the urethra. This procedure has proven to be highly effective in restoring normal function and improving the patient's overall quality of life.
In some cases, short urethral strictures can be treated with laser endoscopic surgery. This minimally invasive procedure is called Direct Vision Internal Urethrotomy (DVIU) or Optical Internal Urethrotomy (OIU). During the procedure, a laser is used to carefully cut away the scar tissue in the urethra, allowing urine to pass freely again.
DVIU/OIU surgery is typically performed under local anaesthesia, and patients are often able to go home the same day. While the procedure is less invasive than traditional surgery, its success rate may vary. Dr. Sharma will determine if this treatment option is appropriate for you based on the severity of your condition and your overall health.
Bladder augmentation is another critical area of reconstructive urology, particularly for patients with a small bladder or those suffering from genitourinary tuberculosis (GUTB). GUTB is a condition in which tuberculosis infects the urinary and genital systems, causing scarring and narrowing of the urethra and bladder. This can lead to an inability to urinate properly and increased pressure on the kidneys.
For cases involving GUTB or a small bladder, laparoscopic surgery offers an effective treatment solution. Laparoscopy is a minimally invasive procedure that uses small incisions and a camera to access the bladder and surrounding organs. This technique allows for precise repairs and reconstructions without the need for large surgical openings, reducing recovery time and the risk of complications.
Bladder augmentation surgery, combined with laparoscopic techniques, can help restore bladder capacity and improve urinary function. Preoperative diagnostic imaging, such as ultrasound or CT scans, is crucial for evaluating bladder capacity and identifying any anatomical abnormalities that may need to be addressed during surgery. Dr. Sharma specializes in these advanced procedures and is dedicated to providing patients with the highest level of care.
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