Dr Sandeep Bafna

Dr Sandeep Bafna

Condition

Complex Genitourinary Reconstruction

Complex and redo reconstructive urology - bladder, trauma, failed prior surgery and male incontinence reconstruction.

Reconstructive urology focuses on restoring the structure and function of the urinary tract and reproductive organs. It encompasses repair of urethral strictures, fistulas, traumatic injuries, congenital abnormalities (such as hypospadias) and complications from previous surgeries or radiation therapy. The goal is to restore normal urination, preserve sexual function and improve quality of life.

Urethroplasty

Specialist

10+

Years Experience

Complex

Repairs

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Complex Genitourinary Reconstruction

Disease management

Treatment options

These are the ways this condition can be treated. The right option depends on your case - Dr. Bafna will explain it in simple words.

01

Bladder reconstruction

02

Bladder neck reconstruction

03

Bladder neck contracture

04

Vesicourethral anastomotic stenosis

05

Augmentation cystoplasty

06

Continent urinary diversion

07

Failed urethroplasty

08

Recurrent urethral stricture

09

Failed hypospadias surgery

10

Recurrent ureteric stricture

11

Post-radiation urinary reconstruction

12

Post-traumatic reconstruction

13

Pelvic fracture urethral injury

14

Ureteral / bladder / genital trauma

15

Post-prostatectomy incontinence

16

Artificial urinary sphincter

17

Male sling

18

Second opinions for difficult reconstructive cases

Causes / risk factors

  • Trauma to the urethra, bladder or genitalia (e.g., accidents, pelvic fractures)
  • Congenital conditions such as hypospadias and epispadias
  • Cancer treatments (surgery, radiation or chemotherapy)
  • Complications from catheterisation, instrumentation or previous surgeries
  • Chronic infections, inflammatory diseases and tissue loss

Symptoms

  • Difficulty urinating or urinary retention
  • Urinary incontinence or leakage from abnormal openings (fistulas)
  • Pain, swelling or deformity of the genitalia
  • Erectile dysfunction or ejaculatory problems
  • Recurrent infections or foul‑smelling discharge

When to seek help / emergency signs

  • Inability to urinate or severe urinary leakage
  • Persistent pain, bleeding or swelling after injury or surgery
  • Fistula leakage causing skin irritation or recurrent infections
  • Sudden change in urinary or sexual function following trauma
  • Concerns about congenital anomalies in infants or children

Diagnosis

Evaluation includes cystoscopy to visualise the urethra and bladder, ultrasound and retrograde urethrograms to identify strictures, fistulas or structural defects. MRI or CT scans may be used to map complex injuries or congenital abnormalities. Urodynamic studies and imaging help plan surgery and assess bladder function.

We tailor surgery to each patient’s needs:

  • Urethroplasty - Removal of strictured segments with re‑anastomosis or grafting using buccal mucosa or skin grafts.
  • Fistula repair - Closing abnormal connections between the urinary tract and other structures, often using tissue flaps to reinforce closure.
  • Genital reconstruction - Correcting congenital anomalies, repairing traumatic injuries and restoring appearance and function.
  • Bladder or ureteral reconstruction - Using intestine or tissue grafts to enlarge or replace damaged segments.
  • Robotic and microsurgical techniques - Employed for precision, reduced blood loss and faster recovery.

Prevention / aftercare

Use protective equipment during high‑risk activities and seek immediate care after pelvic injuries. Follow postoperative instructions carefully, manage catheters correctly and attend regular check‑ups. Promptly treat infections and avoid smoking to support tissue healing.

If you have a complex urological issue, trust our reconstructive expertise. Book your consultation to explore personalised solutions.

Watch & Learn

Videos on Complex Genitourinary Reconstruction

Dr. Sandeep Bafna explains this condition in plain language - symptoms, treatment options, and what recovery looks like.

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Common Questions

Complex Genitourinary Reconstruction - FAQs

A urethral stricture is a narrowing of the urethra caused by scar tissue. It restricts urine flow, causing weak stream, straining, spraying, dribbling, and a feeling of incomplete bladder emptying.
No. Scar tissue does not disappear without treatment. The condition usually worsens over time if untreated and may affect bladder and kidney health.
Urethroplasty is reconstructive surgery to remove or repair the scarred urethral segment. For longer strictures, buccal mucosa graft from the inner cheek is often used. It offers the most durable results for many patients.
Yes. Repeated or traumatic catheterisation can irritate the urethral lining and lead to scarring. Proper technique and avoiding unnecessary catheter use reduce this risk.
Diagnosis includes uroflowmetry, ultrasound, retrograde urethrogram (RUG), and sometimes cystoscopy. These tests locate the stricture, measure its length, and guide treatment planning.
Reconstructive urology treats urethral strictures, adult hypospadias, pelvic fracture urethral injuries, women's urethroplasty, complex genitourinary defects, penile reconstruction, and complications from prior urological surgery.

Learn More

Urethral Stricture: Causes, Symptoms, and Treatment

Read Article

Need Expert Care for Complex Genitourinary Reconstruction?

Schedule a consultation with Dr. Sandeep Bafna at Apollo Hospitals, Chennai for personalised treatment.

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