Reconstructive Urology

Neuro-Urology

At Sunway Medical Centre Velocity, our Reconstructive Urology services focus on restoring the normal function and structure of the urinary tract, genital organs, and pelvic floor. These conditions often arise from injury, congenital abnormalities, previous surgeries, radiation treatment, strictures, or complications from chronic illness.

Our specialists provide evaluation, advanced diagnostics, and tailored surgical and non-surgical treatments designed to improve urinary flow, sexual function, comfort, and overall quality of life.

Understanding Reconstructive Urology

Reconstructive Urology addresses conditions where the anatomy or function of the urinary tract has been disrupted. This may involve the urethra, bladder, ureters, or genital structures.

Common causes include:

Trauma (road accidents, falls, pelvic fractures)
Inflammation or infection
Congenital (birth) defects
Scarring from previous surgeries
Radiation therapy for prostate, bladder, or pelvic cancers
Catheter injury
Chronic strictures or obstruction

The goal of reconstructive care is to restore normal urinary flow, improve continence, and support sexual and reproductive health

Why Early Evaluation Matters

Delaying treatment may lead to:

Recurrent urinary tract infections
Kidney damage due to obstruction
Progressive scarring
Incontinence and leakage
Pelvic or genital discomfort
Difficulty with sexual function
Long-term complications affecting quality of life

Early consultation allows for accurate assessment and personalised treatment before symptoms worsen.

Conditions We Manage

Our Reconstructive Urology team at SMCV provides evaluation and treatment for:

Urethral & Urinary Tract Conditions

Urethral stricture disease
Trauma-related urethral injuries
Blocked or narrowed urinary passage
Recurrent urinary tract infections caused by obstruction

Bladder & Pelvic Floor Disorders

Urinary incontinence (male or female)
Bladder dysfunction following trauma or surgery
Fistulas (abnormal connections between organs)
Pelvic organ dysfunction after childbirth or radiation

Genital Reconstruction

Penile curvature (Peyronie’s disease)
Penile or scrotal injuries
Congenital anomalies (e.g., hypospadias complications in adults)
Lichen sclerosus–related scarring

Post-Cancer or Post-Radiation Complications

Urethral strictures after prostate or pelvic cancer treatment
Bladder neck contracture
Radiation-related scarring affecting urination or continence

Diagnostic Evaluations

We use advanced tools to assess urinary flow, structural abnormalities, and functional changes:

Uroflowmetry — evaluates urine flow pattern
Cystoscopy — visual inspection of the urethra and bladder
Retrograde urethrogram (RUG) — detailed imaging of urethral strictures
Ultrasound / MRI for trauma or complex scarring
Urodynamic studies to assess bladder pressure and function

Accurate diagnosis is essential to customise the most effective treatment plan.

Specialised Reconstructive Treatments

Our centre offers a wide range of reconstructive procedures, from minimally invasive to complex surgery.

Surgical Interventions

Urethroplasty
- The gold-standard procedure for urethral strictures
- May involve excision, grafting, or reconstruction using tissue such as buccal mucosa
Endoscopic Management
- Direct Vision Internal Urethrotomy (DVIU)
- Minimally invasive options for selected strictures
Bladder Neck Reconstruction
- For scarring after prostate surgery or radiation.
Fistula Repair
- Vesicovaginal, urethrovaginal, or rectourethral fistulas
- Restores function and comfort with delicate surgical correction
Genital Reconstruction Surgery
- Penile curvature correction
- Repair of trauma-related or congenital abnormalities
- Scrotal reconstruction

Non-Surgical Therapies

Pelvic floor physiotherapy
Medication for urinary control
Behavioural and bladder retraining
Continence support programmes
Catheter management and alternatives (e.g., suprapubic catheter care)

Recovery & Long-Term Care

Reconstructive urological conditions often require follow-up to ensure long-term success and prevent recurrence. At SMCV, our care continues beyond treatment through:

Regular follow-up imaging and flow tests
Monitoring kidney and bladder health
Guidance on catheter care (if needed)
Physiotherapy for pelvic floor support
Education on lifestyle modifications to prevent recurrence

Our goal is to ensure durable recovery, improved comfort, and a better quality of life.

Expert Reconstructive Urology Care at Sunway Medical Centre Velocity

At SMCV, our urology specialists combine surgical expertise, advanced technology, and patient-centred care to manage complex reconstructive conditions. Whether you are recovering from injury, post-surgical complications, or long-standing urinary problems, our team will guide you through a personalised and compassionate care journey.

Take the first step towards restoring urinary and pelvic health.