Reconstructive 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.
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.
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.
