Washington University urologic surgeons at Barnes-Jewish Hospital have expertise and extensive experience performing complex reconstructive surgery on the kidney, ureter, bladder, urethra and male genitals. Our section is unique because we are a high-volume center with a multidisciplinary approach, combining the expertise and experience of urologists, plastic surgeons and colorectal surgeons. These nationally recognized surgeons have particular expertise in the following problems:
    - Recto-urinary fistulas after prostate or pelvic surgery
 
    - Urethral strictures (stenosis)
 
    - Radiation-induced urinary fistulas
 
    - Urethral disruption injuries from pelvic fracture
 
    - Major bladder reconstruction – urinary diversion, continent catherizable stomas (Mitrofanoff, Monti), neobladder, augmentation cystoplasty, MACE (antegrade continent enema)
 
    - Major ureter reconstruction - Boari flap, Psoas hitch, ileal ureter, trans-ureteroureterostomy, complex pyleoplasty
 
    - Vesicovaginal or ureterovaginal fistulas after hysterectomy
 
    - Male urinary incontinence – artificial urinary sphincter, male sling, bulking agents
 
    - Peyronie’s disease – plaque incision and grafting, penile plication.