Reconstructive Urology

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.

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