Open & Reconstructive Urological Procedures
Receive advanced care for complex urological problems requiring open or reconstructive surgery. Dr. Bhasker Reddy offers expertise in repairing, restoring, and reconstructing the urinary tract—so you regain function and quality of life with confidence.
What are Open and Reconstructive Urology Procedures?
These surgeries address complex, severe, or previously operated urological conditions—where endoscopy or laparoscopy isn’t possible or has failed. Reconstruction means rebuilding the urinary tract so normal urination, continence, and comfort are possible after trauma, congenital problems, cancer, strictures, or advanced disease.
Common Open & Reconstructive Surgeries We Offer
- Radical Cystectomy with Urinary Diversion: Removal of the entire bladder for advanced/invasive cancer, with creation of a new urine pathway (ileal conduit, neobladder, or continent diversion).
- Radical Prostatectomy (Open): Removal of the prostate gland (for cancer) when minimally invasive approaches are not suitable.
- Open Partial/Radical Nephrectomy: Kidney tumor removal when tumors are large, complex, or prior surgeries prevent minimally invasive options.
- Urethroplasty: Surgical repair and reconstruction of the urethra, often for long or complex urethral strictures not treatable by endoscopy.
- Pyeloplasty (Open): UPJ (ureteropelvic junction) obstruction correction with high long-term success.
- Nephroureterectomy: Complete removal of kidney and ureter (often for upper tract urothelial cancer).
- Bladder Augmentation (Enterocystoplasty): Bladder enlargement using bowel tissue for severe bladder dysfunction or neurogenic bladder.
- Vesicovaginal Fistula (VVF) Repair: Closing abnormal connections between bladder and vagina, restoring continence and dignity.
- Mitrofanoff Procedure: Creating a continent urinary channel for catheterization when urethral passage is not possible.
- Ileal Conduit/Neobladder Reconstruction: Creating new bladder using small bowel after cystectomy.
Benefits of Open/Reconstructive Surgery
- Definitive, durable solution to complex urological problems
- Restores normal urination, continence, and kidney/bladder function
- Thorough removal (tumor/cancer cases) or total repair (strictures, injuries)
- Life-changing impact for patients with trauma, failed previous surgery, or birth defects
Patient Success Snapshot:
Problem: Mr. K (male, 46): complex bulbar urethral stricture after road traffic accident; could not urinate without catheter for 9 months.
Solution: Buccal mucosal graft urethroplasty (open reconstructive repair).
Outcome: Catheter removed after 21 days, now passing urine freely, no stricture at 1-year follow-up.
Summary of Open & Reconstructive Procedures
| Procedure | Main Indication | Goal |
|---|
| Urethroplasty | Urethral stricture | Restore urinary flow, avoid repeated interventions |
| Open Cystectomy & Diversion | Invasive bladder cancer | Remove disease, restore safe urine exit (neobladder/conduit) |
| Bladder Augmentation | Severe small/neurogenic bladder | Increase bladder capacity, protect kidneys |
| VVF Repair | Bladder-vagina fistula | Regain continence |
| Nephro/ureterectomy | UTUC, tumors | Cure disease, prevent spread |
Who should consider open/reconstructive urology?
- Anyone with long-segment/recurrent urethral strictures, failed previous repairs, severe bladder problems, cancer requiring removal, or complex injuries. After thorough evaluation (imaging, tests, functional studies), Dr. Bhasker Reddy will create an individualized surgical plan for best outcomes.
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