RECONSTRUCTIVE UROLOGY
BMG Urethroplasty
A long-term solution for complex or recurrent urethral strictures. Tissue is taken from the inner cheek and used to reconstruct the urethra. Provides excellent success rates.
Treatment Options:
- Dorsal/ventral onlay grafting.
- Two-stage urethroplasty (if severe scarring).
- Follow-up flow tests & imaging.
Laparoscopic/
Robotic Pyeloplasty
Used to treat UPJ obstruction (junction between ureter and kidney pelvis), which causes kidney swelling, pain and loss of kidney function. Robotic/lap surgery allows precise reconstruction with minimal recovery time.
Treatment Options:
- Dismembered pyeloplasty (gold standard)
- Flap reconstruction
VVF (Vesicovaginal Fistula) Repair
VVF causes continuous leakage of urine via the vagina, severely affecting quality of life. Often occurs after obstructed labour, hysterectomy, radiation, or complex pelvic surgeries.
Treatment Options:
- Laparoscopic/Robotic Repair — Most effective.
- Transvaginal repair.
- Tissue interposition techniques.
Boari Flap Reconstruction
Used when the lower ureter is severely damaged or missing. A flap of bladder tissue is used to recreate the ureter. Can be done either by laparoscopy/ robotic.
Treatment Options:
- Psoas hitch + Boari flap
- Stenting
BMG Ureteroplasty
Advanced reconstructive technique for long ureteric strictures, especially when traditional methods fail.
Treatment Options:
- Onlay ureteroplasty.
- Tubularized graft ureteral replacement.
- Robotic/lap technique for precision.