Urethral reconstruction is available at Bladder Health & Reconstructive Urology Institute for men who experience urethral strictures or stenosis caused by trauma or other damage to the urethra. The practice has two convenient locations in Aventura, Miramar and West Palm Beach, Florida, led by reconstruction specialist Angelo Gousse, MD, who brings 25 years of experience and advanced technical skills to your surgery in order to achieve the best outcome possible. To set up a consultation, call or use the online scheduling tool today.
Urethral reconstruction — also called urethroplasty — is a surgical procedure to repair the urethra. The procedure involves different surgical procedures to widen or open the urethra in areas where it has narrowed or become blocked. This is essential when you’re having trouble urinating and may be experiencing side effects, such as incontinence or urinary tract infections.
Urethral reconstruction is necessary for patients with urethral strictures or stenosis. This can be the result of trauma to the urethra — such as during a pelvic fracture — or less commonly, the result of an infection or other disease affecting the urethra.
Dr. Gousse also performs revision surgeries if you’ve had reconstruction with urethral dilation and direct visual internal urethrotomy (DVIU) and your strictures have returned. These types of procedures are the most common form of urethral reconstruction, though they are successful in only about 50% of cases. As a reconstruction specialist, Dr. Gousse offers more advanced surgical solutions for higher success rates and better long-term outcomes.
Dr. Gousse offers two types of urethroplasty. The first choice uses an anastomotic technique and the second a tissue transfer technique. To determine which procedure is best for you, Dr. Gousse performs extensive diagnostic testing and visualization procedures — including a retrograde urethrogram — before planning your surgery.
In the anastomotic procedure, Dr. Gousse performs an open surgery in which he removes the portion of the urethra that is damaged and rejoins the remaining, normal portions together. This is considered a primary repair.
In the alternative procedure, Dr. Gousse uses a tissue graft to enlarge the narrowed portion of the urethra. The graft comes from your own tissues — either from penile foreskin or buccal mucosa (inner lining of the mouth) — to reduce the risk of graft rejection. Dr. Gousse typically uses a buccal mucosa graft as it is well tolerated, cosmetic, and successful in most cases.
After your surgery, Dr. Gousse may have you stay in the hospital for up to two days to recover. You’ll then wear a catheter for the next 2-3 weeks until you’ve healed sufficiently. Dr. Gousse monitors your recovery process and performs follow-up testing to ensure you’re healing and that your procedure was successful. In many cases, patients can enjoy baseline sexual function and father children after healing fully.
To schedule a consultation for urethral reconstruction at Bladder Health & Reconstructive Urology Institute, call or book online now.