Frequently Performed Reconstructive Urology Procedures
Urethral reconstruction, repair of urethral strictures (narrowing of the urethra)
When scar tissue forms in the urethra, the tube that carries urine outside of the body, it can cause a urethral stricture. This can lead to painful and obstructed urine flow as well as infections. Depending on the severity of the condition, urethral reconstruction may be recommended. During a posterior urethral reconstruction, the scarred portion of the urethra is removed and the two healthy ends are stitched together. If too large of a section has to be removed, tissue may be taken from another area of the body, such as the mouth, to bridge the gap.
Procedures for penile curvature (Peyronie’s Disease)
Peyronie’s disease is when scar tissue, called plaque, develops under the skin of the penis and pulls on the surrounding tissue, causing the penis to bend or curve, usually when erect. Surgery remains the gold standard therapy for Peyronie’s disease, as there is no oral medication that has been scientifically proven to improve the plaque. Another option is Xiaflex, a series of injections administered at the office.
Penile and scrotal reconstructive surgery
All men are different when it comes to the appearance and function of their genitals. Certain conditions are congenital (present at birth) and some develop over time - due to age, trauma, prior surgeries, or from other factors. For men who are concerned about their penis or scrotum, there may be medical or surgical options available to help. Dr. Tausch has extensive experience in evaluating and treating various conditions. He will evaluate your concerns, explain the risks and benefits of all options, and together you can decide on how best to address your specific needs.
Penile implants for treatment of erectile dysfunction
Erectile dysfunction, or ED, is when a man has a persistent inability to achieve and maintain an erection that is firm enough for sexual intercourse. A penile implant is a medical device that is surgically placed into a penis to produce a natural-looking and natural-feeling erection.
Bladder neck reconstruction
Complications from surgery or radiation to the prostate can occur after treatment of malignant diseases like prostate cancer, or after procedures for benign prostatic hyperplasia (BPH). If scar tissue develops at the outlet of the bladder, also called the “bladder neck,” it can make urinating difficult and result in problems with urinary retention or even urinary tract infections. This is called a bladder neck contracture. Bladder Neck Reconstruction is a procedure that involves making a connection (anastomosis) of the bladder neck to the membranous urethra after the prostate is removed.
Surgical treatment of Male Stress Urinary Incontinence
When pelvic floor exercises (Kegels) don’t work, there are surgical options for treating male stress incontinence. For men with mild to moderate incontinence, a male sling surgery can be very effective. The sling supports and repositions the urethra into a more natural location. This prevents leakage with increased pressure, such as when coughing, laughing, or sneezing. For men with more persistent bladder leakage, the artificial urinary sphincter (AUS) surgery is an excellent option for most men. The AUS consists of 3 components: a urethral cuff, pressure regulating balloon and control pump in the scrotum. This mimics the function of a healthy urinary sphincter. Patients deflate the cuff by pumping when they need to urinate, and it automatically re-inflates to prevent leakage.