At Narayana Health, we provide a wide range of advanced surgical options to restore urinary function and improve quality of life. Our team of reconstructive urologists uses international best practices while adapting care to suit Indian patients’ needs and lifestyles.

Standard Medical and Surgical Treatments

Urethroplasty

· Gold-standard surgery for urethral strictures.

· Involves removing the scarred section of the urethra and reconnecting healthy tissue or using grafts for longer strictures.

· Provides long-term success compared to repeated dilatations or stent placements.

Bladder Reconstruction

· Performed when the bladder is damaged due to trauma, cancer surgery, or congenital abnormalities.

· May involve using tissue from the intestine to rebuild or enlarge the bladder.

· Restores normal urinary storage and function.

Pelvic Fracture Urethral Injury Repair

· Common after road accidents, especially in young men.

· Requires delicate surgery to reconnect the urethra and restore normal urine flow.

· Often planned months after the initial injury to allow healing.

Ureteral Reimplantation

· Corrects conditions where the ureter (the tube carrying urine from the kidney to the bladder) is blocked, damaged, or abnormally placed.

· Reimplantation ensures urine drains properly into the bladder, preventing kidney damage.

Urinary Diversion

· Used when the bladder is removed or non-functional.

· Involves creating a new pathway for urine to exit the body, either through the abdominal wall (ileal conduit) or an internal reservoir (neobladder).

· Allows patients to live comfortably after bladder cancer or other severe conditions.

Stricture Surgery and Endoscopic Techniques

· For short strictures, endoscopic methods such as direct vision internal urethrotomy (DVIU) may be performed.

· For longer strictures, open surgical reconstruction like urethroplasty is preferred.

Genitourinary Reconstruction

· Comprehensive surgeries addressing combined defects in the urinary tract and genitalia.

· May include staged surgeries, especially for congenital abnormalities or severe trauma cases.

Advanced Therapies

· Tissue Engineering and Graft Use – Buccal mucosa (inner cheek tissue) is often used as graft material for urethral reconstruction, offering high success rates.

· Robotic-Assisted Reconstruction – For complex cases requiring precision, robotic techniques reduce complications and recovery time.

· Redo-Surgeries – For patients with failed earlier surgeries, Narayana Health provides revision procedures with high success rates.

· Functional Reconstruction – In patients with neurogenic bladders, procedures are combined with therapies to improve both storage and voiding functions.

Supportive and Rehabilitative Care

Surgery is only one part of reconstructive urology. Narayana Health ensures patients recover well through:

· Pain Management – Effective medicines and nerve blocks to reduce post-operative discomfort.

· Catheter Care Training – Guidance for patients and families on catheter maintenance when needed.

· Physiotherapy – Pelvic floor exercises for improved bladder control.

· Counselling – Support for patients dealing with long-term urinary problems or lifestyle adjustments after diversion surgeries.

Reconstructive and Functional Urology at Narayana Health