Brief Overview of Reconstructive Cases

• Anterior urethroplasty: Various techniques for various etiologies including tissue-sparing approaches (muscle sparing, non-transecting, single incision, single side dissection). Tissue harvest and transfer techniques: free grafts, flaps (including fasciocutaneous, omental, gracilis, rectus etc).
• Posterior urethroplasty for pelvic fracture, urethral disruption
• Transgender care: Primary vaginoplasty and metoidioplasty. Urethroplasty and other surgical management for complications associated with phalloplasty/metoideoplasty (strictures, fistulae, vaginal remnants). Surgical management of complications associate with vaginoplasty.
• Primary placement of artificial urinary sphincter or sling for male incontinence. Primary placement of penile prosthesis for erectile dysfunction. Revisions for problems associated with previously placed GU prosthetics.
• Trauma and Genital Reconstruction: management and repair for GU trauma, concealed phallus, genital lymphedema, paraffinoma, genital skin loss
• Ureteral reconstruction (open and robotic techniques): reimplantation with/without boari flap, ureteroureterostomy, ureteroplasty with substitution or augmentation, pyeloplasty with/without flap techniques.
• Continent and incontinent urinary diversion techniques with use of GI segments (ie Indiana Pouch, Ileal conduit), bladder augmentation with/without creation of catheterizable channel.
• Female anti-incontinence procedures: TOT, TVT and autologous sling, bulking agent.
• Female urethroplasty, urethral diverticulectomy, repair of mesh complications, urethrolysis, anterior/posterior colporrhaphy or mesh-augmented repair.
• Treatment of GU Fistulae (male or female): urethrocutaneous, recto-urethral, vesico-vaginal, symphyseal.
• Evaluation and placement of sacral neuromodulation (Interstim implantation) for patients with refractory overactive bladder/urgency incontinence or dysfunctional voiding.
• Clinic procedures including Botox chemodenervation of bladder, percutaneous tibial nerve stimulations (PTNS), Urodynamics, Retrograde Urethrogram/VCUG and others.