Restoring what secures function and quality of life
Reconstructive urology means making a disturbed urinary tract passable again, whether after narrowings, injuries, previous operations, radiotherapy, or tumors. These are demanding procedures that require experience and overview, because often several structures are affected at once. Precisely here lies a focus of our work. Where the findings allow, we operate robot-assisted, because the precision of this technique unfolds its greatest benefit in fine suturing and reconstruction steps.
Pyeloplasty
In the narrowing at the transition from the renal pelvis into the ureter, the narrowed segment is removed and the ureter is newly, widely, and tension-free connected to the renal pelvis. Performed robot-assisted, this procedure achieves high success rates with low burden. More on the condition in the UPJ Obstruction and Ureteral Stricture section. (see there)
Ureteral reconstruction and ureteral replacement
Narrowed or damaged ureteral segments we replace according to length and location. Short defects can be remedied by a reimplantation into the bladder or a connection of both ureters. With long-segment defects we gain length by pulling the bladder up toward the ureter (psoas hitch, Boari flap) or replace the ureter with a bowel segment. The aim is always durable, free drainage and preservation of kidney function. More on this in the Ureter section. (see there)
Urethral reconstruction (urethroplasty)
With long-segment or recurrent urethral narrowings, open reconstruction is durably superior to repeated incision. We replace the narrowed segment, with longer narrowings using the body’s own buccal mucosa, which has proven itself as replacement tissue. More on the stricture in the Urethra section. (see there)
Fistula repair
A fistula is an unnatural connection between the urinary tract and neighboring organs, for example between bladder and vagina or between urethra and rectum. It arises after operations, radiotherapy, births, or inflammations and leads to uncontrolled loss of urine. The closure requires careful planning and tissue-sparing technique, often with interposition of well-perfused tissue so that the suture holds.
Reconstruction after tumor surgery
If the bladder must be removed, we create a new path for the urine, either as a replacement bladder from bowel (neobladder) or as a diversion via the abdominal wall. Which form is suitable depends on the findings, on kidney function, and on your life circumstances, and is decided jointly. More on tumor treatment in the Bladder Cancer section. (see there)
Penile shaft straightening
A pronounced curvature of the penis, whether congenital or due to an induratio penis plastica, can be straightened surgically and thus restore function. More on this in the Penis section.
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Urokompetenz – The Center for Urology
Klinik für Urologie und Urochirurgie der Clinic Bel Etage
Reichsstraße 59
40217 Düsseldorf