Reconstructive Urology Surgery

Reconstructive Urology Surgery

What is Reconstructive Urology Surgery?

Reconstructive urology surgery aims to restore normal anatomy and function of the genitourinary tract, involving organs such as the genitalia, kidneys, bladder, ureter and more.

Who undergoes Reconstructive Urology Surgery?

Patients might need reconstructive urology due to:

  • Injuries such as perineal, pelvic or urethral trauma
  • Congenital abnormalities in the urinary tract
  • Bladder fistulas (abnormal connections between the bladder and nearby organs, such as the vagina or rectum)
  • Complications from surgery (e.g. colorectal or gynaecological) or other treatment

What are the types of Reconstructive Urology Procedures?

Some types of reconstructive urology procedures are listed below:

  • Bladder reconstruction

    Patients with locally aggressive bladder cancer may need to undergo surgical removal of the bladder, and a new bladder (neobladder) is made from a part of the intestine.

  • Genital reconstruction 

    A combination of muscle flaps and skin grafts are placed under the skin to restore the anatomy and minimise scarring of genital tissue. This could range from anything from clitoridectomy to foreskin restoration.

  • Neurogenic bladder treatment

    The size of the bladder is increased through bladder augmentation (using bowels) for patients with bladder dysfunction caused by nerve damage. This is done to prevent kidney damage by increasing the size of the bladder and decreasing bladder pressure.

  • Ureter reconstruction

    Obstructions in the ureter caused by injury or ureteric stricture (narrowing of the ureter) are repaired through open or minimally invasive approaches. The bladder may have to be reconstructed as well.
  • Ureteropelvic junction (UPJ) obstruction repair

    Pyeloplasty, a surgical procedure to resect scarred tissue and reconnect the healthy parts of the ureter may be required to clear the blockage in the area where the ureter and kidney meet. 

  • Urethral reconstruction

    Skin grafts, oral mucosal grafts (mucous membrane lining the inside of the mouth), and skin and muscle flaps are used to replace the urethra and increase the diameter so that voiding can be restored to normal. Scarred tissue may be resected away before this.


Reconstructive urology involves re-routing, recreating or repairing parts of the urinary tract, and is necessary for patients with related physical abnormalities, incontinence and strictures, or trauma related to another surgery.

Has this article been insightful? Share it!
Dr. Fiona Wu 2

Dr Fiona Wu
Consultant Urologist

MBBS (S'pore), MRCS (Edin), MMED (Surg),
MMED (Clinical Investigation),
FRCS (Urol) (RCPSG), FAMS (Urology)

Dr Fiona Wu is an experienced Consultant Urologist and is the Medical Director of Aare Urocare.

Prior to her private practice, Dr Fiona Wu spent 15 years in public service. She was a Consultant in the Department of Urology at National University Hospital (NUH), Alexandra Hospital and Ng Teng Fong General Hospital. She was also the Programme Director of Surgery-in-Training at NUH and a core faculty member of postgraduate junior doctors. 

Dr Wu’s clinical interests lie in Female Urology, Neuro-urology, Urinary Incontinence, Reconstructive Urology and Voiding Dysfunction. She believes in treating incontinence in a holistic way using minimally invasive methods. She worked closely with the gynaecology and colorectal departments to treat complex pelvic floor conditions and continues to do so in her own practice. 

How can we help you?

How can we help you?

We offer consultation for a comprehensive range of urological diagnostic tests and treatment plans.

No Urinary Concern is Too Small

Aare Urocare offers discreet services and specialised treatments tailored to your bladder, kidney and prostate conditions. The clinic believes in treating incontinence in a holistic way, providing a range of treatments — from minimally invasive methods to surgical intervention.

No Urinary Concern is Too Small

Tell Us Your Concerns