RECONSTRUCTIVE UROLOGY IN INDIA

Reconstructive urology is a challenging subspecialty of urology, which is concerned with the restoration of the normal genitourinary tract (function or structure) which has been disturbed congenitally, by trauma (surgical or otherwise) or by some disease or cancer.

Traumatic injuries are often associated with pelvic fractures (pelvic fracture urethral distraction defect, PFUDD) that can happen as a result of motor vehicle accidents or falls, and can often lead to urethral disruption and urethral stricture.

Dr. Devendra Pal Tomar has the expertise and extensive experience performing complex reconstructive surgery on the kidney, ureter, bladder, urethra, and male genitals. This section is unique because Dr. Devendra Pal Tomar has worked with nationally and internationally renowned faculty at a high-volume center (CMC Vellore) with a multidisciplinary approach, combining the expertise and experience of urologists, plastic surgeons, and colorectal surgeons.

CONGENITAL UROLOGIC CONDITIONS:

• Exstrophy of bladder

• Epispadias

• Hypospadias

• Primary obstructive megaureter

• Vesicoureteric reflux

• Pelvic ureteric junction obstruction

• Undescended testis

ACQUIRED UROLOGIC CONDITIONS:

• Urethral disruption injuries from pelvic fracture

• Recto-urinary fistulas after prostatectomy or pelvic surgery

• Refractory male urethral strictures

• Radiation-induced urinary fistulas

• Major bladder reconstruction – urinary diversion, continent gatherable stomas (Mitrofanoff, Monti), neobladder, augmentation cystoplasty, MACE (antegrade continent enema)

• Vesicovaginal or ureterovaginal fistulas after pelvic surgery

• Peyronie’s disease – plaque incision and grafting, penile placation.