Our Commitment Rebuilding Lives With Care and Expertise
At AINU Hospitals, we understand that problems affecting the urinary tract, bladder, urethra, or genitals can deeply impact not just your health, but also your comfort, confidence, and quality of life. Reconstructive Urology is a specialized field of surgery that focuses on restoring normal function where it has been damaged by disease, injury, or previous treatment. For many patients, these procedures are not just about recovery; they are about reclaiming a full and active life.
What We Offer
Our Reconstructive Urology team provides advanced care for conditions that range from urethral strictures and bladder reconstruction to penile implants, urinary incontinence surgeries, and testicular prosthesis. Each case is unique, and our surgeons spend time understanding not only the medical problem but also the patient’s personal goals, lifestyle, and emotional wellbeing. Whether it’s helping a man regain urinary control, reconstructing the urinary tract after trauma, or restoring fertility through delicate microsurgery, our focus is always on comprehensive, compassionate healing.
A Team That Stands With You
AINU Hospitals brings together leading urologists, reconstructive surgeons, anaesthetists, and rehabilitation specialists under one roof. Our approach is collaborative, ensuring that every patient benefits from a carefully designed treatment plan backed by the latest surgical techniques, state-of-the-art technology, and years of experience.
Our team brings global expertise to every individual who walks through our doors.
Our Specialized Services
Comprehensive reconstructive urology care tailored to your unique needs
Upper Urinary Tract Reconstruction
Advanced kidney and ureter reconstruction procedures
Bladder Reconstruction
Bladder repair and neobladder construction surgery
Urethral Stricture Surgery
Using advanced grafts and flaps techniques
Hypospadias Repair
Expert care for children and adults
Incontinence Treatment
Male incontinence treatment with sphincters and slings
Penile Reconstruction
Reconstruction and prosthesis surgery
Male Infertility Treatment
Via vasal reconstructions and microsurgery
Testicular Procedures
Prostheses and microsurgical tumor biopsy
Minimally Invasive Techniques
Endo-urethral procedures for faster recovery
Personalized Treatment Plans
Each treatment plan is customized as per the requirement. Our surgeons analyze anatomy, function, quality of life, patient preferences, and utilise the latest medical and surgical research to plan the best approach.
What is Reconstructive Urology?
Reconstructive Urology is a highly specialized field that focuses on repairing and rebuilding parts of the urinary system that are damaged, blocked, or deformed. These problems may arise from birth defects, accidents, cancer treatments, infections, or previous surgeries. For patients, the challenges are not just physical—they often affect comfort, confidence, and day-to-day living. Reconstructive surgery offers a way to restore normal function, improve quality of life, and in many cases, bring back independence and peace of mind.
Upper Tract Reconstruction
The “upper tract” includes the kidneys and ureters; the thin tubes that carry urine down into the bladder. If these tubes are blocked, narrowed, or formed abnormally, urine can back up into the kidneys. Over time, this can cause repeated infections, pain, or permanent kidney damage. Patients may notice pain on the sides between the ribs and hips, fever, blood in urine, or swelling.
Common Conditions & Treatments
Ureteric Stricture
A stricture is a narrowing of the ureter that blocks urine flow. It can result from stones, infections, or previous surgeries.
Treatment:
Surgeons may remove the narrowed section and reconnect the healthy ends (ureteric reimplantation) or patch it with tissue from the mouth or bladder.
Minimally Invasive Options:
At AINU Hospitals, robotic or laparoscopic approaches are often used, reducing pain and speeding recovery.
Congenital Deformities of Kidney & Ureter
Some people are born with abnormal ureter shapes or connections (like PUJ obstruction). These may cause swelling of the kidney (hydronephrosis).
Treatment:
Surgery corrects the faulty connection, ensuring smooth drainage and protecting kidney function for life.
Obstructions
Blockages may happen due to stones, scar tissue, or external compression.
Treatment:
Depending on severity, surgeons may reconstruct the ureter, create a new passage, or bypass the blockage using tissue grafts.
Outcomes
With modern techniques, most patients regain normal kidney function, relief from pain, and freedom from recurrent infections. Early treatment prevents irreversible kidney loss.
Bladder Reconstruction
The bladder’s job is to store urine until you’re ready to pass it. When the bladder is damaged due to cancer surgery, radiation, infections, or birth defects, it may hold very little urine or not function properly. This leads to frequent urination, urgency, pain, or incontinence.
Common Reconstructive Options:
Small Capacity Bladder
When the bladder cannot store enough urine, it affects your quality of life.
Treatment:
Reconstructive surgery enlarges the bladder to hold more urine comfortably.
Augmentation Cystoplasty
A piece of the intestine is used to expand the bladder, giving it greater capacity.
What surgery involves:The surgeon carefully attaches a section of intestine to the bladder wall, creating a larger reservoir.
Benefits:Patients gain relief from constant urgency and can lead a more normal daily routine.
Bowel Interposition
For more complex cases where large parts of the bladder are damaged, a portion of the bowel is used to replace or rebuild the bladder wall.
Neobladder Reconstruction (Post-Cystectomy)
In patients who’ve had bladder removal for cancer, surgeons can build a “new bladder” (neobladder) from a piece of intestine.
What this means for patients:They can pass urine naturally through the urethra, maintaining a near-normal lifestyle instead of relying on external bags.
Outcomes
Most patients experience an improvement in comfort, storage capacity, and independence. Reconstructive bladder surgery not only restores function but also helps protect the kidneys from high bladder pressures.
Urethral Stricture Reconstruction
The urethra is the tube that carries urine from the bladder out of the body. When it becomes scarred or narrowed (a stricture), urination can be painful, slow, or even impossible. Severe strictures may require catheters, which impact daily life and dignity.
Causes:
- Road traffic accidents and pelvic fractures
- Previous catheterization or surgeries
- Infections (including sexually transmitted infections)
Treatment Options
Direct Visual Internal Urethrotomy (DVIU)
For short strictures, a minimally invasive cut is made to open the scar.
Urethroplasty
For longer or recurrent strictures, surgeons reconstruct the urethra using tissue grafts or flaps.
Buccal Mucosal Graft:Tissue from the inside of the cheek is used to rebuild the urethra; soft, durable, and ideal for this purpose.
Flap Reconstruction:Local tissue is rotated or moved to replace scarred segments.
Outcomes
Surgical repair restores normal urine flow, reduces infection risk, and removes dependence on catheters. Patients often report significant improvement in quality of life after urethral reconstruction.
Urinary Incontinence Procedures (Male)
Urinary incontinence in men is often linked to prostate surgery, trauma, or aging. It is more than a medical problem; it can deeply affect self-esteem, social life, and relationships. Many men avoid outings, exercise, or intimacy due to fear of leakage.
1. Urinary Sphincter Strengthening Surgery
In mild to moderate cases, surgeons may repair or tighten the natural urinary sphincter (the valve that controls urine flow). This procedure focuses on improving the function of your own muscle valve without needing implants. The sphincter muscle is reinforced through delicate reconstruction so it can close more effectively and prevent leakage. Usually involves a short hospital stay and gradual return to normal activity in a few weeks.
- The sphincter muscle is reinforced through delicate reconstruction so it can close more effectively and prevent leakage.
- It helps men with moderate leakage who still have some sphincter function.
- Usually involves a short hospital stay and gradual return to normal activity in a few weeks.
2. Artificial Urinary Sphincter (AUS)
This is considered the gold standard treatment for severe male incontinence, especially after prostate surgery. The AUS is a small device implanted inside the body that mimics the function of a natural sphincter.
How it works:
- A soft cuff placed around the urethra (it gently squeezes the urethra closed to prevent leakage).
- A balloon reservoir implanted in the abdomen (it regulates pressure).
- A small pump placed discreetly inside the scrotum (the patient presses this pump to release urine when ready to void).
What surgery involves:
The device is implanted under anesthesia in a single procedure.
Most men are able to urinate normally by squeezing the pump when they wish to go, then the cuff automatically re-inflates to keep them dry afterward. AUS has one of the highest satisfaction rates among all incontinence surgeries, with long-term effectiveness lasting many years.
3. Male Sling Surgery (ATOMS or Adjustable Slings)
For men with mild to moderate leakage, slings are a less invasive option.
What happens in surgery:
- A strip of synthetic material (the sling) is placed under the urethra to lift and support it, reducing leakage.
- Some modern sling systems like ATOMS (Adjustable Transobturator Male System) allow the tension to be adjusted even after surgery for the perfect fit.
The Advantages:
- No need for mechanical pumps.
- Relatively simple recovery.
- Often done with smaller incisions.
Outcomes
It is best suited for men with mild leakage who want a straightforward solution. With these treatments, most men regain independence from pads or catheters, enjoy better sleep, and restore confidence in social and personal life.
Hypospadias Surgery
Hypospadias is a condition where the urethral opening is not at the tip of the penis but lower down. It may cause difficulty directing urine, curvature of the penis, or cosmetic concerns. In adulthood, it may affect sexual function and fertility.
Treatment
Children:
Surgery is usually performed before the child starts going to school. The surgeon repositions the urethral opening to its correct location and straightens the penis if needed, either in a single procedure or staged surgeries.
Adults:
In rare untreated cases, correction can still be done, though it may require staged surgeries.
Techniques:
- Use of local flaps or grafts to reconstruct the urethra.
- Attention to both function (urination, sexual health) and appearance for normal development.
Outcomes
After surgery, most children and adults can urinate normally, without spraying or bending of the penis. Parents often feel relieved knowing their child can grow up with normal urinary function and appearance.
Penile Reconstruction
For many men, the health of the penis is closely tied to self-confidence, intimacy, and overall quality of life. Conditions like penile curvature or erectile dysfunction are not just physical issues; they often bring emotional distress, affect relationships, and may even lead to anxiety or depression. Reconstructive urology restores both form and function.
Reconstructive urology provides solutions that go beyond appearance; the goal is to restore both form and function. Whether it’s correcting a bend in the penis or implanting a device to help achieve erections, these procedures can make an enormous difference in daily life and intimate relationships.
At AINU Hospitals, we approach these surgeries with sensitivity and expertise, ensuring that patients feel comfortable, informed, and hopeful about the outcomes.
Penile Curvature Repair
What is it?
Some men develop a significant bend or curvature in the penis, either from birth (congenital curvature) or acquired later in life, often due to a condition called Peyronie’s disease. Peyronie’s causes scar tissue (plaques) to form inside the penis, leading to curvature, shortening, and sometimes painful erections.
Why is treatment required:
Mild curvature may not need treatment, but in more severe cases, it can cause pain, difficulty during intercourse, and distress about appearance.
Treatment options:
1. Plication Surgery
This is the most straightforward procedure, often used for men with good erections but bothersome curvature.
- The surgeon places small sutures on the opposite side of the curve, “straightening” the penis by shortening the longer side.
Benefits:
Simple, effective, with quick recovery.
Consideration:
May cause a slight reduction in penile length.
2. Grafting Procedures
For men with severe curvature, significant shortening, or hourglass deformities, grafting is preferred.
- The surgeon carefully removes or incises the scar tissue causing the bend and replaces it with a soft graft material (which may be taken from the patient’s own tissue or specialized grafts).
Benefits:
Restores a straighter penis with better length preservation.
Consideration:
Slightly more complex surgery, with a longer recovery.
Outcomes
Most men experience dramatic improvement in both penile appearance and function. Pain during erections is reduced, intercourse becomes more comfortable, and confidence is restored.
Penile Prosthesis Surgery
What is it?
Erectile dysfunction (ED) is common and may arise from diabetes, vascular disease, prostate surgery, or nerve injury. While many men respond well to medications or injections, some have ED that is resistant to these treatments. For these men, a penile prosthesis implant can provide a permanent solution.
Types of prostheses:
1. Malleable (Semi-rigid) Prosthesis
- These are bendable rods inserted into the penis.
- The penis can be positioned upwards for intercourse and bent downwards at other times.
Benefits:
Simple to use, cost-effective, less prone to mechanical failure.
2. Inflatable Prosthesis (2-piece and 3-piece devices)
The most advanced option, designed to mimic a natural erection.
How it works:
Fluid-filled cylinders are placed in the penis, connected to a small pump hidden inside the scrotum and a reservoir placed in the abdomen (in 3-piece models). By pressing the pump, the penis becomes rigid; pressing the release valve makes it flaccid again.
Benefits:
- Provides the most natural look and feel, both in erection and flaccid states. High satisfaction rates. Restores intimacy and sexual function when other treatments fail.
- It is best suited for men seeking a long-term, natural-looking solution.
Surgery and Recovery:
The procedure is performed under anesthesia and typically requires a short hospital stay. Most men return to normal activities in 4-6 weeks, including sexual activity.
Life After Penile Reconstruction
Patients often describe these surgeries as life-changing. Beyond physical correction, they help men regain a sense of wholeness, confidence, and emotional well-being.
Penile reconstruction is not just about restoring anatomy; it’s about restoring life as a whole.
Cell Culture/Mucosal Buccal Graft (BMG) Endo-Urethroplasty
What is it?
When the urethral stricture is long or complex, simple dilation or cutting of the stricture may not be enough. Endo-urethroplasty using buccal mucosal grafts (tissue taken from the inner cheek) is an advanced technique to rebuild the urethra.
Why it is needed:
- Buccal mucosa is strong, flexible, and resistant to infections, making it ideal for urethral reconstruction.
- This technique allows for precise reconstruction, restoring both urine flow and urethral integrity.
Surgery Process
Harvesting the Graft:
A small, safe portion of tissue is taken from the patient’s inner cheek.
Preparation:
The graft is carefully shaped to match the size of the urethral segment needing repair.
Reconstruction:
Through minimally invasive techniques, the graft is placed to replace or widen the narrowed section.
Closure:
The urethra is reconstructed over a temporary catheter to ensure proper healing.
Recovery:
- The catheter remains in place for 2-3 weeks to allow complete healing.
- Mild discomfort or oral soreness may occur but typically resolves within days.
- Patients are advised to avoid heavy physical activity or sexual activity during the healing period.
Outcomes
- Restores smooth urine flow.
- High success rates in both short and long strictures.
- Minimally invasive with low recurrence rates when performed by experienced microsurgeons.
Cell Culture & Technique – Advanced Mucosal BMG Endo-Urethroplasty
What is it?
This is a cutting-edge variation where cultured cells from the patient’s buccal mucosa are used to reconstruct the urethra. By growing the patient’s own cells in the lab, surgeons can repair larger or more complex strictures with vascularized tissue, reducing the need for larger grafts.
Why it is required:
- Ideal for men with extensive urethral damage where conventional grafts are insufficient.
- Uses the patient’s own tissue, which reduces the risk of rejection and improves healing.
- Offers a long-term solution for difficult urethral strictures.
Advanced Surgery Process
Cell Harvest:
A small biopsy is taken from the cheek.
Cell Culturing:
The cells are expanded in a lab over several days to create enough tissue for reconstruction.
Reconstruction:
The cultured tissue is implanted endoscopically or surgically to rebuild the urethra.
Support:
A catheter is placed temporarily to maintain the new urethral lumen as it heals.
Recovery:
- The catheter usually remains for 2-3 weeks.
- Patients may experience mild oral or urinary discomfort initially.
- Normal activities can be resumed gradually, with full recovery in 4-6 weeks.
Outcomes
- Restores natural urine flow and reduces recurrence risk.
- Preserves urethral length and function.
- Minimally invasive with high success rates in complex cases.
Life After Endo-Urethral Surgery
Patients who undergo endo-urethral reconstruction often experience a significant improvement in urinary function and comfort.
At AINU Hospitals, our microsurgical and endoscopic expertise ensures:
- Personalized treatment based on stricture length, location, and cause.
- Use of minimally invasive and tissue-preserving techniques for faster recovery.
- Close follow-up to monitor healing, prevent complications, and support long-term urinary health.
Endo-urethral surgery is more than a procedure; it is a way to regain normal urinary function, confidence, and quality of life, even in complex cases.
Ready to Begin Your Journey to Recovery?
Our expert team is here to provide compassionate care and advanced treatment options tailored to your needs.