Reconstructive Urology

Washington University urologic surgeons have expertise and extensive experience performing complex reconstructive surgery on the kidney, ureter, bladder, urethra and male genitals. Our section is unique because we are a high-volume center with a multidisciplinary approach, combining the expertise and experience of urologists, plastic surgeons and colorectal surgeons. These nationally recognized surgeons have particular expertise in the following problems:

  • 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 catherizable stomas (Mitrofanoff, Monti), neobladder, augmentation cystoplasty, MACE (antegrade continent enema)
  • Major ureter reconstruction - Boari flap, Psoas hitch, ileal ureter, trans-ureteroureterostomy, complex pyleoplasty
  • Vesicovaginal or ureterovaginal fistulas after pelvic surgery
  • Male urinary incontinence – artificial urinary sphincter, male sling, bulking agents
  • Peyronie’s disease – plaque incision and grafting, penile placation.

The following web site links are to the American Urological Association patient information resource center. These web pages are useful and have a wealth of information that will help to guide you in your care.

Bladder augmentation
Bladder fistulas
Bladder trauma
Continent urinary diversion surgery
Kidney trauma
Penile trauma
Peyronie's disease
Surgical management of erectile dysfunction
Surgical management of urinary incontinence
Testicular trauma
Urethral stricture
Urethral trauma
Urinary diversion
Urinary incontinence
Urologic radiology
Voiding cystourethrogram X-ray

For patient appointments, call (314) 362-8200 (Center for Advanced Medicine and Barnes-Jewish West County Hospital).