Urology reconstruction and continence
The function of the bladder and the lower urinary tract is to store urine, and then to permit efficient voiding when convenient.
Problems can arise with both storage and voiding, which can result in bothersome (and sometimes embarrassing) symptoms. Non-surgical treatments (eg drugs, physiotherapy) are often effective options, but sometimes surgery is required to provide an effective solution:
- Urethroplasty (Buccal Patch or Anastomotic): Open repair of the urethra for a stricture close to the bladder.
- Robotic Pyeloplasty: a minimally invasive surgical procedure to correct a blockage or narrowing (PUJ obstruction) at the junction between the kidney and the tube draining urine (ureter) down to the bladder. The surgeon uses the DaVinci robot to perform the operation.
- Sacral Nerve Stimulation: Neuromodulation is a treatment for both overactive bladder syndrome and recurrent urinary retention. It involves the insertion of a type of “bladder pacemaker” and the treatment is usually an initial test phase followed by insertion of a permanent stimulator if the test phase is successful.
- Mitrofanoff Procedure (catheterisable urinary stoma): This is a procedure to create a channel (for catheterisation) between the skin and either the bladder or a urinary reservoir. This is likely to be done (but not always) in conjunction with another procedure (either enlarging the bladder with a bowel patch or creating a urinary reservoir).
- Enlargement of the bladder using a segment of bowel (augmentation cytoplasty): This involves enlargement of the bladder through a lower abdominal incision by taking an isolated segment of bowel, and forming this into a patch that is sewn into an opening made in the bladder.
- Re-implantation (reconstruction) of the ureter (augmentation cytoplasty): This describes a number of procedures to re-establish drainage of urine into the bladder when it has been interrupted because of scarring or damage to one of the ureters (the tubes which drain urine from the kidney to the bladder).
- Formation of Ileal Conduit: Diversion of urine to skin with an intestinal stoma.
You can find more information about all of these procedures on the Newcastle Urology website.