Reconstructive Urology Treatment in Andheri
Living with a urinary tract condition—whether it is urine leakage, difficulty passing urine, or a structural problem caused by injury, surgery, or a birth defect—can feel deeply isolating. These are not conditions people talk about openly, but they are far more common than you might think, and they are treatable.
Dr. Ashish Gupta offers specialised reconstructive urology treatment in Andheri East, Mumbai, for both men and women. Whether your condition is the result of a past surgery, a trauma, a congenital issue, or a chronic urinary problem, Dr. Gupta uses the most advanced surgical and non-surgical techniques to help you restore normal urinary function and reclaim your quality of life.
Meet Dr. Ashish Gupta – Expert Urologist in Andheri, Mumbai
Dr. Ashish Gupta
What is Reconstructive Urology?
Reconstructive urology is a highly specialised branch of urology that focuses on repairing, rebuilding, or rerouting parts of the urinary tract and genitourinary system that have been damaged, blocked, or lost their normal function. It goes beyond simply treating a condition—it works to restore the structure and function of the body as closely as possible to what it should naturally be.
Conditions requiring reconstructive urological care can affect both men and women and may result from:
- Complications from previous surgeries
- Traumatic injuries to the pelvis or urinary organs
- Cancer treatment such as radiation or radical surgery
- Congenital (birth) abnormalities
- Chronic infections or inflammatory conditions
- Neurological conditions affecting bladder or urethral control
What Are the Signs and Symptoms of Conditions Requiring Reconstructive Urology?
Urine may flow slowly or with reduced force due to narrowing or blockage in the urinary passage.
A person may need to wait, strain, or make extra effort before urine begins to flow.
A persistent feeling that urine remains in the bladder may occur after urination.
Urinary tract narrowing or bladder dysfunction may create the need to urinate more often than usual.
Burning, discomfort, or pain while passing urine may indicate injury, scarring, infection, or obstruction.
A severe blockage can make it difficult or completely impossible to empty the bladder.
Uncontrolled or continuous urine leakage may result from a fistula, urinary injury, or weakened urinary structures.
Reconstructive Urology Conditions Treated in Men
Dr. Ashish Gupta follows a careful and systematic approach to identify and manage reconstructive urology conditions in men. Common conditions treated may include:
Urethral Stricture
A urethral stricture is a narrowing of the urethra—the tube that carries urine from the bladder out of the body—caused by scar tissue. It leads to a weak or blocked urine stream and difficulty urinating and can cause recurring urinary infections and bladder damage over time
PUJ Obstruction
This condition blocks urine flow from the kidney to the ureter, which may cause pain, infection, or kidney swelling.
Ureteric Stricture
A narrowed ureter can restrict urine flow from the kidney and increase the risk of infection or kidney damage.
Male Urinary Incontinence
Men can experience urinary leakage—particularly after prostate surgery (radical prostatectomy) or radiation therapy for prostate cancer.
Peyronie's Disease
Peyronie's disease causes scar tissue to develop inside the penis, resulting in a painful curvature during erection that can make sexual activity difficult or impossible.
Erectile Dysfunction — Penile Implant
For men with severe erectile dysfunction that does not respond to medications, a penile prosthesis (implant) offers a reliable, discreet, and long-lasting solution.
Reconstructive Urology Conditions Treated in Women
Female Urethral Stricture
Narrowing of the female urethra may lead to difficulty urinating, recurrent infections, or incomplete bladder emptying.
PUJ Obstruction
A blockage between the kidney and ureter can prevent urine from draining properly and may cause pain or swelling.
Ureteric Stricture
Scarring or narrowing of the ureter may occur after surgery, stones, infection, or radiation treatment. Dilatation, stenting, reconstruction, or ureteric reimplantation may be used to restore drainage.
Female Urinary Incontinence
Stress urinary incontinence—leaking urine when you laugh, sneeze, cough, or exercise—is one of the most common conditions women face, particularly after childbirth or during menopause.
Pelvic Organ Prolapse
When the pelvic floor muscles and tissues weaken — often after childbirth or with age — the bladder, uterus, or rectum can drop (prolapse) into or outside the vaginal canal
What Are the Stages of Reconstructive Urology Treatment?
Stage 1: Initial Evaluation
The urologist reviews urinary symptoms, previous surgeries, injuries, infections, and medical history to understand the possible cause of the problem.
Stage 2: Diagnostic Assessment
Tests such as urine studies, ultrasound, uroflowmetry, cystoscopy, or contrast imaging are performed to locate the narrowing, blockage, leakage, or injury.
Stage 3: Condition and Severity Assessment
The affected urinary structure is examined to determine the length of damage, amount of scar tissue, level of obstruction, and effect on kidney or bladder function.
Stage 4: Temporary Urinary Drainage
A catheter, ureteric stent, or nephrostomy may be placed when immediate drainage is needed before definitive reconstruction.
Stage 5: Treatment Planning
The surgeon selects an appropriate procedure, such as dilatation, VIU, urethroplasty, pyeloplasty, fistula repair, or ureteric reimplantation.
Stage 6: Reconstructive Procedure
The damaged, narrowed, or abnormal section is repaired, widened, removed, or reconnected to restore a functional urinary pathway.
Stage 7: Healing and Recovery
A catheter or stent may remain temporarily while the repaired tissues heal, and medicines are provided to manage pain or reduce infection risk.
Stage 8: Follow-Up and Monitoring
Regular check-ups and urinary tests help assess healing, urine flow, kidney function, and any signs of recurrent narrowing or leakage
Reconstructive Urology Treatment in Andheri May Include
Urethral Dilatation
A narrowed urethra is gently widened to improve urine flow and reduce difficulty while urinating.
Visual Internal Urethrotomy (VIU)
A small internal incision is made through an endoscope to open a short urethral stricture.
Urethroplasty
The scarred section of the urethra is repaired or reconstructed to provide a long-term solution for severe narrowing.
Pyeloplasty
This procedure removes a blockage at the PUJ and reconnects the urinary passage to improve kidney drainage.
Ureteric Dilatation
A narrowed ureter is widened using specialised instruments to help urine pass freely from the kidney.
Frequently Asked Questions About Reconstructive Urology
Not at all. Dr. Ashish Gupta treats both men and women for conditions like urinary incontinence, pelvic floor disorders, fistulas, overactive bladder, and more.
Not always. Many conditions can be managed with physiotherapy, medication, or minimally invasive office procedures. Surgery is considered only when needed and always discussed with you in full before proceeding.
It depends on the procedure. Minimally invasive procedures may require just a few days of rest, while more complex reconstruction may take a few weeks. Dr. Gupta will give you a personalised recovery plan
Yes. Options include pelvic floor exercises, a male sling, or an artificial urinary sphincter. Many men see significant improvement or complete resolution of leakage after treatment.
Yes. Urethroplasty (surgical reconstruction) offers the best long-term success rates for urethral strictures, with most patients experiencing permanent relief after a single procedure.
You should seek medical advice if you experience a weak urine stream, repeated urinary infections, urine leakage, difficulty urinating, or problems after urinary surgery or injury.
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