Urinary Tract Reconstruction Urologist - Dr. Angelo Gousse, MD

If you experience severe bladder dysfunction due to urethral trauma or neurogenic bladder conditions, you may benefit from urinary tract reconstruction at Bladder Health & Reconstructive Urology Institute. With locations in Aventura, Miramar and West Palm Beach, Florida, and serving adults throughout Florida, Angelo Gousse, MD, and the team offer personalized surgical solutions to improve your bladder function and quality of life. To schedule a consultation, book online or call the office nearest you today.

Urinary Tract Reconstruction Q & A

Urinary tract reconstruction is a surgery to correct or repair damage to the urinary tract. The urinary tract includes the urethra that carries urine and semen from the bladder to the tip of the penis in men and urine to the top of the vagina in women.

Damage or dysfunction can occur anywhere throughout the urinary tract, including the sphincters that attach the urethra to the bladder, the urethra, and the exit portions of the urethra.

Dr. Gousse may recommend a urinary tract reconstruction surgery if you’ve experienced:

  • Urethral strictures
  • Perineal trauma
  • Prior urologic procedures performed through the urethra
  • STDs
  • Pelvic irradiation for cancer
  • Hypospadias
  • Previous surgery for hypospadias
  • Lichen sclerosus


These conditions can cause scar tissue to develop within the urethra, leading to a narrowing of the urethra and difficult or painful urination. This may also cause recurrent urinary tract infections (UTIs) and sexual dysfunction.

Dr. Gousse performs all types of urinary tract reconstruction procedures and determines which procedure is best for you based on your overall health, symptoms, and level of severity of your condition. Procedure types include:

Ureteral reconstruction and reimplantation

In a ureteral reconstruction and reimplantation, your ureter is removed surgically, repaired, and reimplanted in its usual position. Bladder augmentation may be needed, as well. This option is recommended for patients with a history or ureteral trauma or ureteral cancer or another disease process.

Bladder augmentation

A bladder augmentation procedure involves implanting segments from the colon or small intestines to enlarge the size of the bladder. This option is recommended for patients with neurogenic bladder after a spinal cord injury, spina bifida, or multiple sclerosis (MS).

Urethral reconstruction

Technically called urethroplasty, urethral reconstruction involves widening the urethra with dilating devices, removal of scar tissue, or stent placement. This option is for patients with urethral strictures.

Depending on your unique situation, Dr. Gousse recommends the most appropriate surgery to improve the patency — or openness — of your urethra.

In most cases, you’ll stay in the hospital for up to a week with a catheter in place until you’ve healed fully. Dr. Gousse checks in with you regularly to ensure you’re healing properly and that your symptoms decrease after the procedure. Follow-up care is provided as needed for related symptoms, such as erectile dysfunction.

Learn more about urinary tract reconstruction at Bladder Health & Reconstructive Urology Institute by calling or schedule a visit online now.

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