Reconstructive Surgery

Reconstructive urology aims to restore normal function by repairing, rerouting, or recreating areas of the upper-and-lower urinary tract and some reproductive organs.

It focuses on restoring normal function to the urinary system, as well as reconstructing sexual organs that may have been damaged due to disease, injury, congenital anomalies, or previous surgical procedures.

Common Reconstructive Surgery Procedures

Below are the reconstructive urological procedures that Dr Savdie performs:

Surgery to correct a blockage or narrowing at the junction between the kidney and the ureter (UPJ obstruction).
Surgical repair of abnormal communication between the bladder and the vagina.
Construction of a new route for urine flow, typically used when the bladder must be removed or bypassed.
Repair of kidney injuries or removal of tumours while preserving kidney function.

Creating a new bladder from intestinal tissue, usually after cystectomy (total bladder removal) due to bladder cancer.

Surgical and medical (pharmacological) treatment options depend on the individual and the degree of curvature. Surgery can involve a plication to the ‘long’ side, plaque incision or excision and grafting to the ‘short side’ or even penile prosthesis implantation if erectile function or rigidity is involved.

Penile implant surgery involves placing a prosthetic device inside the penis to allow men with erectile dysfunction (ED) to get an erection. There are two main types of penile implants: semirigid and inflatable. Each type of penile implant works differently and has various pros and cons.

Reconstructive urological surgery is a crucial branch of urology that helps in restoring the normal anatomy and function of the urinary tract system as well as an individual’s sexual function. The continuous advancements in surgical techniques, like robotic surgery and regenerative medicine, are enhancing the outcomes and improving the quality of life for patients.

Dr Richard Savdie

MBBS(Hons), BSc, MS, FRACS

Dr Savdie is a highly-experienced Sydney-based urologist and uro-oncology surgeon specialising in minimally-invasive robotic surgery and laparoscopic surgery.

He consults and operates at multiple leading private and public hospitals around the Eastern Suburbs.