The goal when treating conditions or abnormalities that may affect the urinary or reproductive organs and structures is to preserve function when possible. If treatment involves removing an organ or related tissues and structures, genital appearance and function can be affected. Since reproductive organs are linked to the urinary system, the ability to process and remove urine from the body can also be altered.For situations like this, genitourinary reconstruction surgery may be recommended as a follow-up to treatment of the initial problem affecting the urinary or reproductive system.
If a large amount of tissue in the genital and pelvic area is lost due to disease, infection, sudden trauma, or an existing abnormality that had to be corrected to improve quality of life, there are several reconstructive procedures that may be recommended. With a condition like pelvic organ prolapse (POP), the resulting pressure from misplaced organs may damage the vagina enough to dislocate it or tear tissues that will need to be reconstructed.Men with genital and lower urinary tract conditions such as urethral strictures or urinary fistulas may need reconstruction surgery following treatment. Cancer that originates or affects the penis and testicles may also lead to a need for reconstructive procedures. Both men and women sometimes develop problems with urinary incontinence or sexual functioning over time due to congenital and urological conditions. Genitourinary reconstruction can involve one or more of the following structures:Vagina, ovaries, uterus, perineum, and Fallopian tubesKidneys, ureters, urinary bladder, and urethra