Chapter 01
Urinary Incontinence Treatment
Urological Reconstructive Surgery in Thane | Dr. Datta Sonwane
Urological reconstructive surgery encompasses a broad range of complex procedures designed to repair, rebuild, or reroute the urinary tract when normal anatomy is disrupted by trauma, infection, congenital anomalies, prior surgery, or cancer treatment. These are among the most technically demanding procedures in urology, requiring a high degree of surgical expertise. Dr. Datta Sonwane, with his M.Ch Urology training and 15+ years of surgical experience in Thane, offers comprehensive urological reconstructive services to patients who have exhausted conservative options or require definitive structural correction.
Experience
12+ Years
Of Experienced Doctor
/ 02 — The Approach
What to Expect: The Reconstructive Urology Journey
Reconstructive urological surgery at Dr. Sonwane's Thane clinic follows a structured pathway:
- Step 1 – Detailed consultation: history, examination, and review of prior investigationsn, and review of prior investigations
- Step 2 – Imaging: retrograde urethrogram (RGU), MCU, CT urogram, or cystoscopy to map the anatomy
- Step 3 – Pre-surgical planning: patient-specific operative strategy
- Step 4 – Surgery: performed under general/spinal anaesthesia at partner hospitals in Thane
- Step 5 – Recovery and follow-up: catheter care, uroflowmetry, imaging at defined intervals
/ 03 — Symptoms
Signs & Symptoms Urinary Incontinence
Severe pain in side and back
Painful urination
Pink, red or brown urine
Cloudy or foul-smelling urine
Persistent need to urinate
Nausea and vomiting
Fever and chills
/ 04 — Services Urological Reconstructive Surgery in Thane
Conditions Requiring
Reconstructive Urology
- /01 Urethral Stricture Scar tissue narrows the urethra, causing weak stream, straining, spraying, incomplete voiding, and recurrent UTIs. Common causes include trauma, STIs, prior catheterisation, surgery, or radiotherapy.
- /02 Bladder Fistulas Abnormal connections between the bladder and other organs (vesicovaginal or vesicointestinal). Caused by obstetric trauma, pelvic surgery, cancer, or radiation — resulting in uncontrolled urine leakage.
- /03 Pelviureteric Junction (PUJ) Obstruction Blockage at the kidney–ureter junction causes progressive hydronephrosis and eventual kidney damage if untreated. Repaired with laparoscopic or robot-assisted pyeloplasty with over 95% success rates.
- /04 Ureteral Injuries and Strictures Ureteral damage from surgery, endoscopy, or gynaecological procedures impairs kidney drainage. Reconstruction options include ureteroureterostomy, Boari flap, or psoas hitch depending on the defect location and length.
- /05 Hypospadias Revision & Penile Reconstruction Revision surgery for failed primary hypospadias repair, penile curvature (Peyronie's disease), and complex genital reconstruction to restore normal urinary and sexual function.
- /06 Post-Prostatectomy Bladder Neck Contracture Scarring at the bladder neck following prostate surgery causes urinary obstruction. Treated with endoscopic incision or open bladder neck reconstruction to restore normal urine flow.
/ Procedures
Surgical Techniques Used
- /T1 Urethroplasty Gold standard for urethral stricture disease with up to 90% long-term cure rates. EPA excises the scarred segment and reconnects healthy ends; buccal mucosa graft (BMG) substitution uses oral tissue to widen or replace longer or complex strictures.
- /T2 Laparoscopic Pyeloplasty Minimally invasive relief of PUJ obstruction. The obstructed ureteral segment is excised and reimplanted into the renal pelvis at a dependent, non-obstructed position. Success rates exceed 95%.
- /T3 Vesicovaginal Fistula (VVF) Repair Surgical closure of the abnormal bladder–vagina connection to restore normal urinary continence. Both transvaginal and transabdominal approaches are performed depending on fistula size and location.
- /T4 Ureteral Reconstruction For ureteral injuries or strictures, options include direct anastomosis, Boari flap (mobilising bladder to bridge a gap), psoas hitch, or ileal ureteral substitution for long-segment defects.
/ 05 — FAQ
Frequently Asked Questions
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Dilatation and urethrotomy are temporary measures with high recurrence rates. Urethroplasty permanently removes or replaces the strictured segment, offering cure rates up to 90% — making it the preferred treatment for recurrent or complex urethral strictures.
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Most patients are discharged within 1–2 days. A catheter is typically in place for 2–3 weeks. Return to light activity is possible within 2–4 weeks; full recovery within 4–6 weeks.
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Strictures can be caused by past injury or trauma to the urethra, previous infections (STIs), inflammation, or sometimes medical procedures like long-term catheterization. Dr. Sonwane identifies the specific cause to plan the best surgical approach.
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While urethroplasty provides a much more durable solution than temporary fixes, there is a small risk of recurrence depending on the length and location of the stricture. Dr. Sonwane ensures long-term follow-up to monitor your progress.
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The surgery is performed under anesthesia, so you will feel no pain during the procedure. Post-operative discomfort is managed effectively with pain medication, allowing for a comfortable recovery.
/ Take Control
Don't Let Urological Problems Affect Your Quality of Life.
Whether you're struggling with kidney stones, urinary problems, prostate conditions, male infertility, or sexual health concerns, Dr. Datta Sonawane is here to help. With advanced expertise in Urology, Andrology, and Minimally Invasive Surgery, he provides accurate diagnosis, personalized treatment, and compassionate care to help you regain your health and confidence.
Same-day consultations available for patients across Thane.
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