Bladder Reconstruction Surgery (Neobladder) In Lucknow

Reconstructive surgery is performed to recreate/reconstruct body structures that have been affected by birth defects, trauma, infection, cancer, or other diseases. There is a wide scope of reconstructive surgery in urology. For example, if somebody's urethra (tube for the passage of urine from the bladder) has been damaged/closed by trauma or infection, it is reconstructed by a procedure called urethroplasty. Dr. Mayank Agarwal is the top and best urologist in Lucknow , Uttar Pradesh doing treatment for bladder cancer and bladder reconstructive surgery. Bladder reconstruction is not suitable for everyone who needs their bladder removed. We are well-experienced doctors who can do the best treatment for each patient. Similarly, in the case of removal of the urinary bladder for cancer or tuberculosis, it is reconstructed from the intestine. Innumerable conditions would need reconstructive surgery in urology. A few common examples are as under:

1. Congenital conditions - hypospadias repair, pyeloplasty / ureterocalicostomy for PUJ obstruction, ureteroneocystostomy / reimplantation for VUR (reflux)
2. Trauma - partial nephrectomy, ureteroureterostomy, ureteral replacement, urethroplasty
3. Infection - bladder augmentation, substitution urethroplasty (buccal mucosa/preputial)
4. Malignancy/cancer - partial nephrectomy, ureteral replacement, orthotopicneobladder, ileal conduit, continent cutaneous diversion, radical prostatectomy
5. Pelvic organ prolapse - cystocele repair, uterosacral ligament suspension, sacrocolpopexy, colpoperineorrhaphy
6. Erectile dysfunction and incontinence - artificial sphincter, penile prosthesis, fistula repair

Dr. Mayank Agarwal one of the best urologists in lucknow got initial training in reconstructive urology in premier central govt. Institute postgraduate institute of medical education and research, Chandigarh, India. It is a center of high repute and the largest govt. Run tertiary and quaternary care healthcare organizations north of Delhi. He then refined his skill set and experience in this field through internationally awarded travel fellowships at the University of California, Los Angeles as well as Memorial Sloan Kettering Cancer Center, New York. He practiced advanced uro-reconstructive surgery, both open as well as laparoscopic in PGIMER, Chandigarh, and continued the same in Abu Dhabi as well as south India. He has a few novelties in this field to his credit recognized by the national body (Urology Society of India) as well as published in international literature - small bowel PGIMER pouch for continent cutaneous diversion, laparoscopic ureteral tailoring and reimplantation, laparoscopic ureterocalicostomy(UCO) for giant hydronephrosis, yang-monti ureteral replacement for ureteral strictures.

He has vast experience in the following reconstructive urological procedures with results at par with international standards -

1. Uro-oncology - Laparoscopic partial nephrectomy, Laparoscopic radical prostatectomy,laparoscopic radical cystoprostatectomy with extended node dissection with small bowel orthotopicneobladder / small bowel continent cutaneous diversion/ileal conduit
2. Ureteral strictures - Yang Monti ureteral replacement of long segment ureteral strictures
3. Urethral strictures - End-to-end anastomotic urethroplasty, Buccal mucosa / preputial skin substitution urethroplasty, Progressive perineal urethroplasty
4. Pelvic organ prolapse - Vaginal paravaginal cystocele repair, vaginal uterosacral ligament fixation, laparoscopic sacrocolpopexy
5. Urinary incontinence - vaginal and laparoscopic vesicovaginal fistula repair, artificial urinary sphincter
6. Miscellaneous - Laparoscopic pyeloplasty, laparoscopic ureterocalicostomy, laparoscopic ureteral reimplantation, Augmentation cystoplasty