Dr. Rakesh Vamsi - Consultant Urologist & Andrologist
Dr. Rakesh VamsiConsultant Urologist & Andrologist
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Reconstructive Urology

Specialized reconstructive surgical procedures for urethral stricture disease, ureteric injuries, and congenital urinary tract anomalies.

Accurate
Diagnosis
Minimally Invasive
Treatment
Faster
Recovery
Personalized
Care Plan
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Restoring normal anatomical function and smooth urine flow transforms long-term patient comfort and protects kidney health.

Dr. G. Rakesh Vamsi
Consultant Urologist & Andrologist
01

Overview

Reconstructive urology is a super-specialized discipline focused on restoring normal anatomical structure and physiological function to the urinary tract. Dr. Rakesh Vamsi performs buccal mucosal graft urethroplasty, laparoscopic ureteric reimplantation, and bladder reconstructions with meticulous technique.

Key Points

Buccal mucosal graft (BMG) urethroplasty for recurrent urethral strictures
Minimally invasive repair of ureteric injuries and strictures
High success and durability compared to temporary dilations
Protection of upper urinary tracts and preservation of continence
02

Symptoms

Symptoms can vary from mild discomfort to acute distress. Early identification allows prompt, painless intervention.

Progressive thinning of urinary streamStream sprays, splits, or reduces to a trickle
Prolonged time needed to empty bladderStraining during urination
Recurrent urinary infections or retentionRepeated blockage requiring catheterization
03

Causes & Risk Factors

Prior catheterization or endoscopic trauma

Iatrogenic urethral injury or scarring

Pelvic fracture / straddle injury

Traumatic disruption of urethra or bladder neck

Lichen sclerosus (BXO)

Chronic inflammatory skin condition narrowing the urethral meatus

04

Diagnosis

Retrograde Urethrogram (RGU) & MCU

X-ray contrast study mapping exact length, location, and severity of stricture.

Uroflowmetry

Measures typical plateau-pattern flattened curve characteristic of stricture.

Diagnostic Urethroscopy

Direct visualization of the caliber and mucosal health.

05

Treatment Options

Buccal Mucosal Graft (BMG) Urethroplasty

Definitive Reconstructive Repair

Harvesting a small patch of inner cheek lining (buccal mucosa) to reconstruct and widen the narrowed urethra, achieving long-term cure rates over 90%.

Recovery / Hospital stay: 2-3 days hospital stay

Anastomotic Urethroplasty

Excision & Primary Repair

Excision of short traumatic strictures with end-to-end reconnecting of healthy urethral tissue.

Recovery / Hospital stay: 2 days hospital stay
06

Recovery & Follow-Up

Hospital Stay

2 to 3 days at KIMS Hospital Nellore.

Resuming Normal Life

Patients walk next day; temporary soft catheter kept for 2 to 3 weeks until healing.

Diet & Hydration

Soft diet for 3 days if mouth graft taken; abundant fluids.

Follow-Up Care

Trial of voiding and follow-up uroflowmetry after catheter removal.

07

When to Consult

Do not delay consultation if you experience:

  • •History of repeated urethral dilations that keep failing
  • •Straining to pass urine with very thin stream or spraying
  • •Pelvic trauma or straddle injury followed by urinary difficulty
08

FAQs

Simple dilation or optical urethrotomy only stretches scar tissue and has high recurrence rates (over 60-70%). Urethroplasty replaces or excises the diseased tissue, providing a permanent cure in over 90% of cases.