Reconstructive urology is an emerging sub-specialty that focuses on restoring normal urine flow in both the upper and the lower urinary tract. Conditions addressed by reconstructive urologists include ureteropelvic junction (UPJ) obstruction, ureteral stricture, neurogenic bladder, and urethral stricture disease. The primary focus of reconstructive urology is urethral reconstruction.
The urethra is the conduit through which urine is expelled from the bladder during micturition, or voiding. The urethra extends from the base of the bladder out the tip of the penis in a male and from the base of the bladder into the anterior vagina in a woman.
A urethral stricture is a scar occurring anywhere in the urethra, causing stenosis, or narrowing, of the urethral lumen. They are much more common in males than in females. Urethral strictures are caused by a variety of conditions including pelvic or perineal trauma, prior urologic procedures performed through the urethra, prostate cancer surgery, pelvic irradiation, sexually transmitted diseases, previous hypospadias repair, and lichen sclerosis (a poorly understood inflammatory condition affecting the genital skin and urethra). In many cases, however, there is not an identifiable cause for urethral stricture.
Dr. Nuss is one of only two fellowship- trained reconstructive urologists here in the DFW metroplex. He has published many papers and book chapters, making him a leader in the field of reconstructive urology. He has extensive experience in all the various reconstructive techniques.
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