Advanced Reconstructive Urology in Bengaluru: Restoring Function and Confidence

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For appointments and enquiries, please contact our patient coordinator.

Consult Dr. Sreeharsha Harinatha at Apollo Hospitals, Bannerghatta Road and Jayanagar, Bengaluru.

Patient coordinator: +91 87929 66592.

Reconstructive urology consultation

Reconstructive urology is a highly specialized field dedicated to restoring the normal function of the upper and lower urinary tract and male reproductive organs. Whether due to congenital conditions, traumatic injury, infections, or complications from previous surgeries, these issues can deeply affect a patient’s quality of life and psychological well-being.

Under the leadership of Dr. Sreeharsha Harinatha, a specialist in robotic and reconstructive urology, our department offers individualised surgical care. Combining 17+ years of surgical experience with advanced training from UKSH, Germany, Dr. Sreeharsha provides a compassionate, precision-led approach to reconstructive care.

Our Core Reconstructive Services

1. Urethroplasty: Solving Urethral Strictures

A urethral stricture is narrowing caused by scar tissue. Dilation, endoscopic treatment or urethroplasty may be considered according to its site, length and previous treatment. Urethroplasty can provide durable relief, but recurrence remains possible.

  • Anastomotic Urethroplasty: Removing the scarred section and reconnecting the healthy ends.
  • Substitution Urethroplasty: For longer strictures, we use grafts (often from the inner lining of the cheek, known as Buccal Mucosa) to widen the urethra.
  • Success Rate: Unlike simple stretching, urethroplasty can offer durable results, although outcomes depend on the type and extent of the stricture, surgical technique and individual circumstances. Individual assessment is important.
2. Penile Prosthesis (Penile Implants)

A penile implant may be considered when other erectile dysfunction treatments are unsuitable or unsuccessful, after counselling about alternatives. Risks include infection, mechanical failure and possible revision; implantation is not a reversible treatment.

  • Malleable Implants: Simple, semi-rigid rods that can be manually positioned.
  • Inflatable implants: A concealed pump operates the device. The type of implant and expectations about appearance and function are discussed individually.
  • Expectations: An implant provides rigidity; it does not treat low desire or guarantee changes in sensation, orgasm or ejaculation.
3. Hypospadias Repair (Pediatric & Adult)

Hypospadias is a congenital condition where the urinary opening is not at the tip of the penis. This can affect both urinary flow and future reproductive health.

  • Precision Craftsmanship: Dr. Sreeharsha utilizes micro-surgical techniques to straighten the curvature (chordee) and move the opening to the correct anatomical position.
  • Comprehensive Care: We treat both infants (typically between 6–18 months) and adults who require “redo” or secondary repairs from previous unsuccessful surgeries.
4. Specialized Female Reconstructive Urology

Drawing from his Diploma in Urogynecology from Germany, Dr. Sreeharsha treats complex female conditions including:

  • Vesicovaginal Fistula (VVF) Repair: Closing abnormal openings between the bladder and vagina.
  • Pelvic Organ Prolapse: Utilizing robotic-assisted sacrocolpopexy for durable results.
Why Choose Dr. Sreeharsha Harinatha?

Choosing a reconstructive surgeon requires looking at more than just a degree. It requires a specialist who understands the delicate balance between anatomy, aesthetics, and function.

  1. Surgical approach: Open, endoscopic, laparoscopic or robotic reconstruction is chosen for the condition. Robotic assistance is useful in selected cases and is not necessary for every repair.
  2. Global Expertise: With fellowships and training in the USA, France, and Germany, he brings international protocols to Bengaluru.

At a glance

Reconstructive urology restores the structure and function of the urinary tract. Common procedures include urethroplasty for urethral stricture, repair of urinary fistulas, hypospadias repair and penile prosthesis surgery. Dr Sreeharsha Harinatha performs these reconstructions at Apollo Hospitals, Bannerghatta Road and Jayanagar, Bengaluru.

Frequently Asked Questions

Hospital stay, catheter duration and return to activity depend on the repair. Follow-up may include imaging before catheter removal. Recurrence can require further treatment.

It provides penile rigidity. It does not directly restore libido, sensation or orgasm. Existing conditions may affect ejaculation; expectations and device risks should be discussed before surgery.

Primary repair is commonly planned between 6 and 18 months, according to anatomy and health. Some patients need staged or later reconstruction, including adult redo surgery.

Coverage depends on the procedure and policy, including exclusions and preauthorization. The hospital team can assist with documentation; approval is decided by the insurer.

No. The best approach depends on anatomy, previous surgery and the repair needed. Your surgeon will explain the available options and their risks.

Short, first-time strictures may be treated with endoscopic urethrotomy (DVIU), but strictures that recur or are longer have the best long-term results with urethroplasty, often using a buccal mucosa (inner cheek) graft.

A weak or spraying stream, straining, a feeling of incomplete emptying, frequent urinary infections or dribbling after passing urine can indicate a stricture and should be checked with uroflowmetry and imaging.