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Open Reconstructive Surgery refers to traditional, precise surgical procedures performed to repair, reconstruct, or restore parts of the urinary tract, bladder, urethra, or genital region that have been damaged due to trauma, infection, cancer, congenital defects, or previous surgeries.

Unlike minimally invasive or endoscopic methods, open reconstructive surgery involves a carefully planned incision that provides direct access to the affected area, allowing the surgeon to perform detailed repair with excellent visualization and control. These surgeries are often required in complex or recurrent cases where less invasive techniques are not suitable.

Common Open Reconstructive Procedures

• Urethroplasty: Repair of urethral stricture or injury
• Bladder reconstruction (Augmentation cystoplasty)
• Ureteric reimplantation or ureteric stricture repair
• Penile or genital reconstruction after trauma or congenital deformities
• Post-traumatic pelvic urethral injury repair
• Redo surgeries after failed endoscopic or laparoscopic treatments

Advantages of Open Reconstructive Surgery

• Allows direct visualization and precise repair of complex defects
• Durable, long-term outcomes
• Effective in difficult or recurrent cases
• Restores normal anatomy and function
• High success rate when performed by experienced reconstructive urologists

Recovery

• Hospital stay: usually 3–5 days, depending on the procedure
• Catheter drainage may be required temporarily for proper healing
• Return to routine activities in 2–4 weeks
• Regular follow-up is essential to monitor recovery and urinary function