The Center for Reconstructive Urology at Columbia University Medical Center offers a world-class and unique multidisciplinary program in the repair and treatment of complex urologic complications and injuries that are the result of cancer surgery and treatments, surgical misadventures, radiation therapy, and urologic trauma. The Center also offers quality-of-life surgery and interventions to treat problems of urination (voiding), urinary control, and sexual function.
The Center also has extensive expertise in the surgical repair and maintenance therapy of less common problems, such as congenital urologic issues like spina bifida, bladder extrophy, and hypospadias.
The Center is led by Dr. Steven Brandes, a world-renowned surgeon who performs hundreds of reconstructive procedures each year. Dr. Brandes has helped countless patients overcome issues related to strictures of the ureter and urethra, pelvic injuries, urinary fistulas, incontinence, and many uncommon urogenital disorders. Dr. Brandes' experience and expertise, along with ColumbiaDoctors’ collaborative approach to patient care, ensures the best possible outcome for each surgery.
Your care at the Center for Reconstructive Urology will be managed by a personalized team of providers. Key members of the Center include a range of specialists, such as plastic surgeons, colorectal surgeons, pediatric urologists, and gyn-oncologists, who all work together to make sure that the care provided is complete, comprehensive, and compassionate.
Urinary Tract and Genital Reconstruction: Our highly skilled surgeons specialize in all areas of male and female urinary tract and genital surgical reconstruction, including major reconstruction of the urethra, bladder, ureter, penis, and external genitalia, as well as other less common urogenital disorders.
Transition Urology/Congenitalism: For those born with congenital urinary defects, there are often new challenges that come with transitioning from childhood into adulthood. Unfortunately, most people born with problems or defects in their urinary tract do not have all their problems “cured” in childhood. Issues of incontinence, infection, stone formation, and sexual problems often continue to linger well into adulthood. At the Center for Reconstructive Urology, we provide seamless urologic care throughout childhood, adolescence, and into adulthood.
Cancer Survivorship: Cancer treatment can leave patients with a range of issues related to urinary control, sexual function, and fertility. Our skilled experts will find the least invasive treatment to help improve quality of life after cancer.
Common Problems and Treatments:
- Adult hypospadias
- Adult spina bifida and bladder extrophy
- Bicycle Riding: Erectile Dysfunction and Urethral Stricture Risks
- Bladder reconstruction for cancer or trauma
- Congenital penile curvature
- Genital lymphedema
- Indiana Pouch and Catherizable Stomas
- MACE - Malone Antegrade Continence Enema
- Major ureter reconstruction
- Male urinary incontinence (urine control issues)
- Mitrofanoff procedure
- Neurogenic bladder
- Neurogenic Bowel
- Penile and urethral preservation surgery
- Peyronie’s disease
- Post prostate surgery urinary leakage
- Erectile Dysfunction Surgery (Penile Implant)
- Urinary Leakage Surgery
- Radiation-induced urinary fistulas
- Surgery for male urinary incontinence
- Urethral stricture
- Urethral injuries from pelvic fracture
- Urinary fistulas after prostate or pelvic surgery
- Vesicovaginal or ureterovaginal fistulas after pelvic surgery