The Center for Genitourinary Reconstruction provides exceptional expertise in prosthetic surgery and genitourethral reconstruction. Advanced specialty training and high patient volume has led to extensive experience and excellent outcomes with these often complex procedures, establishing the center as a regional and national referral center.
Treatments & Procedures
Cleveland Clinic reconstructive surgeons have pioneered and developed the field of urologic prostheses for erectile dysfunction and urinary incontinence, along with the corporeal excavation procedure for penile prostheses implantation in men with severe penile scarring.
Inflatable penile prostheses are used for treatment of erectile dysfunction and produce excellent long-term outcomes. Different types of prostheses are offered according to the clinical situation and indications. The primary indication for placing an artificial urinary sphincter is incontinence following radical prostatectomy. On average, 150 prosthetic surgeries, including inflatable penile prostheses, artificial urinary sphincters and revisions, are performed by Cleveland Clinic urologists each year. Patients with an artificial urinary sphincter implant can expect almost complete continence with excellent long-term mechanical reliability.
Male Urethral Reconstruction
Cleveland Clinic urologists offer special expertise in complex urethral reconstruction for stricture disease. These delicate and usually difficult reconstructive operations combine urologic as well as plastic surgical principles and are only performed in a handful of centers across the country. About 60 such operations are performed annually at Cleveland Clinic, incorporating all modern techniques of grafts, flaps, and simpler anastomotic procedures. A significant number of patients with complex urethral fistulae (including recto-urethral fistulae) are also repaired surgically each year, a combined experience that rivals any other urologic center in the United States.
Tunical Reconstructive Procedures
A high volume of patients with Peyronie’s disease or congenital penile curvature are seen for tunical reconstructive procedures consisting of either tunica albuginea plication or grafting procedures. Approximately 100 of these procedures are done annually.