The Center for Genitourinary Reconstruction offers individualized and advanced surgical treatment options for patients with common and uncommon lower urinary tract and genital conditions, disorders and anomalies. Patients primarily consist of male adolescents and adults, but also include some female patients requiring abdominopelvic reconstructive surgery or care for congenital genitourinary system abnormalities as they transition into adolescence and adulthood.
The genitourinary tract is the system most often affected by congenital defects (problems present at the time of birth). However, as children with congenital anomalies of the genitourinary system are entering adolescence and adulthood with excellent health, the issues of sexuality, genital appearance and function, urinary and bowel incontinence, and fertility become important health and quality of life matters. In addition, patients who are born with these problems later experience typical age-related urological problems such as prostate enlargement and prostate cancer that are then more difficult to treat as a result of their previous condition or prior surgeries.
Our transitional urology program works with patients with congenital anomalies to balance challenging and sometimes competing urological and personal needs. We combine our medical plan with the patient's own personal health objectives to develop an individualized treatment plan. The initial visit to our center typically involves a detailed review of the patient's medical and surgical history. Sometimes additional testing is necessary to thoroughly assess the patient.
Our surgeons are recognized nationally and internationally for providing successful care to patients with health issues requiring genitourinary reconstruction. In an effort to provide all-around coordination of care, we will share notes and records with the patient’s referring physician with the patient’s consent.
What We Treat
- Adult Spina Bifida
- Complications following prostate cancer treatment
- Complications related to prior hypospadias repair in adolescents and adults
- Congenital anomalies of the bladder and genitalia
- Congenital Penile Curvature
- Erectile Dysfunction
- General Urinary Incontinence
- Genital Lymphedema
- Male Urinary Incontinence
- Neurogenic bladder due to spinal cord injury or myelomeningocele
- Penile cancer
- Urethral cancer
- Peyronie’s Disease
- Rectourethral Fistula
- Urethral strictures
- Urethrocutaneous Fistula
Treatments and Procedures
- Artificial urinary sphincter
- Augmentation cystoplasty with catheterizable channel
- Cystectomy with urinary diversion
- Male genital reconstruction
- Male urethral sling
- Penile plication
- Penile prosthesis
- Peyronie's Disease
- Plaque incision with graft placement
- Posterior Urethral Reconstruction
- Prosthesis implantation
- Rectourethral fistula repair
- Surgery for buried penis
- Testicular prosthesis
- Urethrocutaneous fistula repair
- Urinary Reconstruction & Diversion
- Xiaflex injection
Adult Spina Bifida Clinic
Cleveland Clinic’s Adult Spina Bifida Clinic uses a model of integrated care for adult patients with a team of experts from our Neurological Institute, Glickman Urological & Kidney Institute and Medicine Institute. The clinic is staffed by health care provider representatives from these institutes for the treatment of urological issues, physical medicine and rehabilitation, and internal medicine for the prevention and treatment of disease.
Gender Affirming Surgical Services
In collaboration with the Transgender Medicine & Surgery Program, our team also offers supportive, culturally sensitive care to members of our transgender community at various stages of transition. As part of the Gender Affirming Surgical Services team, our surgical providers offer a wide range of gender-affirming procedures and manage urologic complications associated with gender-affirming surgery.