Bladder Neck Reconstruction

Restoring Control and Confidence

Understanding Bladder Neck Reconstruction

Bladder neck reconstruction is a highly specialized procedure that restores continence and normal urinary function when the bladder neck, the junction between the bladder and urethra, has been damaged by prior surgery, trauma, or congenital conditions. Damage to this area can cause urinary leakage, obstruction, or loss of control, often leading to significant frustration, embarrassment, and decreased quality of life.

At The Institute for Advanced Reconstruction, our surgeons perform bladder neck reconstruction to rebuild and reinforce this critical structure using advanced microsurgical and robotic-assisted techniques. The procedure focuses on restoring healthy anatomy, improving urinary control, and preserving nerve function whenever possible.

Because these conditions are often complex and may follow multiple failed earlier surgeries, bladder neck reconstruction requires exceptional precision and experience. Our team is among a small number of centers worldwide capable of performing intricate primary and revision bladder neck repairs, consistently achieving durable, long-term results where others may not.

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Why Bladder Neck Reconstruction May Be Right for You

Bladder neck reconstruction may be recommended if you have:

Urinary incontinence or leakage after prostate, pelvic, or bladder surgery
Scar tissue or narrowing (stricture) at the bladder neck
Difficulty urinating or emptying the bladder
Previous failed reconstructive surgeries
Complications from trauma or congenital abnormalities

Because this is a highly specialized procedure, patients are often referred to The Institute after multiple prior treatments have failed to restore control.

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How Bladder Neck Reconstruction Works

The surgery is performed under general anesthesia and can often be done using minimally invasive or robotic-assisted techniques.

Key steps include:

Precise Assessment: Scar tissue and damaged tissue are removed to expose the healthy bladder and urethral ends.
Reconstruction: The surgeon rebuilds the bladder neck using well-vascularized local tissue or grafts, creating a secure and functional junction.
Nerve Preservation: Whenever possible, the pelvic nerves that contribute to urinary and sexual function are carefully preserved.
Testing and Closure: The repair is tested for watertight integrity before closure, ensuring restored function and long-term healing.

Most patients stay one to two days in the hospital and use a catheter temporarily during healing.

Our Expertise in Bladder Neck Reconstruction

Our reconstructive urologists are internationally recognized for solving the most challenging urologic cases, combining microsurgical precision, robotic innovation, and compassionate care.

Why Patients Choose The Institute

Expertise in complex and revision bladder neck surgeries
Advanced microsurgical and robotic-assisted approaches
Nerve-sparing techniques for continence preservation
Proven success rates and published research in reconstructive urology
Collaborative, patient-centered recovery support

What to Expect After Surgery

Hospital Stay: 1–2 days for monitoring and catheter management
Catheter Duration: 2–4 weeks to allow healing
Recovery: Gradual return to light activity within two weeks; full recovery typically within 6–8 weeks
Results: Most patients notice significant improvement in control and comfort once healing is complete

Our team provides detailed follow-up care and rehabilitation plans to support long-term success.

Meet the Team

Our reconstructive urology specialists are experienced in restoring both function and form for patients with complex scrotal conditions. Every procedure is approached with precision, empathy, and long-term outcomes in mind.

Physician

Alex Xu

Frequently Asked Questions About Bladder Neck Reconstruction

Is this procedure permanent?

In most cases, yes. Our reconstructive approach is designed for durable, long-term results.

What if I've already had bladder neck surgery elsewhere?

We frequently treat patients with prior failed repairs or scarring. Our microsurgical expertise allows us to manage revision cases successfully.

Will I regain full control?

Most patients experience dramatic improvement in continence and quality of life. Your exact outcome will depend on your anatomy, prior treatments, and overall health.

Is this covered by insurance?

Yes. Bladder neck reconstruction is medically necessary and typically covered by insurance.

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