Restoring Function & Confidence

Reconstructive Urological Conditions

Reconstructive urology is a specialised area of urology focused on restoring normal urinary and genital function following disease, injury, congenital abnormalities or complications from previous treatment.

Many reconstructive conditions can have a significant impact on quality of life, affecting urinary function, continence, sexual health, comfort and self-confidence. These conditions often require highly specialised assessment and treatment, with management tailored to the individual patient’s anatomy, symptoms and treatment goals.

Dr Paul Manohar has a special interest in reconstructive urology and is experienced in the management of complex urinary tract and genital conditions

As Head of Functional & Reconstructive Urology at Monash Health, he provides comprehensive care for patients requiring advanced reconstructive techniques, with a focus on achieving durable functional outcomes and improving quality of life.

Conditions & Treatments

Reconstructive Conditions Managed by Dr Paul Manohar

Dr Manohar provides expert assessment and treatment for a wide range of reconstructive urological conditions affecting the urinary tract and male genitalia. Explore the conditions below to learn more about symptoms, causes and available treatment options.

A urethral stricture is a narrowing of the urethra caused by scar tissue. This narrowing can restrict the flow of urine and lead to a variety of urinary symptoms.

Common symptoms include:

  • Weak urinary stream
  • Difficulty emptying the bladder
  • Straining during urination
  • Recurrent urinary tract infections
  • Spraying of the urinary stream
  • Urinary retention

Urethral strictures may develop following trauma, infection, previous surgery, catheterisation or other causes.

Treatment depends on the location, length and severity of the stricture and may range from minimally invasive procedures through to formal urethral reconstruction (urethroplasty).

Buried penis is a condition in which the penis becomes partially or completely concealed beneath surrounding skin and soft tissue.

The condition may occur due to obesity, scarring, previous surgery, lymphoedema or other anatomical factors.

Symptoms may include:

  • Difficulty with hygiene
  • Recurrent skin infections
  • Urinary difficulties
  • Sexual dysfunction
  • Reduced quality of life

Because buried penis can affect both physical and psychological wellbeing, treatment often involves reconstructive techniques designed to restore normal appearance and function.

Peyronie’s disease occurs when scar tissue develops within the erectile tissue of the penis, causing abnormal curvature during erection.

Symptoms may include:

  • Penile curvature
  • Pain during erections
  • Shortening of penile length
  • Erectile dysfunction
  • Difficulty with sexual intercourse

The severity of Peyronie’s disease varies considerably between individuals. Some men experience mild symptoms, while others develop significant deformity affecting sexual function.

Management options depend on the degree of curvature, symptom severity and patient goals and may include observation, medical therapies or reconstructive surgery.

Male urinary incontinence refers to the involuntary leakage of urine and can significantly affect daily activities, confidence and quality of life.

Common causes include:

  • Previous prostate surgery
  • Neurological conditions
  • Bladder dysfunction
  • Pelvic surgery
  • Radiation therapy

Symptoms range from mild leakage during physical activity through to more severe and persistent incontinence.

A detailed assessment is essential to identify the underlying cause and determine the most appropriate treatment. Management options may include pelvic floor rehabilitation, medications, sling procedures or artificial urinary sphincter implantation.

Urethral trauma refers to injury involving the urethra and may occur following accidents, pelvic fractures, sporting injuries or medical procedures.

Symptoms may include:

  • Blood at the urethral opening
  • Difficulty urinating
  • Urinary retention
  • Pelvic pain
  • Swelling or bruising

Prompt diagnosis and appropriate treatment are important to minimise long-term complications such as urethral stricture formation and ongoing urinary dysfunction.

Reconstructive surgery may be required in some patients to restore normal urinary function.

While most urological procedures achieve excellent outcomes, some patients develop complications requiring specialist reconstructive management.

Potential issues may include:

  • Urethral strictures
  • Bladder neck contractures
  • Urinary incontinence
  • Persistent pain
  • Urinary fistulas
  • Sexual dysfunction

These situations often require careful assessment and individualised treatment planning.

Dr Manohar has extensive experience managing complex cases and works closely with patients to identify the most appropriate corrective treatment options.

Genital reconstruction involves restoring the appearance and function of the male genitalia following trauma, previous surgery, congenital abnormalities or other medical conditions.

Treatment may be required for:

  • Congenital abnormalities
  • Acquired deformities
  • Trauma-related injuries
  • Buried penis
  • Complex scarring (eg: Peyronie’s disease)
  • Functional impairment

Because every patient’s circumstances are unique, treatment plans are highly individualised and designed to optimise both functional and cosmetic outcomes.

Obstruction affecting the bladder neck or urinary tract can interfere with normal urine flow and result in significant urinary symptoms.

Patients may experience:

  • Weak urinary stream
  • Difficulty emptying the bladder
  • Straining during urination
  • Urinary retention
  • Recurrent infections

These conditions may develop following previous surgery, radiation therapy, trauma or inflammatory processes.

Specialist evaluation is often required to determine the exact location and severity of the obstruction and to identify the most appropriate treatment approach.

Reconstructive procedures may help restore urinary function and improve long-term outcomes.

Take the First Step

If you are experiencing urinary difficulties, incontinence, urethral problems or complications following previous treatment, specialist assessment can help identify the underlying cause and determine the most appropriate management plan.

Dr Paul Manohar provides comprehensive care for patients requiring reconstructive urological surgery, combining advanced surgical expertise with a personalised approach to treatment. He welcomes both public and private patients and consults across Melbourne’s eastern and south-eastern suburbs.

Contact the practice today to arrange an appointment and discuss your treatment options.

Get In Touch

Discuss Your Urological Concerns With Dr Paul Manohar

Whether you are experiencing concerning symptoms, have a recent diagnosis, or are seeking a second opinion, Dr Paul Manohar provides experienced, personalised urological care across South-Eastern Melbourne and Gippsland.

Consulting locations include:

  •  Berwick
  • Malvern East
  • Moorabbin
  • Mount Waverley
  • Warragul