FOR PHYSICIANS
When to Refer to Reconstructive Urology
Urethra and bladder outlet
Stricture that has come back after dilation or urethrotomy; any stricture in a patient who now needs a catheter or suprapubic tube; posterior urethral injury after pelvic fracture; bladder neck contracture or stenosis after prostate treatment.
Leakage after prostate treatment
Bothersome stress incontinence persisting 6 to 12 months after prostatectomy, or earlier if severe; leakage after radiation; problems with an existing male sling or artificial urinary sphincter.
Erectile dysfunction and implants
ED not responding to oral medication or injections; men who want to discuss a penile implant; an implant that has malfunctioned, eroded, or become infected.
Penile and genital reconstruction
Peyronie's disease with stable curvature that interferes with intercourse; adult acquired buried penis; penoscrotal webbing; failed childhood hypospadias repair; lichen sclerosus with meatal or urethral narrowing.
Ureter and kidney drainage
Ureteral stricture or UPJ obstruction, especially in a stent-dependent patient; ureteral injury after surgery or radiation.
Records that help
Prior operative notes; imaging such as a retrograde urethrogram, CT urogram, or renal scan; cystoscopy findings; uroflow and post-void residual; current medications, including blood thinners. For implant problems, the device type and implant date if known.
How to refer
Patients can book online or call (516) 535-1900. First visits are available in person in Garden City or by video, which works well for second opinions and patients who live farther away.