Urethral & Pelvic Reconstruction

Pelvic Reconstruction

Urethral stricture, urinary fistula, bladder diverticulum, prolapse repair, and complications after previous urologic surgery.

Reconstructive & Revision Urology

Particular emphasis is placed on recurrent strictures, previous failed procedures, complex anatomy, and patients seeking a definitive reconstructive opinion. Prolapse care considers symptoms, anatomy, sexual function, previous surgery, and goals.

Complex problems deserve a thoughtful second look. The best next step may be reconstruction, or it may be a non-surgical plan with clear expectations.

Procedures & Treatments

  • Urethroplasty
  • Buccal mucosal graft urethroplasty
  • Endoscopic stricture treatment when appropriate
  • Urinary fistula repair
  • Bladder diverticulectomy
  • Vaginal pelvic organ prolapse repair
  • Robotic pelvic organ prolapse repair
  • Robotic urinary tract reconstruction
  • Complex revision surgery

A diagnosis does not automatically mean surgery. Conservative and non-surgical options are reviewed first whenever they can achieve your goals.

Rebuilding Function & Confidence

Dr. Bilal Farhan is fellowship-trained in pelvic reconstructive urology and offers advanced surgical solutions for patients with complex pelvic and genitourinary conditions. His expertise includes urethral reconstruction, fistula repair, pelvic organ prolapse surgery, and revision surgery for complications from prior procedures.

Whether the condition is congenital, related to prior surgery, trauma, or childbirth, Dr. Farhan works closely with patients to develop a personalized reconstructive plan focused on durable outcomes and improved quality of life.

Conditions Treated

  • Urethral stricture disease
  • Pelvic organ prolapse
  • Genitourinary fistula
  • Urethrovaginal fistula
  • Vesicovaginal fistula
  • Complex incontinence
  • Failed prior sling or mesh
  • Pelvic fracture urethral injury
  • Congenital urologic anomalies

Reconstructive Procedures

Urethroplasty

Open and minimally invasive urethral reconstruction for stricture disease.

Fistula Repair

Precise repair of genitourinary fistulas to restore continence and anatomy.

Pelvic Organ Prolapse Surgery

Native tissue and mesh-based approaches tailored to each patient.

Revision Sling Surgery

Correction of complications from prior incontinence procedures.

Robotic Reconstruction

Minimally invasive robotic approaches for selected complex cases.

Post-Trauma Reconstruction

Restoration of urinary function after pelvic fracture or surgical injury.

Procedure Gallery

Reconstructive Work, Step by Step

Complex reconstruction demands planning, imaging, and technique. These are the procedures Dr. Farhan performs most for patients referred with difficult anatomy.

UrethroplastyUrethral Reconstruction

Urethroplasty

Excisional and buccal mucosal graft repairs rebuild the urethra for stricture disease, trauma, and failed prior endoscopic treatment.

  • Durable alternative to repeat dilation
  • Graft harvested from inner cheek
  • Tailored to stricture length and location

Frequently Asked Questions

I had surgery elsewhere that failed. Can you help?+

Yes. A large share of Dr. Farhan's practice is revision and salvage surgery after failed slings, mesh complications, recurrent stricture, or persistent fistula.

What imaging or testing is needed first?+

Depending on the problem, evaluation may include cystoscopy, retrograde urethrogram, urodynamics, and cross-sectional imaging so the reconstruction is planned precisely.

How long is recovery from reconstruction?+

It varies by procedure. Many patients go home within one to two days with a temporary catheter, resuming normal activity over two to six weeks.

Do you see out-of-area patients?+

Yes. Referrals and second opinions are welcome at CLS Health Center for Advanced Urology in Southeast Houston. Call 346-414-3426 to arrange an evaluation.