AINU Urologists Sees Spike in Urethral Reconstruction Surgeries

AINU Urologists Sees Spike in Urethral Reconstruction Surgeries

India's leading Urology and Nephrology Hospital network, AINU hosts one of the country's largest Urology Conference, Urethra@AINU attracting 800 attendees from across eight countries. The conference shared invaluable insights into the latest techniques in urethral reconstruction surgery. This surgery is performed due to narrowing of urethra leading to reduced urine, resulting in several complications. Urethral strictures (narrowing of urethra) predominantly affect males but can occur in females and children as well.

In the past, hygiene played a significant role in urethral narrowing, especially in rural areas. However, due to increased awareness and improved policies, the incidence has reduced by 30-40% over the past two decades. Urologists at AINU have observed a rising trend in road accident-led reconstruction surgeries, followed by infection-led. The high number of fatalities has positioned India among the countries with the highest road accident deaths globally.

Speaking about the key factors leading to Urethra Reconstruction surgeries, Dr. Bhavatej Enganti, Consultant Urologist at AINU and organizing secretary of the conference, explained, "Urethral damage often occurs when there are multiple fractures in road accidents. In such cases, it is necessary to wait for a few months before corrective surgery. The incidence of accidents have been increasing recently, and when vehicles collide at high speeds, the urethra, along with other organs, suffers severe damage. We are also observing narrowing of urethra due to UTI and STI-related complications. Radiation treatments for cancer also lead to urethral problems. Congenital abnormalities necessitate such procedures like some children are born without a proper urethra. Additionally, Infections due to extended hospital stays, and the use of catheters, can also lead to urethral strictures".

Urethral repairs have a risk of failure, necessitating the use of the patient's own tissues for operations. Tissue from the buccal cavity (inner lining of the cheeks) is often used. Genetic engineering or bioengineering skills are required for these procedures. When multiple attempts fail, tissue availability becomes an issue, so there are regenerative methods based on cell therapy, where tissue is injected to allow the urethra to heal itself.

Dr. C. Mallikarjuna, Managing Director and Chief Consultant Urologist of AINU said “In the past nine years, we have performed over 1,000 urethral reconstruction surgeries. Starting with 50 cases annually, we now handle 200-250 cases per year, placing us among the top centers in South India for such surgeries. The key aim of the conference is to receive training and learn from experts. Urethral reconstruction surgeries are complex with high failure rates, and there is a pressing need for skilled and efficient surgeons to bridge the demand gap from a patient's perspective.

Over 800 delegates from eight countries such as UK, Uganda, Nepal, Bangladesh, Singapore, Thailand, and Gulf countries, attended the event. Key stalwart Urologists such as Dr. Sanjay Kulkarni from Pune and Dr. Ganesh Gopalakrishnan from Coimbatore were key faculties at the event. Mr Ajit Rangnekar Former Dean, ISB Hyderabad graced the conference as one of the keynote speakers.

About AINU

Asian Institute of Nephrology & Urology is India's leading Urology and Nephrology Hospital network. Recently it has been acquired by Asia Healthcare Holdings. It has seven hospitals across four cities with a leading team of nephrologists and urologists. Recognized for its clinical expertise in the field of Urology and Nephrology, the hospitals offer services such as Uro-Oncology, Reconstructive Urology, Pediatric Urology, Female Urology, Andrology, Kidney Transplants and Dialysis. It is a pioneer of Robotic Urology surgery in India having conducted over 1200 Robotic surgeries in the field of Urology, Uro-Oncology & Nephrology care. The hospital has a network of over 500 beds in the country and has treated over lac patients. AINU has accreditation from NABH, DNB (Urology & Nephrology) and FNB (Minimal Invasive Urology).