Urinary Tract Malformation & Reconstruction at USMC
Congenital urinary tract malformations—or differences in development present from birth—can be a source of significant concern for parents and adults. In Malawi, access to specialized care is critical to prevent long-term kidney damage. At USMC’s Centre for Reconstructive Urology in Blantyre, our specialists provide life-changing surgical solutions for these complex conditions. With modern surgical techniques, the vast majority of patients achieve normal urinary function and an excellent quality of life.
Our Expertise in Urological Reconstruction
We specialize in correcting structural abnormalities of the kidneys, ureters, bladder, and urethra, primarily in children but also in adults with lifelong conditions.
1. Ureteropelvic Junction (UPJ) Obstruction Repair
The Condition: A blockage at the point where the kidney joins the ureter (the tube draining urine), causing urine to back up and potentially damage the kidney.
The Surgical Solution (Pyeloplasty): A precise surgical procedure to remove the narrowed or blocked segment and reconnect the ureter to the kidney, ensuring a wide, open channel for urine to flow freely.
Why Our Approach Works: Our meticulous surgical technique has a success rate of over 95% in preserving kidney function and resolving symptoms.
2. Hypospadias Repair
The Condition: A common birth difference where the urethral opening is located on the underside of the penis instead of at the tip.
The Surgical Solution: A delicate, single-stage or multi-stage reconstructive surgery to reposition the urethral opening to the tip, straighten the penis, and ensure a normal cosmetic appearance and function.
Our Key Goal: To enable a straight urinary stream, normal erection, and future fertility.
3. Vesicoureteral Reflux (VUR) Correction
The Condition: The backward flow of urine from the bladder into the ureters and kidneys, leading to recurrent urinary tract infections (UTIs) and potential kidney scarring.
Treatment: Management ranges from close observation and preventative antibiotics to definitive surgical correction (ureteral reimplantation) to fix the faulty valve mechanism.
4. Complex & Other Reconstructions
Our Services: We provide expert management for other conditions including Posterior Urethral Valves (PUV), bladder exstrophy, megaureter, and ureteroceles, which require highly specialised surgical skills.
Advanced Diagnostics
Voiding Cystourethrogram (VCUG) to diagnose vesicoureteral reflux.
High-Resolution Renal & Bladder Ultrasound for detailed anatomical mapping.
Nuclear Medicine Scans (MAG3 Renogram) to assess kidney drainage and function.
Urodynamic Studies to evaluate bladder function.
Diagnostic Cystoscopy to visually inspect the bladder and urethra.
Why Choose USMC for Reconstructive Urology ?
Specialised Paediatric & Adult Care: Our urologists possess specialized training in the delicate anatomy of children and the complex reconstructive needs of adults.
Focus on Function & Quality of Life: Our ultimate goal is not just surgical success, but ensuring our patients lead normal, healthy lives with preserved kidney function.
A Centre for Complex Cases: We are a referral centre in Malawi for complex urinary tract abnormalities, trusted by doctors and parents alike.
Compassionate, Family-Centred Approach: We understand the stress on families and provide clear communication and support throughout the diagnosis and treatment journey.
Emergency Symptoms? Act Now!
Consult with our specialists if your child or you have:
⚠️ Frequent, recurrent Urinary Tract Infections (UTIs), especially in a young child.
⚠️ An abnormally located urinary opening (hypospadias) noticed at birth.
⚠️ A urinary malformation detected on a prenatal (pregnancy) ultrasound.
⚠️ An abnormal or weak urinary stream, difficulty urinating, or constant dribbling.
⚠️ Unexplained abdominal or flank pain associated with urinary issues.
With access to
24 Hour
Emergency
Assistance
At Ungweru Specialised Medical Centre, we strive to make your appointment scheduling as seamless as possible. Please fill out the form below to request an appointment with one of our specialists. Our team will contact you shortly to confirm your appointment.
Service Recipient Says
Oxmox advised her not to do so, because there were thousands of bad Commas, wild Question Marks and devious.
Kolis Muller NY Citizen
Oxmox advised her not to do so, because there were thousands of bad Commas, wild Question Marks and devious.
Kolis Muller NY Citizen
Oxmox advised her not to do so, because there were thousands of bad Commas, wild Question Marks and devious.
Kolis Muller NY Citizen