In simple words: This surgery repairs the urethra, the tube that carries urine out of the body, to help with bladder control problems. The surgeon uses nearby muscles and tissues to rebuild and lengthen the urethra, creating a new tube-like structure to improve urination and prevent infection.

This procedure involves reconstructing the posterior urethra and/or lower bladder to address urinary incontinence. The surgeon elongates the urethra using surrounding urethral muscles and fascia and repairs any urethral defects. A suprapubic incision is made to access the urethra. Two small incisions are then made at the lateral neck of the urethra to separate the pelvic muscle from the urethra. The pelvic muscles are pulled down and extended to cover the urethral defect, creating a tube-like structure. These muscles are sutured to the urethra, and the surrounding pelvic muscles are closed. An indwelling catheter is typically placed temporarily. Finally, any bleeding is controlled, and the skin incision is closed in layers.

Example 1: A 55-year-old male presents with severe urinary incontinence following a pelvic fracture. Imaging reveals a disrupted posterior urethra. The surgeon performs a urethroplasty with tubularization of the posterior urethra using the Tenago procedure to reconstruct the damaged area and restore continence., A 60-year-old female with a history of multiple surgeries for stress urinary incontinence experiences recurrent leakage. She undergoes a Leadbetter procedure, a type of urethroplasty involving tubularization of the lower bladder and urethra to create a more effective sphincter mechanism and improve continence., A child with a congenital defect in the posterior urethra causing incontinence undergoes a urethroplasty with tubularization to correct the malformation and improve urinary function.

Documentation should include details of the patient's history, physical examination findings, pre-operative imaging studies (e.g., cystourethrogram, voiding cystourethrogram), operative report with specifics of the urethroplasty technique used (Tenago, Leadbetter, or other), and post-operative care plan.