Complications of urinary tract reconstruction

Urinary tract reconstruction has benefited a large number of patients with dysfunctional lower urinary tracts. Reconstructive efforts have been innovative and continue to evolve, producing new complications. To minimize the risk to the patient, we must recognize our previous lessons. Appropriate patient selection is essential and mandates review of neurologic status, urologic anatomy, renal function, and motivation. Close follow-up remains the single most important element in assuring long-term well-being for most of these patients.