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Reconstructive Urology

Restoring Function for Men and Women through Surgical Repair and Prosthetic Technologies

When you live with urinary dysfunction, it's hard to feel in control. This can have lasting effects physically, emotionally and socially. 

Some problems can be corrected with medications or physical therapy. Others require additional intervention. 

SLUCare reconstructive urologist Dr. Clay McDonough specializes in complex urinary problems that require repair along the urinary tract. He is one of the only reconstructive urologists in the St. Louis region, treating patients with urological conditions stemming from structural problems.

SLUCare Reconstructive Urology Treats:

Areas of Specialty

Urethral reconstruction — The urethra is a tube that carries urine from the bladder to the outside of the body. (And semen in men.) The urethra can sometimes become damaged or narrowed, causing problems with urination. Dr. McDonough offers expertise in the repair of an injured or scarred urethra through endoscopy or open surgery. In collaboration with other SLUCare specialists, he also performs tissue grafts, replacing damaged urethral tissue with healthy tissue from other areas of the body. 

Prosthetics — When other treatments are no longer effective, prosthetic devices can be used to control urinary incontinence or to help men struggling with erectile dysfunction. Dr. McDonough performs procedures to implant, maintain or replace prosthetic devices, including: 

  • Artificial sphincter for urinary control, often following prostate surgery
  • Male slings to control moderate levels of urinary incontinence
  • Penile implants for erectile dysfunction

Endoscopic procedures — For patients suffering from overactive bladder, Dr. McDonough offers Botox injections to relax the bladder and reduce the number of trips to the restroom. Dr. McDonough also offers a procedure that bulks up the urethra through the use of injected material — an option for patients with minor incontinence or patients with complicated medical conditions.

Contact SLUCare Reconstructive Urology

For an appointment with Dr. McDonough, call 314-977-4440.

Find a Urologist Schedule Appointment Online



Center for Specialized Medicine Exterior Facing SouthCenter for Specialized Medicine
1225 South Grand
St. Louis, MO 63104
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SSM Saint Louis University Hospital - West PavilionSSM Health Saint Louis University Hospital - West Pavilion
3655 Vista Ave.
St. Louis, MO 63110
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SLUCare 6400 Location
SLUCare Physician Group
6400 Clayton Road, Suite 201
St. Louis, MO 63117
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