Abstract
The intersection between urology and plastic surgery represents an important collaborative frontier in modern reconstruction. Defects involving the genitourinary and perineal regions frequently require the coordinated expertise of both specialties to restore urinary continuity, soft-tissue coverage, sexual function, and aesthetics. Despite the expanding scope of this reconstructive collaboration that spans oncological, traumatic, congenital, and gender-affirming care, no formal designation has been defined to unify these efforts. This review introduces the concept of "uroplastics," a reconstructive field that integrates the principles and techniques of urology and plastic surgery under a shared philosophy of restoring both form and function. Drawing a parallel to the evolution of other blended specialties, such as neuroplastics, oncoplastics, and orthoplastics, uroplastics seeks to codify existing interdisciplinary practice into a coherent framework. Three collaborative models are identified across the literature: consultative, concurrent, and integrated. Each represents a progressive stage of interaction, from reactive consultation to fully integrated reconstructive programs and research partnerships. Representative studies demonstrate that early, structured collaboration improves wound healing, functional outcomes, and patient satisfaction in complex genitourinary reconstruction. Beyond the operating room, the formalization of uroplastics has implications for education, institutional design, and translational research, including advances in microsurgery, robotics, and tissue engineering. Its formal recognition as a collaborative reconstructive discipline will strengthen multidisciplinary training, accelerate innovation, and ultimately improve outcomes for patients requiring comprehensive genitourinary reconstruction.