Leader in Complex Genitourinary Reconstructive Surgery

An experienced, innovative surgeon focused on restoring function, form and quality of life.

Brad Figler MD FACS

Expertise

Patient-centered approach to complex anatomical and functional challenges.

Dr. Figler is a board-certified Urologist and leader in the field of Genitourinary Reconstruction. Dr. Figler’s practice specializes in complex genital reconstruction, including urethral reconstruction (for strictures and fistulas), genital skin deficiency (after infection and trauma), and penile/genital cancer.

Urethral Strictures

Offers all treatment modalities, including dilation, Optilume and urethroplasty. Management of complex strictures after trauma, radiation, hypospadias repair and failed urethroplasty.

Rectourethral Fistula

Comprehensive perineal reconstruction of complex rectourethral fistulas after trauma and radiation.

Lichen Sclerosus

Urethroplasty and advanced tissue transfer techniques for simple and complex cases.

Buried Penis

Comprehensive patient-centered approach focused on functional improvement.

Penile / Genital Cancer

Collaborative multi-specialty care including squamous cell carcinoma (SCC) and Extramammary Paget’s Disease (EMPD) in men and women. Partnering with uro-oncology and Mohs surgery to maximize cancer cure, preserve genital tissue and protect quality of life.

Vaginoplasty

Dr. Figler developed an innovative “graft only” approach that is less invasive and reduces complications in the vaginal canal.

Metoidioplasty

Dr. Figler utilizes the “ring flap” approach to achieve excellent functional and aesthetic results.

Phalloplasty

Dr. Figler and Dr. Yemi Ogunleye (plastic surgery) perform radial forearm free flap and anterolateral thigh (ALT) phalloplasty.

Hidradenitis

As part of a comprehensive team, including Dr. Chris Sayed in dermatology, Dr. Figler offers comprehensive genital reconstructive surgery to reduce disease burden and improve quality of life.

Background

A foundation of rigorous academic medicine, dedicated fellowship training, and ongoing clinical research.

Dr. Figler received his medical degree from Case Western Reserve University School of Medicine and completed his residency training in Urology at Emory University Hospital in Atlanta, GA. Following residency, Dr. Figler completed a two-year fellowship in Genitourinary Trauma and Male Reconstruction at the University of Washington and Harborview Medical Center with Dr. Hunter Wessells, a pioneer in Genitourinary Trauma and Male Reconstruction. During this time, Dr. Figler also worked at the Harborview Injury Prevention and Research Center, where he pursued an interest in health services research. After his fellowship training, Dr. Figler worked at Thomas Jefferson University in Philadelphia, where he founded and directed the Division of Reconstructive Urology. In 2016, Dr. Figler joined UNC, where he serves as Professor of Urology and Plastic Surgery.

In July 2022, Dr. Figler started the fellowship in Genitourinary Reconstructive Surgery, and currently serves as the Fellowship Director.

Dr. Figler’s research interests include clinical outcomes and innovative techniques in genitourinary reconstruction, access to urologic surgery and strategies to address barriers.

Educational Video Library

Surgical technique demonstrations, patient education modules, and academic presentations.

Explore our complete library of surgical videos and clinical presentations on our official YouTube channel.

Visit UNC Urologic Reconstruction YouTube Channel

Research & Publications

Advancing the science and safety of reconstructive urology through evidence-based discovery.

Active Clinical Research & Innovations

Dr. Figler’s ongoing academic work focuses heavily on evaluating clinical outcomes in genitourinary reconstruction, assessing healthcare access barriers, and optimizing surgical innovations. Review his extensive portfolio of peer-reviewed journal articles and scientific contributions on PubMed.