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Transforming Lives with BMG Urethroplasty

BMG Urethroplasty is a surgical procedure used to repair urethral strictures (narrowing of the urethra) by using a graft from the buccal mucosa—the inner lining of the cheek or lower lip. This technique is considered the gold standard for complex or long-segment urethral strictures that cannot be managed effectively with dilation or internal urethrotomy.

During the procedure, a surgeon harvests a strip of mucosal tissue from the patient's mouth and then transplants it to the narrowed section of the urethra. The graft helps widen the urethral passage and restore normal urinary flow. BMG urethroplasty can be done as onlay, inlay, or tubularized grafting, depending on the location and extent of the stricture.

It offers long-term success rates exceeding 85–90%, making it a durable solution, especially for anterior urethral strictures.

5.0

90% Rated Value for Money

Benefits Of BMG Urethroplasty

  • Long-lasting resolution of urethral stricture

  • Improved urinary flow and bladder emptying

  • Reduced recurrence compared to endoscopic treatments

  • Minimal donor site complications (from cheek)

  • Better quality of life and symptom relief

  • Preserves erectile and urinary continence functions in most cases

  • Why Choose us?

    Success_rate

    95%

    Success Rate

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    Overview

    BMG Urethroplasty is a surgical procedure used to repair urethral strictures (narrowing of the urethra) by using a graft from the buccal mucosa—the inner lining of the cheek or lower lip. This technique is considered the gold standard for complex or long-segment urethral strictures that cannot be managed effectively with dilation or internal urethrotomy.

    During the procedure, a surgeon harvests a strip of mucosal tissue from the patient's mouth and then transplants it to the narrowed section of the urethra. The graft helps widen the urethral passage and restore normal urinary flow. BMG urethroplasty can be done as onlay, inlay, or tubularized grafting, depending on the location and extent of the stricture.

    It offers long-term success rates exceeding 85–90%, making it a durable solution, especially for anterior urethral strictures.

    Symptoms

    • Difficulty urinating or weak urinary stream

    • Urinary retention or incomplete emptying

    • Increased urinary frequency or urgency

    • Spraying or dribbling urine

    • Recurrent urinary tract infections (UTIs)

    • Pain or discomfort during urination

    Causes

  • Trauma or injury to the urethra (e.g., from catheterization or pelvic fractures)

  • Infections such as sexually transmitted diseases

  • Inflammatory conditions (e.g., lichen sclerosus)

  • Congenital anomalies

  • Prior surgeries or radiation therapy

  • Idiopathic (unknown cause in many cases)

  • The typical steps involved in BMG Urethroplasty

  • Preoperative Assessment:

    • Uroflowmetry, retrograde urethrogram, and urethroscopy to define the stricture.

    • Oral examination to ensure suitable graft site.

    • General health and anesthesia fitness evaluation.

  • Anesthesia & Positioning:

    • General anesthesia is used.

    • Patient is placed in lithotomy or supine position depending on stricture location.

  • Graft Harvesting:

    • Buccal mucosa is carefully harvested from the inner cheek or lip.

    • The area is closed with absorbable sutures.

  • Urethral Exposure:

    • The urethra is dissected and opened at the stricture site.

  • Graft Placement:

    • Graft is sewn into the urethral defect (onlay, inlay, or tubular graft).

    • The surgical site is closed with a catheter left in place.

  • Postoperative Care:

    • Catheter remains for 2–3 weeks.

    • Oral and wound care instructions given.

    • Follow-up imaging (urethrogram) before catheter removal.

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    Principal Director - Urology

    4.0

    Consults at:

    Max Shalimar Bagh

    Experience: 44 years
    Surgical Knife
    Surgeries: NA
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    FAQs

    Most patients recover in 4–6 weeks, with a catheter typically removed after 2–3 weeks.