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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.
4.0
95% Rated Value for Money
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
96%
Success Rate
0
BMG Urethroplasty Surgeons
1+
BMG Urethroplasty
0
Hospitals Around the world
3+
Lives touched
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.
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
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)
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.
Hospitals
Doctors