Buccal mucosal graft urethroplasty

This is a graft taken from the inside of the cheek

The surgery includes taking the buccal mucosal graft and then patching it on the urethra to make it the urethral calibre bigger.

This would involve the graft harvesting from inside the cheek. For longer stricture, sometimes we take a graft from each cheek. In very rare situations, we take from the lips or the tongues.

Another incision will be made either in the penis, or perineum. We then dissect the urethra, open it, and place the graft.  A catheter is usually placed in the  end and it stays between 7-21 days.

Generally no. This procedure is a same day surgery. You go home with nursing help for the catheter. 

In general, this procedure is very well tolerated. The complications are not common but can include: 

1- Infection

2- Bleeding

3- Incontinence (in very rare cases)

4- Erectile dysfunction (in very rare cases)

This procedure has a reported success rate between 80-90 %

usually you would need 3-4 weeks of post operative rest. You can do your daily activities but return to work is preferred to be after the removal of the catheter.

We ask for nursing support from the hospital and they would help with the foley care and the incision care.