About Buccal Mucosa Urethroplasty
Key Highlights
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High success rates for complex or recurrent urethral strictures.Uses the patient's own tissue (autograft), minimizing rejection risk.Buccal mucosa is an ideal graft: thin, elastic, and hairless.Restores normal urinary flow and alleviates symptoms like straining or spraying.Can be performed as a single-stage procedure in many cases.Offers a long-term solution, often preventing the need for repeated dilations./ul
Who is this surgery for?
- Long-segment (≥2 cm) urethral strictures, especially in the penile or bulbar urethra.
- Recurrent strictures that have failed previous treatments like dilation or internal urethrotomy.
- Strictures caused by trauma, infection (e.g., lichen sclerosus), or prior catheterization.
- Complex strictures with poor quality or insufficient local penile skin.
- Patients experiencing significant obstructive symptoms: weak stream, straining, incomplete emptying, or urinary tract infections.
How to prepare
- Complete urological evaluation including urethroscopy and imaging (retrograde urethrogram).
- Pre-operative counseling regarding the procedure, graft site (cheek), and expected outcomes.
- Routine blood tests, ECG, and chest X-ray as per anesthesia requirements.
- Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised by the doctor.
- Fasting for 6-8 hours before the scheduled surgery.
- Maintaining good oral hygiene prior to the graft harvest.
Risks & possible complications
- Bleeding or hematoma at the surgical or graft donor site.
- Infection of the urinary tract or surgical wound.
- Recurrence of the stricture (though less common than with other techniques).
- Temporary numbness or discomfort in the cheek.
- Fistula formation (an abnormal connection) or diverticulum in the urethra.
- Changes in urinary stream or ejaculation.
- Rarely, persistent pain at the graft harvest site.
Recovery & hospital stay
- Hospital stay typically required for 2-4 days for catheter management and initial monitoring.
- A urinary catheter (often a suprapubic tube) remains in place for 2-3 weeks to allow the graft to heal.
- Oral antibiotics and pain medications are prescribed to prevent infection and manage discomfort.
- A soft diet and meticulous oral hygiene are advised for the first week after cheek graft harvest.
- Strenuous activity, heavy lifting, and sexual intercourse must be avoided for 4-6 weeks.
- Follow-up visits are crucial for catheter removal and to assess healing via a voiding trial.
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Typical hospital stay: 2-4 days
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Expected recovery time: 4-6 weeks for full activity resumption
Frequently Asked Questions
If you are considering buccal mucosa urethroplasty in India, these questions and answers can help you make a confident, informed decision.
Popular choices for buccal mucosa urethroplasty in India include Kamineni Hospital LB Nagar, Manipal Hospital Dwarka, Miot Hospital Chennai, Manipal Hospital Bhubaneswar, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform buccal mucosa urethroplasty. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for buccal mucosa urethroplasty compare across other countries where we have data.
Top hospitals for Buccal Mucosa Urethroplasty in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing buccal mucosa urethroplasty.
Saanvi Nair, a 42-year-old software project...
Saanvi Nair, a 42-year-old software project manager and mother of two, had her life upended by a severe pelvic fracture from a car accident five years prior. The initial trauma surgery saved her life but left her with a debilitating urethral stricture. For years, she managed with painful, slow urination and recurrent urinary tract infections that disrupted her work and family life. Self-catheterization became a humiliating daily ritual. Her urologist, Dr. Mehta, explained that the scar tissue was too dense for simple dilation and recommended a buccal mucosa urethroplasty. He described using a small graft from the inside of her cheek to reconstruct the narrowed urethra, offering a high chance of a permanent cure. The surgery was complex but successful. The first week of recovery was challenging, with a catheter and some cheek discomfort, but the constant urethral pain was gone. Within six weeks, after the catheter was removed, Saanvi urinated freely for the first time in years. Emotionally, she had felt broken and defined by her injury, a constant reminder of the accident. Post-recovery, she felt physically whole again. The simple, profound relief of normal bodily function restored her confidence and allowed her to fully re-engage with her career and children without the shadow of chronic pain.
Urologists for Buccal Mucosa Urethroplasty
Explore experienced urologists who regularly perform buccal mucosa urethroplasty and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore