BMG(Buccal Mucosal Graft) Urethroplasty, detailed description,step be step surgery, indications and recovery

Buccal Mucosa Graft Urethroplasty - Procedure Steps, and Recovery  

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The BMG urethroplasty full form is buccal mucosa graft urethroplasty. The buccal mucosa is the inner cheek lining. The tissue transfer is done in the form of a graft or flap for lengthier urethral strictures.

Urethral strictures are an uncommon disease. It involves scarring that makes it difficult to carry urine out of the body. The scarring narrows the urine-carrying tube. The causes of urethral stricture may be hereditary, medical treatment-related, or traumatic. Long bulbar or penile urethral strictures are regarded as complex strictures that need reconstruction.

Reconstructing the urethra may require different tissues if the urethral stricture is long. Surgeons harvest the oral mucosa graft to repair the strictures. Urethroplasty with buccal mucosa graft tissues since the 90s because it is hairless and readily available. Also, the scar inside the mouth or lower lip is not visible to any person.

What Are the Indications for Buccal Mucosa Urethroplasty?

The doctor may diagnose with urethral stricture. Then your healthcare professional may recommend a buccal mucosa graft urethroplasty. A compromised urinary system is the most noticeable indication of urethral stricture. The symptoms are:

        Struggle to urinate

        Discomfort during urinating

        Infection in the urinary tract

        Prostatitis

Some people with severe strictures in their urethra are unable to urinate at all. Urinary retention is the term for this. It is a medical emergency. A poorly draining bladder can also cause urine to go back into the kidneys. This might lead to hydronephrosis. That might get as far as renal failure.

Prostate inflammation can result from a urethral stricture. The prostate is located just beneath the bladder. It encircles your urethra. Prostatitis is the term for this inflammation of the prostate. Urine backlog can cause complicated urinary tract infections. Antibiotics and urethral stricture therapy can be used to treat them.

What is the Surgical Procedure for BMG Urethroplasty?

Let's discuss the Buccal Mucosa Graft Reform steps:

Every patient had a single-stage transperineal repair using urethroplasty. This is done with a buccal graft for their lengthy urethral stricture.

Step 1: The surgeon performs a circumcisional incision. It is while the patient is in the lithotomy posture. It is done under general anesthesia. Then, he makes a perineal incision and cuts the midline of the perinea. It introduces him to the penis.

Step 2: The surgeon separates the corpus spongiosum from the corpora cavernosa. This extends it from the glans of the penis to the sphincter.

Step 3: The surgeon cuts the dorsal side lengthwise of the urethral stricture. It needs one or two cheeks to harvest the buccal graft. This has a maximum length and width of 1.5 to 2 cm.

Step 4: Next, to avoid dead spaces, surgeons thin the grafts were thinned. The grafts are on the dorsal part of the urethra. They are secured to the corpora cavernosa's tunica albuginea. It uses multiple sutures made of 5-0 vicryl sutures.

Step 5: Surgeons suture the margins of the incised urethra. It is done to the rims of the buccal graft over an 16F silicon catheter. In this way,Re-tubularize the urethra.

Step 6: Following the drain installation, the penile skin gets to its original position. The perineum is also closed in anatomic layers.

The patients are kept on bed rest for 4 to 6 days.

What Are the Advantages of Buccal Mucosa Urethroplasty?

In urological surgery, buccal mucosa graft urethroplasty is a game-changing procedure. It offers many advantages to patients suffering from urethral strictures. In this novel surgery, the urethra is rebuilt. It is done using the patient's buccal mucosa. The graft is taken from the inner lining of the cheek. The graft's outstanding vascularity and pliability are two of its main benefits. These enable a smooth integration. They also lower the risk of problems. Compared to other methods, BMG Urethroplasty has a decreased stricture recurrence rate. This guarantees a strong and long-lasting result

Here are some other benefits:

1. Personalized Solution: Buccal mucosa urethroplasty is a surgical technique. The process uses a unique graft extracted from the inside of your cheek. It is to provide a customized and natural fit.

2. Minimized Discomfort: With BMG Urethroplasty, recuperate more quickly. This is because the procedure is minimally invasive. And you will have less pain and discomfort. You will be able to resume your regular activities sooner.

3. Long-Term Relief: Bid farewell to persistent problems. Compared to other techniques, it has a decreased stricture recurrence rate. It gives you a long-lasting solution for better urine function.

4. Improved Quality of Life: Experience an improved quality of life after surgery. Patients frequently report easier urination and fewer difficulties. This enhances their general well-being.

5. Adaptability to Complex States: Buccal mucosa urethroplasty is adaptable. It is successful even in complex cases. This technique provides an effective remedy for various events. It is so regardless of how lengthy your stricture is. It even overlooks how difficult a place it is in.

6. Follow-up Assistance: Take advantage of an extensive follow-up strategy. You'll have follow-up appointments after the surgery. It is to ensure everything functions as it should. This continuous assistance guarantees your sustained well-being. It gives you contentment with the outcomes of your BMG Urethroplasty.