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Open Buccal Mucosal 2 Stage – Urethral Reconstruction

Urethral reconstruction is a surgical procedure performed to treat urethral strictures (narrowing of the tube that carries urine from the bladder out of the body). Urethral strictures may be caused due to trauma of the urethra, infection or congenital abnormalities. Urethral reconstruction can be of 2 types:

  • Anastomotic technique, in which the narrowed part of the urethra is removed and the 2 ends are rejoined
  • Tissue transfer in which tissue, either from the buccal mucosa (inside of the cheek) or the bladder, are used as grafts to enlarge the narrowing urethra 

Urethral reconstruction is performed under general anesthesia in 2 stages. In the first stage, your doctor removes a section of tissue from the buccal cavity to act as a graft. The buccal cavity defect is then closed with the help of absorbable sutures. The graft is cleaned and prepared by removing the underlying fat tissue. In the second stage of the procedure, your doctor makes an incision in the urethra near the stricture and the scar tissue is removed and replaced with a new tissue graft taken from the inside of the cheek. Your doctor will form a tube from the new tissue in the urethra. Time taken for urethral reconstruction varies depending on the length and location of the stricture. Your doctor will place a catheter in your bladder after the surgery which will remain for about 10 to 14 days.

Like all other surgeries buccal mucosal 2 stage urethral reconstruction may have certain side effects such as:

  • Stage 1: restriction while opening your mouth, bleeding, swelling of the face and pain
  • Stage 2: wound infections and hematomas (collection of blood under the skin)

There are alternate minimally invasive/laparoscopic procedures that can be availed of. The Open Buccal Mucosal 2 Stage – Urethral Reconstruction is restricted to selected cases only. Your surgeon will discuss your options with you based on your particular medical history.

NMC UroCare provides specialized and experienced urologists and the best available quality treatments. For further information regarding Open Buccal Mucosal 2 Stage – Urethral Reconstruction, please contact NMC UroCare at http://www.nmcurocare.ae/contact-us/ .