Yashoda Hospitals » Surgery Care » BMG Urethroplasty

BMG Urethroplasty

Experience state-of-the-art BMG Urethroplasty procedures available at Yashoda Hospitals, Hyderabad.

Minimally Invasive Techniques
Accurate Diagnosis with Precision
Expert Surgical Team with Extensive Experience
Personalized Care and Optimal Outcomes
Customized Treatment for Ureteral Conditions
Promote Long-term Health and Quality of Life

What is BMG Urethroplasty ?

Urethroplasty is a surgical procedure that repairs the walls of the urethra in conditions like urethral strictures. Urethral strictures can occur because of scar formation at the site of trauma in the urethra. As a result of the formation of a stricture, the patient may experience symptoms like frequent urination, urinary infections, an increase in time taken to empty the bladder, and a decrease in urine flow rate. Using buccal mucosal grafts to reconstruct the urethra has a higher success rate than any other graft.

How is Urethroplasty Performed: Before, During and After

Before undergoing urethroplasty

Before undergoing urethroplasty, the patient will need to undergo a few investigations like urinalysis for the presence of blood, urine culture to rule out infections, cystoscopy to locate the site of the stricture, and imaging procedures like voiding cystourethrogram.

During urethroplasty

Surgical procedures like urethroplasty include resectioning the obstructed part and joining the two normal ends. Usually, surgery can join both ends directly without using a graft. However, if it is not possible, an additional tissue or graft is used to reconstruct the urethra. The buccal mucosal graft is most commonly used out of all the possible options.

After undergoing urethroplasty

After the surgery, a catheter is placed in the urethra for approximately 2-4 weeks. Basic imaging is done to check whether healing has occurred or not. The catheter is removed if the imaging shows normal functioning of the urethra. Since urethral strictures tend to recur, especially within a few years of the surgery, the patient should follow up regularly.

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Cost of Urethroplasty in Hyderabad, India

Description	Cost
Cost of urethroplasty in India( surgery + stay in the hospital)	Rs 1,90,000- Rs 3,22,000
Cost of urethroplasty in Hyderabad( surgery + stay in the hospital)	Rs. 2,86,000

Surgery details	Description
Number of days in the hospital	2-3 Days
Type of surgery	Major
Anaesthesia type	General
Recovery	2-4 weeks
Duration of the procedure	3-8 hours
Surgery	Invasive

Risks And Complications Of Urethroplasty

The most important risk associated with urethroplasty is the recurrence of the urethral stricture. Hence, regular follow-ups are advised by the doctor. A few complications related to catheters include urinary tract infections and blockage or leakage of the catheter. Other complications include erectile dysfunction, pain in the scrotum due to damage to the nerves, and leakage of urine or semen. Most of the complications are temporary and improve over time. However, stricture formation within two years of the surgery remains the most important complication.

Who needs Urethroplasty?

Urethroplasty may be needed in the following cases:

Urethral Strictures: Narrowing of urethra leading to urine blockage.
Epispadias or Hypospadias: Congenital conditions that affect urethra, which are repaired in childhood. Recurrent blockages are common in previously rebuilt urethras.
Gender Affirmation Surgery: Surgery used to transform one into self- identified gender.

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Frequently Asked Questions

The length of the surgery depends mainly on the type of reconstruction that needs to be done. If the surgery requires only resectioning of the scar and joining of the normal ends, the time taken for urethroplasty is less. However, if a graft like a buccal mucosal graft is required for reconstruction, the time required for urethroplasty is more.

The recovery time after urethroplasty depends on the type of surgery that has been performed. Usually, it takes 2-4 weeks for complete recovery.

If the buccal mucosal tissue is used as a graft, then the site of tissue removal heals within 3 weeks.

After surgery, the patient should refrain from driving or sitting for prolonged hours while the catheter is in place. He should not masturbate or have sexual intercourse within six weeks of surgery.

The success rate of urethroplasty using buccal mucosal tissue for reconstruction is 81%. Buccal mucosal grafts have an advantage over other grafts as they are well adapted to moist environments, hairless, and easy to harvest.

The patient can have a normal diet after urethroplasty. His diet should include soft food items like bread, milk, fruit juice, etc., till complete recovery of buccal mucosa occurs.

In case of failure of urethroplasty, repeat surgery is done to reconstruct the urethra.