Wednesday, March 20, 2013

Buccal Mucosal Urethroplasty for bulbar stricture

A 40 year old gentleman came with 5 cm long bulbar stricture.He had previous history of perineal trauma and repeat VIU s. 
He was not having any comorbidties and was not a betel nut/pan chewer or smoker.His oral cavity didnot reveal any presence of submucosal fibrosis.
he was taken up for Buccal Mucosal Graft urethroplasty.
OPENING THE STRICTURE PART DORSOLATERALLY(UNILATERAL DISSECTION TO PRESERVE VASCULARITY)

HARVESTINBG BMG FROM INNER CHEEK MUCOSA

BMG ANCHORED TO TRIANGULAR LIGAMENT AND SUTURED TO THE URETHROTOMY

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