Urethral Stricture

What is BMG Urethroplasty?

For urethral strictures, buccal mucosa grafting from the inner cheek provides the ideal tissue to rebuild the diseased urethra. It has the highest long-term success rate of any urethral reconstruction.

Why China?

• Cost: $7,500-$12,500 vs. $25,000-$55,000 in the US
• High-volume reconstructive centers: PUMC, Fudan, and Urology Hospital Beijing have dedicated urethroplasty teams
• Complex redo surgery: Tissue expansion and two-stage techniques available

Who is a candidate?

• Anterior urethral stricture (bulbar or penile)
• Stricture length 2-10+ cm
• Failed prior internal urethrotomy or dilation
• Lichen sclerosus strictures

Outcomes

Long-term success (stricture-free at 5 years): 85-92% for primary bulbar; 70-80% for complex/redo. Erectile dysfunction: <5% with nerve-sparing technique. Donor site morbidity: minimal (mouth heals in 2 weeks).