Faculty:
Dr. Punit Bansal (Sr. Consultant - Urology)
Dr. Sandeep Singh (Consultant - Anesthesia)

Hospital:
RG Hospitals, Ludhiana, Punjab.

Presenting/Chief Complaints:
A 65 Year old female presented to RG Hospitals, Ludhiana with complaints of difficulty passing urine. She had been having complaints of recurring urethral stricture and urinary infections for the past 10 years for which she had been undergoing regular dilatation.
She was a known case of  Hypertension and Diabetes.

Diagnosis:
On further investigations a distal urethral stricture was seen. USG was suggestive of cystitis. Urine C/S - E.Coli present.

Treatment/Procedure/Surgery:
Cystoscopy + Buccal Mucosal Urethroplasty under GA and SA.

Operative Findings:
Intraoperatively, uretheroscopy was done and the urethra was raised. Mid uretheral stricture was seen, peri urethral incison given and urethra was mobilized. Dorsal yrethrerotomy was done, buccal harbested from left cheek and buccal mucosa fixed. Silicon Foleys was placed and the wound was closed.

Course of Hospitalization and Condition of Patient at the Time of Discharge:
Patient responded well to the treatment and was discharged on the 4th post operative day. Foleys catheter was removed after 21 days. Patient will not require any regular calibration until 1 year post surgery.