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Updated: Mar 17, 2026

Urethral Stricture Induction Followed by Buccal Mucosa Graft Urethroplasty in a Rat Model
Published on: April 28, 2023
Buccal Mucosa a Narrative Review: How Does It Work, How Is It Used, What Is Coming Next
Joshua Sterling1, Dylan Hecksher1, Chris Hayden1
1Yale School of Medicine, Department of Urology, New Haven, CT.
Buccal mucosa grafts (BMG) offer scarless healing for urethral reconstruction due to fetal-like wound healing. Future applications in urology are promising but require manufacturing standardization and cost reduction.
Area of Science:
- Regenerative Medicine
- Urology
- Wound Healing Biology
Background:
- Buccal mucosa grafts (BMG) are the gold standard for complex urethral reconstruction.
- BMG exhibit unique regenerative properties, including rapid re-epithelialization and minimal inflammation.
- These properties mimic fetal-like wound healing with controlled fibroblast activity, leading to scarless outcomes.
Purpose of the Study:
- To review the biology of buccal mucosa grafts (BMG).
- To highlight the current and future applications of BMG in urology.
- To discuss emerging technologies for urethral reconstruction.
Main Methods:
- Literature review of BMG biology and applications.
- Analysis of regenerative properties and wound healing mechanisms.
- Exploration of novel tissue engineering approaches.
Main Results:
- BMG demonstrate scarless healing due to fetal-like wound healing phenotypes.
- BMG have broad applications across the genitourinary tract.
- Emerging technologies like tissue-engineered substitutes and organoids show future potential.
Conclusions:
- BMG biology supports their role as a standard in complex urethral reconstruction.
- Future advancements in tissue engineering may expand reconstructive possibilities.
- Clinical translation necessitates manufacturing standardization and cost-effectiveness.
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