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Welcome to our surgical showcase! In this video, we present a case of a 48-year-old female diagnosed with type 1 diabetes mellitus in 2003. Over the years, she developed diabetic nephropathy and is currently on the waitlist for a kidney transplant. Due to significant post-void residual urine, she has been managing with self-catheterization after attempts at natural voiding. However, she faced difficulties with self-catheterization and voiding, leading to further investigation which revealed a urethral stricture. The stricture, extending approximately 1.5 cm from the mid-urethra to the proximal urethra, was successfully treated using a Ventral onlay buccal mucosa graft (BMG) urethroplasty. Join us as we dive into the details of this complex procedure and explore its intricacies through surgical video footage. Don't forget to subscribe for more updates on innovative surgical techniques and patient care insights.