{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T08:00:01Z","timestamp":1783238401467,"version":"3.54.6"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To review demographics, surgical techniques and outcomes of female patients undergoing buccal mucosal graft substitution urethroplasty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>An international multi\u2010institutional study was performed through a retrospective review of a prospectively managed database of female urethroplasty outcomes at two sites from December 2016 to June 2023. Institutions included a high\u2010volume tertiary referral centre performing 500 urethroplasties annually, and a regional centre with a fellowship\u2010trained urethroplasty surgeon performing ~50 urethroplasties annually. Female urethroplasty accounted for 2% of urethroplasties performed, utilising dorsal onlay, ventral inlay and double\u2010face techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010two patients underwent female urethroplasty between 2016 and 2023; 20 dorsal onlay grafts, 14 ventral inlay grafts and 8 double\u2010face urethroplasty. The mean age was 45\u2009years (SD 12.07) and mean follow\u2010up 27\u2009months (SD 17.22). The most common aetiology was idiopathic in 59%. The most common presenting symptom was obstructive lower urinary tract symptoms in 86%. Urethral dilatations were the most common treatment before urethroplasty, with a mean of 9 (SD 1.2) dilations pre\u2010urethroplasty. Stricture locations seen were; proximal 7%, proximal to mid\u201014%, mid\u201031%, mid to distal 10% and distal 38%. A total of 88% were successful overall; dorsal onlay was 100%, ventral inlay urethroplasties 71% and double\u2010face 88%. Mean Qmax improvement was 291% at 6\u2009months. In those who required dilatations or further surgery postoperatively (n\u2009=\u20095); four were ventral inlay (one mid\u2010distal, three distal), and one double\u2010face distal stricture. All patients including those requiring secondary treatments were continent and did not require intermittent self\u2010catheterisation or suprapubic catheter insertion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Urethroplasty is an effective long\u2010term therapeutic option for managing female urethral strictures. Dorsal onlay urethroplasty demonstrated the highest success rate, and stands out as a versatile technique, addressing distal to proximal urethral strictures. However, the chosen urethroplasty technique should be tailored to the characteristics of the stricture, patient and surgeons experience.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bco2.70024","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:49:55Z","timestamp":1745974195000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Female urethral stricture: A multi\u2010centre experience and lessons learnt"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0560-1137","authenticated-orcid":false,"given":"Madeleine","family":"Bain","sequence":"first","affiliation":[{"name":"Toowoomba Hospital  Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Esteban","family":"Gomez Zapata","sequence":"additional","affiliation":[{"name":"Kulkarni Reconstructive Urology Center  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kapilan","family":"Ravichandran","sequence":"additional","affiliation":[{"name":"Toowoomba Hospital  Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cora","family":"Fogaing","sequence":"additional","affiliation":[{"name":"Kulkarni Reconstructive Urology Center  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apurva","family":"Anand","sequence":"additional","affiliation":[{"name":"Kulkarni Reconstructive Urology Center  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amey","family":"Talpallikar","sequence":"additional","affiliation":[{"name":"Kulkarni Reconstructive Urology Center  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreyas","family":"Bhadranawar","sequence":"additional","affiliation":[{"name":"Kulkarni Reconstructive Urology Center  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Kulkarni Reconstructive Urology Center  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1937-936X","authenticated-orcid":false,"given":"Devang","family":"Desai","sequence":"additional","affiliation":[{"name":"Toowoomba Hospital  Queensland Australia"},{"name":"University of Queensland  Queensland Australia"},{"name":"Griffith University  Queensland Australia"},{"name":"University of Southern Queensland  Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2233-7785","authenticated-orcid":false,"given":"Pankaj","family":"Joshi","sequence":"additional","affiliation":[{"name":"Kulkarni Reconstructive Urology Center  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2017.01.20"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/iju.iju_329_21"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-021-04840-9"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-021-04906-8"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-018-2564-4"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2021.05.021"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.5152\/tud.2019.19228"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/6715257"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-020-04354-w"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/iju.IJU_57_19"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2011.01.017"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.06.043"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2012.11233.x"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2023.1146429"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-019-02958-6"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-023-03520-5"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/iju.IJU_134_19"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.5152\/tud.2020.20375"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.08.032"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2024.06.045"}],"container-title":["BJUI Compass"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T18:32:51Z","timestamp":1759948371000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bco2.70024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,29]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/bco2.70024"],"URL":"https:\/\/doi.org\/10.1002\/bco2.70024","archive":["Portico"],"relation":{},"ISSN":["2688-4526","2688-4526"],"issn-type":[{"value":"2688-4526","type":"print"},{"value":"2688-4526","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,29]]},"assertion":[{"value":"2025-01-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70024"}}