{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:54:06Z","timestamp":1790898846049,"version":"4.1.0"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Artificial urinary sphincter implantation is guideline\u2010supported for post\u2010prostatectomy stress urinary incontinence; however, ultra\u2010late urethral deterioration remains poorly characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 66\u2010year\u2010old man underwent radical retropubic prostatectomy in December 2006, followed by salvage radiotherapy in April 2007. Twelve years after artificial urinary sphincter implantation, intraluminal cuff exposure was incidentally detected on cystoscopy before urethral catheterization for orthopedic surgery. Urinalysis at diagnosis and pre\u2010explant urine culture were unremarkable. Explantation was delayed for 5\u2009months because of patient preference after counseling about infection and urethral injury risks. At explantation, the bulbar urethra showed near\u2010obliterative circumferential collapse with loss of architecture, requiring excision and primary anastomosis urethroplasty (EPA). Obstructive symptoms recurred within 2\u2009months, and recurrent stricture was confirmed endoscopically; suprapubic cystostomy was required at 3\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case demonstrates ultra\u2010late advanced urethral deterioration beyond focal cuff erosion or simple atrophy. In high\u2010risk radiated patients, explantation may not restore urethral integrity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/iju5.70278","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:00:31Z","timestamp":1790895631000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Near\u2010Obliterative Bulbar Urethral Stricture 12\u2009Years After Artificial Urinary Sphincter Implantation: A Case Report"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5804-5738","authenticated-orcid":false,"given":"Tokiko","family":"Niimura","sequence":"first","affiliation":[{"name":"Pelvic Floor Reconstruction Center Niimura Hospital, Shineikai Medical Corporation  Kagoshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7678-6375","authenticated-orcid":false,"given":"Akio","family":"Horiguchi","sequence":"additional","affiliation":[{"name":"Center for Trauma, Burn and Tactical Medicine National Defense Medical College Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Niimura","sequence":"additional","affiliation":[{"name":"Pelvic Floor Reconstruction Center Niimura Hospital, Shineikai Medical Corporation  Kagoshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000004088"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2022.05.012"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.829517"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.02.007"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau\u201024\u2010528"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2223\u20104683.2015.01.04"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2016.04.065"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2016.06.07"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.07.115"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20105347(05)65088\u20104"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.06.088"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2017.01.020"}],"container-title":["IJU Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.70278","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/iju5.70278","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.70278","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:00:39Z","timestamp":1790895639000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/iju5.70278"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,1]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/iju5.70278"],"URL":"https:\/\/doi.org\/10.1002\/iju5.70278","archive":["Portico"],"relation":{},"ISSN":["2577-171X","2577-171X"],"issn-type":[{"value":"2577-171X","type":"print"},{"value":"2577-171X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,1]]},"assertion":[{"value":"2026-03-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70278"}}