{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T17:05:35Z","timestamp":1792861535269,"version":"4.5.0"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:00:00Z","timestamp":1749686400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:00:00Z","timestamp":1749686400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/501100002742","name":"Banaras Hindu University","doi-asserted-by":"publisher","award":["IOE 6031"],"award-info":[{"award-number":["IOE 6031"]}],"id":[{"id":"10.13039\/501100002742","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1007\/s00192-025-06171-5","type":"journal-article","created":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T04:52:08Z","timestamp":1749703928000},"page":"2121-2132","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Buccal versus Vaginal Graft Urethroplasty in Female Urethral Stricture: A Systematic Review and Meta-Analysis"],"prefix":"10.1007","volume":"36","author":[{"given":"Lalit","family":"Kumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuja","family":"Thakur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakshi","family":"Agarwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahesh","family":"Khairnar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameer","family":"Trivedi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satya Narain","family":"Shankhwar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,12]]},"reference":[{"issue":"1","key":"6171_CR1","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/j.ajur.2022.04.002","volume":"10","author":"M Emami","year":"2023","unstructured":"Emami M, Shadpour P, Kamali K, Narimani N, Hosseini J. Female anterior wall onlay urethroplasty with lower lip buccal mucosal graft: Importance of the laterally extended incision. Asian J Urol. 2023;10(1):33\u20138.","journal-title":"Asian J Urol"},{"key":"6171_CR2","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1002\/nau.24584","volume":"40","author":"I Sarin","year":"2021","unstructured":"Sarin I, Narain TA, Panwar VK, Bhadoria AS, Goldman HB, Mittal A. Deciphering the enigma of female urethral strictures: a systematic review and meta-analysis of management modalities. Neurourol Urodyn. 2021;40:65\u201379.","journal-title":"Neurourol Urodyn"},{"key":"6171_CR3","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1016\/j.eururo.2013.07.038","volume":"64","author":"NI Osman","year":"2013","unstructured":"Osman NI, Mangera A, Chapple CR. A systematic review of surgical techniques used in the treatment of female urethral stricture. Eur Urol. 2013;64:965\u201373.","journal-title":"Eur Urol"},{"issue":"4","key":"6171_CR4","doi-asserted-by":"publisher","first-page":"2163","DOI":"10.13005\/bpj\/1597","volume":"11","author":"KB Santosa","year":"2018","unstructured":"Santosa KB, Wisnu Tirtayasa PM, Gde Oka AA. Dorsal vaginal graft urethroplasty as a treatment for female urethral stricture: case reports of four patients. Biomed Pharmacol J. 2018;11(4):2163\u20137.","journal-title":"Biomed Pharmacol J"},{"issue":"2","key":"6171_CR5","doi-asserted-by":"publisher","first-page":"124","DOI":"10.4103\/0970-1591.21041","volume":"29","author":"M Singh","year":"2013","unstructured":"Singh M, Kapoor R, Kapoor D, Kapoor R, Srivastav A, Chipde S. Dorsal onlay vaginal graft urethroplasty for female urethral stricture. Indian J Urol. 2013;29(2):124\u20138.","journal-title":"Indian J Urol"},{"issue":"2","key":"6171_CR6","doi-asserted-by":"publisher","first-page":"140","DOI":"10.4103\/iju.iju_329_21","volume":"38","author":"RN Kore","year":"2022","unstructured":"Kore RN, Martins FE. Dorsal onlay urethroplasty using buccal mucosal graft and vaginal wall graft for female urethral stricture\u2014outcome of two-institution study. Indian J Urol. 2022;38(2):140\u20135.","journal-title":"Indian J Urol"},{"issue":"8","key":"6171_CR7","doi-asserted-by":"publisher","first-page":"2433","DOI":"10.1002\/nau.24507","volume":"39","author":"GI Lane","year":"2020","unstructured":"Lane GI, Smith AL, Stambakio H, Lin G, Al Hussein Alawamlh O, Anger JT, et al. Treatment of urethral stricture disease in women: a multi-institutional collaborative project from the SUFU research network. Neurourol Urodyn. 2020;39(8):2433\u201341.","journal-title":"Neurourol Urodyn"},{"key":"6171_CR8","doi-asserted-by":"publisher","first-page":"1146429","DOI":"10.3389\/fsurg.2023.1146429","volume":"10","author":"C Tao","year":"2023","unstructured":"Tao C, Jin X, Zhang H. Dorsal oral mucosa graft urethroplasty for female urethral stricture reconstruction: a narrative review. Front Surg. 2023;10:1146429. https:\/\/doi.org\/10.3389\/fsurg.2023.1146429.","journal-title":"Front Surg"},{"key":"6171_CR9","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1111\/bju.13970","volume":"120","author":"BMB Mukhtar","year":"2017","unstructured":"Mukhtar BMB, Spilotros M, Malde S, Greenwell TJ. Ventral-onlay buccal mucosa graft substitution urethroplasty for urethral stricture in women. BJU Int. 2017;120:710\u20136.","journal-title":"BJU Int"},{"key":"6171_CR10","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1007\/s11884-010-0071-6","volume":"5","author":"AL Ackerman","year":"2010","unstructured":"Ackerman AL, Blaivas J, Anger JT. Female urethral reconstruction. Curr Bladder Dysfunct Rep. 2010;5:225\u201332.","journal-title":"Curr Bladder Dysfunct Rep"},{"key":"6171_CR11","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1016\/j.juro.2015.07.124","volume":"195","author":"I Faiena","year":"2016","unstructured":"Faiena I, Koprowski C, Tunuguntla H. Female urethral reconstruction. J Urol. 2016;195:557\u201367.","journal-title":"J Urol"},{"issue":"3","key":"6171_CR12","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1097\/01.ju.0000169422.46721.d7","volume":"174","author":"G Bakbagli","year":"2005","unstructured":"Bakbagli G, Palminteri E, Guazzoni G, Montorsi F, Turini D, Lazzeri M. Bulbar urethroplasty using buccal mucosa grafts placed on the ventral, dorsal or lateral surface of the urethra: are results affected by the surgical technique? J Urol. 2005;174(3):955\u20138.","journal-title":"J Urol"},{"issue":"1","key":"6171_CR13","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1007\/s00345-019-02758-y","volume":"38","author":"AE Zumrutbas","year":"2020","unstructured":"Zumrutbas AE, Ozlulerden Y, Celen S, Kucuker K, Aybek Z. The outcomes of Kulkarni\u2019s one-stage oral mucosa graft urethroplasty in patients with panurethral stricture: a single centre experience. World J Urol. 2020;38(1):175\u201381.","journal-title":"World J Urol"},{"key":"6171_CR14","doi-asserted-by":"crossref","unstructured":"Tsivian A, Sidi A. Dorsal graft urethroplasty for female urethral stricture. J Urol. 2006;176:611\u20133.","DOI":"10.1016\/j.juro.2006.03.055"},{"key":"6171_CR15","doi-asserted-by":"crossref","unstructured":"Migliari R, Leone P, Berdondini E, De Angelis M, Barbagli G, Palminteri E. Dorsal buccal mucosal graft urethroplasty for female urethral strictures. J Urol. 2006;176:1473\u20136.","DOI":"10.1016\/j.juro.2006.06.043"},{"issue":"12","key":"6171_CR16","doi-asserted-by":"publisher","first-page":"3047","DOI":"10.1007\/s00345-019-02958-6","volume":"38","author":"RG Gomez","year":"2020","unstructured":"Gomez RG, Segura FJ, Saavedra A, Campos RA. Female urethral reconstruction: dorsal buccal mucosa graft onlay. World J Urol. 2020;38(12):3047\u201354.","journal-title":"World J Urol"},{"issue":"3","key":"6171_CR17","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1007\/s00192-021-05052-x","volume":"33","author":"C Sahin","year":"2022","unstructured":"Sahin C, Yesildal C. Female urethral stricture: which one is stronger? Labial vs buccal graft. Int Urogynecol J. 2022;33(3):731\u20135.","journal-title":"Int Urogynecol J"},{"issue":"1","key":"6171_CR18","first-page":"84","volume":"4","author":"AJ Vanni","year":"2015","unstructured":"Vanni AJ. New frontiers in urethral reconstruction: injectables and alternative grafts. Transl Androl Urol. 2015;4(1):84\u201391.","journal-title":"Transl Androl Urol"},{"key":"6171_CR19","doi-asserted-by":"publisher","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","volume":"6","author":"D Moher","year":"2009","unstructured":"Moher D, Liberati A, Tetzlaff J, Altman DG, Antes G, Atkins D, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097.","journal-title":"PLoS Med"},{"key":"6171_CR20","doi-asserted-by":"publisher","first-page":"102610","DOI":"10.1016\/j.mex.2024.102610","volume":"12","author":"SE Kelly","year":"2024","unstructured":"Kelly SE, Benkhedda K, Brooks SPJ, MacFarlane AJ, Greene-Finestone LS, Skidmore B, et al. Risk of bias in cross-sectional studies: protocol for a scoping review of concepts and tools. MethodsX. 2024;12:102610.","journal-title":"MethodsX"},{"issue":"4","key":"6171_CR21","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1057\/s41270-022-00184-5","volume":"10","author":"P Br\u00fcggemann","year":"2022","unstructured":"Br\u00fcggemann P, Rajguru K. Comprehensive meta-analysis (CMA) 3.0: a software review. J Mark Anal. 2022;10(4):425\u20139.","journal-title":"J Mark Anal"},{"key":"6171_CR22","doi-asserted-by":"publisher","DOI":"10.1186\/s12301-021-00150-0","volume":"27","author":"JN Chakraborty","year":"2021","unstructured":"Chakraborty JN, Vyas N. Dorsal vaginal graft urethroplasty in female urethral stricture: a contemporary series. Afr J Urol. 2021;27:47. https:\/\/doi.org\/10.1186\/s12301-021-00150-0.","journal-title":"Afr J Urol"},{"issue":"5","key":"6171_CR23","doi-asserted-by":"publisher","first-page":"538","DOI":"10.1111\/iju.14504","volume":"28","author":"AE Coguplugil","year":"2021","unstructured":"Coguplugil AE, Ebiloglu T, Sarikaya S, Yilmaz S, Topuz B, Gurdal M. Ventral onlay buccal mucosa graft urethroplasty for female urethral stricture. Int J Urol. 2021;28(5):538\u201343.","journal-title":"Int J Urol"},{"issue":"4","key":"6171_CR24","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1007\/s00192-013-2249-x","volume":"25","author":"A Goel","year":"2014","unstructured":"Goel A, Paul S, Dalela D, Sankhwar P, Sankhwar SN, Singh V. Dorsal onlay buccal mucosal graft urethroplasty in female urethral stricture disease: a single-center experience. Int Urogynecol J Pelvic Floor Dysfunct. 2014;25(4):525\u201330.","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"8","key":"6171_CR25","doi-asserted-by":"publisher","first-page":"1921","DOI":"10.1002\/nau.24764","volume":"40","author":"\u00d6 G\u00fclp\u0131nar","year":"2021","unstructured":"G\u00fclp\u0131nar \u00d6, Zumrutbas AE, Sanc\u0131 A, B\u00fct\u00fcn S, Gokce M\u0130, Aybek Z. The outcomes of three buccal mucosal graft urethroplasty techniques in women with urethral stricture disease. Neurourol Urodyn. 2021;40(8):1921\u20138.","journal-title":"Neurourol Urodyn"},{"issue":"5","key":"6171_CR26","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.1007\/s11255-023-03520-5","volume":"55","author":"MM Higgins","year":"2023","unstructured":"Higgins MM, Wengryn D, Koslov D, Oliver J, Flynn BJ. Female urethroplasty with dorsal onlay buccal mucosal graft: a single institution experience. Int Urol Nephrol. 2023;55(5):1149\u201354.","journal-title":"Int Urol Nephrol"},{"issue":"6","key":"6171_CR27","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.1007\/s12262-024-04036-7","volume":"86","author":"S Hussain","year":"2024","unstructured":"Hussain S, Solanki FS, Sharma DB, Agarwal P, Sharma D. Substitution urethroplasty in female urethral stricture\u2014our initial experience. Indian J Surg. 2024;86(6):1201\u20136.","journal-title":"Indian J Surg"},{"issue":"S1","key":"6171_CR28","doi-asserted-by":"publisher","first-page":"S6","DOI":"10.21037\/tau.2019.03.02","volume":"8","author":"LA Hampson","year":"2019","unstructured":"Hampson LA, Myers JB, Vanni AJ, Virasoro R, Smith TG III, Capiel L, et al. Dorsal buccal graft urethroplasty in female urethral stricture disease: a multi-center experience. Transl Androl Urol. 2019;8(S1):S6\u201312.","journal-title":"Transl Androl Urol"},{"issue":"4","key":"6171_CR29","first-page":"71","volume":"8","author":"SMR Kallam","year":"2019","unstructured":"Kallam SMR, Busam PR. Outcome of dorsal onlay buccal mucosal graft urethroplasty in the management of female stricture urethra. PARIPEX Indian J Res. 2019;8(4):71\u20133.","journal-title":"PARIPEX Indian J Res"},{"issue":"3","key":"6171_CR30","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1007\/s00192-021-04840-9","volume":"33","author":"AR Khawaja","year":"2022","unstructured":"Khawaja AR, Dar YA, Bashir F, Wani PM, Bhat AH, Wani MS. Outcome of dorsal buccal graft urethroplasty in female urethral stricture disease (FUSD); our institutional experience. Int Urogynecol J. 2022;33(3):697\u2013702. https:\/\/doi.org\/10.1007\/s00192-021-04840-9.","journal-title":"Int Urogynecol J"},{"key":"6171_CR31","doi-asserted-by":"publisher","unstructured":"Nagalla VK. Evaluation of buccal mucosal graft urethroplasty for the treatment of female urethral strictures- a single centre experience. JUNS. 2022. https:\/\/doi.org\/10.32474\/JUNS.2022.03.000163.","DOI":"10.32474\/JUNS.2022.03.000163"},{"issue":"4","key":"6171_CR32","doi-asserted-by":"publisher","first-page":"273","DOI":"10.4103\/iju.IJU_57_19","volume":"35","author":"P Nayak","year":"2019","unstructured":"Nayak P, Mandal S, Das M. Ventral-inlay buccal mucosal graft urethroplasty for female urethral stricture. Indian J Urol. 2019;35(4):273.","journal-title":"Indian J Urol"},{"issue":"11","key":"6171_CR33","first-page":"1515","volume":"15","author":"S Prakash","year":"2023","unstructured":"Prakash S, Sinha R, Tiwari R, Kumar P. A retrospective study on female dorsal buccal mucosa graft urethroplasty in a tertiary care centre. Int J Pharm Clin Res. 2023;15(11):1515\u20139.","journal-title":"Int J Pharm Clin Res"},{"issue":"6","key":"6171_CR34","doi-asserted-by":"publisher","first-page":"991","DOI":"10.1007\/s00345-016-1947-7","volume":"35","author":"M Spilotros","year":"2017","unstructured":"Spilotros M, Malde S, Solomon E, Grewal M, Mukhtar BM, Pakzad M, et al. Female urethral stricture: a contemporary series. World J Urol. 2017;35(6):991\u20135.","journal-title":"World J Urol"},{"issue":"4","key":"6171_CR35","doi-asserted-by":"publisher","first-page":"267","DOI":"10.4103\/iju.IJU_134_19","volume":"35","author":"T Manasa","year":"2019","unstructured":"Manasa T, Khattar N, Tripathi M, Varshney A, Goel H, Sood R. Dorsal onlay graft urethroplasty for female urethral stricture improves sexual function: short-term results of a prospective study using vaginal graft. Indian J Urol. 2019;35(4):267.","journal-title":"Indian J Urol"},{"issue":"3\u20134","key":"6171_CR36","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1159\/000512065","volume":"105","author":"O Shalkamy","year":"2021","unstructured":"Shalkamy O, Abdelazim H, Elshazly A, Soliman A, Agha M, Tagreda I, et al. Factors predicting urethral stricture recurrence after dorsal onlay augmented, buccal mucosal graft urethroplasty. Urol Int. 2021;105(3\u20134):269\u201377.","journal-title":"Urol Int"},{"issue":"5","key":"6171_CR37","doi-asserted-by":"publisher","first-page":"1519","DOI":"10.53350\/pjmhs221651519","volume":"16","author":"RU Hassan","year":"2022","unstructured":"Hassan RU, Siraj S, Khan A, Saleem A, Ahmad I, Naeem R. Dorsal onlay urethroplasty using buccal mucosal graft and vaginal wall graft for female urethral stricture; outcome of a Tertiary Care Hospital. Pak J Med Health Sci. 2022;16(5):1519\u201321.","journal-title":"Pak J Med Health Sci"},{"issue":"1","key":"6171_CR38","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1159\/000273471","volume":"84","author":"A Kumar","year":"2010","unstructured":"Kumar A, Das SK, Trivedi S, Dwivedi US, Singh PB. Substitution urethroplasty for anterior urethral strictures: buccal versus lingual mucosal graft. Urol Int. 2010;84(1):78\u201383.","journal-title":"Urol Int"},{"key":"6171_CR39","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1007\/s00345-018-2564-4","volume":"37","author":"C West","year":"2019","unstructured":"West C, Lawrence A. Female urethroplasty: contemporary thinking. World J Urol. 2019;37:619\u201329.","journal-title":"World J Urol"},{"key":"6171_CR40","doi-asserted-by":"publisher","first-page":"9913452","DOI":"10.1155\/2021\/9913452","volume":"2021","author":"A Bhalaguruiyyan","year":"2021","unstructured":"Bhalaguruiyyan A, Murugan PP, Alakhananda CC, Hameed BMZ. Evaluation of the extent of primary buccal mucosal graft contracture in augmentation urethroplasty for stricture urethra: a prospective observational study at a tertiary healthcare centre. Adv Urol. 2021;2021:9913452.","journal-title":"Adv Urol"},{"issue":"6 PART A","key":"6171_CR41","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1016\/j.jpurol.2012.08.013","volume":"9","author":"AM Maarouf","year":"2013","unstructured":"Maarouf AM, Elsayed ER, Ragab A, Salem E, Sakr AMN, Omran M, et al. Buccal versus lingual mucosal graft urethroplasty for complex hypospadias repair. J Pediatr Urol. 2013;9(6 PART A):754\u20138.","journal-title":"J Pediatr Urol"},{"key":"6171_CR42","doi-asserted-by":"publisher","first-page":"81","DOI":"10.4103\/iju.IJU_298_19","volume":"36","author":"G Sharma","year":"2020","unstructured":"Sharma G, Sharma S, Parmar K. Buccal mucosa or penile skin for substitution urethroplasty: a systematic review and meta-analysis. Indian J Urol. 2020;36;81\u20138.","journal-title":"Indian J Urol"},{"issue":"9","key":"6171_CR43","doi-asserted-by":"publisher","first-page":"1309","DOI":"10.1111\/j.1464-410X.2009.08951.x","volume":"105","author":"GK Sharma","year":"2010","unstructured":"Sharma GK, Pandey A, Bansal H, Swain S, Das SK, Trivedi S, et al. Dorsal onlay lingual mucosal graft urethroplasty for urethral strictures in women. BJU Int. 2010;105(9):1309\u201312.","journal-title":"BJU Int"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06171-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-025-06171-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06171-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T09:07:09Z","timestamp":1765012029000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-025-06171-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,12]]},"references-count":43,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["6171"],"URL":"https:\/\/doi.org\/10.1007\/s00192-025-06171-5","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,12]]},"assertion":[{"value":"19 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 April 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 June 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical clearance is not required for this meta-analysis.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Statement"}},{"value":"None.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of Interest"}}]}}